Home
Underground Storage Tank Inventory Form

Underground Storage Tank Inventory Form

Underground Storage Tank Registration - For the Source Water Protection Program
Any UST registration form submitted to the Ohio Bureau of Underground Storage Tank Regulations (BUSTR) may be submitted to the Consortium Manager in lieu of completing the table for this form. This form must be submitted with the General Facility Data Form. Please contact the Consortium Manager at 513 383-3162 with any questions.
Date*
Registered by*
First Last
Facility Name*
Submitted by*
name/title
Phone*
Email*
Cell Phone
I. Tank Information
Where is/are the UST(s) located at the facility?
You may include a site map or written description.
Where is/are the UST(s) located at the facility?
site map file upload
Complete the table included with this form or attach existing Bureau of Underground Storage Tank Regulations annual registration form.
existing Bureau of Underground Storage Tank Regulations annual registration form
form upload
II. Additional Information
Is there any secondary containment and/or leak detection provided for piping connected to the UST(s)?*
If yes, which?
secondary containment/leak detection/ both
Are there any USTs on site that are currently out of use?*
If yes, specify
Are there any plans to upgrade, replace, or abandon any USTs?*
If yes,, what is planned and when?
Has (Have) the tank(s) been upgraded to meet the December 28, 1998 USEPA and Ohio Bureau of Underground Storage Tank Regulations UST upgrade requirements?*
Total quantity stored underground:*
gal. & bs.
Calculated as?
Maximum amount or monthly daily average
Underground Storage Tank Registration
No. of Tanks Tank Size (gal) Date Installed Container Material Regulated Substance Concentration ^2 Release Detection? Secondary Containment?

Concentration information applies to chemical storage in a UST. You do not need to specify a concentration for fuel and oil products. Example of how the table is to be filled out can be found on PDF document on the Groundwater Consortium Website under Facility Registration Forms. ** If you answered “Other” for any tank in the Release Detection column of the UST registration table, specify what type of release detection is being used for the UST)s):
Release Detection Codes (please list all that apply):
(A) manual tank gauging (I) Automatic line leak detectors (B) Tank tightness testing (J) Line tightness testing (C) Inventory controls (D) Automatic tank gauging (E) Vapor monitoring (F) Groundwater monitoring (G) Interstitial monitoring double walled tank/piping (K) Other (H) Interstitial monitoring/secondary containment (L) None