The following require immediate notification to the Environmental Department: Environmental Protection Agency – Division: State Environmental Agency – Division: Department of Health - Division: County Fire Marshall: County Fire Inspector: Other: The following require immediate notification to the Safety Department: OSHA – Division: MSHA – Division: Other: Type of Inspection: Scheduled Unannounced Any items brought to your attention at the visit’s completion Yes No Name: Title: Phone Number: Email Address: Retain a copy of the business card in space provided Or provide pertinent information..
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