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Get LA DEQ Waste Tire Generator Notification Form 2018-2021

ICE USE ONLY Agency Interest #: ___________ DEQ Account #: WT-_________ DEQ Facility #: R-_____________ In order for the Department to process this form, all sections must be completed and the original signed copy must be mailed to the Department at the address above. A guidance document has been prepared by the Department of Environmental Quality (LDEQ) to assist in completing this form and should be consulted prior to providing responses to the information required to be contained in this app.

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