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  • Declaration Format

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    Ashish Singh
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    The industrial unit declares that it has submitted a request for RTDMS connectivity for analyzers monitoring various parameters at multiple stations. It declares that the analyzers, their installation, operation, and measurement principles conform to CPCB guidelines and that the industry will be liable for any non-compliance. The declaration is signed and sealed by an authorized representative of the industry.

    Original Description:

    CPCB Self Declaration

    Original Title

    Declaration format

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    The industrial unit declares that it has submitted a request for RTDMS connectivity for analyzers monitoring various parameters at multiple stations. It declares that the analyzers, their installation, operation, and measurement principles conform to CPCB guidelines and that the industry will be liable for any non-compliance. The declaration is signed and sealed by an authorized representative of the industry.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    22 views1 page

    Declaration Format

    Uploaded by

    Ashish Singh
    The industrial unit declares that it has submitted a request for RTDMS connectivity for analyzers monitoring various parameters at multiple stations. It declares that the analyzers, their installation, operation, and measurement principles conform to CPCB guidelines and that the industry will be liable for any non-compliance. The declaration is signed and sealed by an authorized representative of the industry.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Annexure – II

    SELF DECLARATION
    (TO BE SUBMITTED ON OFFICIAL LETTERHEAD OF THE INDUSTRY)

    We, M/s {{name of the industrial unit}}, located at {{complete address of the industry as per CTO}},
    hereby declare that we have submitted RTDMS Connectivity request for the following:

    S. No. Station Name Parameter Make and Model of Serial Number of the
    Name Analyzer Analyzer
    1 … … … …
    2 … … … …
    3 … … … …
    We hereby declare that the analyzer, its installation, working, and measurement principle strictly
    conforms to the CPCB Guidelines, and we will be liable for action in case of any deviation from the
    guidelines.

    (Seal of the authorized representative of the industry) :

    (Signature of the authorized representative of the industry):

    (Name of the authorized representative of the industry) :

    (Email ID) :

    (Contact Number) :

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