№ lp_2_3_08230
Regulatory self-monitoring report form for submitting revised industrial wastewater data to the King County Industrial Waste Program, including data tables, revision justifications, and a legal certification statement.
Organization: King County Industrial Waste Program
Address: 201 S. Jackson Street, Suite 513, Seattle, WA 98104-3855
Phone: 206-477-5300
Fax: 206-263-3001
Document Type: Self-Monitoring Report Form
Subject: Revised Monitoring Data Submission
Fields Included: Company Name; Sample Site No.; Permit/DA No.; Monitoring Period & Year; Revision Number; Date
Data Categories: Data Originally Entered; Revised Data; Reason for Revision
Reasons for Revision: Omitted Data; Transcription Error; Illegible Data; Report not Signed and/or Dated; Other
Certification Requirement: Signature of Principal Executive or Authorized Agent
Laboratory Requirement: Washington State Department of Ecology accredited laboratory
Alternative Format Contact: 206-477-5300; TTY 711
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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