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�%Pe *40 <br /> OFFICE OF EMERGENCY SERVICES - HAZ MAT DIV <br /> Data Entry Form <br /> SPECIALIST 1� <br /> BUSINESS NAME J S; ACCOUNT NO. <br /> HMMP Updates Action Required <br /> ❑ Section 1 ❑ Process Accepted HMMP <br /> ❑ Section 2 Single Facility Rule ❑ Unmanned Site Network ❑Exempt ❑ AHM <br /> ❑ Section 3 Annual Bill: No. of Billable Chemicals L S <br /> ❑ Section 4 ❑ Backbill: From year 19 to 19 <br /> ❑ Section 5 ❑ Amended Billing: <br /> ❑ Inventory No. of Chemicals_Added Deleted_Exempt_ Repeat_ <br /> ❑ Map Category/Count has Changed to <br /> Reviewed by: Date: [ 1� <br /> CLERICAL / <br /> Billing Process Only HKMP Data Entryo leted <br /> Filemaker Pro ilemaker Pro %taffin[ry/Updates <br /> ❑ Tracking Database e only <br /> Entered by: Date: Entered by: Date. <br /> DEF: Rev: ov.95 <br />