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Waste Handler Status check all that apply Not Applicable Permitted TSD TCEQ-00002 Rev. 11/30/2011 Interim TSD Page of Section C. Types of waste transported check all that apply Section F. Certification of Company Information I certify that the information submitted herein is complete and accurate to the best of my knowledge Printed Preparer s Name Number Telephone Preparer s Signature Date Mail all completed registration forms i.e. Notification.

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