DEQ Form 110-305 "Renovation, Repair &painting (Rrp) Program Application for Rrp Firm Certification" - Oklahoma

What Is DEQ Form 110-305?

This is a legal form that was released by the Oklahoma Department of Environmental Quality - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 30, 2013;
  • The latest edition provided by the Oklahoma Department of Environmental Quality;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of DEQ Form 110-305 by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Environmental Quality.

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Download DEQ Form 110-305 "Renovation, Repair &painting (Rrp) Program Application for Rrp Firm Certification" - Oklahoma

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DEPARTMENT OF ENVIRONMENTAL QUALITY
AIR QUALITY DIVISION
RENOVATION, REPAIR &PAINTING (RRP) PROGRAM
Application for RRP Firm Certification
1) Type of application? (
)
Initial Firm
(101162)
Renewal Firm
(
101163
)
Pick only one
2) Firm Name
Responsible Official
Title
Firm Address
City
State
Zip
County
Phone # (
)
Fax # (
)
E-mail
Company webpage (if applicable)
3) FEES FOR APPLICATION: Attach a check or money order to this application made payable to: Department of
Environmental Quality. Retain a copy of this application to serve as your receipt/invoice.
Fee Schedule (Do not remit fee if claiming exemption.)
For DEQ Use Only
Fee
Total
Received By
Amount Received
Initial Renovation Firm
(101162)
$300.00
Renewal Renovation Firm
(101163)
$300.00
EXEMPT FROM CERTIFICATION FEES AS MANDATED BY 27A O.S.§2-12-201(D)(3). (Further documentation
may be required. If applying for exemption, DO NOT SEND FEE.)
STATEMENT OF UNDERSTANDING:
I hereby certify under penalty of law that this application and any attachments contain neither willful nor negligent misrepresentation or
falsification and that all information is true, accurate, and complete. I understand that any misrepresentation or falsification may result in
rejection of my application or in revocation of any certificate issued as a result of this application. I certify that as a Certified RRP Firm I
will comply with all requirements established in OAC 252:110.
SIGNATURE OF RESPONSIBLE OFFICIAL
DATE
PLEASE RETURN APPLICATION TO:
Department of Environmental Quality
Administrative Services Division
P.O. Box 2036
Oklahoma City, OK 73101 (405) 702-4100
DEQ Form # 110-305
Adopted 7/30/2013
DEPARTMENT OF ENVIRONMENTAL QUALITY
AIR QUALITY DIVISION
RENOVATION, REPAIR &PAINTING (RRP) PROGRAM
Application for RRP Firm Certification
1) Type of application? (
)
Initial Firm
(101162)
Renewal Firm
(
101163
)
Pick only one
2) Firm Name
Responsible Official
Title
Firm Address
City
State
Zip
County
Phone # (
)
Fax # (
)
E-mail
Company webpage (if applicable)
3) FEES FOR APPLICATION: Attach a check or money order to this application made payable to: Department of
Environmental Quality. Retain a copy of this application to serve as your receipt/invoice.
Fee Schedule (Do not remit fee if claiming exemption.)
For DEQ Use Only
Fee
Total
Received By
Amount Received
Initial Renovation Firm
(101162)
$300.00
Renewal Renovation Firm
(101163)
$300.00
EXEMPT FROM CERTIFICATION FEES AS MANDATED BY 27A O.S.§2-12-201(D)(3). (Further documentation
may be required. If applying for exemption, DO NOT SEND FEE.)
STATEMENT OF UNDERSTANDING:
I hereby certify under penalty of law that this application and any attachments contain neither willful nor negligent misrepresentation or
falsification and that all information is true, accurate, and complete. I understand that any misrepresentation or falsification may result in
rejection of my application or in revocation of any certificate issued as a result of this application. I certify that as a Certified RRP Firm I
will comply with all requirements established in OAC 252:110.
SIGNATURE OF RESPONSIBLE OFFICIAL
DATE
PLEASE RETURN APPLICATION TO:
Department of Environmental Quality
Administrative Services Division
P.O. Box 2036
Oklahoma City, OK 73101 (405) 702-4100
DEQ Form # 110-305
Adopted 7/30/2013