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Get Ust Notification Form - Vermont Agency Of Natural Resources - Anr State Vt

In ink all items except for the signature. For additional information call the Vermont Underground Storage Tank program at (802) 828-1138. I. OWNERSHIP OF TANKS VII. SITE CONTAMINATION HISTORY Name: Year Contamination Discovered: Mailing Address: DEC Hazardous Site #: Town/City: State: Zip: VIII. TYPE OF FACILITY (check one) Phone: II. OPERATOR OF TANKS (if different than owner) Name: Mailing Address: Town/City: State: Zip: Institutional Retail/Convenience Store.

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