OHIO DEPARTMENT OF NATURAL RESOURCES DIVISION OF OIL & GAS RESOURCES MANAGEMENT 2045 MORSE RD., F-2, COLUMBUS, OH 43229-6693 (614) 265-6922 BRINE HAULER ANNUAL REPORT (Form 13) (REV913) FIRST.

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How to fill out the Ohio Brine Form 13 Pdf Filler online

Filling out the Ohio Brine Form 13 is essential for brine haulers to report their annual activities accurately. This guide will walk you through each section of the form, ensuring a straightforward and efficient completion process.

Follow the steps to accurately complete the Ohio Brine Form 13.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. In the first section, enter your registration number in the designated field. This number is essential for identification purposes.
  3. Fill out your name, providing both first and last names in the 'Name' field. Include your full address, including street, city, state, and ZIP code in the respective fields.
  4. Next, provide your phone number, including the area code, in the provided section.
  5. In the 'Sources' section, list each well from which brine was collected. Fill in the owner/operator name, permit number, county, and quantities of brine in barrels (note that one barrel equals 42 U.S. gallons). Repeat this for all applicable wells.
  6. For the 'Disposal Points' section, report each disposal site used for the brine collected. If an injection well is part of your disposal method, ensure to include the permit number in the appropriate field.
  7. Review all entered information for accuracy and completeness. Make sure all necessary details are included as per the instructions provided.
  8. Finally, sign the form as the registered transporter and date it before submission.
  9. Once completed, save the changes made to the form. You may then download, print, or share the filled Ohio Brine Form 13 as needed.

Complete your Ohio Brine Form 13 online today for timely submission and compliance.

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