Underground Storage Tank (UST)

UST Repair Modification Application (Word)
UST Closure Application (PDF)
UST Closure Application (Word)
UST Repair Modification Application (PDF)
UST Installation Application (PDF)
UST Installation Application
UST Owner Operator Agreement (PDF)
UST Owner Operator Agreement (Word)
Certification of Financial Responsibility

A required form for UST owners/operators to demonstrate financial responsibility in case there is a release. This form is required by the California Water Resources Control Board. This form shall be accompanied by supporting documentation.

Chief Financial Officer Letter

A sample form that may be used to satisfy the state cleanup fund mechanism for financial responsibility.

Statement of Understanding and Compliance (PDF)

A required one-time statement indicating that the owner or operator understands and is in compliance with all applicable UST requirements.
 

Statement of Understanding and Compliance (Word)

A required one-time statement indicating that the owner or operator understands and is in compliance with all applicable UST requirements.
 

Designated Underground Storage Operator Identification Form (PDF)

A required form to identify the designated operator(s).

Designated Underground Storage Tank Operator Identification Form (Word)

A required form to identify the designated operator(s).

Facility Employee Certificate (word)

A required form for the owner or operator to document employee training provided by the designated operator.
 

Facility Employee Certificate (PDF)

A required form for the owner or operator to document employee training provided by the designated operator.
 

Sample Owner/Operator Agreement

A sample form which may be utilized for facilities where the owner of the USTs is different than the operator.

Unauthorized Release Report

A required form for reporting a release from an underground storage tank system.

For Consultants, DO's, and Technicians