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Road Traffic (Carriage of Dangerous Substances in Road Tankers and Tank Containers) Regulations (Northern Ireland) 1992
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PART VFORM OF CERTIFICATE FOR DRIVER-CONTROLLED DELIVERIES
Road Traffic (Carriage of Dangerous Substances in Road Tankers and Tank Containers) Regulations (Northern Ireland) 1992 (“the Regulations”)Driver-controlled deliveries in accordance with Part III of Schedule 4 to the Regulations
PART A
| First Column | Second Column | Third Column | Fourth Column | Fifth Column | Sixth Column | Seventh Column |
|---|---|---|---|---|---|---|
Note: The licensee or some other competent person acting on his behalf must enter, in the first column, the address of the licensed premises concerned;; in the second column, the licensee’s name; in the third column, the relevant storage tank number, letter or number and letter; in the fourth and fifth columns, the quantity and grade respectively of petrol to be delivered; in the sixth column, his signature; and, in the seventh column, the correct date and time. This Part must be completed before delivery into the tank commences. The sixth column may only be completed after the person concerned has measured the ullage space in the tank. | ||||||
| Address of licensed premises | Name of licensee | Storage tank number, letter or number and letter | Quantity of petrol to be delivered | Grade of petrol to be delivered | Signature of licensee or competent person (to certify that in accordance with 3 paragraph 21(a) of Schedule 4 to the Regulations he has visually checked the ullage space in the storage tank) | Date and time of completion of this Part of the Certificate |
PART B
| First Column | Second Column | Third Column |
|---|---|---|
Note: in this Part, the driver must enter, in the first column, the relevant storage tank number, letter or number and letter; in the second column, the number of each compartment of any carrying tank from which the petrol is to be delivered; and, in the third column, his signature. This Part must be completed after Part A has been completed by the licensee or by a competent person acting on his behalf, but before delivery into the tank commences. | ||
| Storage tank number, letter or number and letter | Road tanker carrying tank compartment numbers | Signature of driver |
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