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PRINTED: 10/22/2020 FORM APPROVEDIndiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:TANGLEWOOD TRACE (X4) ID PREFIX
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To fill out the 604-61212 facility number 000542, follow these steps:
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61212 facility number 000542 is needed by individuals or organizations who are associated with or have a facility registered under that specific number. It is typically used for identification and tracking purposes.
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The 604-61212 facility number 000542 is a specific identifier for a facility that is required to submit certain regulatory filings and reports to government agencies.
Typically, the owner or operator of the facility identified by 604-61212 number 000542 is required to file the necessary reports.
To fill out the 604-61212 facility number 000542, complete the required forms with accurate information about the facility's operations, environmental impact, and compliance status as specified in the filing instructions.
The purpose of the 604-61212 facility number 000542 is to monitor and regulate the environmental and operational practices of the facility to ensure compliance with relevant laws and regulations.
The information reported typically includes operational details, emissions data, waste management practices, and any compliance measures taken by the facility.
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