REFERENCE DOCUMENTS - RAL25/0004 (As Published)

Form

Contaminated land investigation document

 

 

In accordance with ss. 389(4)(b) and
574C(2) of the EP Act, the auditor
must sign the adjacent certification

and declaration.

Note that to be in the approved form,
the auditor's certification must be
accompanied by an audit report
prepared in accordance with the
advice in Module 6 of the
Queensland auditor handbook for

contaminated land.

Sections 480, 480A, 481 and 574M
of the EP Act make it an offence for
an auditor to give a false, misleading
or incomplete document, or false
and misleading information, to the

administering authority.

 

 

I, , in accordance with
s. 389(4)(b) of the Environmental Protection Act 1994, verify that:

for a site investigation report or validation report, the document
complies with s. 389(2) as confirmed in the tables above.

for a draft site management plan, the document complies with
s. 389(3) as confirmed in the tables above.

| have included an auditor's report that verifies in detail how the CLID meets
the statutory requirements and is in the approved form.

| declare, in accordance with s. 574C(2) of the Environmental Protection Act
1994, that:

« | am approved as an auditor to prepare an auditor's certification under
s. 568(b) of the Environmental Protection Act 1994, and have been
approved while undertaking all work associated with that function for the
submitted CLID.

e [have the qualifications and experience relevant to the certification.

e Ihave not knowingly given any false, misleading or incomplete
information in my audit report or certification.

e Ihave not knowingly failed to reveal any relevant information or
document to the administering authority.

e My audit report and certification are factually correct.

e The opinions expressed in the document are honestly and reasonably
held.

 

Signature: Date:

 

 

 

 

 

 

End of Part D

 

Page 18 of 24 » ESR/2023/6339 + Version 1.03 + Last reviewed: 19 MAY 2023

Document Set ID: 23717062
Version: 0, Version Date: 01/01/1900

Department of Environment and Science