UST Forms
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Note: Some PDFs are fillable forms that do not open with Chromes PDF plugin. To open those forms using Chrome you will need to use your local Adobe Reader. For instructions on how to change Chromes settings to open these forms click here.
| Permits and Inspection | Revision Date | DOC | ||
|---|---|---|---|---|
| UST-2A | Site Investigation Report for Permanent Closure or Change-In-Service - REGISTERED TANKS | 1/2016 |  |
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| UST-2B | Site Investigation Report for Permanent Closure or Change-In-Service - UNREGISTERED TANKS | 1/2016 | |
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| UST-3 | Notice of Intent: UST Permanent Closure or Change-In-Service | 5/2019 | |
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| UST-6 | See Table below for UST-6 Installation Forms | |||
| UST-7A | Cathodic Protection Testing form for galvanic cathodic protection systems | 10/2015 | |
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| UST-7B | Cathodic Protection Testing form for impressed current cathodic protection systems | 10/2015 | |
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| UST-8 | Notification for Activities Involving Underground Storage Tanks | 3/2018 | |
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| UST-12 | Closure Report Format | 8/2008 | |
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| UST-15 | Change of Ownership of UST System(s) | 2/2018 | |
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| UST-15A | Ownership of UST Systems | 2/2018 | |
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| UST-16 | Manual Tank Gauging Record | 5/2018 | |
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| UST-17A | UST Suspected Release 24 Hour Notice Form | 10/2018 | |
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| UST-17B | UST Suspected Release 7 Day Notice Form | 10/2015 | |
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| UST-18 | Application for Tax Certification | 10/2015 | |
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| UST-19 | Certification of Leak Detection Exemption for Suction Piping Associated with USTs | 3/2018 | |
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| UST-20 | Alternative Fuel/Hazardous Substance Compatibility Checklist | 10/2015 | |
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| UST-21 | Impressed Current Cathodic Protection System 60-Day Record of Rectifier Operation | 10/2015 | |
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| UST-22A | Overfill Prevention Equipment Operability Check (Instructions) | 7/2018 | |
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| UST-22B | Annual Leak Detection Equipment Operability Check | 2/2019 | |
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| UST-22C | Annual Sump Visual Inspections | 5/2018 | |
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| UST-23A | Triennial UST Spill Bucket Integrity Testing | 3/2019 | |
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| UST-23B |
Triennial UST Containment Sump/UDC Integrity Testing |
3/2019 | |
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| UST-23C | Triennial UST Piping Integrity Testing | 10/2015 | |
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| UST-23D | Triennial UST Interstice Integrity Testing | 10/2015 | |
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| UST-24 | Certification of No Visible Corrosion on Metallic Piping Components | 10/2015 | |
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| UST-27 | Monthly Walkthrough Inspections | 7/2019 | |
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Note: Some PDFs are fillable forms that do not open with Chromes PDF plugin. To open those forms using Chrome you will need to use your local Adobe Reader. For instructions on how to change Chromes settings to open these forms click here.
| UST Permit Application | Revision Date | |
|---|---|---|
| Compliance Questionnaire | 7/2019 | |
Note: Some PDFs are fillable forms that do not open with Chromes PDF plugin. To open those forms using Chrome you will need to use your local Adobe Reader. For instructions on how to change Chromes settings to open these forms click here.
| Trust Fund | Revision Date | DOC | |
|---|---|---|---|
| State Cleanup Funds | |||
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Eligibility Forms |
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| Changes effective 3/1/08 Memo | 3/2008 | |
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| Eligibility Flowchart | 10/2016 | |
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| Memo Eligibility Application Form 01/09 | 1/2009 | |
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| Eligibility Application Form (rev 08/01/2019) | 8/2019 | |
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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 | |||
| 98 & 03 Reasonable Rates | |||
| Federal Cleanup Funds | |||
| Financial Data Request Form | 1/2004 | |
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