Detailed Instructions for Completing the Site ID Form Box 11 and 12
Box 11 - Comments - Use this page freely to explain any additional information about any aspect of the report being submitted. Although any information placed here is not required, it may help explain certain areas of the report you feel need additional explanation.
Box 12 - Signature - The certification must be signed and dated by an authorized representative of the site. The date entered should be the date the authorized representative actually signs the report. The person signing this form is certifying that the information contained in the report is true and accurate to their best belief. This does not need to be the same person listed under Box 7.