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Storage Tank System Operating Permit Application

 

Facility Information:

 

Applicable changes over the past 12 months:

Required Attachments:

Detailed tank listing (capacity, product,tank material, above / below ground)

Precision leak testrecords(only for sites with single walled UST’s as required by NFCAE)

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

 File Uploads: A file over 15MB in size will not be accepted. Please resize or lower the quality of the file prior to upload.

Site Maintenance:

I agree this is the responsibility of the owner and/or operator to ensure storage tank sites are maintained in a manner that complies with the requirements of the NFCAE. Dispensing equipment is regularly inspected, tanks are monitored for leaks, fire safety plans are in place and staff are trained in their duties.

Pursuant to s. 33 (c) of the Freedom of Information and the Protection of Privacy Act, the personal information collected on this form is for the purpose of an operating program or activity of the City of Medicine Hat. The City of Medicine Hat must collect personal information directly from the individual that the information is about unless another method of collection is authorized by the individual or by an enactment of Alberta or Canada. The personal information provided will be protected under Part 2 of the Freedom of Information and the Protection of Privacy Act and will be used for processing your application.

Questions regarding the collection and use of personal information can be directed to the FOIPP Head of Local Body at 403 529 8234

By submitting this application/form you acknowledge and agree that any electronic signature provided by you herein is the same as a handwritten signature for the purposes of legality, validity, enforceability, and admissibility.

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