Search Underground Storage Tank Program Supplemental Forms

Forms & Documents > Forms Other (Not permit applications) > Hazardous Materials Program Forms: Other > Underground Storage Tank Program Supplemental Forms

Name Description
Certificate-of-Financial-Responsibility-Form

Certificate of Financial Responsibility Form
Chief-Financial-Officer-Exhibit-B-Example

Chief Financial Officer Exhibit B Example
UST-Closure-Permit-Application

UST Closure Permit Application
UST-Designated-Operator-Form

UST Designated Operator Form
UST-Leak-Response-Plan

UST Leak Response Plan

Environmental Health Services Supervisors

Environmental Health Services is open Monday-Friday from 8am to 5pm. 

Cindy Rattigan (805) 781-5544 [email protected]

Jeremiah Damery (805) 781-5548  [email protected]

  • Beach Water Quality, Cross-Connection, Land Use, Small Public Water Systems, Water Well Programs and Vector Programs

Leslie Terry (805) 781-5553  [email protected]

  • Body Art, Food Safety, Public Swimming Pools and Spa Pools

Linnea Chandler (805) 781-4917  [email protected]

  • Hazardous Materials (CUPA) Programs