New Jersey
Motor Vehicle Commission
Trenton, New Jersey 08666
STATE OF NEW JERSEY
DIESEL EMISSION INSPECTION PROGRAM
Thank you for your expression of interest regarding the State of New Jersey Diesel Emission
Inspection Program and the requirements for licensure as a New Jersey Diesel Emission Inspection
Center.
In order to initiate the licensing process, we are providing an overview of the program
and the general requirements for licensure. This overview includes a brief history of the program and
a Business License Application Package. Please note on the application that a check-off feature exists
to denote interest as a Diesel Emission Inspection Center or a Fleet Diesel/Emission Inspection
Center.
Please follow all instructions carefully. Should you have any questions concerning the licensing
requirements and/or the program, please do not hesitate to contact:
NJ MOTOR VEHICLE COMMISSION
DIESEL EMISSION INSPECTION CENTER LICENSING
P.O. BOX 168
TRENTON, NJ 08666
(888) 486-3339 ext.5014 toll-free in NJ
(609) 292-6500 ext.5014
On the Road to Excellence Visit us at www.njmvc.gov
New Jersey is an Equal Opportunity Employer
New Jersey
Motor Vehicle Commission
Trenton, New Jersey 08666
STATE OF NEW JERSEY
BUSINESS LICENSE SERVICES
DIESEL EMISSION INSPECTION CENTER LICENSING SECTION
P.O. BOX 168 TRENTON, NJ 08666-0170
DIESEL EMISSION INSPECTION CENTER LICENSE INFORMATION
GENERAL
The Division of Motor Vehicles and the Department of Environmental Protection have
established a Diesel Emission Testing program for heavy-duty diesel trucks, diesel buses
and certain other diesel powered vehicles. The annual testing program will be conducted
at licensed diesel emission testing centers. Diesel emission testing centers are licensed to
conduct emission inspections and certifications for heavy-duty diesel trucks, diesel buses
and diesel powered motor vehicles and have the option to register with the division as
diesel emission repair facilities. A Diesel Emission Inspection Center (DEIC) license
authorizes the center to conduct inspections and certifications in all diesel emission
categories as required by State standards and to certify a vehicle for approval or rejection.
A Diesel Emission Inspection Center in the first year of the program will be authorized to
make repairs or correct emission control defects. Upon renewal of the initial DEIC License,
an inspection facility would be required to register as an Emission Repair Facility (ERF)
and pay a biennial registration fee of $50.00 to continue to qualify as an Emission Repair
Facility.
Two (2) Diesel Emission Inspection Center Licenses are available. The first license is
issued to diesel emission inspection centers to provide annual inspection certifications,
and repair services (if registered), for heavy-duty diesel trucks (18000 lbs) diesel buses,
and diesel powered vehicles with a gross vehicle weight rating exceeding 8500 lbs.
The second type is a Fleet Diesel Emission Inspection Center License. This license is
issued to owners or lessees of fleets of 25 or more heavy-duty diesel trucks, diesel buses,
and diesel powered vehicles to perform annual inspection certifications and repairs of such
vehicles (if registered). An applicant must have the facilities, equipment and experience
required of a regular Diesel Emission Inspection Center.
The fleet license will allow the licensee to contract with other fleet owners or licensees to
perform their annual inspections, certifications and repairs (if registered) but the licensee
has the responsibility for insuring that all repair services contracted for are performed at
state registered facilities and meet all state standards. The license does not permit fleet
owners to perform these services for the general public.
A Diesel Emission Inspection Center may conduct business as a test only or a test and
repair facility. All diesel emission test and repair facilities must meet all facility equipment
and employee training and experience requirements denoted under applicant
requirements. All applicants wishing to register as an Emission Repair Facility will be
required to pay an additional $50.00 biennial registration fee which will be required upon
renewal or one year after initial application.
Included in this package are the regulations governing Diesel Emission Inspection Center
Licensing. Please review the regulations as you prepare your license application. If you
have questions, call (888) 486-3339 ext.5014 toll-free in New Jersey or (609) 292-6500
ext.5014 from out of state.
