Form Mo 780 1262 PDF Details

Form 780-1262 is an informational form used by the California State Board of Equalization (BOE) to collect data on business entities doing business in California. The BOE uses this information to ensure that businesses are complying with state tax laws, and to assess and administer any applicable taxes. Completing Form 780-1262 is mandatory for all businesses registered with the BOE, so it's important to understand what information is required and how to accurately complete the form. This article will walk you through each section of Form 780-1262 and provide tips on how to accurately complete it. Let's get started!

QuestionAnswer
Form NameForm Mo 780 1262
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names780 1262 f dnr form mo

Form Preview Example

MISSOURI DEPARTMENT OF NATURAL RESOURCES

FOR OFFICE USE ONLY

AIR POLLUTION CONTROL PROGRAM

LOG #

DELIVERY VESSEL PRESSURE TEST

 

CERTIFICATION APPLICATION

CERT. #

 

 

 

 

EXP. DATE

 

 

 

REMARKS

 

 

TRUCK IDENTIFICATION

 

COMPANY NAME

 

 

 

MAILING ADDRESS

 

 

OWNER

 

 

 

 

 

 

 

 

 

 

 

 

 

TELEPHONE NUMBER WITH AREA CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OPERATOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DELIVERY VESSEL SERIAL NUMBER (OR TRUCK IF INTEGRATED UNIT)

 

 

 

 

 

 

 

 

 

MAKE AND YEAR OF MANUFACTURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DELIVERY VESSEL CAPACITY

 

 

 

 

 

 

 

 

 

 

 

NUMBER OF COMPARTMENTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TESTING FIRM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF TESTING FIRM

 

 

 

 

 

 

 

 

 

 

 

TELEPHONE NUMBER WITH AREA CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MAILING ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF TESTER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DELIVERY VESSEL TEST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CAN DELIVERY VESSEL COMPARTMENTS BE CONNECTED?

 

 

 

 

 

 

 

 

 

 

 

ALUMINUM VAPOR HOODS

 

 

 

Yes

No

If no, each compartment must be separately tested and reported.

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

1

 

 

2

 

 

3

 

4

5

6

 

INITIAL TEST PRESSURE (Inches of H2O)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

2

 

 

3

 

4

5

6

 

INITIAL TEST VACUUM (Inches of H2O)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

THIS DELIVERY VESSEL MEETS THE STANDARD OF “NO MORE THAN

 

 

 

 

INCHES OF WATER DROP”

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

40 CFR 60.500 (SUBPART XX)

40 CFR 63.425 (SUBPART R)

 

 

 

OTHER

 

 

 

 

TEST STANDARD

YES

NO

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TEST RESULTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

2

 

 

3

 

4

5

6

 

PRESSURE LOSS IN 5 MINUTES IN COMPARTMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

2

 

 

3

 

4

5

6

 

VACUUM LOSS IN 5 MINUTES IN COMPARTMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VAPOR RECOVERY VENTS TESTED

 

 

VAPOR RAIL PRESSURE INCREASED BY

 

 

 

 

Yes

 

No

 

 

 

 

 

 

 

inches

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I, the undersigned, certify the delivery vessel described above has been tested in accordance with the procedures set forth in 40 CFR PART 60, Appendix A, Method 27.

SIGNATURE

DATE OF TEST

 

 

A copy of the latest certification must be kept in the delivery vessel at all times. One copy should also be sent to each bulk gasoline terminal at which the delivery vessel loads.

Return the completed test certification application to the Air Pollution Control Program, P.O. Box 176, Jefferson City, MO 65102.

MO 780-1262 (06-09)

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Form Mo 780 1262 conclusion process clarified (stage 2)

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