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PRINTED: 06/23/2014 FORM APPROVED Illinois Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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A form facility shall is a document to report information about the facility's activities, operations, and compliance with regulations.
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The purpose of a form facility shall is to ensure transparency and compliance with regulations by documenting information about a facility's operations.
Information such as activities conducted at the facility, waste management practices, emission levels, and compliance with regulations must be reported on a form facility shall.
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