All forms and applications pertaining to the hazardous materials management programs can be found here. The programs covered include Underground Storage Tanks (UST), Aboveground Storage Tanks (AST), Hazardous Waste, and Hazardous Material Release Response Plans (HMRRP).

At this time, all applications should be submitted via this email address: bcenvhealth@buttecounty.net

Underground Storage Tank (UST) Program

UST Permit Documents

Permit Applications

Transfer of Ownership Application (Word)
Transfer of Ownership Application (PDF)
UST Installation Permit Application (Word)
UST Installation Permit Application (PDF)
UST Repair/Modification Permit Application (Word)
UST Repair/Modification Permit Application (PDF)
Temporary Closure Permit Application (Word)
Temporary Closure Permit Application (PDF)
Closure Permit Application (Word)
Closure Permit Application (PDF)

Supporting Documents

UST Fee Worksheet (Word)
UST Fee Worksheet (PDF)
Designated UST Operator Statement Form (Word)
Designated UST Operator Statement Form (PDF)
Financial Responsibility Exhibit A (Word)
Financial Responsibility Exhibit A (PDF)
Financial Responsibility Exhibit B (Word)
Financial Responsibility Exhibit B (PDF)
Response Plan (Word)
Response Plan (PDF)
Alarm Log (Excel)
Alarm Log (PDF)
Spill Log (Excel)
Spill Log (PDF)
Tank Closure Certification
Unauthorized Release (Leak) Report (Word)
Unauthorized Release (Leak) Report (PDF)

Aboveground Storage Tank (AST) Program

Aboveground Petroleum Storage Act (APSA) Information and Forms

SPCC Options & Requirements Table
Facility Storage & Exemption Statement
Farms SPCC / ASPA Flowchart
US EPA Farm Scenario & Sample Tier I Facility SPCC Plan

Hazardous Materials Release Response Plan (HMRRP) Program

HMRRP Forms

Contingency Plan Map & Instructions
EPA ID Number Application
Training Record

Hazardous Waste Program

Hazardous Waste Generator Forms

Daily Tank Inspection Form (Excel)
Daily Tank Inspection Form (PDF)
Weekly Container Inspection Form (Excel)
Weekly Container Inspection Form (PDF)
EPA ID Number Application
Training Record