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To terminate your coverage under the general permit, please complete and submit the attached notice of termination (not) to your local regional water quality control board (rwqcb) Keep a copy for your records. The addresses of each rwqcb, as well as staff contacts can be located on page 9 of the attached annual report.

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Along with the study protocol. Print and mail the letter If an item is incomplete or not verifiable as indicated above, a phone call will be made to the applicant to clear the deficiency

A letter will not be sent to the permittee if unable to process the form.

My social security number is and my date of birth is I hereby swear and affirm that the following judgments are not against me (a) i hereby swear and affirm that i have never lived at or been associated with the property located at the following addresses C.identified instances of “do not use” abbreviations should be brought to the attention of the patient safety office via completing a patient incident report.

Documentation showing completion of tamp/tap and final physical is not required, but the co’s recommendation letter should mention the completion of these requirements or provide the schedule. How to use this sample letter Fill in your information on the sample letter and edit it as needed to fit your situation