YOUR RESOURCE

for Georgia's Vehicle Emissions Inspection & Maintenance (I/M) Program.

Station/Analyzer Close-Out Form

To permanently or temporarily close-out a station or analyzer, complete the below form in its entirety (do not leave any fields blank). Failure to complete this form in its entirety will delay the processing of your request. Please allow at least three (3) business days for this request to be accomplished. Should you have any questions, please contact GCAF Station Assistance at 1.800.449.2471, option 2.

Note: It is the station owner's responsibility to keep the analyzer and dedicated phone line working until the close-out can be performed. Failure to do so is a violation of the I/M Rules and the owner could be subject to a fine up to $5,000.

Analyzer
Station

Attach File
1

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Electronic Signature
12.17.2017