Forms: Petroleum Storage Tank Branch

Utah Division of Environmental Response and Remediation (DERR) Petroleum Storage Tank Branch forms. Additional DERR forms available here.

Compliance/Notification

• EPA Notification Form
• Closure Plan Form
• Temporary Closure Plan Form
• Closure Notice Form
• Install Notification Form
• Operator Inspection Form
• Certificate of Compliance Packet
• ISLs
• Change of Ownership Form
• AST Notification Form

Testing Forms

• ATG Inspection Form
• Containment Sump Test Forms
  • RP1200 Containment Sump Test Form
  • RP1200 Low Liquid Level Sump Test Form
  • DERR Containment Sump Hydrostatic Test Form
• Line Leak Detector Test Form
• Liquid Sensor Test Form
• Low Liquid Level Sump Test Form
• Overfill Device Test Forms
  • Automatic Shutoff Device Test Form
  • Overfill Alarm Inspection Form
• Spill Bucket Test Forms
  • RP1200 Spill Bucket Test Form
  • DERR Containment Sump Hydrostatic Test Form
• Cathodic Protection Test Forms
  • Galvanic
  • Impressed Current

Certification & Registration Forms

• UST Installer Application
• UST Remover Application
• UST Tester Application
• Groundwater & Soil Sampler Application
• UST Consultants
  • Initial Application
  • Renewal Application
• Class A/B Operator Application