Al Management Groundwater Branch/UST Compliance Unit Post Office Box 301463 Montgomery, Alabama 36130-1463 Or fax the completed form within 30 days of transferring ownership to: (334) 270-5631 Any questions concerning the completion of this form, call the Groundwater Branch at (334) 270-5655 FACILITY INFORMATION Former Name of Facility: New Name of Facility: Location (street or highway): City, County: ADEM Facility I.D. Number: No. of UST s included in transfer: No. of AST s included in.
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How to fill out the Adem Application Form Pdf online
The Adem Application Form Pdf is essential for notifying the Alabama Department of Environmental Management about the transfer of ownership for underground and aboveground storage tanks. This guide provides clear, step-by-step instructions to help users fill out the form accurately and efficiently online.
Follow the steps to complete the Adem Application Form Pdf online.
- Click the ‘Get Form’ button to access the Adem Application Form Pdf and open it in an online editor.
- Begin with the facility information section. Fill in the former name of the facility, the new name, and the location details, including street or highway, city, and county. Also, provide the ADEM Facility I.D. number, the number of underground storage tanks (USTs), and the number of aboveground storage tanks (ASTs) included in the transfer.
- Proceed to the former owner information section. Enter the owner’s name, address, city, state, and zip code. Record the owner’s phone number and the transfer of ownership date.
- In the new owner information section, input the new owner's name, contact name, address, city, state, and zip code. Additionally, provide an email address, the owner’s phone number, the contact phone number, and the transfer of ownership date.
- Both the former owner and new owner must certify the information provided by signing the respective signature fields and dating them.
- Review all entered information for accuracy. Once verified, save the changes made to the form.
- Download the completed form, print it, or share it as necessary. Ensure it is submitted to the Alabama Department of Environmental Management within 30 days of the transfer.
Complete your Adem Application Form Pdf online now to ensure a smooth transfer of ownership.
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