New Jersey
Motor Vehicle Commission
Trenton, New Jersey 08666
STATE OF NEW JERSEY
CHECKLIST OF ITEMS FOR DIESEL LICENSING
1. Corpcode number (this number is assigned to businesses when they register their vehicles.
Please check your vehicle registration-15 digit number.)
2. Initial Application
3. Supplementary Application
4. Child Support Certification
5. List of diesel inspectors and/or certification
6. License fee $250.00
7. License Certification Form
8. Copy of corporate papers (if applicable)
9. Original Certificate of Insurance
10. Color photo of each officer, owner, or partner
11. Fingerprint receipt from Sagem Morpho Inc.
12. Copy of equipment lease/purchase
13. Copy of Certificates listed below:
A. NJ Sales Tax Identification
B. NJ Unemployment Registration
C. Federal Employer Identification
Business Licensing Services Bureau
PO Box 171
Trenton, New Jersey 08666-0171
Motor Vehicle
Commission
APPLICATION FOR LICENSE
FOR OFFICE USE ONLY
License No.
Date
Reg. No.
Email
Approved by
The undersigned hereby applies for the license(s) checked in Part 3 and submits the following certified statement:
Corp Code
1.
Business phone
Name of Business (if corporation, corporate name)
____________________________________________________________________
Trade Name
2. Please Check
[ ] Corporation
Street Address
County
All applicants please provide the following information and attach copies
of proof thereof:
A. NJ Sales Tax Identification Number
B. NJ Unemployment Registration Number
C. Federal Employer Identification Number
4.
Complete the following for proprietor, partners, or corporate officers:
Name
5.
Title
3. Please Check appropriate Box for License:
[
[
[
[
[
[
] Leasing Company
] Driving School
] Moped Dealer
] Junkyard
] Private Inspection Facility
] Fleet Fleet Inspection Facility
[ ] Other
Home Address
Telephone Number
if yes, explain:
Do you knowingly intend to employ a person who has been convlcted of the above, or any other crime, or who was previously licensed as any
in this or any other state and was subject to license suspension or revocation?
[ ] Yes
[ ]No
7
[ ] New & Used Motor Vehicle Dealer
[ ] Auto Body Repair Facility
[ ] Used Motor Vehicle Dealer
[ ] Fleet DEIC
[$] DElC
Have the owners, partners, or officers ever been arrested, charged or convicted of a criminal or disorderly persons offense in this or any other state?
[ ] Yes
[ ]N o
6
[ ]Proprietorship
[ ] Other
Zip Code
City
[ ] Partnership
Give name and address of person
Have the owners, partners or corporate officers ever held any of the above licenses?
[ ] Yes
[ ]N o
If yes, please explain the type of license and license numbers
Of
the above
8.
Was the license ever suspended or revoked?
[ ]Yes
[ ]N o
Have the owners, partners or corporate officers, agents or employees of your organization ever used an alias or been known by any other name
9.
[ ]Yes
[ ]N o
10.
If yes, explain:
If yes, explain:
Does any stockholder own more than 10% of the corporation's stock?
If yes, give name, address and holding
[ ] Yes
[ ]N o
11
Attach copy of the Certificate of Incorporation/Formation which has
been filed with the N.J. Secretary of State. Foreign Corporations must
submit a copy of their Authorization to do business in New Jersey as
a Foreign Corporation in addition to a copy of their corporate/formation
papers.
Place of Incorporation/Formation
Date of Incorporation/Formation
Date of authorization to do business in New Jersey
12
The applicant certifies all information contained herein is true and agrees any untruthful representation and any violation of the applicable statutes and regulations
promulgated by the Commission shall be reasonable and proper grounds for license suspension or revocation. He further agrees to notify the Commission
immediately of any change in the status of the business or of any other information which would change the answers and statements in this application or
supplement thereto.
13
The individual(s) signing this application certify that they have read the applicable statutes and are thoroughly familiar with the details and penalties provided.
I, the undersigned, hereby certify that I _________________of the above business previously named____________________________________________
Owner, Partner, Officer, Member
and that the information I have submitted is true to the best of my knowledge.
