EP 1110-1-18
24 Apr 00
STATEMENT OF CLEARANCE
All lands within the (installation), located approximately (miles) (direction) of (town) have been
given a careful search (or other method) and have been cleared of all dangerous and/or explosive
material reasonably possible to detect. The following contamination is suspected to be
present:...It is recommended that tracts (designated) and, as shown on the enclosed real estate
map, be restricted to (surface use only or maximum safe depth of soil disturbance). All other
tracts are recommended for any use for which the land is suited. This action has been conducted
in accordance with AR...
Approved:_____________________________ Signed:______________________________
(Installation Commander or
(Commander of Performing
MACOM designee)
Unit)
Figure 17-2. Format for a Statement of Clearance
17-3
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