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Underground Storage Tank Inventory Form

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.
  • name/title
  • I. Tank Information

  • You may include a site map or written description.
  • site map file upload
  • Complete the table included with this form or attach existing Bureau of Underground Storage Tank Regulations annual registration form.

  • form upload
  • II. Additional Information

  • secondary containment/leak detection/ both
  • gal. & bs.
  • Maximum amount or monthly daily average
  • No. of TanksTank Size (gal)Date InstalledContainer MaterialRegulated SubstanceConcentration ^2Release Detection?Secondary Containment? 
    Add a new row
    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

Fairfield General Facility Registration Form


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Signature Certificate
Document name: Fairfield General Facility Registration Form
lock iconUnique Document ID: e0759c7ec58795a1b7257d754cb818da59e4f39c
Timestamp Audit
September 1, 2022 11:17 am ESTFairfield General Facility Registration Form Uploaded by Tim McLelland - tim.mclelland@hamilton-oh.gov IP 216.48.130.130

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