_______________________________________________________________
Print Name of Applicant
Signature and Title of Applicant
I, the undersigned, hereby certify that I am Secretary/Member/Partner of the above Corporation and have witnessed the signature of__________________________
who is
President, Vice-President or Member
of said corporation.
Signature of Secretary/Member/Partner
BLC-183 (R1 /
)
STATE OF NEW JERSEY
MOTOR VEHICLE COMMISSION
BUSINESS LICENSING SERVICES BUREAU
P.O. BOX 172
TRENTON, NEW JERSEY 08666-0172
MUNICIPAL APPROVAL CERTIFICATE FOR BUSINESS LICENSE
Applicant Information
Applicant Name: _________________________________________________________ Title ______________________________
Business Name: ______________________________________________________ Business Phone: ________________________
Street Address (include suite #) _________________________________________________________________________________
City ___________________________________________________________________
Zip ______________________________
Approval Classification of Applicant
A. Please check appropriate box:
B. Please check appropriate type of license:
□ Initial
□ Boat Dealer
□ Leasing Company
□ Change of Address
□ Driving School
□ Moped Dealer
□ Branch Location
□ Used Motor Vehicle Dealer
□ PIF/PIM
□ Existing Facility Zoning Compliance
□ New & Used Motor Vehicle Dealer (Please specify type of vehicle)
______________________________________________________
□ Auto Body Facility (Check all that apply)
_____ Full Service Auto Body
_____ Limited Full Service Auto Body
_____ Sublet Auto Body (new car dealer)
_____ Heavy Duty Vehicle Endorsement
Municipal Zoning Official Certification
I, _______________________________________, Clerk of the Municipality of ___________________________________________,
County of ___________________________________________, State of New Jersey, hereby certify that the Municipal Governing
Body or Zoning Commission has approved the location, establishment and maintenance of the above indicated business
located at: _____________________________________________________________________________________________________.
(Complete Address)
Please check appropriate box:
□ Site was visited by a Zoning Official/ Municipal Representative prior to approval
□ Site was not visited by a Zoning Official/ Municipal Representative prior to approval
Please specify any stipulations of your zoning approval: _________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
______________________________________ _________
Signature of Municipal or Zoning Board Clerk
Municipal
Seal
Date
_________________________________________________________
Print Name
_________________________________________________________
Contact Number
BUSINESS LICENSING SERVICES BUREAU
SUPPLEMENTARY APPLICATION
PLEASE PRINT
BUSINESS NAME
BUSINESS PHONE NUMBER
1.
FULL NAME (Including Middle and Suffix, if any)
2.
STREET ADDRESS
3. CITY
7. HOW
9.
4. STATE
LONG HAVE YOU LIVED AT THE ABOVE ADRESS?
5. ZIP
CODE
8. HOME
6. COUNTY
PHONE NUMBER
LIST THE CITIES, STATES OR FOREIGN COUNTRIES WHERE YOU HAVE LIVED, AND HOW LONG YOU LIVED IN EACH.
10. DATE
OF BIRTH (MONTH, DAY, YEAR)
12. SEX
13. HEIGHT
16. SOCIAL
11. PLACE
OF BIRTH (CITY, STATE OR FOREIGN COUNTRY)
14. WEIGHT
SECURITY NUMBER*
15. COLOR
17.
OF EYES
DRIVER LICENSE NUMBER
*You must disclose your social security number to the NJMVC. Failure to do so may result in denial/non-renewal of licensure.
Pursuant to N.J.S.A. 54:50-25 et seq. of the New Jersey taxation law, N.J.S.A. 2A:17-56.7a, and N.J.S.A. 2A:17-56.8 et seq. of the New Jersey Child
Support Program Improvement Act; the licensing agency to which this form is submitted is required to obtain your social security number. Pursuant to
these authorities, the licensing agency is also obligated to provide your social security number to:
a.
b.
18.
the Director of Taxation to assist in the administration and enforcement of any tax law, including for the purpose of reviewing compliance
with State tax law, updating, and correcting tax records; and
the Probation Division or any other agency responsible for child support enforcement, upon request
HAVE YOU EVER BEEN CONVICTED OF A CRIME, DISORDERLY PERSONS OFFENSE AND/OR VIOLATION OF CONSUMER PROTECTION LAWS
OR REGULATIONS?
