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For State use only: Check ReceivedYesNoNew Jersey Department of Environmental Protection Site Remediation and Waste Management Program UNDERGROUND STORAGE TANK FACILITY CERTIFICATION QUESTIONNAIREDate.

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How to fill out the NJ UST 021 online

This guide provides clear and comprehensive instructions on completing the NJ UST 021 form online. By following these steps, you will ensure accurate submission of the Underground Storage Tank Facility Certification Questionnaire.

Follow the steps to successfully complete the NJ UST 021 form.

  1. Press the ‘Get Form’ button to access the NJ UST 021 form in your preferred editor.
  2. Fill out Section A: General Facility Information. Include the UST Facility number, name, address, municipality, county, and zip code. Make sure to provide the owner's information, including name, mailing address, and contact details.
  3. In Section A, specify the type of submission by checking all applicable options, such as the registration of a new tank or an annual renewal. Clearly indicate the total number of regulated underground storage tanks and their total capacity in gallons.
  4. Proceed to Section B: UST Facility Owner and Operator Information. Provide details about both the facility owner and operator. Include mailing addresses, phone numbers, and emails, ensuring accuracy.
  5. In Section C, complete the Financial Responsibility section. Attach the necessary documents, ensuring to specify the type of mechanism (insurance) and details regarding the issuing institution.
  6. Fill in Section D regarding attachments. Indicate how you have included any required documents, like Attachment A, by marking whether they are attached or emailed.
  7. Complete Section E for installer certification if applicable. Make sure the installer certifies the proper installation of the UST system, including all relevant information.
  8. In Sections F and G, fill out the required certifications by the facility owner and operator, respectively. Ensure all necessary signatures are obtained.
  9. Review all sections for completeness and accuracy. Once satisfied, save your changes.
  10. You can now download, print, or share the completed form as required. Ensure you follow any further instructions for submission.

Get started on completing your NJ UST 021 form online today.

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NJ UST 021
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