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DEPARTMENTUSEONLY DIVISIONOFMATERIALSMANAGEMENTDECACTIVITY#DATEVALIDATEDEXPIRATIONDATEREGISTRATIONFORMFORASOLIDWASTEMANAGEMENTFACILITY Pleasereadattachedinstructions(foundattheendofthisdocument)beforecompletingthisapplication.ThisisnotaUPA permit.SolidwastemanagementfacilityoperationsarenotauthorizeduntilaregistrationisvalidatedbytheDepartment. Attachallrequiredinformationtothisform,asde.

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