Department of Environment & Conservation
Robert Martineau, Commissioner

Form Description

Number

Form

Instructions

PRE-INSTALLATION NOTIFICATION FORM

Payment of fees must accompany this form.

NOTIFICATION

FOR

UNDERGROUND STORAGE TANKS

Register unregistered tanks, closures, upgrades, new installations, new ownership and name or mailing address changes.

A change in tank status such as from "currently in use" to "temporarily out of use" must also be reported on this form.

The law requires that changes be reported within thirty (30) days.

CHANGE OF OWNER MAILING ADDRESS

AMENDED NOTIFICATION

AMENDED NOTIFICATION FOR UNDERGROUND STORAGE TANKS

SELLER REPORTING CHANGE OF OWNERSHIP OF TANKS

A registered owner who has just sold tanks is also required to report that change within thirty (30) days.

This one-page form should be completed by the seller.

Note that this form includes a place for the seller to report how the buyer was informed of notification requirements by the seller.

Informing the buyer is also required by law.

BUYER'S NOTIFICATION

NOTIFICATION OF INDICIA OF OWNERSHIP

A lender or lending institution who has acquired  tanks through foreclosure or other acquistion and who has no intention to operate the tank must report the acquisition of tanks on this one page form.

VOLUNTARY REGISTRY FORM & INSTRUCTIONS

Voluntary Registry sign up information.

E-85 INFORMATION INSTRUCTIONS  

Information on ethanol blended fuels and forms.

Form Description

Number

Form

Instructions

CLOSURE
PACKET

You will need these resources if you close your tanks.

CLOSURE PACKET INSTRUCTIONS

Instruction for Closure Packet.

UST SYSTEM CLOSURE ASSESSMENT GUIDELINES

When closing your tanks, complete the "Closure Application".

Submit the application to the appropriate Field Office for approval 30 days prior to closing the UST system.

After tanks are out of the ground or properly closed in place, be sure to file an amended notification form with TN UST.

This stops the automatic billing procedure for annual tank registration.

(Note Corrected values on Table 5 effective April 1, 2007)

APPLICATION FOR PERMANENT CLOSURE OF UNDERGROUND STORAGE TANKS

PERMANENT CLOSURE REPORT

APPLICATION TO TREAT PETROLEUM CONTAMINATED SOIL BY MOBILE THERMAL TREATMENT

APPLICATION TO TREAT PETROLEUM CONTAMINATED SOIL BY AERATION

APPROVED METHODS FOR ANALYSIS OF SOIL AND WATER SAMPLES

FIELD OFFICE LOCATION MAP

APPROVED CORRECTIVE ACTION CONTRACTOR LIST

TGD-005   SAMPLING REQUIREMENTS FOR EXCAVATED MATERIAL

TGD-009 REQUIREMENTS TO TREAT PETROLEUM CONTAMINATED SOIL GENERATED FROM RELEASES FROM UNDERGROUND STORAGE TANKS

TGD-011 PROCEDURES TO DETERMINE THE APPLICABLE SOIL AND GROUND WATER CLEANUP LEVELS DURING AN UNDERGROUND STORAGE TANK SYSTEM CLOSURE

Form Description

Number

Form

Instructions

COMPLIANCE TOOL BOX

Latest edition of Compliance Tool Box

UST OWNER COMPLIANCE MANUAL

Line Tightness & Leak Detector Test that can be used for release detection, repair, release investigation, or new installation. 

IMPRESSED CURRENT CATHODIC PROTECTION RECTIFIER READING FORM

60-Day Log for Impressed Current Systems

IMPRESSED CURRENT CATHODIC PROTECTION TESTING SURVEY

3-Year Impressed Current Cathodic Protection Test

GALVANIC CATHODIC PROTECTION TESTING SURVEY

3-Year Galvanic Cathodic Protection Test

MONTHLY SPILL BUCKET INSPECTION LOG

QUARTERLY DISPENSER INSPECTION LOG

MONTHLY ELECTRONIC INTERSTITIAL MONITORING REPORT

This form is used for Interstitial Monitoring release detection

ANNUAL ELECTRONIC INTERSTITIAL MONITORING TEST REPORT

PREPARING FOR A COMPLIANCE INSPECTION

ETHANOL EQUIPMENT COMPATIBILITY CHECKLIST

STATEMENT OF COMPATIBILITY

This form is used for indicating that the UST system components will be compatible with the product stored.

COMPLIANCE GUIDANCE DOCUMENTS  (CGD'S)

These documents provide additional guidance for the Underground Storage Tank Rules.

Form Description

Number

Form

Instructions

REIMBURSEMENT GUIDANCE DOCUMENTS

TASK COST SHEETS

APPLICATION FOR FUND ELIGIBILITY

Application for Fund Eligibility Deadline –

The UST Act establishes a deadline for tank owners, tank operators or petroleum site owners to file an Application for Fund Eligibility.

If the application form is not received by the UST Division by the deadline established by law, the release WILL NOT BE FUND ELIGIBLE.  The application must be received:

Within 60 days of a release which was identified in any manner other than the process for confirmation of a suspected release in the regulations;

or

Within 90 days of the discovery of evidence of a suspected release which is subsequently confirmed in accordance with the regulatory requirements. 

NOTE: The 90 day deadline applies even if confirmation of a release does not occur within 90 days of the discovery of evidence of a suspected release. 

An application should be filed as soon as possible after a release is suspected, even if all the confirmation steps have not been taken.

REIMBURSEMENT RATES

Please use the new Reimbursement Guidance Document, which includes the Fund Eligibility Application, eligible and ineligible costs, and the new Reimbursement Application form.

CORRECTIVE ACTION CONTRACTOR INFORMATION

Approved Corrective Action Contractor List

Application for Approved Corrective Action Contractor Status

GUIDELINES, FORMS, AND TECHNICAL GUIDANCE DOCUMENTS

Environmental Assessment Guidelines

Note corrected benzene number for indoor inhalation for commercial worker Reference 3 effective April 1, 2007

Site Check Report Guidelines

Initial Site Characterization Guidelines - Parts A and B

Initial Response and Hazard Management Report Guidelines - Part A

Initial Site Characterization Report Guidelines

Environmental Assessment Report Guidelines

Corrective Action Plan Guidelines

Corrective Action System Figures - 2010

TDEC Air Lift CAS Figure Package

TDEC Groundwater Pump CAS Figure Package

TDEC Standard CAS Figure Package

Corrective Action System Field Log

Hazard Notification Report Form

Reference 1

Reference 2

Technical Guidance Documents (TGDs)

Form Description

Number

Form