Bureau of Air Quality - Stage 1 Test Notification

Date of Test * mm/dd/yyyy

Time of Test (see Note1 below) *

Testing Company *

Maine Certified Inspector (see Note 2 below) *

Email address *

Phone *

Facility Name *

Tank Owner *

Location of Test
Street Address *
City/Town *

Note 1: Testing shall not commence prior to the designated time to allow for observation from a DEP representative. If no DEP representative is present at the designated time, then testing may proceed as scheduled.

Note 2: A list of certified inspectors can be found on the DEP Website.