UIC-28 Form PDF Details

Understanding the nuances and critical elements of the UIC-28 Manifest Request Form is essential for individuals and organizations involved in environmental management and compliance. This form is a pivotal document issued by the Department of Natural Resources, specifically under the Office of Conservation's Environmental Division and the E&P Waste Management Section. Located in Baton Rouge, Louisiana, this office demands careful attention to the form’s specifications, including providing complete shipping and billing information. The form serves as a shipping control ticket for E&P waste, ensuring that each shipment is documented and managed according to regulatory standards. Details such as the customer number, form number, contact person, company name, physical shipping address, and phone number are mandatory fields that require clarity and accuracy. The form also specifies that each unit ordered equates to 100 tickets, indicating the volume of waste management documentation it supports. Faxing the completed form to the provided number is the final step in submitting the request, which then undergoes approval by a designated official within the Conservation Office. This form is an integral tool for maintaining compliance with environmental regulations, highlighting its importance in the responsible management of exploration and production waste.

QuestionAnswer
Form NameUIC-28 Form
Form Length1 pages
Fillable?Yes
Fillable fields14
Avg. time to fill out3 min 3 sec
Other namesuic 28 louisiana, uic 28 instructions, la uic 28 form, uic 28 form in louisiana

Form Preview Example

UIC-28 MANIFEST REQUEST FORM

Department of Natural Resources

Office of Conservation Env. Div.(1556)

E&P Waste Management Section

P.O. Box 94275

Baton Rouge, LA 70804

(225) 342-8244

Customer Number: 1556

Form Number: UIC-28 E&P Waste Shipping Control Ticket

Please PRINT OR TYPE all information legibly

Shipping Information:

Date:_______________________________________________________

Contact Person:_______________________________________________

Company Name:______________________________________________

Physical Shipping Address (Do not use Post Office Box):

______________________________________________________

______________________________________________________

Phone Number (Required): (_______) ____________________________

Units Ordered:_______________ (1 Unit = 100 Tickets)

Billing Information:

Contact Person:________________________________________________

Billing Address:________________________________________________

_______________________________________________________

_______________________________________________________

FAX FORM TO (225) 242-3505

FOR CONSERVATION USE ONLY

Approved by _____________________________________