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Injection Fluid Type Pick one Fresh Water Treated Brine Water/Brine Source Produced Water Other Attach list Quality Total Dissolved Solids Attach water analysis if available mg/l Specific Gravity Additives II. OPERATOR License 33268 API No. RL Investment LLC Name D30094. 0 Permit No 2698 J O Terrace Address 1 15-195-22484-00-00 Reporting Year January 1 to December 31 Hill City City State Contact Person Randall Pfeifer Phone 785 KS Zip 67642 NW - NE - SW - SE Sec. 14 Q/Q/Q/Q 421-6448 Lease...

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