The Application to Temporarily Close Underground is a Sacramento County Environmental Management Department (EMD) form, printed in full as the Consolidated Application for Authority to Temporarily Close-in-Place Underground Storage Tanks. Owners and operators of underground storage tanks (USTs) use it to request authority to close tanks in place for a limited period, and the owner or agent signs to accept twelve listed requirements and limitations. On FillingPDF you can fill out the form online and download or print the completed PDF; the EMD publishes the original on its regulatory compliance forms page.
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What is Application to Temporarily Close Underground – Sacramento County, CA?
The Application to Temporarily Close Underground, printed as the Consolidated Application for Authority to Temporarily Close-in-Place Underground Storage Tanks, is the Sacramento County Environmental Management Department form on which a tank owner or operator requests authority to temporarily close underground storage tanks in place.
Section I collects the required information: the assessor's parcel number, owner, facility, nearest cross street, contractor, the size of each tank, the product stored and a site plan. Section II lists twelve requirements and limitations covering residual liquids, inerting, sealing, power disconnection, inspections, reuse and reporting, and the owner or agent signs to confirm they have read and agree to them. A box marked FOR AGENCY USE ONLY records the date received, the temporary closure authority number, the receipt and the fee, and a closing block is reserved for the field specialist's observation of the closure.
The PDF also contains the Unified Program Consolidated Form, UST Operating Permit Application – Facility Information (one form per facility), formerly SWRCB UST Permit Application Form A and UPCF Form hwfwrc-a. Its item 400 includes the option 6. TEMPORARY FACILITY CLOSURE.
The EMD lists the document among its Underground Storage Tank (UST) forms, next to the UST Application Form and the Removal Application Form. This application is for a closure in place: the form states that when the closure period ends, the tanks must be placed back into operation or removed in accordance with CCR Title 23 Article 7, the Sacramento City/County Underground Storage Tank Ordinance and the Uniform Fire Code.
Who needs to file Application to Temporarily Close Underground – Sacramento County, CA?
Owners and operators of underground storage tanks (USTs) who want Sacramento County EMD authority to close them temporarily in place file this application. Section II of the form is addressed to "the owner or operator," and the signature line reads OWNER/AGENT SIGNATURE.
The Facility Information page included in the PDF sets out who may sign it:
- the UST owner or operator, the facility owner or operator, or a duly authorized representative of the owner;
- for USTs owned by a corporation, partnership or public agency: a principal executive officer at the level of vice-president or an authorized representative responsible for the overall operation of the facility, a general partner or proprietor, or, for a public agency, a principal executive officer, ranking elected official or authorized representative.
If the facility owner is a public agency, item 406 asks for the supervisor of the division, section or office that operates the UST, who must have access to the UST records.
The application covers temporary closure in place only. The EMD lists a separate Removal Application Form for tank removals.
When to file Application to Temporarily Close Underground – Sacramento County, CA
File the application when you intend to close USTs temporarily in place. The form prints that the application expires one month from the date of submittal, and that a temporary closure is valid for the number of months stated on the form, commencing 30 days after the date of submittal.
Once the cleaning, inerting, liquid-testing and sealing conditions (Nos. 2–5) are done, contact the Environmental Compliance Division (ECD) to schedule a compliance inspection. If the conditions are not completed and ECD is not contacted before the application expires (30 days from the date it is received), the application expires and the application fee is not refunded.
During the closure, inspect the tanks at least once every 3 months. Report any change of owner or operator within 30 days, and expect that a State surcharge fee may come due during the closure. The Facility Information page must be submitted within 30 days of a permit or facility information change, unless your local agency requires approval first.
Documents you need
- UST Operating Permit Application – Tank Information form for each UST, if not already on file with the local agency (listed in the Facility Information page instructions).
- UST Monitoring Plan and UST Response Plan under 23 CCR 2632, 2634 and 2641, if not already on file with the local agency.
- For USTs containing petroleum: certification of financial responsibility under 23 CCR 2807, if not already on file with the local agency.
- Written agreement between UST owner and UST operator under Health and Safety Code §25284(a)(3), if applicable; check with your local agency.
- Letter from the Chief Financial Officer, if you use the State Cleanup Fund, financial test of self-insurance, guarantee, local government financial test or Local Government Fund as your financial responsibility mechanism.
- Test results for the noncorrosive liquid, if you fill the tanks with one; they must be submitted to the local agency before the liquid is removed at the end of the closure.
How to fill out Application to Temporarily Close Underground – Sacramento County, CA
Enter parcel, owner and facility
At the top, enter the Assessor's Parcel Number and complete the Owner, Facility, Nearest Cross Street and Contractor entries. Leave the FOR AGENCY USE ONLY box (date received, authority number, receipt, fee) blank.
List tank sizes and products
In Section I, Required Information, enter the size of each tank and the product stored in it in the matching blanks; the form provides five blanks for each.
Draw the site plan
In the SITE PLAN area of Section I, draw the plan of the site. The form marks north with an N.
Review the Section II requirements
Read the twelve requirements on pages 2 and 3, including the 3-month inspections and the 30-day start of the closure. Item 1 prints a blank for the number of months the closure is valid; ask the EMD if it is not filled in.
