Skip to Page Content
Delaware.gov  |  Text OnlyGovernor | General Assembly | Courts | Elected Officials | State Agencies
 Photo: Featured Delaware Photo
 
 
 Phone Numbers Mobile Help Size Print Email

Delaware General AssemblyDelaware RegulationsAdministrative CodeTitle 710001300Split1351


Table of Contents Previous Next

Department of Natural Resources and Environmental Control

Tank Management Section

1351 Underground Storage Tank Systems


PDF Icon Authenticated PDF Version


FC: 76

DNREC Facility ID#:

The undersigned, as principals and as legal representatives of [Owner or Operator] and [insert name and address of third-party claimant] hereby certify that the claim of Bodily Injury [and/or] Property Damage caused by an Accidental Release arising from operating [Owner or Operator] Underground Storage Tank System should be paid in the amount of $[ ______________ ].

______________________________________________________________________

[Signature of Owner or Operator]

______________________________________________________________________

[Signature of Attorney for Owner or Operator]

(Notary)________________ Date ________

______________________________________________________________________

[Signature of Claimant]

______________________________________________________________________

[Signature of Attorney for Claimant]

(Notary)_______________ Date ________

Last Updated: December 12 2018 17:41:12.
site map   |   about this site   |    contact us   |    translate   |    delaware.gov