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Title

UIC Well Registration Form for Voluntary or Independent Cleanup Sites

 
Form number Date Published Date Revised
ECY 040-47e October 2006 June 2016
VIEW NOW UIC Well Registration Form for Voluntary or Independent Cleanup Sites (Number of pages: 5) (Publication Size: 144KB)


Microsoft Word format (Publication Size: 177KB)
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Description This form is used to register aquifer injection UIC wells at MTCA voluntary or independent cleanup sites.
REQUEST A COPY The mission of the Department of Ecology is to protect, preserve, and enhance Washington’s environment. To help us meet that goal, please consider the environment before you print or request a copy.

ADA Accessibility
The Department of Ecology is committed to providing people with disabilities access to information and services by meeting or exceeding the requirements of the Americans with Disabilities Act (ADA), Section 504 and 508 of the Rehabilitation Act, and Washington State Policy #188.
Visit Ecology’s website for more information
Contact Mary Shaleen-Hansen at 360-407-6143 or mary.shaleen-hansen@ecy.wa.gov
Keywords voluntary cleanup sites, UIC well registration form, Water Quality form, Official Ecology Form
WEB PAGE Underground Injection Control Program
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