Butte County Public Health

Underground Storage Tanks

Online Forms related to Underground Storage Tanks are listed below. Instructions for downloading and completing these forms are available here.

Designated UST Operator Statement Form document type Adobe Acrobat PDF format

Designated UST Operator Statement Form MS-Word icon

Annual Summary Report document type Adobe Acrobat PDF format

Facility Information (Form A) document type Adobe Acrobat PDF format

Facility Information (Form A) MS-Word icon

Tank Information (Form B) document type Adobe Acrobat PDF format

Tank Information (Form B) MS-Word icon

Financial Responsibility Exhibit A document type Adobe Acrobat PDF format

Financial Responsibility Exhibit B document type Adobe Acrobat PDF format

Monitoring Plan document type Adobe Acrobat PDF format

Monitoring Plan MS-Word icon

Response Plan document type Adobe Acrobat PDF format

Response Plan MS-Word icon

Application for Permit To Close Or Remove UST document type Adobe Acrobat PDF format

UST Fee Worksheet document type Adobe Acrobat PDF format

UST Repair/Modification Application And Permit document type Adobe Acrobat PDF format

UST Facility Annual Summary Report document type Adobe Acrobat PDF format