Tank Removal Notice Form printable pdf download

Tank Removal Notice Form

Site File #: 6535-

SCHEDULE - D

(Revised April 2012)

TANK REMOVAL NOTICE FORM

FOR OFFICE USE ONLY

Distribution List:

Owner

Occurrence File#:

Installer

Head Quarters

The New Brunswick Department of Environment and Local Government (NBELG)

requires that this Schedule D form be completed and submitted to the NBELG

immediately after the removal of any petroleum storage system on a site in the

province of New Brunswick having a total capacity greater than or equal to 2000 litres

of petroleum product storage capacity.

 All removal activities are to be completed under the direct supervision of a

contractor holding a current Petroleum Installer license in the Province of New

Brunswick.

 All petroleum storage removal activities to be undertaken are to be arranged

five working days in advance of the removal date by contacting the

appropriate NBELG Regional Office, shown on the list provided.

 In the event the site and/or tanks on the site where the removal is being

completed is not presently registered with the NBELG, a Schedule B form is to

be completed and attached with the submission of this form. Please contact

(506) 453-7945 to verify site registration and/or information.

 The Petroleum Product Storage and Handling Regulation requires any person

who suspects or detects that a petroleum product is leaking or has leaked from

a storage tank system to immediately notify the Minister (or designate) of such

leak.

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Tank Removal Notice Form