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.

Operator Notifications:

Notification of Class A, B, and C Operators  

New Installation and New Data Notification:

• New UST Installation Package

• Form 7530 – Notification Data for UST  

Financial Responsibility Guidance and Forms:

Financial Responsibility Guidance

Certificate of Financial Responsibility  

GUST Trust Fund Confirmation

• 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  

Containment Sump Low Level Test Form  

Guidance for Low Level Hydrostatic Test  

Overfill Prevention

Alarm and Diagram  

Ball Float Inspection and Diagram  

Flapper Valve and Diagram  

Appendix C Complete Shutoff

Spill Prevention (Spill Bucket)

Three-year Spill Prevention Equipment (Spill Bucket) Integrity Test Report  

Release Detection Equipment Testing

Probe Test  

Leak Detector Test

Sensor Functionality Test 

Cathodic Protection Testing

Galvanic-Cathodic Protection Monitoring Form  

Impressed Current-Cathodic Protection Monitoring Form  

Walkthrough Inspection

30-day Walkthrough Inspection Checklist  

Annual Walkthrough Inspection Checklist

Monthly Visual Inspection

Visual Interstitial Monitoring Monthly Log

Compatibility 

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.

Other Forms