Fillable op77 transfer form

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OP-77 05-01 Record No. State of West Virginia Department of Environmental Protection Charleston WV 25301 This is to acknowledge that the well API no. District Well No Farm name Is hereby transferred from The transferor Company Code Address To Transfer approval and responsibility for any noncompliance matter not resolved in this document will be addressed in the thirty day circular that will be issued after review...
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op77 transfer
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