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APPLICATION FOR INDUSTRIAL WASTE DISPOSAL …

TO BE COMPLETED BY DPW ONLY SITE FILE APP NO. AREA PERMIT TYPE & NO. / CHECK ONE: New Permit Permit Revision Non-Use Permit Change of Ownership (Effective Date: ) BUSINESS NAME Tel. LEGAL COMPANY NAME Corporation / LLC Partnership Individual Government Agency LOCATION ADDRESS

Items to consider when applying for Industrial Waste Disposal Permit in Los Angeles County: Application Form: The Permit application must be completely filled out and signed by the person responsible for the waste discharge.

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  Applications, Industrial, Disposal, Waste, Waste disposal, Application for industrial waste disposal

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