Underground Storage Tank Regulatory Compliance Forms
Regulatory Compliance Checklists:
Inspection Checklist prior to April 2008
Inspection Checklist after April 2008
Inspection Checklist for EG prior to April 2008
Inspection Checklist for EG after April 2008
Changing In Use/Temporarily Out of Use Status:
Checklist for Temporarily Out of Use to In Use
Checklist for In Use to Temporarily Out of Use Tanks can only remain in TOU status for 12-consecutive months if the facility is out of compliance.
Notification of Class A, B, and C Operators
New Installation and New Data Notification:
Form 7530 – Notification Data for UST To be used for new underground storage tanks.
Financial Responsibility Guidance and Forms:
Financial Responsibility Guidance
Certificate of Financial Responsibility - Form P-Certifies the Financial Responsibility mechanism. Must be completed by the Owner/Operator and notarized. This form will be requested during inspections.
GUST Trust Fund Confirmation - Must be completed by the Owner/Operator and Jobber. Must be updated every three (3) years or when the Jobber has changed.
- Financial Responsibility Forms for All Owners/Operators
- Financial Test (Self-Insurance) - Form A- Must be completed by Chief Financial Officer.
- Guarantee - Form B
- Insurance Endorsement - Form C
- Certificate of Insurance - Form D
- Performance Bond - Form E
- Letter of Credit - Form F- Must be completed by the Financial Institution
- Trust Fund - Form G
- Standby Trust Fund - Form H
- Financial Responsibility for Local Governments
- Bond - Form I
- Financial Test - Form J
- Fund - Form K
- Guarantee 1 - Form L
- Guarantee 2 - Form M
- Guarantee 3 - Form N
- Guarantee 4 - Form O
Facility Equipment Testing Forms:
Containment Sump Testing
Containment Sump Test Form "Sump Testing" must be performed every three (3) years. New installations cannot use low level testing for the first test after new installation. It can be used thereafter if it has a positive shut off device.
Containment Sump Low Level Test Form Must be performed every three (3) years.
Guidance for Low Level Hydrostatic Test
Ball Float Inspection and Diagram
Spill Prevention (Spill Bucket)
Three-year Spill Prevention Equipment (Spill Bucket) Integrity Test Report
Release Detection Equipment Testing
Cathodic Protection Testing
Galvanic-Cathodic Protection Monitoring Form
Impressed Current-Cathodic Protection Monitoring Form
30-day Walkthrough Inspection Checklist
Annual Walkthrough Inspection Checklist
Compatibility Demonstration Log
Stage I EVR Test (only in ozone non-attainment areas):
Stage I EVR Test Notification Form - Note that this is a fillable PDF form and you will need to download it to your computer before completing it.