F-17 NJDOH dot 2026

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  1. Click ‘Get Form’ to open the F-17 NJDOH application in the editor.
  2. Begin by filling out the 'IDENTIFICATION' section. Enter your name, mailing address, trade name, city, state, email address, telephone number, and zip code.
  3. In the 'ADDITIONAL INFORMATION' section for initial applicants, provide your Federal ID or Social Security number, date of birth, and purpose/use of nitrous oxide. Attach a photocopy of proof of age.
  4. Complete the 'PLACE OF PURCHASE' section by listing the location(s) where nitrous oxide will be used. Ensure this is within New Jersey unless specified otherwise.
  5. Finally, in the 'CERTIFICATION OF ACKNOWLEDGEMENT', sign and date the application to certify that all information is accurate.

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HSEs long-term workplace exposure limit for nitrous oxide is 100 ppm or 183 mg/m3 as an eight-hour time-weighted average. For comparison, the NIOSH recommended exposure limit for exposure to waste anesthetic gas is 25 ppm or 46 mg/m3 as a time-weighted average over the time exposed.
The buyer shall state the intended use of the nitrous oxide on the permit. Notwithstanding the provisions of sections 1 and 2 of this act, 1 no person shall sell, distribute or dispense nitrous oxide to any person under 19 years of age.
Instead, please contact NJDOTs 24/7 Central Dispatch Unit at 609-588-6211. Thank you for reporting a pothole, tall grass or other maintenance problem on a state highway, which you can identify on the map below. The regional offices of the New Jersey Department of Transportation (NJDOT) will act on your information.

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