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2013 APC V.INDEX, PAGE 1 SHELBY COUNTY HEALTH DEPARTMENT POLLUTION CONTROL SECTION 814 JEFFERSON AVENUE MEMPHIS, TN 38105 Telephone: (901) 2229599 FAX: (901) 2229550 MAJOR SOURCE OPERATING PERMIT
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How to fill out Shelby County Health Department pollution:

01
Start by gathering all the necessary information and documentation regarding the specific pollution incident. This may include details about the location, date and time, type of pollution, and any other relevant information.
02
Next, visit the Shelby County Health Department website or contact their office to find the specific form or application required for reporting pollution incidents. Download or request a copy of the form.
03
Carefully read through the instructions provided on the form to ensure that you understand all the requirements and information needed to complete it accurately.
04
Begin filling out the form by entering your personal information, such as your name, contact details, and any relevant identification numbers or permits if applicable.
05
Provide a detailed description of the pollution incident, including the type of pollution, its source, and any potential hazards or impacts it may have on the environment or public health.
06
Attach any supporting documents or evidence that can help substantiate your report, such as photographs, videos, or witness statements, if available.
07
Double-check all the information entered on the form to ensure accuracy and completeness. Review the form for any specific instructions regarding signatures, certifications, or additional documents that may be required.
08
Once you have completed the form, follow the instructions provided to submit it to the Shelby County Health Department. This may involve mailing it to a specific address or submitting it electronically through their website.
09
Retain a copy of the completed form for your records and make note of any confirmation or reference numbers provided during the submission process. This can be helpful for future reference or follow-up inquiries.
10
If you have any questions or require further assistance, do not hesitate to contact the Shelby County Health Department directly for clarification.

Who needs Shelby County Health Department pollution:

01
Individuals or businesses who have witnessed or are aware of pollution incidents within Shelby County.
02
Residents who want to report potential environmental hazards or violations to ensure public health and safety.
03
Organizations, agencies, or institutions involved in environmental monitoring or enforcement, who require accurate information about pollution incidents within Shelby County.
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Shelby County Health Department pollution refers to the reporting of waste, emissions, or contaminants that may pose a health risk to the public or the environment in Shelby County.
Businesses, industries, or individuals that produce pollutants or waste are required to file with the Shelby County Health Department.
To fill out Shelby County Health Department pollution forms, you will need to provide information about the type and amount of pollutants generated, methods of disposal, and any pollution control measures in place.
The purpose of filing with the Shelby County Health Department is to monitor and regulate pollution levels, protect public health, and minimize environmental impact.
Information such as the type and quantity of pollutants generated, disposal methods, pollution control measures, and any environmental impact assessment must be reported.
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