编辑: Mckel0ve 2019-07-02
"格式文书五",,

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"广东省排污许可证注销登记表",,

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,,

,"

1、持证单位","是","

2、发证机关","否","←","(

1、2按实际情况在选择下拉框中选择)" ,"(盖章)",,

, ,,

,"41275",,

,"地区","年度","编号" "拟注销许可证编号","(在右侧蓝色区域内按要求填写,此处自动生成编号)440110",,

"拟注销许可证的单位名称","佛山市XX公司",,

, "拟注销许可证的单位通信地址","佛山市禅城区XX工业区",,

, "注销原因","停产",,

, "主办部门意见:",,

"发证机关意见:",,

"经办人(签字):主办部门(盖章)",,

"发证机关(盖章)",,

"41275",,

"41275",,

"是","√" "否","*"

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