Get Epa Form 7520-4 (rev. 8-01) Part Iv: Quarterly Exceptions List - Deq State Ok

Filling out the EPA Form 7520-4 (Rev. 8-01) Part IV: Quarterly Exceptions List is essential for reporting significant noncompliance regarding underground injection wells. This guide provides step-by-step instructions for effectively completing this form online.

Follow the steps to successfully complete the Quarterly Exceptions List.

1. Click 'Get Form' button to access the form and open it in an editing interface.
2. Section I requires you to enter the Reporting Period by specifying the 'From' and 'To' dates. Ensure these dates are formatted correctly to represent the quarterly period being reported.
3. In Section II, provide details about the well class and type for each well in significant noncompliance. For Class I wells, use IH for hazardous waste, IM for municipal waste, and Ii for industrial waste. For Class II, indicate IID for saltwater disposal, IIR for enhanced recovery, or IIH for liquid hydrocarbon storage.
4. Section III requires the name and address of the owner or operator of the injection well. Utilize multiple lines if necessary to include all required information.
5. In Section IV, enter the well ID number, which should include the permit number if available. This helps in identifying the injection well being reported.
6. For Section V, summarize the violations by entering the dates when significant noncompliance was identified. Mark an 'X' in the appropriate column for each violation. If there are multiple violations, list them on separate lines.
7. In Section VI, provide a summary of enforcement actions by entering the date an enforcement action was taken against each violation. Mark an 'X' in the relevant column for each enforcement action taken.
8. At the end of the form, ensure you certify the information provided is accurate. Include your signature, typed or printed name, title, date, and telephone number.
9. Once all sections are completed, you can save changes, download, print, or share the form as needed.

Begin completing your EPA Form 7520-4 (Rev. 8-01) Part IV: Quarterly Exceptions List online today.