Form uic 23 2026

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  1. Click ‘Get Form’ to open the UIC-23 in the editor.
  2. Begin by entering your company name, contact person, physical address, mailing address, phone number, and fax number in the designated fields.
  3. Circle the type of waste generated from the provided list and specify the amount in barrels. If applicable, describe any other waste types in detail.
  4. Provide information on how and where the waste was generated, including well names and serial numbers for state wells.
  5. Include a field measurement of radioactivity as per Department of Environmental Quality procedures. Fill in both background and waste readings.
  6. Indicate the destination site code for where the waste will be transported and provide details about the transporter.
  7. Review all entered information for accuracy before submitting. Once complete, fax your form to the Office of Conservation at 225-242-3505.

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2015 4.8 Satisfied (106 Votes)
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