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MBA DISPOSAL, LLC
6701 N. Broadway Ext., Suite 310
Oklahoma City, Oklahoma 73116
No.
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Date
*
Time at Disposal
Driver's Name
*
Trucking Company
*
Truck #
*
Trucking Co. Work Ticket #
County
Operator
*
Lease Name
*
Field
*
Total BBLS.
*
RRC #
*
Email for Receipt
*
Comments
Liquid Type
*
Salt Water
Flow Back
Stock Tank
Frac Tank
Pit
Driver's Signature:
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