□ NO □ YES
IF YES, ATTACH EXPLANATION DESCRIBING NATURE OF OFFENSE, DATE, CITY AND STATE WHERE OFFENSE
OCCURRED, IDENTIFY COURT OR ADMINISTRATIVE TRIBUNAL BEFORE THE CASE TRIED, DATE AND SENTENCE
I CERTIFY THAT THE INFORMATION PROVIDED HEREIN AND ATTACHMENTS, IF ANY, ARE TRUE AND COMPLETE TO
THE BEST OF MY KNOWLEDGE AND BELIEF.
SIGNATURE: _______________________________________________________________
BLC-205B (R10/12)
DATE: ___________________________
P.O. Box 168
Trenton, New Jersey 08666-0168
(609) 292-6500 #5014
_______________________________________________________________________________________
STATE OF NEW JERSEY
Business Licensing Services Bureau
CHILD SUPPORT CERTIFICATION FORM
________________________________________________________________
Business Name
_________________________________________
Applicant’s Name (Print)
__________________
Date of Birth
_________________________________________
Social Security Number
*You must disclose your social security number to the NJMVC. Failure to do so may result in denial/non-renewal of licensure.
Pursuant to N.J.S.A. 54:50-25 et seq. of the New Jersey taxation law and N.J.S.A. 2A:17-56.7a, N.J.S.A. 2A :17-56.60 et seq. of New Jersey Child
Support Program Improvement Act, the licensing agency to which this form is submitted is required to obtain your Social Security number. Pursuant
to these authorities, the licensing agency is also obligated to provide your Social Security number to:
a.
the Director of Taxation to assist in the administration and enforcement of any tax law, including for the purpose of reviewing compliance
with State tax law, updating, and correcting tax records;
and
b.
the Probation Division or any other agency responsible for child support enforcement, upon request.
Under the provisions of N.J.S.A. 2A:17-56.7 et seq., responses to the questions listed below are required.
Intentional misstatements may result in administrative action including, but not limited to, denial of
licensure, immediate suspension or revocation of the license.
1. Do you have a child support obligation?
Yes
No
2. If yes, do the arrearage amounts equal or exceed the amount of child support
payable for six months?
Yes
3. Are you subject to a child-support warrant?
No
Yes
No
I certify that the foregoing responses made by me are true and I am aware that the making of false
statements may subject me to contempt of court.
______________________________________________
Signature
__________________
Date
On the Road to Excellence
www.njmvc.gov
New Jersey is an Equal Opportunity Employer
BLS-43 (R10/12)
New Jersey
Motor Vehicle Commission
Business Licensing Services Bureau
P.O. Box 172, Trenton, NJ 08666-0172
(888) 486-3339 ext. 5014 toll-free in NJ
609-292-6500 ext. 5014
mvcblscorrespondence@dot.state.nj.us
STATE OF NEW JERSEY
Fingerprint Request Notification
In accordance to regulatory requirements, it is mandated that all persons identified in
the initial business application (proprietors, partners, corporate officers, applicants,
providers, instructors and driving school authorized agents) undergo a live scan
criminal background check by the state approved vendor. Submission of your initial
business application authorizes the Commission’s Business Licensing Bureau to
request and receive criminal background check results.
Upon receipt of this notification, each person identified will be mailed a fingerprint
application and instructional sheet. Once fingerprinted, the receipt and fingerprint
application for each person listed must be forwarded to MVC, as proof of
completion. The processing of your business application will not begin until all
receipts are received.
Complete the attached Fingerprint Request Notification Form listing each person
identified in the business application. If an e-mail address is provided, the
documents will be e-mailed to those individuals, otherwise it will be mailed.
