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Registered Facilities Annual Septage Storage Report Mobile App

The Registered Facilities Annual Septage Storage Report mobile app is for storage facilities (lagoons, tanks) for residential septage that are registered. Failure to provide the required information requested is a violation of Environmental Conservation Law. Timely submission of a properly completed form to the Department’s Regional Office that has jurisdiction over your facility and to the Department's Central Office is required to meet the Annual/Quarterly Report requirements. A Submission is a response to a GoCanvas mobile app completed by a user on a mobile device by using GoCanvas.

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

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Take a peek inside the Registered Facilities Annual Septage Storage Report Mobile App

Included Features

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Included Fields

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

  • Ico statictext

    FACILITY INFORMATION

  • Ico textbox

    FACILITY NAME:

  • Ico multiline

    FACILITY MAILING ADDRESS:

  • Ico textbox

    FACILITY PHONE NUMBER:

  • Ico textbox

    OWNER NAME:

  • Ico textbox

    OWNER PHONE NUMBER:

  • Ico textbox

    OWNER E-MAIL ADDRESS:

  • Ico textbox

    OPERATOR NAME:

  • Ico textbox

    OPERATOR PHONE NUMBER:

  • Ico textbox

    OPERATOR EMAIL:

  • Ico statictext

    IF APPLICABLE:

  • Ico textbox

    TRANSPORTER NUMBER FOR FOOD PROCESSING WASTE:

  • Ico textbox

    TRANSPORTER NAME:

  • Ico textbox

    CONTACT PHONE NUMBER:

  • Ico statictext

    QUANTITY OF SEPTAGE STORED

  • Ico statictext

    Please report all quantities in GALLONS:

  • Ico textbox

    Type of storage (lagoon, tank, etc.

  • Ico decimal

    Size of the storage unit (gallons):

  • Ico decimal

    Total quantity of septage placed in the storage unit during the year:

  • Ico decimal

    Total quantity of septage removed during the year:

  • Ico decimal

    Total quantity of septage remaining in the unit at the end of the year:

  • Ico date

    Date emptied and inspected:

  • Ico multiline

    Describe inspection results and any repairs performed:

  • Ico multiline

    Identify where septage from the storage facility was land applied or which treatment plant it was...

  • Ico date

    UNAUTHORIZED WASTE Date Received

  • Ico textbox

    Type Received

  • Ico date

    Date Disposed

  • Ico multiline

    Disposal Method & Location

  • ...and More!

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