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Leaking Underground Storage Tanks (Leaking UST)

Leaking Underground Storage Tank Program Forms

Owners and operators who report UST releases to the Illinois Emergency Management Agency (IEMA) must meet the requirements of the Leaking Underground Storage Tank (Leaking UST) regulations. Once informed of the release by IEMA, the Illinois EPA's Leaking UST Section notifies the UST owner or operator in writing that he/she is required to comply with the Leaking UST Program requirements, including the submittal of applicable documentation on forms prescribed by the Illinois EPA and provided in the table below. Form requirements vary based on the regulation or statute that applies to the release. For instance, if the release is regulated under Part 732, look in that column to determine which forms are required. Every form listed is not required for every release; rather, the table lists all potential forms that may be required.

Regarding signature requirements on the forms, for owners and operators other than individuals, a duly authorized representative must sign on behalf of the owner or operator. For the following entities, the duly authorized representative must be one of the following persons:

  1. For a corporation, a principal executive officer of at least the level of vice president, or a person authorized by a resolution of the board of directors to sign the applicable document if a copy of the resolution, certified as a true copy by the secretary of the corporation, is submitted with the document.
  2. For a sole proprietorship, the sole proprietor.
  3. For a partnership, a general partner.
  4. For a municipality, state, federal, or other public agency, the head of the agency or a ranking elected official.
  5. For a limited liability company, a member for a member-managed company and either a manager or a member for a manager-managed company.
  6. For a land trust, a beneficiary of the land trust who meets the definition of “owner” or “operator” under 35 Ill. Adm. Code 731, 732, or 734.

To download a form, click on the title.  Descriptions of each form are also available.

Note: The technical forms are available in Adobe pdf format and may be filled out online then saved to your local drive before printing. Press the Tab key to advance from field to field.

Budget and billing forms are also available.

Form Title

Part 7311

Part 732 2

Part 7343

Supplemental Instructions to Technical Forms

X

X

X

20-Day Certification

X

X

X

45-Day Report

X

X

X

Stage 1 Site Investigation Certification

 

 

X

Free Product Removal

X

X

X

Site Investigation Plan     X
Site Investigation Completion Report     X
Corrective Action Plan

X

X X
Corrective Action Completion Report

X

X

X

Professional Engineer Certification

X

X

X

Laboratory Certification for Chemical Analysis

X

X

X

Laboratory Certification for Physical Soil Analysis

 

X

 

Property Owner Summary

X

X

X

Heating Oil UST Election

X

X

X

Pre-1974 UST Notification

X

X

X

Election to Proceed under 35 Ill. Adm. Code 734

X

X

X

Election to Proceed as "Owner"

X

X

X

Land Trust Beneficial Interest Disclosure/ Designation of Signature Authority

X

X X
Soil Boring Log

X

X X
Well Completion Report X X X
SSL Input Parameters for Use with Tier 2 Calculations X X X
RBCA Input Parameters for Use with Tier 2 Calculations X X X
Election to Proceed under the Site Remediation Program

X

X

X

35 Illinois Administrative Code 731, for releases reported before September 13, 1993.
2  35 Illinois Administrative Code 732, for releases reported on or after September 13, 1993 and before June 24, 2002.
3  
35 Illinois Administrative Code 734, for releases reported on or after June 24, 2002.

Notice to Owners/Operators:

Please send all plans and reports to the appropriate address below. Please submit the original AND one copy of each document.

Standard:
Illinois Environmental Protection Agency
Bureau of Land #24
Leaking Underground Storage Tank Section
1021 N. Grand Avenue East
P.O. Box 19276
Springfield, IL  62794-9276
Overnight:
Illinois Environmental Protection Agency
Bureau of Land #24
Leaking Underground Storage Tank Section
1021 North Grand Avenue East
Springfield, Illinois 62702

 

With respect to document or other information available from this site, neither the State of Illinois nor any agency thereof nor any of their employees or officers make any guarantee of the accuracy of, nor guarantees any particular response to or decision upon, any form or document provided herein.

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