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Well Rework Record
The purpose of this form is for the owner/operator to submit vital information to the UIC permitting agency (DI) on an injection well (Class II wells) that is going to be reworked, or simply put, the well is going to be reevaluted and/or repaired.
Form #:   7520-12
Agency:  Environmental Protection Agency
Bureau:  Water
Common Name:   7520 Federal Reporting System
  TYPE PAGES SIZE (KB) CAPABILITY WHAT'S
NEEDED
pdf Both Form and Instructions 2   [2] Printable Only Adobe Reader Download  

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