ACKNOWLEDGEMENT OF
    COMPRESSED NATURAL GAS FUELING TRAINING

    I, , certify that I have completed the training provided for Compressed Natural Gas (CNG) fueling at the Clean Energy stations by watching the required fuel training video located at: www.CleanEnergyFuels.com retrieved on , 20. I hereby certify that this training has familiarized me with proper fueling and safety procedures associated with fueling a CNG vehicle. I therefore do not require further training from Clean Energy and take full responsibility for the proper operation of Clean Energy CNG stations.


    In order to receive a fuel card to fuel at the Hunts Point/Bronx, NY station only this section must be completed:

    Street Number & Name:

    City:   State:   Zip Code:

    Phone Number: