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Oil Tank Abandonment

Date & Payment Information

Contractor

Homeowner

Homeowner

Tank Information

 

Inspection Notes

Second Tank Information

New Installation

Please enter a tank size and location.

HIDE REGION

 
Expected format: DD-MON-RR
Expected format: DD-MON-RR
 

Article XI Notice

*** All removals / abandonments, installactions etc. must be done in accordance with Article XI of the Nassau County Public Health Ordinance. This form is to be used only when the individual storage tank capacity is 1,100 gallons or less .