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Lity. Tidemark Case # and Plan Reviewer Leave blank. FOR PERMIT CENTER USE ONLY Section 2: Check all the boxes that pertain to the hazardous materials within this site. Section 3: CAS Number Enter the Chemical Abstract Service (CAS) number for the hazardous material. For mixtures, enter the CAS number of the mixture if it has been assigned a number distinct from its components. If the mixture has no CAS number, leave this column blank and report the CAS numbers of the individual hazardou.

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