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Request Loaner Meter

This request is for a loaner meter. It is understood that meters will only be loaned on a temporary basis, and it is the responsibility of the Permit Holder/PI to have an appropriate working and calibration meter available when checkboxactive material is being used. If the meter is damaged while in loan status, the Permit Holder/PI to whom the meter has been loaned willl be financiially responsible for the repair, calibration, and/or replacement of the loaner meter.

Contact Information
*Indicates a required field.
  1. (e.g. xxx-xxx-xxxx)

Permit Information
  1. This meter will be returned (not to exceed 60 calendar days from date of loan)
Last Updated: 10/9/18