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** Note: Application must be submitted at least 10 days in advance to allow time for the application to be processed.
Class A or B Contractor Only
Enter "N/A" if tank is an abandoned in-place closure.
**Note: Upon completion, documentation will also need to be provided that the tank was actually taken to this facility.
I hereby accept full responsibility for the adherence to all requirements of the
Virginia Statewide Fire Prevention Code and the City of Waynesboro pertaining to the above application.
This field is not part of the form submission.
* indicates a required field