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Type or print all information. See reverse for instructions. OMB No. 20400042INVENTORY OF INJECTION WELLS1. DATE PREPARED(Year, Month, Day)Approval Expires 1/31/052. FACILITY ID NUMBERUNITED STATES

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Start by entering the year in the designated field. The year should consist of four digits, such as 2021.

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Move on to the month field and enter the numeric representation of the month. For example, January would be represented as 01, February as 02, and so on.

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Finally, enter the day in the corresponding field. The day should be represented using two digits, such as 01 for the 1st of the month or 31 for the last day.

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What is year month day?

Year month day is a date format that consists of the year, month, and day.

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