N.H. Admin. Code § Agr 1405.31

Current through Register No. 50, December 12, 2024
Section Agr 1405.31 - Form for Placed in Service/Inspection Report for Retail Motor Fuel Devices
(a) In addition to other requirements set by rule, statute, or other law, each registered service technician shall complete and submit "Placed in Service/Inspection Report Form rtfuel 04-2004 (Rev. 07/14)" to the department.
(b) A registered service technician shall furnish the following on "Placed in Service/Inspection Report Form rtfuel 04-2004 (Rev.07/14)":
(1) Name of business;
(2) Full address, including city, state, and zip code;
(3) A statement of the product key as either:
a. Regular;
b. Mid grade;
c. Premium;
d. Ultra;
e. Diesel;
f. Kerosene;
g. High speed diesel; or
h. Other product key;
(4) The following information about the retail motor fuel devices:
a. Pump number;
b. Make of meter;
c. Serial number; and
d. Product key;
(5) The following information about the test data:
a. Type of test;
b. Prover reading as found;
c. Prover reading as sealed;
d. SN number being replaced; and
e. Gallons used for test; and
(6) A statement of the business's pumps as either:
a. Certified; or
b. Rejected.

N.H. Admin. Code § Agr 1405.31

#10168, eff 8-3-12

Amended by Volume XXXVII Number 50, Filed December 14, 2017, Proposed by #12424, Effective 12/1/2017, Expires 12/1/2027.