Get Ky Dwm 4230 2019-2025

Filling out the KY DWM 4230 form is essential for conducting monthly walkthrough inspections of underground storage tank facilities in Kentucky. This guide provides step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to successfully complete the KY DWM 4230 form.

1. Use the 'Get Form' button to access the KY DWM 4230 form. Open it in your preferred document editor to begin the process.
2. Enter the UST facility information. Fill in the agency interest number, facility name, street address, city, county, and zip code. Ensure the address does not include a PO Box.
3. Record the monthly inspection date in the designated field, indicating when you performed the inspection.
4. Proceed to the Monthly Inspection Checklist. For each of the 12 checklist items, assess the condition and mark 'Y' for yes, 'N' for no, or 'N/A' for not applicable as necessary. If you select 'N', you must provide comments in Section 3.
5. Initial in the certification column for each month to confirm that you performed the inspections and that the information is accurate.
6. For any issues noted as 'N' in the checklist, complete the Problem and Solution / Repair Log. Document the inspection date, the corresponding question number, a description of the problem, the solution performed, and the correction date. Remember to have your initials as confirmation.
7. After filling out all sections, review the entire form for accuracy. You can then save your changes, download, print, or share the completed form as needed.

Complete the KY DWM 4230 form online to ensure compliance with environmental regulations.