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


Chief Financial Officer Exhibit B Example


UST Closure Permit Application


UST Designated Operator Form


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