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PRINTED: 12/28/2020 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:SUGAR FORK CROSSING (X4) ID PREFIX
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Facility number 014080 is a unique identifier for a specific facility that is used for regulatory reporting and compliance purposes.
Entities that operate or manage a facility designated with number 014080 are required to file the necessary documentation.
To fill out facility number 014080, you must provide relevant details such as facility name, address, type of operation, and any specific regulatory information required.
The purpose of facility number 014080 is to ensure compliance with environmental regulations and to facilitate monitoring by regulatory authorities.
The information that must be reported includes operational details, compliance data, emissions data, and any incidents or violations that may have occurred.
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