LA DNR UIC-28 free printable template

UIC-28 MANIFEST REQUEST FORM Department of Natural Resources Office of Conservation Env. Div. 1556 E P Waste Management Section P. O. Box 94275 Baton Rouge LA 70804 225 342-8244 Customer Number 1556 Form Number UIC-28 E P Waste Shipping Control Ticket Please PRINT OR TYPE all information legibly Shipping Information Date Contact Person Company Name Physical Shipping Address Do not use Post Office Box Phone Number Required Units Ordered 1 Unit 100 Tickets Billing Information Billing Address...

How to fill out uic 28 online form

How to fill out LA DNR UIC-28

1. Obtain the LA DNR UIC-28 form from the Louisiana Department of Natural Resources website or their office.
2. Fill out the applicant's information including name, address, and contact details in the designated sections.
3. Provide details about the well, including location, type, and depth in the appropriate fields.
4. Indicate the purpose of the Class V well in the designated area.
5. Complete any required sections about the geological and hydrological conditions based on your project's specifics.
6. Review the form to ensure all information is accurate and complete.
7. Sign and date the form at the bottom before submission.
8. Submit the form to the LA DNR either electronically or via mail as instructed on the form.

Who needs LA DNR UIC-28?

1. Individuals or businesses involved in underground injection activities in Louisiana that require authorization.
2. Operators of Class V wells who need to report their activities to the regulatory authority.
3. Anyone seeking to dispose of fluids underground in compliance with state regulations.

Video instructions and help with filling out and completing uic 28 manifest

Instructions and Help about uic28

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What is LA DNR UIC-28?

LA DNR UIC-28 is a form used for reporting activities related to the Underground Injection Control (UIC) program in Louisiana. It is specifically designed to collect data on underground injection practices to ensure they comply with environmental regulations.

Who is required to file LA DNR UIC-28?

Entities that operate underground injection wells in Louisiana are required to file LA DNR UIC-28. This typically includes businesses and industries that engage in activities such as waste disposal or the storage of fluids underground.

How to fill out LA DNR UIC-28?

To fill out LA DNR UIC-28, one must provide accurate and detailed information as requested on the form. This includes details about the injection well, the type of fluids being injected, and compliance with state and federal regulations. It may also involve gathering data from relevant operational records.

What is the purpose of LA DNR UIC-28?

The purpose of LA DNR UIC-28 is to monitor and regulate underground injection activities to protect groundwater resources and ensure that underground injection practices do not harm the environment or public health.

What information must be reported on LA DNR UIC-28?

The information that must be reported on LA DNR UIC-28 includes the identification of the injection well, the types and volumes of fluids injected, operational data, and any instances of non-compliance with regulations.