DERR-2024-011175

9EPA
United States
Environmental Protection Agency
Washington, DC 20460
Notification of Ownership Change for Underground Storage Tanks
lmplementing Agency Name And Address:IMPLEMENTING AGENCY USE ONLY
DATA ENTRY CLERK INITIALS:
OWNER WAS CONTACTED TO CLARIFY RESPONSES. COMMENTS:
Please type or print in ink. Also, be sure you have signatures in ink.
T.he primary purpose of this notification form is to inform implementing
agencies of ownership changes for underground storage tank (UST)
systems that store or have stored petroleum or hazardous
substances.
Federal regulation requires UST owners to notify the
implementing agency of any ownership change for USTs storing
regulated substances after October 13, 2015.
Who Must Notify? 40 CFR part 280, as amended, requires owners
of USTs that store regulated substances (unless exempted) to notify
implementing agencies of any ownership changes. Owner is defined
' In the case of an UST in use on November 8, 1984, or brought into use
after that date, any person who owns an UST used for storage, use, or
dispensing of regulated substances; or. In the case of an UST in use before November 8, 1984, but no longer
in use on that date, any person who owned the UST immediately
before its discontinuation.
What USTs Are Included? An UST svstem is defined as anv one or
combination of tanks that is used to contain an accumulation 6f
regulated substances, and whose volume (including connected
underground piping) is 10 percent or more beneath the ground.
Regulated USTs store petroleum or haZardous substances (see What
Substances Are Covered to the right). This includes UST systems
with field-constructed tanks and airport hydrant fuel distribution
systems.
When And Who To Notify? Any owner or operator who assumes
ownership of a regulated UST system must submit this notification
form to the implementing agency within 30 days of assuming such
ownershio.
What Tanks Are Excluded From Notification (see S 280.10 and S 280.12)?. Tanks removed from the ground before May 8, 1986;. Farm or residential tanks of 1,100 gallons or less capacity storing motor fuel for
noncommercial purposes;. Tanks storing heating oil for use on the premises where stored;. Seotic tanks:. Certain pipeline facilities regulated under chapters 601 and 603 of Title 49;. Surface impoundments, pits, ponds, or lagoons;. Storm water or wastewater coliection systems;. Flow-through process tanks;. Liquid traps or associated gathering lines directly related to oil or gas production
and gathering operations;o Tanks on or above the floor of underground areas, such as basements or
tunnels;. Tanks with a capacity of 1 10 gallons or less;. Wastewater treatment tank systems;. UST systems containing radioactive material that are regulated under the Atomic
Energy Act of 1 954;. UST systems that are part of an emergency generator system at nuclear power
generation facilities regulated by the Nuclear Regulatory Commission under 10
CFR part 50.
What Substances Are Covered? The notification requirements apply to
USTs containing petroleum or certain hazardous substances. Petroleum
includes gasoline, used oil, diesel fuel, crude oil oranyfraction thereof which is
liquid at standard conditions of temperature and pressure (60 degrees
Fahrenheit and 14.7 pounds per square inch absolute). Hazardous
substances are those found in Section 101 (14) of the Comprehensive
Environmental Response, Compensation and Liability Act of 1980, with the
exception of those substances regulated as hazardous waste under Subtitle C
ofthe Resource Conservation and Recovery Act.
Penalties: Any owner who knowingly fails to notify or submits false information
shall be subject to a civil penalty not to exceed $16,000 for each tank for which
notification is not given or for which false information is given.
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Previous Owner Name
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Current Owner Address
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Previous Owner Address
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ck this box if the physical address of the USTS is the same as the current owner
lf address is different, enter address below:
lf required by implementing agency, give the geographic location of USTS either in decimal
degrees, ordegrees, minutes, and seconds. Example: Latitude: 36.12348 (or 36.7'
24,4"), Longitude: -106.549876 (or -106' 32' 59.6")
Date Of Ownership Change
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The public reporting and recordkeeping burden for this collection of information is estimated to average 30 minutes per response. Responses to this collection of information
are mandatory (0 CFR 280.22). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently
valid OMB control number. This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2050-
0058). Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent
burden, including through the use of automated collection technlques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 12OO
EPA Form 6200.10 Electronic and paper versions acceptable.
1000413
10/3/2024 10/3/2024
YES
Utah DEQ DERR 195 N 1950 W
Salt Lake City, UT 84116