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COVID-19 Pandemic Essential Eye Exam and Treatment Consent Form Patient Name: DOB: Date: Please read and initial next to the following statements to indicate your agreement. If you cannot positively
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SEPS stands for Suspected Environmental Pollution Site.
The responsible party or owner of a suspected environmental pollution site is required to file SEPS.
SEPS can be filled out online through the appropriate regulatory agency's website or by submitting a paper form.
The purpose of SEPS is to notify regulatory agencies of potential environmental pollution incidents or sites.
Information such as location of the site, suspected pollutants, potential sources, and any actions taken must be reported on SEPS.
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