Report of water injected

The operator of each and every injection well shall, on or before the tenth day of the second month succeeding the month in which injection occurs, file with the director the amount of liquid injected, the composition of the liquid, and the source thereof upon approved computer sheets no larger than eight and one-half by eleven inches [21.59 by 27.94 centimeters]. The report shall be signed by both the person responsible for the report and the person witnessing the signature. The printed name and title of both the person signing the report and the person witnessing the signature shall be included.