|
Instructions for Aboveground Storage Tank Registration
Type or legibly print all requested registration information. Registration is by facility, which is a single location with one or more ASTs. If an owner has more than one location, the AST owner must complete a separate registration form for each facility. You may duplicate this form as many times as necessary to register all your facilities and ASTs.
Tank Owner Information
1. Tank Owner:
• This is the company (BUSINESS) or person who owns the AST.
• If it is a sole proprietorship, print your LAST Name, FIRST Name.
2. Owner mailing address: complete address including country
3. Type of Tank Owner: Check the appropriate category or check "other" and
write in if none of the categories apply to this owner.
4. Contact person: This is the person the State should contact if there are
questions. Provide telephone number, fax number, and e-mail address for this
person.
5. Owner's Authorized Representative: This person must be either an employee
of the company listed as Tank Owner, a member of that company, or hold Power
of Attorney for the Tank Owner. This may not be a contractor or consultant.
Facility
Information
6. Facility Name: A facility is a single location with ASTs. If the owner listed
above has more than one facility, complete a registration form for each facility.
7. Physical Location: Where the tank(s) is located.
8. Mailing Address: Address where mail should be sent to reach the facility.
9. Type of Facility: Check all that apply. If none of the categories fit,
or additional information needs to be supplied, check "other" and
write in information.
10. SIC #: Insert your Standard Industry Classification number if one is
assigned.
11. Number of ASTs: The number of ASTs at this location. Must equal the number
of tanks registered on pages 2 and 3 and any additional duplicated pages.
12. On-site contact person: The person at the facility the State should contact
if there are questions. Include the title of the contact person. ie: Facility
Manager, Plant Manager, etc., and provide the contact's telephone number, fax
number and e-mail address.
Tank Operator Information
13. Check if same as owner: Check this box if the tank operator is the same
as the owner. You need not complete the rest of the tank operator information
if it is the same as the owner.
14. Tank Operator Name: This is the business or the person responsible for
day to day operation of the tank if it is not the same as the tank owner.
15. Mailing Address: Provide the complete mailing address of the tank operator.
16. Type of Tank Operator: Check the appropriate category or check "other" and
write in if none of the categories apply to this owner.
Owner Certification
17. Read the certification statement.
18. Print the name of the Owner or their authorized representative.
19. Owner or authorized representative must sign and date the form.
Tank and
Piping Information
You may place information for up to four tanks and piping on pages two and
three. If you have more than four tanks at a single facility, duplicate
pages two and three as many times as necessary.
Division Overview and Contacts
| DNREC
Online Home |
Air
Quality Management | Director's Office | Enforcement
Section |
| Environmental
Response Branch | Site
Investigation & Restoration Branch |
| Solid
and Hazardous Waste Management Branch |
| Tank Management Branch | Text Only | Disclaimer |
| Delaware's Home Page | Privacy | Translate |
© 2005 Delaware Department
of Natural Resources and Environmental Control
89 Kings Hwy Dover, DE 19901 (302) 739-9400
Comments? E-mail the Webmaster
Last Update: 07/19/02 10:36