Ill. Admin. Code tit. 35, § 101.APPENDIX D
BEFORE THE ILLINOIS POLLUTION CONTROL BOARD
)
Applicable Caption )
(see Appendix A) ) docket number
)
NOTICE OF FILING
To: (List all persons served.)
PLEASE TAKE NOTICE that I have today filed with the Office of the Clerk of the Pollution Control Board the [specify what document was filed] of [name of persons filing the document], a copy of which is herewith served upon you.
| Name of Attorney or Other Representative |
Date
Name
Address
Telephone Number