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Form uic 23 2026
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- Click ‘Get Form’ to open the UIC-23 in the editor.
- Begin by entering your company name, contact person, physical address, mailing address, phone number, and fax number in the designated fields.
- 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.
- Provide information on how and where the waste was generated, including well names and serial numbers for state wells.
- Include a field measurement of radioactivity as per Department of Environmental Quality procedures. Fill in both background and waste readings.
- Indicate the destination site code for where the waste will be transported and provide details about the transporter.
- 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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