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TO BE COMPLETED BY OPERATOR TYPE OR PRINT ALL ENTRIES ...

TO BE COMPLETED BY OPERATOR TYPE OR PRINT ALL ENTRIES ... 2026

TO BE COMPLETED BY OPERATOR TYPE OR PRINT ALL ENTRIES ... Preview on Page 1

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The document is a request form (UIC-29) from the Louisiana Department of Natural Resources, Office of Conservation, for operators to obtain authorization for after-hours receipt of exploration and production (E&P) waste. It outlines the necessary information required from the operator, including contact details, waste source, type of operation, and reasons for the request. The form must be completed and submitted via email or fax, with a filing fee required for processing. Approval is granted under specific emergency conditions to ensure public health and environmental safety.

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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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