State Certified Laboratory / Total Petroleum / Certified UST / UST / /
Event
FDA Phase / Product Issues / Reorganization / /
Facility
FACILITY INFORMATION Tank Owner Phone / CONTAMINATED MATERIALS MUST BE DISPOSED AT AN ACCEPTABLE FACILITY / Facility Site Plat / Facility ID / FACILITY ID# / /
IndustryTerm
waste oil tanks / oil / waste oil / /
Organization
Local Health Department / Environmental Protection Agency / Division of Water Quality / Local Fire Department / Division of Solid and Hazardous Waste / / /
Position
Director Method the DERR Division / Contractor / Waste Landfills Section Manager / Consultant / Director to the DERR Division / Director the DERR Division / /
Product
soil / soils / MATERIALS MUST BE DISPOSED AT AN ACCEPTABLE FACILITY / product / water / /
UNDERGROUND STORAGE TANK CLOSURE PLAN (rev. 7/13) FACILITY ID# … LHD USE ONLY