Suspected Release Notification Form
INTRODUCTION
In an effort to facilitate communication between the Owner/Operator, DEQ-PTS,
and the DEQ Underground Storage Tank program, this form is available
on-line. The Owner/Operator may download the file in the appropriate
format and fill in the unshaded portion. After contacting the DEQ-PTS
by telephone and communicating directly with a DEQ-PTS case manager, the
Owner/Operator may submit the completed form electronically to that case
manager. Please be aware that an unusual operating condition must be
reported within 24 hours. Once the DEQ-PTS has reviewed the
Suspected Release Notification Form, the suspected release will
either be closed without any additional information or a suspect release
letter will be sent to the owner/operator. Suspected releases include erratic behavior of product dispensing equipment,
the sudden inventory loss of product from the tank system, the triggering of
system alarm sensors, or water/product in the sump/spill buckets or
secondary containment, as specified in ARM 17.56.502. Please note that
this form is only meant to be completed for a suspected release. Once a release is confirmed, the DEQ-PRS must be notified
within 24 hours.
- Suspected Release Notification Form:
- Acrobat (.PDF) Format
- MS Word (.Doc) Format
Please be aware that if only the MSWord.Doc Format can be filled
electronically. If you do not have MS Word, the Acrobat.PDF Format may
be downloaded and completed manually. You may fax the form to the DEQ-PRS
at (406) 841-5050 after notifying us by telephone at (406) 841-5000.
