If you’re among the 41 entities listed below you are required to report per Texas Health and Safety Code §388.005(c). Reporting requirements apply to each political subdivision, institution of higher education and state agency facility located in the 41 non-attainment areas or affected counties in Texas: Bastrop, Bexar, Brazoria, Caldwell, Chambers, Collin, Comal, Dallas, Denton, El Paso, Ellis, Fort Bend, Galveston, Gregg, Guadalupe, Hardin, Harris, Harrison, Hays, Henderson, Hood, Hunt, Jefferson, Johnson, Kaufman, Liberty, Montgomery, Nueces, Orange, Parker, Rockwall, Rusk, San Patricio, Smith, Tarrant, Travis, Upshur, Waller, Williamson, Wilson and Wise.
Note: All entries below designated with an asterisk (*) are required entries. All other entries are optional and may be left blank or entered "n/a".
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SECTION 1: Reporting Entity Information

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* Entity name:

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* Entity type:

Contact Information:

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* City:

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* Zip Code:

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* County:

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* Salutation:

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* Contact Name:

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* Contact Title:

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* Contact Email Address:

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* Contact Phone Number:

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* Contact Phone Number Extension:

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