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Uic 23  Form

Uic 23 Form

Use a Uic 23 template to make your document workflow more streamlined.

ADDRESS 5. TELEPHONE NUMBER 6. FAX NUMBER 7. BILLING ADDRESS 8. EMAIL ADDRESS (Invoice and Approval or Denial will be sent to this address) 9. BILLING CONTACT 10. BILLING PHONE NUMBER 12. TYPE OF E&P WASTE (as defined on back) 01 02 03 04 05 06 11. PO NUMBER (or Other Billing Number) 13. AMOUNT OF WASTE (in BARRELS) 07 08 09 10 11 12 14 15 16 50 99 (describe) 14. DESCRIBE WASTE TYPE 99 (if applicable) 15. DESCRIBE HOW WASTE WAS GENERATED 16. SOURCE OF E&P WASTE (DNR...
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