Environmental Management

Contents:

• ​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 Designated Operator Identification Form
  
• UST Statement of Understanding and Compliance Form
  
• ​Certification of Financial Responsibility and Letter from Chief Financial Officer​
• UST Site Unauthorized Release/Contamination Report
  
• UST Owner/Operator Agreement​
  

Application Forms to Permit to Install, Upgrade or Repair USTs

• UST Application Form Updated 11/​03/2020
  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  11/03​/2020 -Adobe Acrobat   Microsoft Word
  
• Sampling Protocol for UST Removals, Upgrades and Repairs  Updated 11/03/2020   ​​
• Underground Storage Tank (UST) Construction Permit Fee Summary​​​​  ​Updated 07/01/2025
  

Application Forms for Permit to Remove USTs

• Removal Application Form 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
  
• Underground Storage Tank (U​ST) Permit Fee Summary​​​​​   Updated 07/01/2025
  

Application to Temporarily Close UST(s)

• Application to Temporarily Close Underground Storage Tanks Updated 11/03/2020
  Adobe Acrobat   Microsoft Word
  

Biodiesel

• Affirmative Statement of Compatibility
  

Have Questions?​​

Sacramento County Environmental Management Department
Environmental Protection Division

11080 White Rock Rd., Suite 200
Rancho Cordova, CA 95670

916-875-8550
916-875-8513 (fax)

emdinfo@saccounty.gov​​