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Contact EPA Pacific Southwest Water Division

Pacific Southwest, Region 9

Serving: Arizona, California, Hawaii, Nevada, Pacific Islands, Tribal Nations

Injection Wells Registration Form

* indicates required field

Transaction Type (choose one):
First time entry  

Facility Name

n/a - residence

Facility Phone:

Facility Location

RCRA ID, APN, or TMK or leave blank

 for industry/ business
  Find NAICS code at www.census.gov. Exiting EPA (disclaimer)
  One free lat/long finder is at msrmaps.com. Exiting EPA (disclaimer)

Legal Contact Information:
Owner or Other Responsible Party

check here if contact address is same as facility name/address above
How to Register Injection Wells
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