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Tank and Sludge Disposal Form Mobile App

Prior to the in-place closure or removal of underground storage tanks, the underground storage tanks Management Division must be informed of where liquids and/or sludge will be disposed and how used underground storage tanks will be managed. This information is provided in the Tank and Sludge Disposal Form mobile app. The contents of the tank are considered a hazardous waste until proven otherwise. The hazardous waste determination can be made by testing the material using approved methods or by having knowledge of the material or process that produced the tank’s contents. GoCanvas gives you the ability to mark a Text Field as "Email Only"!

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Tank and Sludge Disposal Form Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

    SITE IDENTIFICATION AND LOCATION

  • Ico textbox

    Facility Name:

  • Ico textbox

    Permit ID #:

  • Ico multiline

    Physical Address:

  • Ico statictext

    TANK OWNER INFORMATION

  • Ico textbox

    Tank Owner Name:

  • Ico multiline

    Tank Owner Address:

  • Ico textbox

    Contact Person Name:

  • Ico textbox

    Contact Person Phone Number:

  • Ico statictext

    LANDOWNER INFORMATION

  • Ico textbox

    Landowner Name:

  • Ico multiline

    Landowner Address:

  • Ico textbox

    Contact Person:

  • Ico textbox

    Contact Person Phone Number:

  • Ico statictext

    CLOSURE INFORMATION

  • Ico integer

    Number of USTs to be closed:

  • Ico textbox

    Capacity of each UST and substance stored:

  • Ico statictext

    Method of Closure (check one):

  • Ico checkbox

    Removal

  • Ico checkbox

    Fill in Place (indicate fill to be used):

  • Ico signature

    Landowner Signature (Required for Fill In Place):

  • Ico textbox

    UST Closure Contractor:

  • Ico multiline

    Contractor Mailing Address:

  • Ico textbox

    Contractor Contact Person:

  • Ico textbox

    Contractor Phone Number:

  • Ico statictext

    TANK DISPOSAL INFORMATION

  • Ico textbox

    Name of disposal facility:

  • Ico multiline

    Address:

  • ...and More!

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