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

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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 five (5) 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 internet working so that the GAS unit can still communicate 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

The following documentation must be submitted for a station/analyzer close-ou:

  • • A copy of the following (scans, camera photos, etc., are acceptable but copies must be completely clear and readable):

1

Attach Another File


Electronic Signature
05.26.2022