Environmental Inspection Application

FORM – English

Required Contact Information


Note: I agree to notify Bear River Health Department immediately upon any change of address or employment.

Station Information Section


Station Two Information Section


Certified Emissions Inspectors shall comply with the regulations set forth by the Bear River Board Of Health. Certifications are non-transferable. Certifications remain the property of Bear River Health Department and are valid unless suspended or revoked for cause. No person shall access the official testing portion of the testing equipment without valid certifications.

By signing this application I acknowledge that I am familiar with the I/M Program regulation and agree to operate in accordance with the regulation.

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