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MEDICAL RECORDCHRONOLOGICAL RECORD OF MEDICAL CARED ATE
PRIVACY ACT STATEMENT: This information is subject to the Privacy Act of 1974 (5 U.S.C. Section 552a). This information may be provided to appropriate
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Baseline 1122 tetrachloroethane is a form used to report the amount of tetrachloroethane released into the environment.
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Any entity that releases tetrachloroethane into the environment is required to file baseline 1122.
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Baseline 1122 tetrachloroethane should be filled out with accurate information about tetrachloroethane releases following the provided guidelines.
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The purpose of baseline 1122 tetrachloroethane is to track and monitor tetrachloroethane emissions to protect the environment.
What information must be reported on baseline 1122 tetrachloroethane?
Information such as the amount of tetrachloroethane released, methods of disposal, and any mitigation measures taken must be reported on baseline 1122.
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