Corrective Action | Revision Date | DOC | ||
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UST-61 | 24-Hour Release and UST Leak Reporting Form | 2/2008 | ![]() | |
UST-62 | 24-Hour Notification of Discharge Form | 4/2010 | ![]() | |
Instructions and Form for Notice of Residual Petroleum | 1/21/2015 | |||
Instructions and Form for Notice of Residual Petroleum with Alternate Land Use Restriction | 1/21/2015 | | ||
Soil Permitting | ||||
UST-59 | Groundwater Quality Monitoring Compliance Report Form | 9/2003 | ![]() | ![]() |
UST-70 | Non-Discharge Permit Application for Soil Remediation Projects | 1/2010 | ![]() | ![]() |
UST-71 | Certificate of Approval for Storage/Treatment of Soil Containing Petroleum Products | 5/2011 | ![]() | ![]() |
UST-72 | Agreement for Land Application or Containment and Treatment of Soils Containing Petroleum Products on Private Lands | 5/2011 | ![]() | ![]() |
Permits and Inspection | Revision Date | DOC | ||
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UST-2A | Site Investigation Report for Permanent Closure or Change-In-Service - REGISTERED TANKS | 1/2016 | ![]() | |
UST-2B | Site Investigation Report for Permanent Closure or Change-In-Service - UNREGISTERED TANKS | 1/2016 | ![]() | |
UST-3 | Notice of Intent: UST Permanent Closure or Change-In-Service | 10/2015 | ![]() | |
UST-6 | See Table below for UST-6 Installation Forms | |||
UST-7A | Cathodic Protection Testing form for galvanic cathodic protection systems | 10/2015 | ![]() | ![]() |
UST-7B | Cathodic Protection Testing form for impressed current cathodic protection systems | 10/2015 | ![]() | ![]() |
UST-8 | Notification for Activities Involving Underground Storage Tanks | 10/2015 | ![]() | ![]() |
UST-12 | Closure Report Format | 8/2008 | ![]() | |
UST-15 | Change of Ownership of UST System(s) | 10/2015 | ![]() | |
UST-15A | Ownership of UST Systems | 10/2015 | ![]() | |
UST-16 | Manual Tank Gauging Record | 10/2015 | ![]() | |
UST-17A | UST Suspected Release 24 Hour Notice Form | 10/2015 | ![]() | ![]() |
UST-17B | UST Suspected Release 7 Day Notice Form | 10/2015 | ![]() | ![]() |
UST-18 | Application for Tax Certification | 10/2015 | ![]() | ![]() |
UST-19 | Certification of Leak Detection Exemption for Suction Piping Associated with USTs | 10/2015 | ![]() | ![]() |
UST-20 | Alternative Fuel/Hazardous Substance Compatibility Checklist | 10/2015 | ![]() | ![]() |
UST-21 | Impressed Current Cathodic Protection System 60-Day Record of Rectifier Operation | 10/2015 | ![]() | |
UST-22A | Annual Overfill Prevention Operability Check | 10/2015 | ![]() | ![]() |
UST-22B | Annual Leak Detection Equipment Operability Check | 10/2015 | ![]() | ![]() |
UST-22C | Annual Containment Sump Visual Inspections | 10/2015 | ![]() | ![]() |
UST-23A | Triennial UST Spill Bucket Integrity Testing | 10/2015 | ![]() | ![]() |
UST-23B | Triennial UST Containment Sump/UDC Integrity Testing | 10/2015 | ![]() | ![]() |
UST-23C | Triennial UST Piping Integrity Testing | 10/2015 | ![]() | ![]() |
UST-23D | Triennial UST Interstice Integrity Testing | 10/2015 | ![]() | ![]() |
UST-24 | Certification of No Visible Corrosion on Metallic Piping Components | 10/2015 | ![]() | ![]() |
Permits and Inspection - Installation Forms | Revision Date | DOC | ||
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Instructions for completing UST-6 Application to Install or Replace USTs | 10/2015 | ![]() | ||
UST-6 | Application to Install or Replace USTs (Pre/Post-Install) | 10/2015 | ![]() | ![]() |
UST-6C | Application to Install or Replace USTs (Schedule of Materials) | 10/2015 | ![]() | ![]() |
UST-6D | Application to Install or Replace USTs (UST Spill Bucket Testing) | 10/2015 | ![]() | ![]() |
UST-6E | Application to Install or Replace USTs (Tank Installation Testing) | 10/2015 | ![]() | ![]() |
UST-6F | Application to Install or Replace USTs (Containment Sump/UDC Testing) | 10/2015 | ![]() | ![]() |
UST-6G | Application to Install or Replace USTs (Pre-Installation Piping Integrity Testing) | 10/2015 | ![]() | ![]() |
UST-6H | Application to Install or Replace USTs (Post-Installation Piping Integrity Testing) | 10/2015 | ![]() | ![]() |
Financial Responsibility | Revision Date | DOC | ||
---|---|---|---|---|
Chief Financial Officer Letter | 11/2005 | ![]() | ||
UST-FR1 | Certificate of Insurance (UST-FR1) | 10/2015 | ![]() | ![]() |
Certification of Financial Responsibility | 10/2015 | ![]() |
Trust Fund | Revision Date | DOC | ||
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State Cleanup Funds |
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Eligibility Forms IMPORTANT NOTICE FOR NONCOMMERCIAL FUND CLAIMANTS AND CONSULTANTS/CONTRACTORS - Click here |
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Changes effective 3/1/08 Memo | 3/2008 |
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Memo Eligibility Application Form 01/09 | 1/2009 |
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Eligibility Application Form (rev 01/09 ) | 1/2009 |
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Extra Tank Data Worksheet | 2/2008 |
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Extra Corrosion Protection & Spill Overflow worksheet | 2/2008 |
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Reasonable Rate Documents |
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98 & 03 Reasonable Rates | ||||
Federal Cleanup Funds |
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Financial Data Request Form | 1/2004 |
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