Underground Storage Tank Regulatory Compliance Forms

Regulatory Compliance Checklists:

Download this pdf file. Inspection Checklist prior to April 2008

Download this pdf file. Inspection Checklist after April 2008

Download this pdf file. Inspection Checklist for EG prior to April 2008

Download this pdf file. Inspection Checklist for EG after April 2008

 

Changing In Use/Temporarily Out of Use Status:

Download this pdf file. Checklist for Temporarily Out of Use to In Use

Download this pdf file. 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.

 

Operator Notifications:

Download this pdf file. Notification of Class A, B, and C Operators  

 

New Installation and New Data Notification:

 

Financial Responsibility Guidance and Forms:

Download this pdf file. Financial Responsibility Guidance

Download this pdf file. Certificate of Financial Responsibility Download this pdf file.  

Download this pdf file. GUST Trust Fund Confirmation

 

Facility Equipment Testing Forms:

Containment Sump Testing

Download this pdf file. Containment Sump Test Form  

Download this pdf file. Containment Sump Low Level Test Form  

Download this pdf file. Guidance for Low Level Hydrostatic Test  

 

Overfill Prevention

Download this pdf file. Alarm and Diagram  

Download this pdf file. Ball Float Inspection and Diagram  

Download this pdf file. Flapper Valve and Diagram  

Download this pdf file. Appendix C Complete Shutoff

 

Spill Prevention (Spill Bucket)

Download this pdf file. Three-year Spill Prevention Equipment (Spill Bucket) Integrity Test Report  

 

Release Detection Equipment Testing

Download this pdf file. Probe Test  

Download this pdf file. Leak Detector Test

Download this pdf file. Sensor Functionality Test 

 

Cathodic Protection Testing

Download this pdf file. Galvanic-Cathodic Protection Monitoring Form  

Download this pdf file. Impressed Current-Cathodic Protection Monitoring Form  

 

Walkthrough Inspection

Download this pdf file. 30-day Walkthrough Inspection Checklist  

Download this pdf file. Annual Walkthrough Inspection Checklist

 

Monthly Visual Inspection

Download this pdf file. Visual Interstitial Monitoring Monthly Log

 

Compatibility 

Download this pdf file. Compatibility Demonstration Log  

 

Stage I EVR Test (only in ozone non-attainment areas):

Download this pdf file. 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.

Contact

Underground Storage Tank Technical Assistance Duty Officer

Primary
(404) 362-2687

 

Other Forms