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Underground Storage Tank Branch

​2011 UST Regulations

UST 2011 Forms and Outlines
TypeDownloadTitleFile Size
pdfDEP6064.pdfClaim Request for Actions Not Directed by the USTB39452
pdfDEP6067.pdfSOTRA Application for Assistance67135
pdfDEP6068.pdfSOTRA Claim Request58731
pdfDEP6073.pdfPSTEAF Eligible Company or Partnership Application85781
pdfDEP6074.pdfApplication for Laboratory Certification46897
pdfDEP6075.pdfPayment Verification Affidavit38444
pdfDEP6077.pdfPayment Waiver Form41610
pdfDEP0057.pdfVapor Intrusion Assessment45226
pdfDEP0058.pdfVapor Intrusion Building Assessment45293
pdfDEP6078.pdfThird Party Claim Form38976
pdfDEP6082.pdfSite Check Report Form46949
pdfDEP6090.pdfCost Estimate Form100581
pdfDEP6092.pdfAffidavit of Waiver for PSTEAF Reimbursement25640
pdfDEP6093.pdfInstructions for Miscellaneous Tasks Reimbursement Worksheet78481
pdfDEP6094.pdfInstructions for Optional Soil Removal Outside of the Excavation Zone Reimbursement Worksheet78729
pdfDEP6095.pdfInstructions for Facility Restoration Reimbursement Worksheet79560
pdfDEP7114.pdfNotice of Intent to Permanently Close Underground Storage Tank System93694
pdfDEP8045.pdfCorrective Action Monitoring Report Form with Instructions43360
pdfDEP8049.pdfSite Investigation Report Form53298
pdfDEP8055.pdfClosure Assessment Report121224
pdfDEP8056.pdfClassification Guide114596
pdfDEP0061_.pdfAffidavit of Termination of Contract25423
pdfDEP0062.pdfReimbursable Amount Re-Evaluation Form51339
pdfDEP0063.pdfReconsideration Request Form22009
pdfDEP0064.pdfInstructions108246
pdfDEP4067.pdfOver-Excavation Report Form39574
pdfDEP5039.pdfCertification of Properly cleaned USTs25679
pdfDEP5040.pdfCorrective Action Report Certification35384
pdfSite Check.pdfSite Check Outline97094
pdfSite Investigation.pdfSite Investigation Outline189304
pdfClassification.pdfClassification Outline139449
pdfClosure.pdfClosure Outline222069
pdfContractor.pdfContractor Cost Outline367686
pdfCorrective.pdfCorrective Action Outline143595
xlsDEP0064.xlsSOTRA Reimbursement Worksheet105472
xlsDEP6091.xlsUSTB Written Directive Claim Request Form141824
xlsDEP6093.xlsReimbursement Worksheet Misc Tasks54272
xlsDEP6095.xlsReimbursement Worksheet Facility Restoration61440
pdfDEP6063.pdfApplication for Assistance with Instructions88089
xlsDEP6094.xlsReimbursement Worksheet Opt Soil Removal Out of the Ex Zone238080
docDEP8056.docClassification Guide125952
docDEP7114.docNotice of Intent to Permanently Close UST System118272
docDEP6092.docAffidavit of Waiver for PSTEAF Reimbursement74752
docxDEP0057.docxVapor Intrusion Assessment124960
docxDEP0058.docxVapor Intrusion Building Assessment134433
docxDEP0061.docxAffidavit of Termination of Contract44392
docxDEP0062.docxReimbursable Amount Re-Evaluation Form44515
docxDEP0063.docxReconsideration Request Form25816
docxDEP4067.docxOver-Excavation Report Form100374
docxDEP5039.docxCertification of Properly Cleaned USTs27095
docxDEP5040.docxCorrective Action Report Certification76252
docxDEP6063.docxApplication for Assistance with Instructions108095
docxDEP6064.docxClaim Request for Actions Not Directed by the USTB60678
docxDEP6067.docxSOTRA Application for Assistance121566
docxDEP6068.docxSOTRA Claim Request156024
docxDEP6073.docxPSTEAF Eligible Company or Partnership Application90719
docxDEP6074.docxApplication for Laboratory Certification40418
docxDEP6075.docxPayment Verification Affidavit86862
docxDEP6077.docxPayment Waiver Form104697
docxDEP6078.docxThird Party Claim Form58068
docxDEP6082.docxSite Check Report Form136311
docxDEP6090.docxCost Estimate Form44315
docxDEP6092.docxAffidavit of Waiver for PSTEAF Reimbursement32820
docxDEP8045.docxCorrective Action Monitoring Report Form with Instructions87800
docxDEP8049.docxSite Investigation Report Form163636
docxDEP8055.docxClosure Assessment Report150454
docxSite Check Outline.docxSite Check Outline63725
docxSite Investigation Outline.docxSite Investigation Outline86913
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