ASSISTANCE WITH OBTAINING A REPLACEMENT CARD (EPA does not issue ...
ASSISTANCE WITH OBTAINING A REPLACEMENT CARD
(EPA does not issue Technician Certification Cards. We may be able to assist you in obtaining a replacement.)
Submit to:
Environmental Protection Agency Stratospheric Protection Division Mail Code (6205-T) 1200 Pennsylvania Avenue, NW Washington, DC 20460
Attention: Sect. 608 Technician Certification Program Manager YOU MAY FAX YOUR RESPONSE TO (202) 343-2336
NAME OF TECHNICIAN: CERTIFYING ORGANIZATION: TYPE OF CERTIFICATION:
UNIQUE ID NUMBER FROM CERTIFYING ORG: DATE OF CERTIFICATION: CURRENT ADDRESS:
EMAIL ADDRESS:
TELEPHONE NUMBER: (where you can be reached during the day)
VALIDATION OF REQUEST: I certify under penalty of law that I have personally examined and am familiar with
the information submitted in this document. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment.
Signature
Date
Please provide a brief explanation of what happened to your card:
Please submit a copy of a picture ID that contains your current address on it with this request.
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