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Imperial County Public Health DepartmentDivision of Environmental HealthComplaint Form Name:Date:Address: Phone Number: Email: Please state reason for complaint:Print Name: Signature:Date: Please
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Please provide a detailed explanation or justification.
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Individuals or entities specified by the governing body.
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To provide a clear explanation or rationale for a particular matter.
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Any relevant data or details related to the specific issue at hand.
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