UST Miscellaneous Documents Page Updated on 3/24/2011

QUICK LINKS (by Subject Area)

• Agency Contact Information
• Agency Inspection Forms (Agency Use Only)
• Amendments to State Regulations (See below)
• Biodiesel Storage
• Compliance Guidelines (See below)
• Designated Operator Forms
  • Facility Employee Training Record (See below)
  • Monthly Inspection Report (See below)
  • UST Owner Statements of Designated Operator and Compliance (See below)
• Equipment Testing Guidelines and Forms
• Leak / Spill Reporting Form
• Unified Program Consolidated Form (UPCF) pages required for UST systems
• UST Permit Application Forms
• UST Response Plan

The documents listed below are available in PDF format and/or as Microsoft Word files. If you need help downloading, printing, or entering data for any of these documents, please view the Download Instructions and Uniform Document Questions and Answers pages.

Number (Rev. Date)	Document Title	Format		Description
UN-095 (6/18/09)	Biodiesel Blends in Underground Storage Tanks		24KB	Guidelines for obtaining a variance from your local agency as required by State UST Regulations prior to storing Biodiesel in a UST.
UN-001 (12/20/99)	Guidelines for Adoption of California Underground Storage Tank Regulations		9KB	Unidocs Member Agency amendments to State UST Regulations.
UN-028 (3/21/11)	Unauthorized Release (Leak)/Contamination Site Report		178KB	This is an interactive PDF form intended for use within Santa Clara County for the reporting of releases or site contamination from any source.
UN-022B (12/14/10)	Underground Storage Tank Response Plan	165KB	42KB	This form may be used to satisfy State-required submittal of an approved UST Response Plan.
UN-061 (7/13/05)	Underground Storage Tank System Designated Operator Facility Employee Training Record	158KB	28KB	This form can be used by Designated UST Operators to document training of UST facility personnel as required by California UST regulations training and record keeping requirements that took effect as of 7/1/2005.
UN-057 (9/26/05)	Underground Storage Tank System Designated UST Operator Monthly Inspection Report	251KB	26KB	This form can be used by Designated UST Operators to document required monthly inspections of UST systems. It is a modified version of the State Water Resources Control Board (SWRCB) sample form. The MS Word version is a template which can be saved and filled out on your computer.
UN-019 (9/9/96)	Underground Storage Tank System General Compliance Guidelines		18KB	Guidelines for complying with basic UST system operating requirements. Use this form to avoid violations.
UN-062 (9/22/05)	Underground Storage Tank System Owner Statements of Designated UST Operator and Understanding of and Compliance With UST Requirements	127KB	20KB	This form can be used by a UST facility owner/operator to demonstrate compliance with California regulatory requirements regarding the naming of Designated UST Operators and statements of compliance It is a modified version of the State Water Resources Control Board sample form. The MS Word version is a template which can be saved and filled out on your computer.