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Report Form - Hazardous Waste Discharge

  1. Facility Information

  2. Date

  3. Waste Reduction

  4. I Certify that a Program is in Place to Reduce the Volume and Toxicity of Hazardous Wastes Generated to the Degree Determined to be Economically Practical*

  5. Leave This Blank:

  6. This field is not part of the form submission.