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Get and Sign Individual Waste Tire Fee Report 052611 Louisiana Deq Louisiana 2011 Form
Collected OFF ROAD TIRES includes ATV Go/Golf Cart bicycle lawn mower tires OTHER includes tires weight over 500 lbs Please make check payable to and mail to the address above QUESTIONS CONCERNING THIS FORM MAY BE DIRECTED TO 225 219-5337 Certification I personally examined and am familiar with the information submitted in this document and I hereby certify under penalty of law that this information is true accurate and complete to the best of my knowledge. AUTHORIZED SIGNATURE DATE MUST BE...
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