1
Business Licensing Services Bureau
P.O. Box 172, Trenton, NJ 08666-0172
(888) 486-3339 ext. 5014 toll-free in NJ
609-292-6500 ext. 5014
mvcblscorrespondence@dot.state.nj.us
New Jersey
Motor Vehicle Commission
STATE OF NEW JERSEY
Fingerprint Request Notification Form
Business Name: _____________________________________ Date: __________
Clearly PRINT the following information for all persons identified in the initial business application
( all proprietors, partners, corporate officers, applicants, providers, instructors and driving school
authorized agents)
Applicant Full Name: ____________________________________________________________
Street Address: _________________________________________________________________
City:____________________________________________
State: ______ Zip: ___________
Phone Number: __________________________________
E-Mail Address: __________________________________
_____________________________________
Applicant Full Name: ____________________________________________________________
Street Address: _________________________________________________________________
City:____________________________________________
State: ______ Zip: ___________
Phone Number: __________________________________
E-Mail Address: __________________________________
Applicant Full Name: ____________________________________________________________
Street Address: _________________________________________________________________
City:____________________________________________
State: ______ Zip: ___________
Phone Number: __________________________________
E-Mail Address: __________________________________
Copy and submit additional sheets if needed
2
New Jersey
Motor Vehicle Commission
Business License Services
P.O. Box 168
Trenton, New Jersey 08666-0168
BUSINESS HOURS
Name of Business___________________________________ License No. ___________________________
Address_________________________________________________________________________________
Days Open for Business
Business Hours
Monday
From
To
Tuesday
From
To
Wednesday
From
To
Thursday
From
To
Friday
From
To
Saturday
From
To
Signature of Proprietor, partner or officer_____________________________________________________
Date____________________________
BLC-86A (R12/03)
MM
NEW JERSEY
MOTOR VEHICLE COMMISSION
CERTIFICATION
This is to certify that I understand the license for which I am making an application may be issued prior to the
standard investigation, to include character investigation and facility compliance.
It is, therefore, understood that should any derogatory or disqualifying information be received subsequent to the
issuance of the license, I will immediately and voluntarily surrender all items issued.
Signed:
Proprietor, Partner or
Corporate Officer
Business Name
BLC-79 (R7/03)
Date
Motor Vehicle
Commission
TRENTON, NEW JERSEY 08666
STATE OF NEW JERSEY
DIESEL EMMISSION INSPECTOR(S)
Business Name
License #
I,the undersigned, certify that the below listed employee(s) meet the Diesel Emission Inspector certification requirements.
Name
List
Certification(s)
Address
Licensee's Name & Title
Date
MVC Investigator's Signature & ID#
Date
DMC Supervisor's Signature & ID#
Date
ATTACH COPY OF THE CERTIFICATION(S)
BLC-77 (R7/03)
DElC
TABLE “A” RATE CHART
(Please Print or Type)
INSPECTION FEE $
HOURLY RATE $
FACILITY NAME:
LIC: NO.
ADDRESS
Street
City
State
Zip Code
REINSPECTION CHARGE FOR VEHICLES NOT REPAIRED HERE
CHECK
TIME REQUIRED
Credentials
.1 Hour*
Emission Control Apparatus
.2 Hours
Governor
.2 Hours
Exhaust System
.2 Hours
Emission Control System
.2 Hours
Engine Emissions (Opacity)
OUR CHARGE
.2 Hours
NOTE* If this is the only item to be reinspected on a vehicle, the reinspection shall be considered to be .2 hours
Sale Tax cannot be charged for the above items.
COMPLETE THIS FORM WITH YOUR CHARGES AND MAIL TO:
MOTOR VEHICLE COMMISSION
BUSINESS LICENSE SERVICES
P.O. BOX 168
TRENTON, NEW JERSEY 08666-0168
BLC-94 (R12/03)
__... .
.
.
James E. McGreevey
Department of Environmental Protection
Bureau of Motor Vehicle Inspection and Maintenance
P.O. Box 437 – 380 Scotch Road
Trenton, NJ 08625
609-530-4035, 609-530-5342 (fax)
Governor
Bradley M. Campbell
Commissioner
January 13, 2003
To: Robert H. Wager Co., Inc.
570 Montroyal Road
Rural Hall, NC 27045
Mike Wager
RE: Smokemeter approval process pursuant to N.J.A.C. 7:27B-4.15;
Approval or the Wager 7500
The Department has completed its evaluation of the Wager 7500 smokemeter,
which was submitted into the referenced process for approval pursuant to N.J.A.C.
