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Underground Storage Tanks - Forms & Documents
Page Content
UST Owner/Operator Forms & Documents
Application forms for Permit to Install, Upgrade or Repair UST(s)
Application Forms for Permit to Remove UST(s)
Application Forms to Temporarily Close UST(s)
UST Cathodic Protection/Addendum Form
Biodiesel Forms
UST Owner/Operator Forms
UST Certification of Installation/Modification (Unified Program Consolidated Form)
Adobe Acrobat
Microsoft Word
Updated 12/2007
UST Response Plan (Unified Program Consolidated Form)
Adobe Acrobat
Microsoft Word
Updated 12/01/2010
UST Designated Operator Identification
(Unified Program Consolidated Form)
Updated 10/2018
UST Statement of Understanding and Compliance
(Unified Program Consolidated Form)
Certification of Financial Responsibility
(Unified Program Consolidated Form)
Updated 11/2008
Letter from Chief Financial Officer
(Unified Program Consolidated Form)
Updated 11/2008
Unauthorized release (leak) report (Unified Program Consolidated Form)
Adobe Acrobat
Microsoft Word
Updated 10/31/2006
UST Owner/Operator Agreement
Updated 10/17/2017
UST Plot Plan
Updated 07/11/2022
Application Forms to Permit to Install, Upgrade or Repair USTs
UST Application Form Updated 11/03/2020
Adobe Acrobat
Microsoft Word
UST Cathodic Protection Installation or Modification Addendum
Updated 08/16/2012
Adobe Acrobat
Microsoft Word
Install, Upgrade or Repair Cover Letter
Updated 11/03/2020
Drawings & Parts List Requirements Checklist
Updated 08/16/2012
Legal UST Owner's Authorization Letter (used if Application not filled out by Owner) - Updated 1
1
/03/2020 -
Adobe Acrobat
Microsoft Word
Financial Responsibility Guide
July 1995
Sampling Protocol for UST Removals, Upgrades and Repairs
Updated 11/03/2020
Underground Storage Tank (UST) Construction Permit Fee Summary
Updated 07/01/2023
Application Forms for Permit to Remove USTs
Removal Application Form Updated 11/03/2020 -
Adobe Acrobat
Microsoft Word
Legal UST Owner's Authorization Letter (used if Application not filled out by Owner) Updated 11
/03
/2020 -
Adobe Acrobat
Microsoft Word
Hazardous Waste Tank Closure Certification/UST Closure Form Cal-EPA form, Updated 12/1999 -
Adobe Acrobat
Microsoft Word
Sampling Protocol for UST Removals, Upgrades and Repairs
Updated 11/03/2020
Underground Storage Tank (UST) Permit Fee Summary
Updated 07/07/2023
Application to Temporarily Close UST(s)
Application to Temporarily Close Underground Storage Tanks Updated 11/03/2020
Adobe Acrobat
Microsoft Word
UST Facility Form (Unified Program Consolidated Form)
Adobe Acrobat
Microsoft Word
Updated 12/2007
Biodiesel
Affirmative Statement of Compatibility
UST Facility Form (Unified Program Consolidated Form)
Adobe Acrobat
Microsoft Word
Updated 12/2007
UST Tank Form (Unified Program Consolidated Form)
Adobe Acrobat
Microsoft Word
Updated 12/2007
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EMD Quick Links
Forms & Documents - CUPA/Haz Mat
Forms & Documents - Environmental Health
Forms & Documents - Underground Storage Tanks (USTs)
Forms & Documents - Aboveground Petroleum Storage
Forms & Documents - Recycling Programs
Forms & Documents - Waste Programs
Forms & Documents - Water Programs
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