Used Oil Form - Ohio EPA

Division of Environmental Response and RevitalizationRegistration for used Oil Collection CenterRegistration of a used Oil Collection Center is required by Rule 3745-279-31 of the Ohio Administrative Code. Please read the instructions on the back of this page before completing the Registration Type Box ABox B - Collection Center Type Initial Accept used oil from businesses in shipments of no more than 55 gallons. Accept used oil from DIY persons or farmers. Subsequent2. Collection Center Identification Center Name Center Street AddressCounty Center Mailing Address Center s Contact PersonPhone3. Owner Identification Owner NamePhone Owner AddressDate Ownership Began4. Certification I hereby certify that the information on this form is true, accurate, and complete. Name (please print)Title SignatureDateEPA 9034 (07/18) Center s EPA ID number (if applicable)INSTRUCTIONSEach person desiring to operate a used Oil Collection Center shall use this form to apply to the Division of Environmental Response and Revitalization (DERR) for registration as required by Rule 3745-279-31 of the Ohio Administrative Code(OAC).

INSTRUCTIONS Each person desiring to operate a Used Oil Collection Center shall use this form to apply to the Division of Environmental Response and Revitalization (DERR) for registration as required by Rule 3745-279-31 of the Ohio Administrative Code

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