Miss. Code. tit. 11, pt. 5, ch. 2, app 11-5-2-280.2

Current through December 10, 2024

Appendix 11-5-2-280.2

I CERTIFY UNDER PENALTY OF LAW THAT:

1. The underground storage tank facility referenced above has completed the repairs/modifications necessary to establish compliance and is eligible to receive product deliveries.

2. I have personally examined and am familiar with the information contained in this submittal and any accompanying documents. This information, to the best of my knowledge, is true, accurate and complete.

3. I am aware that there are significant penalties for knowingly submitting false information.

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This form must be signed by both the UST owner and a MDEQ certified UST installer.

MDEQ reserves the right to make the final determination of whether or not the UST facility has satisfactorily returned to compliance.

PRODUCED BY THE MISSISSIPPI DEPARTMENT OF ENVIRONMENTAL QUALITY, OFFICE OF POLLUTION CONTROL, UST BRANCH PO BOX 2261, JACKSON, MS 39225 PHONE (601) 961-5171 FACSIMILE (601) 961-5093 www.deq.state.ms.us [File Link Not Available] 7/08

Miss. Code. tit. 11, pt. 5, ch. 2, app 11-5-2-280.2