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Get Swrecertapp.doc - Deq Louisiana

For Solid Waste Management Operators Registrations and Certifications Section Post Office Box 4313 Baton Rouge, Louisiana 70821-4313 1. Personal Data Employee s Full Name Last (Please Type or Print in Ink) Name of Employer First Middle Initial Home Address Name of Solid Waste Management Facility (Site) City State Home Phone Number ( ) For Office Use Only Agency Interest Number (A.I.#) $100 Re-Certification Zip City State Site Phone Number Zip Site Parish.

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