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The document is a Wellsite Reclamation Certificate Application Form from Alberta Environment, dated December 2010. It outlines the necessary information and criteria for applying for a reclamation certificate for oil and gas wellsites in Alberta. The form includes sections for site identification, company information, environmental assessments, stakeholder details, reclamation criteria, and submission requirements. It emphasizes the need for thorough documentation regarding site conditions, contamination assessments, and compliance with environmental regulations.

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