Underground Storage Tank Regulatory Compliance Forms

Regulatory Compliance Checklists:

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.

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