The sponsoring fire service organization shall provide the following information on the ARD 1003 form:

1. (a) Regarding the sponsoring fire service organization, the organization’s:

   1. (1) Name;
   2. (2) Mailing address; and
   3. (3) Daytime telephone number, including area code;

2. (b) Regarding the contact person for the fire service organization, the contact’s:

   1. (1) Name;
   2. (2) Title; and
   3. (3) Daytime telephone number, including area code;
3. (c) The date(s) of the instruction and training activities;
4. (d) The location of the instruction and training activities;
5. (e) A detailed description of the instruction and training activities;

6. (f) Regarding the state certified fire instructor for the instruction and training activities, the instructor’s:

   1. (1) Name;
   2. (2) Daytime telephone number, including area code; and
   3. (3) Type of instructor;

7. (g) If conducting instruction and training activities in a structure:

   1. (1) A statement that an asbestos inspector has performed an asbestos inspection and provided a report to the building owner certifying that all asbestos containing materials have been removed;
   2. (2) A statement that an asbestos notification form as specified in Env-A 1803 has been completed and submitted to the department at least 10 days prior to the scheduled burn date; and

   3. (3) A statement that all of the following materials have been removed from the structure and properly disposed of:

      1. a. Mercury-containing thermostats;
      2. b. Fluorescent lamps;
      3. c. Fuel oil tanks;
      4. d. Paints, solvents, and other liquids containing hazardous ingredients;
      5. e. Pesticides, insecticides, fertilizers, and potentially hazardous solids;
      6. f. Tires;
      7. g. Residential trash; and
      8. h. Furniture and appliances not specifically used in the training exercise; and

8. (h) A statement that the instruction and training activities will be conducted in accordance with this part.

   Source. #9909, eff 5-1-11 (from Env-A 1003.05); ss by #12831, eff 8-1-19

   Appendix A: State Statutes Implemented

   Rule

   Specific State Statute the Rule Implements

   Env-A 1000 (see also specific rules listed below)

   RSA 125-C:4, I(a)

   Env-A 1001.01, 1001.02, 1001.03(a)-(c) & (e)-(k), 1001.04

   RSA 125-C:4, I(a)

   Env-A 1001.03(d)

   RSA 149-M:4, IV-a

   Env-A 1001.05

   RSA 125-C:6, RSA 125-C:10-c

   Env-A 1001.06

   RSA 125-N:4

   Env-A 1001.07 - Env-A 1001.08

   RSA 125-C:4, I(a)

   Env-A 1001.09

   RSA 125-C:10-c

   Env-A 1002.01 - Env-A 1002.04

   RSA 125-C:4, I(a)

   Env-A 1003.01 - Env-A 1003.06

   RSA 125-C:4, I(a)

   Appendix B: Referenced Definitions

   Env-A 105