Ref: _____________________
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Ref (1) |
Environmental License/ Permit (2) |
Control Area/Facility/Location |
Effective Date |
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Notes:
(1)
Name of Applicant,
Business Corporation, relevant regulation and remark of license/permit
conditions
(2)
File reference of
the licensee/permittee
Recorded by Environmental Team Leader: __________________________ Date: ____________________________
Signed by Independent Checker (Environment): ______________________ Date: ____________________________