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ENVIRONMENTALLABORATORYCUSTOMERSETUP/PLATFORM CLIENTINFORMATION Name: Submitted by: Address: SubmittedDate: City: State: Zip: PRIMARYCONTACTINFORMATION Name: Title: Phone: Cell: Email: BILLINGINFORMATION(ifdifferentfromabove)
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The document includes information on the city council submission, the submitter, the submission date, the division/department responsible, and the action to be taken.
City council members or relevant department/division staff are required to file the document.
The form should be completed with accurate information regarding the city council submission, submitter details, submission date, division/department involved, and proposed action.
The purpose of the document is to document and track city council submissions, identify responsible parties, and outline the actions to be taken.
The document must include details such as the city council submission, submitter information, submission date, relevant division/department, and the specific action items.
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