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y FORM 1772 - COURTESY REVIEW PROBLEM CHECKLIST <br /> PROBLEM IDENTIFICATION <br /> Facility Name: ID# <br /> 0 IN]TIALNOTIFICATION A: <br /> ❑ OMER(amended,closure,withdrawal,exempted) <br /> ❑ L Notification Categories: <br /> ❑ Tiers marked do not match type of forms filed. <br /> ❑ #of forms attached do not match total#of units. <br /> 0 Tier 4A' checked with other tiers. <br /> ❑ ' H. Generator Identification: <br /> 0 EPA#incorrect/ i sing <br /> Name/Address incomplete <br /> ❑ Contact Person/Phone#missing <br /> Type of Company: >Standard Industrial Classification Code-missing <br /> ❑ IV. Attachments(missing): <br /> Certification(s) <br /> 0 Plot Plan missing <br /> 0 No signature/title/date <br /> ® Questionable title <br /> ❑ No original signature <br /> Unit Specific Forms: <br /> ❑ Unit Name/Unit ID#-missing <br /> ❑ Number of Devices-#(x is unacceptable) <br /> I. Waste streams&Treatment Processes <br /> 0 Total Volum Treated-no quantity <br /> ❑ Waste streams-none marked <br /> ❑ Certified Technology-certification#missing <br /> ❑ H. Narrative Descriptions: Blank 2 2 3 <br /> ❑ III. Residual Management-#3-letter not checked when Yes(others can be blank) <br /> ❑ IV. Basis For Not Needing A Federal Permit-missing <br /> Additional Comments/Problems: <br /> Reviewed by Date: <br />