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wt h,rop , SpIlls/11licit Discharge —Follow-Up Investigation Fora <br /> 950sepm) <br /> Date of Initial Incident <br /> dame of Responsible Party(representative} <br /> Phone Numb-er <br /> Email <br /> Address of Responsible Parte <br /> Required corrective actions!&�,cribe or attach abatement notice) <br /> Required timeline for:"Inplementaton of corrective acti ZM: <br /> El < 24 Hours 71 --_y Hours C: Other describe,, <br /> Were the required c-rrecti-,.-e actions satisfactorily met'(41��be&photographs) <br /> 0 Yes 7,`:L, <br /> If additional zorrective actions are required describe below: <br /> Is additional fbllo-tl,--up required? <br /> Q tie E: Re-m-pect(describe) E:Escalate enforcement(describe) :3 Other(describe) <br /> Name of City Staff person completing this R :�E <br /> MAY i 0 2016 <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br /> Appendix A—IDDE Source Investigation&Corrective Actions Procedure and Forms <br />