1. FORM 1014LA – DESIGNATION OF LAND APPLICATION AGENT

2. FORM 1014LA – DESIGNATION OF LAND APPLICATION AGENT
This presentation will assist you in the completion of the Form 1014LA. The designation of land application agent.
Date of Last Revision: 2001
Rule Requirement: (f)(2)(I), (g)(2)(I)
Explanation of Form:
Question concerning this Form: For more information contact Pollution Abatement at (405)

3. FORM 1014LA – DESIGNATION OF LAND APPLICATION AGENT
NAME OF THE OPERATOR

4. FORM 1014LA – DESIGNATION OF LAND APPLICATION AGENT
NAME OF DESIGNATED AGENT

5. FORM 1014LA – DESIGNATION OF LAND APPLICATION AGENT
SIGNATURE BLOCK FOR OPERATOR

6. FORM 1014LA – DESIGNATION OF LAND APPLICATION AGENT
NOTARY SIGNATURE BLOCK – FOR INDIVIDUALS/OPERATORS

7. FORM 1014LA – DESIGNATION OF LAND APPLICATION AGENT
NOTARY SIGNATURE BLOCK – CORPORATIONS, INCORPORATED, OR LIMITED LIABILITY CORPORATIONS