Search all of DEQ Main Menu Utah Department of Environmental Quality
Secondary Navigation

Forms


Waste Management and Radiation Control



DWMRC-02A Series: Preceptor Attestations for Medical Use

  • Licensing Guidance for Using the Form
    (02/16)—DWMRC-02A Series

  • DWMRC-02A (AMP)
    (01/16)—Authorized Medical Physicist Training and Experience and Preceptor Attestation [10 CFR 35.51]

  • DWMRC-02A (ANP)
    (01/16)—Authorized Nuclear Pharmacist Training and Experience and Preceptor Attestation [10 CFR 35.55]

  • DWMRC-02A (AUD)
    (01/16)—Authorized User Training and Experience and Preceptor Attestation (for uses defined under 10 CFR 35.100, 35.200, and 35.500), [10 CFR 35.190, 35.290, and 35.590]

  • DWMRC-02A (AUS)
    (01/16)—Authorized User Training and Experience and Preceptor Attestation (for uses defined under 10 CFR 35.400 and 35.600), [10 CFR 35.490, 35.491, and 35.690]

  • DWMRC-02A (AUT)
    (01/16)—Authorized User Training and Experience and Preceptor Attestation (for uses defined under 10 CFR 35.300), [10 CFR 35.390, 35.392, 35.394, and 35.396]

  • DWMRC-02A (RSO)
    (01/16)—Radiation Safety Officer Training and Experience and Preceptor Attestation [10 CFR 35]


DWMRC-04 through DWMRC-26 Series


Other Radiation Forms


Financial Forms For Used Oil (R315-15-10 and R315-15-12)

  • Form 17.2: DOC | PDF
    Trust agreements.

  • Form 17.3: DOC | PDF
    Surety bond guaranteeing payment into a standby trust agreement trust fund.

  • Form 17.4: DOC | PDF
    Irrevocable standby letter of credit with standby trust agreement.

  • Form 17.5: DOC | PDF
    Insurance endorsement of clean-up and closure.

  • Form 17.6: DOC | PDF
    Used oil transporter pollution liability endorsement for sudden occurrence.

  • Form 17.7: DOC | PDF
    Used oil pollution liability endorsement for sudden occurrences.

  • Form 17.8: DOC | PDF
    Used oil pollution liability endorsement for non-sudden occurrences.

  • Form 17.9: DOC | PDF
    Used oil pollution liability endorsement for sudden and non-sudden occurrences.

  • Form 17.10: DOC | PDF
    Letter of Credit for third-party damages from environmental pollution liability with optional standby trust agreement to be used by transfer, processor, re-refiner, or off-specification burner facility.

  • Form 17.11: DOC | PDF
    Payment bond for third-party damages from environmental pollution liability to be used by transfer, processor, re-refiner, or off-specification burner facility.

  • Form 17.12: DOC | PDF
    Trust agreement for for third-party damages from environmental pollution liability to be used by transfer, processor, re-refiner, or off-specification burner facility.

  • Form 17.13: DOC | PDF
    Standby trust agreement, if and when applicable to certain financial mechanisms associated with third-party damages from environmental pollution liability requiring a standby trust agreement to be used by transfer, processor, re-refiner, or off-specification burner facility.

  • Form 17.14: DOC | PDF
    Standby trust agreement, if and when applicable to certain financial mechanisms requiring a standby trust agreement, other than liability, to be used by transfer, processor, re-refiner, or off-specification burner facility.


General Forms


Solid Waste Program Forms

Annual Report Forms

  • Compost Facility Annual Report Form: DOC | PDF
  • Incinerator Annual Report Form: DOC | PDF
  • Landfill Annual Report Form: DOC | PDF
  • Landspreading Facility Annual Report Form: DOC | PDF
  • Post-Closure Care Annual Report Form: DOC | PDF
  • Recycling Facility Annual Report Form: DOC | PDF
  • Tire Storage Facility Annual Report Form: DOC | PDF
  • Transfer Station Annual Report Form: DOC | PDF

Used Oil Forms

Annual Report Forms

Application Forms


Waste Tire Forms