Get the free (PCB) FACILITY APPLICATION - Missouri Department of Natural ... - dnr missouri
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STATE OF MISSOURI DEPARTMENT OF NATURAL RESOURCES HAZARDOUS WASTE PROGRAM POLYCHLORINATED BIPHENYLS PCB FACILITY APPLICATION NOTE PLEASE EITHER PRINT OR TYPE PART I 1. OPERATOR NAME ADDRESS CITY STATE ZIP CODE TELEPHONE NUMBER 2. OWNERSHIP STATUS Federal State Private Public Other 3. LANDOWNER NAME 4. OWNER NAME 5. NAME OF FACILITY 6. LOCATION OF FACILITY NEAREST CITY OR TOWN COUNTY TOWNSHIP RANGE NO. OF ACRES 1/4 1/4 1/4 of Section LATITUDE LONGITUDE 7. METHOD S OF MANAGEMENT CHECK ALL...
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