Form 2000BF Rev. 2008
AAI EP Oversight Qualification Form
Name (Individual): Employed by: Address ________________________________________________ ________________________________________________ ________________________________________________ Site Code: ______ (if known)
Site Location: _____________________
To ensure the quality of all appropriate inquiries for site assessments, the Oklahoma Corporation Commission must ensure that environmental professionals fulfill all educational and experience requirements as set forth in the final AAI rule. The definitions apply only to persons conducting all appropriate inquiries for the specific purposes outlined in the final rule. Please mark which definition (below) describes the person named above as a qualified environmental professional. I am an environmental professional with: A state or tribal issued certification or license and three years of relevant full-time work experience; or A Baccalaureate degree or higher in science or engineering and five years of relevant full-time work experience; or Ten years of relevant full-time work experience. OR Oklahoma Geoscientist - A degreed geologist (defined 25 O.S. § 35), soil scientist (meeting OAC 165:10-7-19), or engineer (defined 59 O.S. Sup. 1999 Sections 475.1-475.22b) with appropriate soil science and/or geology and/or ground water hydrology education and training, plus appropriate experience, for soil and/or water sampling; or Remediation Consultant – A person licensed through the PST Division of the Corporation Commission.
__________________________________ Signature of Accepting Brownfields Officer
___________ Date