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The following must be filled out by Environmental Health & Safety Personnel Only |
| Permit Conditions, Limitations, and Compensatory Measures: |
| Permit#: |
Issue Date: |
| Type Permit: |
Expiration Date:
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| Signature of Approving EH&S Officer: |
Date of Signature of Approval: |
Mailing Address: PO Box 873804, Tempe, Arizona 85287-3804
Contact Email: EHS@asu.edu
Phone: (480) 965-1823
FAX: (480) 965-0736
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