Ype of Waste as defined on back AND Amount of Waste Barrels (circle waste type) 01 02 03 04 05 06 07 08 09 10 11 12 14 15 16 50 99 Describe Type 99: How generated?: Where generated? (DNR serial number & well name): Background: NORM Screen: (field measurement of Naturally Occurring Radioactive Material) (circle unit) microR/hr or pci/gr Waste: (circle unit) microR/hr or pci/gr Destination: (Site Code) Transporter: I certify under penalty of law that I have personally examin.
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How to fill out the LA UIC-23 online
The LA UIC-23 form is essential for requesting authorization to transport exploration and production (E&P) waste to commercial facilities or transfer stations. This guide provides clear, step-by-step instructions for effectively completing the form online.
Follow the steps to complete the LA UIC-23 form online.
- Click ‘Get Form’ button to access the LA UIC-23 form and open it for editing.
- Fill in the company information, including the company name, contact person, physical address, mailing address, phone, and fax number.
- Indicate the type of waste generated by circling the appropriate waste type from the provided list and entering the amount of waste in barrels.
- If you circle type 99, describe the specific type of waste in detail.
- Explain how the waste was generated in the designated space.
- Provide information on where the waste was generated, including the DNR serial number and well name.
- Include the necessary background information and the results of the NORM screen field measurement for both the waste and background readings.
- Specify the destination of the waste by providing the name and site code of the commercial facility or transfer station.
- Enter the details of the transporter, including the name, address, contact person, and phone number.
- Review all entered information for accuracy. After ensuring that the form is complete and correct, users can save changes, download, print, or share the form as required.
Complete the LA UIC-23 form online to ensure your request is processed efficiently.
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