LOUISIANA DEPARTMENT OF ENVIRONMENTAL QUALITY
Secretary Chuck Carr Brown, PhD.









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SEWAGE SLUDGE HAULERS


Agency Interest Requestor Contact Information

* Contact's Name
* Contact's Email (Email address of the facility representative who shall be the primary contact for the application)
* Contact's Phone

Agency Interest/Facility Information

* Full Legal Name of Company/Transporter
* Physical Address (Street)
* Physical City
* Physical State
* Physical Zip
Physical Country
* Mailing Address (Street or PO Box) Same as the physical address
* Mailing City
* Mailing State
* Mailing Zip
Mailing Country