Fillable Registration Form for the Notification of Cooling Towers (Rochdale Metropolitan Borough Council)

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Registration Form for the Notification of Cooling Towers (Rochdale Metropolitan Borough Council)

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The Registration Form for the Notification of Cooling Towers (Rochdale Metropolitan Borough Council) form is 1 page long and contains:

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Country of origin: UK
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Registration Form for the Notification of Cooling Towers and
Evaporative Condensers Regulations 1992
The personal information held on this form will be used for the purposes of registration and will not be disclosed outside of
Rochdale Borough Council. Find out how we use your personal information at rochdale.gov.uk/privacy.
Premises’ details:
Name and address of premises where cooling tower/evaporative condenser is to be situated:
Name of Premises:
Location of Premises:
How many cooling towers or evaporative condensers are at the address shown above?
Please give brief location of each piece of equipment being registered at this time:
Person(s) in control of premises:
Name of Person:
Company Name:
Address:
DECLARATION
I confirm that the details contained in this application form are true and correct to the best of my
knowledge.
Signature: ……………………………………………….……… Date: …………………………………………...
Name: ………………………………………………………….. Designation or ………………………………...
(BLOCK CAPITALS) position held
Return to:- Public Protection Service
Number One Riverside
Smith Street
OL16 1XU
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Registration Form for the Notification of Cooling Towers (Rochdale Metropolitan Borough Council)

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Completed 10 December 2020

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