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PS Form 3615 - Mailing Permit Application and Customer Profile
This form also documents when permits were issued or canceled, initial fees paid, and samples approved. You may use one form and update it as needed. If
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SAMPLE COMPLETED FORM
SECTION B: If your job requires a specific skill set or business knowledge due to governmental/institutional certification, please attach any additional
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EQP5942b-Lead-and-Copper-Consumer-Notice-Form-B-
Use the Consumer Notice template (next page) or another form approved by EGLE. B. Complete one Consumer Notice for each home or building that was sampled. MAKE
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