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First Call Environmental <br />PO Box 6035 <br />Ashland, VA 23005 <br />804-441-9764 <br />Initials: __________24-Hour Emergency Response <br />If for: ____Orange County, NC____ <br />____________________________________________ <br />(Client Name/Company Name) <br />Attention: ____________________________________________ <br />(Best Point of Contact) <br />____________________________________________ (Telephone Number) <br />____________________________________________ (Email) <br />____________________________________________ (Mailing Address) <br />____________________________________________ (Physical Address) <br />____________________________________________ (Accounting Contact) <br />____________________________________________ (Accounting Email) <br />Vehicle Identification Details: <br />____________________________________________ (DOT #) <br />____________________________________________ (License Plate#) <br />____________________________________________ (VIN#) <br />____________________________________________ (Vehicle ID#) <br />Private Pay? Filing an Insurance Claim? <br />____________________________________________ (Insurance Company) <br />____________________________________________ (Policy Number) <br />____________________________________________ (Claim Number) <br />____________________________________________ (Adjuster Name) <br />____________________________________________ (Adjuster Number and Email) <br />Update 2020 <br />W. Kirby Saunders <br />919-245-6123 <br />ksaunders@orangecountync.gov <br />510 Meadowlands Drive, Hillsborough, NC <br />Same <br />Lysa May <br />lmay@orangecountync.gov <br />Docusign Envelope ID: 76E6B9B7-1C69-49DA-B222-E031D8127002