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OFFICE OF CONSERVATION CLASS II WELL INTEGRITY TEST AFFIDAVITUIC5Completed UIC5 is to be submitted immediately to IMD: Via fax (225/2423441) or Via email (InjectionMining@la.gov) WELL AND OPERATOR
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Gather all necessary information and documents required for filling out the underground injection control form.
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Provide accurate and detailed information about the type of injection activity, location, and other relevant details.
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Follow guidelines and instructions provided by regulatory authorities for filling out the form accurately.
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Submit the completed form to the relevant regulatory authority for review and approval.

Who needs underground injection control?

01
Any individual or organization engaged in activities that involve underground injection of fluids or waste materials.
02
Companies or industries that use underground injection methods for disposal of waste products or for other purposes as regulated by environmental laws.
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Underground injection control (UIC) is a program that regulates the subsurface disposal of fluids through wells to protect underground sources of drinking water.
Operators of injection wells are required to file underground injection control.
Operators must submit the required forms and documentation to the appropriate regulatory agency.
The purpose of UIC is to prevent contamination of underground sources of drinking water.
Operators must report the type and volume of fluids injected, well construction details, and monitoring data.
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