Schedule C "Spill Prevention Upgrades" - New Brunswick, Canada

ADVERTISEMENT
ADVERTISEMENT

Download Schedule C "Spill Prevention Upgrades" - New Brunswick, Canada

495 times
Rate (4.8 / 5) 25 votes
Site File #: 6535-
SCHEDULE - C
(Revised January 2018)
SPILL PREVENTION UPGRADES
FOR OFFICE USE ONLY
Distribution List:
Program Mgr.:
Data Manager:
All sites that have submitted a passing precision test report, required for 20-year-old underground
systems, shall upgrade their systems to have an overfill containment box and overfill prevention
valve installed.
All the spill prevention upgrade work is to be completed by a licensed petroleum installer. When the
installer has completed the upgrade work, they shall submit this form verifying that both a fill tube
spill containment device and an overfill protection device has been installed on the subject systems.
In order to confirm that the upgrade work has been completed, please submit this form to:
New Brunswick Department of Environment and Local Government
Authorizations Branch
(20 McGloin Street, Fredericton, NB E3A 5T8)
P.O. Box 6000
Fredericton, New Brunswick E3B 5H1
Telephone: (506) 453-7945
Fax: (506) 453-2390
Page 1 of 2
Site File #: 6535-
SCHEDULE - C
(Revised January 2018)
SPILL PREVENTION UPGRADES
FOR OFFICE USE ONLY
Distribution List:
Program Mgr.:
Data Manager:
All sites that have submitted a passing precision test report, required for 20-year-old underground
systems, shall upgrade their systems to have an overfill containment box and overfill prevention
valve installed.
All the spill prevention upgrade work is to be completed by a licensed petroleum installer. When the
installer has completed the upgrade work, they shall submit this form verifying that both a fill tube
spill containment device and an overfill protection device has been installed on the subject systems.
In order to confirm that the upgrade work has been completed, please submit this form to:
New Brunswick Department of Environment and Local Government
Authorizations Branch
(20 McGloin Street, Fredericton, NB E3A 5T8)
P.O. Box 6000
Fredericton, New Brunswick E3B 5H1
Telephone: (506) 453-7945
Fax: (506) 453-2390
Page 1 of 2
1. FACILITY DESCRIPTION
Facility Name:
Street Address:
Community:
, NB
2. UPGRADE DESCRIPTION
3. UPGRADED TANKS
Tank No.
Size
L
Product
Tank No.
Size
L
Product
Tank No.
Size
L
Product
Tank No.
Size
L
Product
Tank No.
Size
L
Product
3. CERTIFICATION
I certify that to the best of my knowledge, the information provided in this form is true,
accurate and complete.
Installed by:
Installer License No.
Date:
Page 2 of 2
Page of 2