Tb questionnaire form nj in word format 2026

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The document is a registration questionnaire for underground storage tanks (UST) managed by the New Jersey Department of Environmental Protection. It outlines the requirements for registering new or existing USTs, including facility information, tank details, financial responsibility, and compliance with state regulations. The form must be completed to satisfy legal obligations under the Underground Storage of Hazardous Substances Act.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out Section A, which includes general facility information. Enter the Facility Name, Location, and Operator details. Ensure all contact information is accurate.
In Section B, provide specific tank information. List each tank's identification number, installation date, size, and contents. Mark the appropriate options for overfill protection and spill containment.
Proceed to Section C to detail financial responsibility. Fill in the type of mechanism and relevant dates for coverage.
Complete Section E with your certification details, including your name, title, signature, and date.

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2018	4.8 Satisfied (122 Votes)
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How to read skin test results?

A positive skin test means that you may be allergic to a particular substance. Bigger wheals usually mean a greater degree of sensitivity. A negative skin test means that you probably arent allergic to a particular allergen. Keep in mind, skin tests arent always accurate.

How to document a TB skin test result?

Annual testing is NOT required. Once you have submitted this documentation, retesting is NOT required when transferring between school districts (per NJ state regulations).

How to document TB skin test results?

* Record the exact measurement in millimeters of induration on the Mantoux Tuberculin Skin Test Record Form. Do not record the interpretation of the results as positive or negative. Note: If doing two-step testing, explain to patient the reason for doing so prior to administering the skin test.

How to read TB skin test results?

1:37 2:30 But there is no induration. This is a very large reaction with blistering swelling and redness makeMoreBut there is no induration. This is a very large reaction with blistering swelling and redness make sure to record blistering.

How to write Mantoux test results?

Your test results usually mention the diameter of the induration (localised swelling at the test site). The reference range of the induration is 0-15 millimetres at an increment of 5 mm, 10 mm and 15 mm. An induration size of more than 15 mm is considered positive in a normal patient.

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