Get Ds: Upcf, Ust Certification Of Installation Modification, Form, Cal Epa, Unified Program, Title 27

This guide provides clear instructions on completing the Ds: UPCF, UST Certification Of Installation Modification form online. It is essential for users to understand each section to ensure accurate and compliant submissions.

Follow the steps to successfully fill out the form.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. In the facility information section, enter the facility ID number provided by the agency (this field is for agency use only). Fill in the business name, ensuring it matches the facility name or DBA.
3. Provide the business site address, including the street address and building number, if applicable. Enter the city or unincorporated area where the facility is located.
4. For project description, check all applicable boxes to indicate the type of project undertaken, such as tank installation or piping modification. Briefly describe the work certified in the designated area.
5. Enter any work authorized under a permit, using the number or date provided by the local agency.
6. In the contractor information section, input the name of the contractor who completed the installation or modification, including their license number and ICC certification number.
7. In the certification section, the tank owner or authorized agent must sign and date the form, affirming that the information submitted is accurate and complete.
8. Print the full name, title, and phone number of the certifier and the name of the certifier's employer. If the owner is signing, note ‘N/A’ for employer.
9. Indicate the relationship of the certifier to the tank owner by selecting the appropriate option from the provided choices.
10. Finally, review all entered information for accuracy. Once satisfied, save changes, download a copy for your records, or print the completed form for submission.

Complete your documentation online to ensure compliance and accuracy.