VR605 - Incident Detail Report

The Incident Detail report provides information regarding fuel-related violations or citations for a specific site.

 

Field

Definition

To

The person who will receive the incident detail report

From

The person who sent the incident detail report

Fax #

The recipient's fax number

Site

The site identification number

Address

The address at which the site is located

Phone

The site's phone number

County

The county in which the site is located

Report Created

The date on which the report is created

Incident Information

Detailed information regarding the reported incident

 

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View Sample Report