Sign the owner/agent line
Sign at OWNER/AGENT SIGNATURE under the statement that you have read, understand and agree to the requirements. Leave the Field Specialist, Date Closure Observed and Specialist's Comments lines for the agency.
Select the type of action
On the Facility Information page, item 400, check one item only; option 6 is TEMPORARY FACILITY CLOSURE. In item 404, enter the number of USTs that will remain on the site after the requested action.
Enter business and site details
Item 3: business name, the same as the facility name or DBA. Item 103: the physical street address, with no post office box. Item 104: city or unincorporated area. Then mark the facility type (item 403) and whether it is on Indian reservation or trust lands (item 405). Leave item 1, Facility ID, for the agency.
Complete owner and operator sections
Enter the property owner (items 407–412), tank operator (428-1 to 428-6) and tank owner (414–419), with area codes and any extension in the phone numbers. In item 420, check the tank owner type.
Enter the BOE account number
In item 421, enter your State Board of Equalization UST storage fee account number. The instructions say the fee applies to regulated USTs storing petroleum products; for questions call the BOE at (916) 322-9669.
Choose the permit holder
In item 423, indicate who receives the permit and legal notifications: facility owner, tank owner, tank operator or facility operator. If the facility owner is a public agency, also complete item 406, the supervisor.
Sign and identify the applicant
In Section VII, sign, then enter the date (424), phone (425), printed name (426) and title (427). The signer must be one of the people the instructions allow.
Review and download the completed PDF
Check every entry, number the pages of your submittal, then download or print the completed PDF from FillingPDF and send it as described under How to submit.
How to submit Application to Temporarily Close Underground – Sacramento County, CA
The form does not name a submission channel. It prints the contact details of the Environmental Management Department: 11080 White Rock Road, Ste. 200, Rancho Cordova, CA 95670; telephone (916) 875-8550; fax (916) 875-8513. Confirm with the EMD how it receives applications before you send yours.
- Application and fee: The agency-use box has a FEE line, and the form says an expired application gets no refund of the application fee. The form does not give the amount or how to pay, so ask the EMD at (916) 875-8550.
- Inspection: After completing conditions Nos. 2–5, contact the Environmental Compliance Division (ECD), (916) 875-8550, to schedule the compliance inspection.
- Facility Information page: Number all pages of your submittal. The page's instructions say a BOE UST storage fee account number (item 421) is required before the permit application is processed; for questions contact the Board of Equalization, Fuel Taxes Division, at (916) 322-9669 or PO Box 942879, Sacramento, CA 94279-0030.
FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Not completing the required conditions (Nos. 2–5) and contacting ECD before the application expires, which leaves an expired application and no refund of the application fee.
- Assuming the closure starts on the day you submit; the form says it commences 30 days after the date of submittal.
- Leaving fill and access locations or piping unsealed; apart from required venting they must be sealed with locked caps or concrete plugs.
- Skipping the inspection every 3 months, not removing at least one locked cap to check for water, or not keeping a written record of each inspection.
- Leaving power connected to pumps tied to the tanks, unless the pump services other equipment that is not being closed.
- Not reporting a change of owner or operator for the tank and facility within 30 days.
- Putting the tank back in use without EMD approval, an integrity test and payment of operating permit fees.
- Entering a post office box as the business site address; the instructions require the physical location of the facility.
- Checking more than one box under item 400, Type of Action; the instructions say to check one item only.
Frequently asked questions
What is the Application to Temporarily Close Underground?
It is the Sacramento County Environmental Management Department form, titled Consolidated Application for Authority to Temporarily Close-in-Place Underground Storage Tanks, on which a tank owner or operator requests authority to close USTs in place for a limited time.
Is this a Sacramento County business license application?
No. This form is an application for authority to temporarily close underground storage tanks in place, filed with the Sacramento County EMD. It does not license a business, and the form does not describe it as a license.
How long is the application good for?
The form states the application expires one month from the date of submittal. The closure itself commences 30 days after submittal, and you must finish conditions Nos. 2–5 and contact ECD before the application expires or it lapses without a refund of the application fee.
Who has to sign the application?
The owner or agent signs the closure application. On the Facility Information page, the UST owner or operator, facility owner or operator, or a duly authorized representative may sign; corporations, partnerships and public agencies use the officers or representatives the instructions list.
How often must I inspect a temporarily closed tank?
At least once every 3 months. Inspect all locked caps and concrete plugs and remove at least one locked cap to check whether water or another substance entered the tank. Keep a written record on-site or at an ECD-approved location and give it to ECD on request.
Is there a fee to apply?
Yes, a fee applies: the form has a FEE line in the agency-use box and says an expired application gets no refund of the application fee. The form does not give the amount, so ask the EMD at (916) 875-8550. Closed tanks may also owe a State surcharge fee.
Can I put the tank back into service after a temporary closure?
Only if the EMD approves reuse under CCR Title 23 Article 6 Sections 2662, 2663 and 2664. The tank must pass an integrity test and operating permit fees must be paid before it is used again.
Can I fill out this form online?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not submit the form to the EMD; you send it through the EMD's channels.
What happens if I do not follow the application's requirements?
The form warns that failing to comply may result in civil penalties for each day of noncompliance under Sec 25299 CH & SC. It also says an application not completed and followed up with ECD before expiration lapses without a fee refund.
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