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ADEM UST CLOSURE SITE ASSESSMENT FORMADEM UST CLOSURE SITE ASSESSMENT REPORT (Use a Separate form for a group of tanks in each tank pit) FACILITY I.D. NO.: INCIDENT NO. (If applicable). FACILITY COUNTY:DATE.

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How to fill out the ADEM UST CLOSURE online

Completing the ADEM UST CLOSURE site assessment form online is crucial for ensuring safe and compliant removal or closure of underground storage tanks. This guide will help you through the necessary steps to accurately fill out each section of the form.

Follow the steps to fill out the ADEM UST CLOSURE form online.

  1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
  2. Fill out your facility identification information including the facility I.D. number, incident number (if applicable), and facility county.
  3. Provide the date of the report, facility name, and location. Ensure all details are accurate.
  4. Input the UST owner’s details including their name, address, contact person, and contact phone number.
  5. Describe the contractor used for the closure and the consultant conducting the assessment, along with the laboratory used.
  6. Indicate the number of tanks closed and remaining at the site, closure date, unique tank numbers, tank sizes, capacities, ages, and the last date of use.
  7. Complete the survey results sections for domestic and public water supply wells, including the location, distance, and status of each well.
  8. Answer location-based questions regarding wellhead protection, surface water intakes, and describe current and expected future land use.
  9. If relevant, provide details about any releases, adjacent property owners, and attach necessary site maps.
  10. Follow the specific instructions for either tank closure by removal or closure without removal, including required attachments like site maps and excavation details.
  11. Fill in the groundwater and soil analytical data as required, attaching original records for sampling and analytical results.
  12. Complete all sections, ensuring accuracy before final signature from the Alabama Licensed Professional Geologist or the Alabama Registered Professional Engineer.
  13. Save your changes. The form can then be downloaded, printed, or shared according to your needs.

Submit your completed ADEM UST CLOSURE form online to ensure compliance and safe closure procedures.

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To register an AST, an owner/operator should complete ADEM Form #283 and submit the form to the Department. This form may be found on the ADEM website at .adem.alabama.gov/DeptForms/Form283.pdf.

UST Compliance. The UST Compliance Section of the Groundwater Branch is responsible for implementation of equipment and leak detection standards for underground storage tank systems. These staff perform inspections and recommend enforcement action where needed.

All water-intrusion problems must be corrected immediately if you are storing ethanol-blended fuel. You should check your fuel tanks for water frequently to prevent phase- separation problems. This should be done using a gauge stick and water-finding paste specifically formulated for alcohol fuels.

Alabama Department of Environmental Management. Home. ADEM Forms.

Alabama Department of Environmental Management. The UST Compliance Section of the Groundwater Branch is responsible for implementation of equipment and leak detection standards for underground storage tank systems. These staff perform inspections and recommend enforcement action where needed.

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