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TO BE COMPLETED BY OPERATOR TYPE OR PRINT ALL ENTRIES ... 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the 'OPERATOR NAME' in the designated field. This is crucial as it identifies the generator of E&P Waste.
- Next, input the 'OPERATOR CODE' assigned by the Office of Conservation. This code is essential for tracking purposes.
- Fill in your complete 'MAILING ADDRESS', ensuring to include city, state, and zip code for accurate correspondence.
- Provide a 'CONTACT PERSON' name along with their 'TELEPHONE NUMBER' for any inquiries related to this request.
- If applicable, enter your 'BILLING ADDRESS' and ensure that you provide an 'EMAIL ADDRESS' where invoices will be sent.
- Complete sections regarding waste source details, including well serial number and facility information as required.
- Finally, review all entries for accuracy before submitting your form via email or fax as instructed at the top of the document.
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