7:27B-4.15. The Department hereby approves the use of 'this smokemeter and all units
prepared in a 1ike manner, for use in official inspections by a Diesel Emissions
Inspection Center licensed by the 'Director of the Division of Motor Vehicles pursuant to
N.J.A.C. 13:20-47. It is incumbent upon the Robert H. Wager Co., Inc., to ensure that all
units supplied for this purpose meet all of the referenced specifications including
software formatting consistent with the unit submitted to the Department except as listed
below, and that such units are capable of measuring engine RPMs and oil temperature as
set forth in N.J.A.C. 7:27B-4.15.
The Robert H. Wager Co., Inc. bas agreed to the following conditions:
1- Robert H. Wager Cc., Inc., will provide the approved software version for, and
recalibrate the Data Collection Units of all Model 7500 units sold in New Jersey prior to
the official data of approval. A customer list: and notice of the data that the recalibrated
units have been returned to the customer will be provided to the Department.
2- The software version as approved will be designated "Version 4.0 NJ”.
3- A copy of any updated software, or an example of any modified hardware, will be
provided to the Department for evaluation of regulatory compliance prior to general
release.
New Jersey is an Equal Opportunity Employer
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James E. McGreevey
Governor
Department of Environmental Protection
Bureau of Motor Vehicle Inspection and Maintenance
P.O. Box 437 – 380 Scotch Road
Trenton, NJ 08625
609-530-4035, 609-530-5342 (fax)
Bradley M. Campbell
Commissioner
On this day, January 13, 2003, the smokemeters listed below have been approved for use by a Diesel Emissions Inspection Center,
licensed by the Director of the Division of Motor Vehicles, for the purpose of official testing pursuant to the procedures set forth at
N.J.A.C. 7:27B-4.
Make and Model
Conditions and Options
Berkeley Model 300
-New Jersey software and printing format
-Engine RPM measurement
-Engine oil temperature measurement
Bosch RTT 100
-New Jersey software and printing format
-Engine RPM measurement
-Engine oil temperature measurement
CalTest 1000
-New Jersey software and printing format
-Engine RPM measurement
-Engine oil temperature measurement
OTC 3405S
(CalTest 1000 submitted as
OTC 3405S)
-New Jersey software and printing format
-Engine RPM measurement
-Engine oil temperature measurement
Wager Model 6700,
and Model 7500*
-New Jersey software and printing format
-Engine RPM measurement
-Engine oil temperature measurement
*PC based, fully software
driven
Red Mountain Engineering
Smoke Check 1667
-New Jersey software and printing format
-Engine RPM measurement
-Engine oil temperature measurement
Manufacturer Information
Telonic Berkeley, Inc.
P.O. Box 277
2825 Laguna Canyon Road
Laguna Beach, CA 92652
1-800-854-2436
Robert Bosch Corporation
Dept. UA/ASW
2800 South 25th Avenue
Broadview, IL 60153
708-865-5374
CalTest Instruments, Inc.
126 Marine Avenue
Wilmington, CA 90744
310-835-5377
OTC-SPX Corporation
655 Eisenhower Drive
PO Box 995
Owatonna, MN 55060-0995
Marc Rosone; 507-455-7000
Robert H. Wager Co., Inc.
570 Montroyal Road
Rural Hall , NC 27045
Mike Wager; 800-562-7024
Red Mountain Engineering, Inc.
25 Spectrum Pointe Drive
Lake Forest, CA 92630
Diane Cooke; 949-595-4475
NOTICE:
1.
This list will be continuously updated as qualifying smokemeters are approved. To obtain a current list of approved smokemeters,
please send a written request to the New Jersey Department of Environmental Protection- Bureau of Transportation Control at
P.O. Box 437, Trenton, NJ 08625
2.
Inclusion of a smokemeter on the above list, or, approval of a smokemeter by the New Jersey Department of Environmental
Protection (NJDEP), means only that the smokemeter has been determined by NJDEP to conform to the specifications set forth at
N.J.A.C. 7:27B-4.15- Specifications for a Smokemeter for Determining Compliance with N.J.A.C. 7:27-14.
New Jersey is an Equal Opportunity Employer
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