Petroleum / Hazardous Liquids Storage Tanks Forms

I — Tank Registration & Permitting:??

?DATCP Form Number

?Underground Flammable/Combustible Liquid Storage Tank Registration

Word Version / PDF Version

?TR-WM-137

?Aboveground Flammable/Combustible Liquid Storage Tank Registration

Word Version / PDF Version

?TR-WM-118

Storage Tank Change of Ownership

Word Version PDF Version   

TR-WM-153

?Storage Tank Permit Application

Please call us at 608-224-4942, option 3 to request your site-specific pre-populated application form.

?TR-WM-160

II — Tank o?r Related Component Installation / Closure:

?DATCP Form Number

Flammable Liquid Tanks Installation Application

Word Version / PDF Version

TR-WM-126

?Wisconsin Telecommunication Tower Generator Fuel Supply Tank Aboveground Installation Application

Word Version / PDF Version
?TR-WM-143

Alternative Fuels Conversion / Installation Application (ethanol & biodiesel)

Word Version / PDF Version

TR-WM-132

Point-of-Sale Fueling Installation

Word Version / PDF Version

TR-WM-130

Leak Detection Installation, Conversion or Upgrade

Word Version / PDF Version

TR-WM-133

Contractor - ATCP 93 Notification

TR-WM-121

Pre-construction Meeting

Word Version / PDF Version

TR-WM-131

Checklist for Underground Tank Installation

Word Version / PDF Version

TR-WM-138

Checklist for Aboveground Tank Installation

Word Version / PDF Version

TR-WM-120

?Pre-Operational Tank Tightness Test

Word Version / PDF Version

?TR-WM-155

Checklist and Report for Tank Closure (TSSA) (Parts A and B)

Word Version / PDF Version

TR-WM-140

DNR Stage II Vapor Reco?very Decommissioning Notification 

TR-WM-122

Stage II Decommissioning Questions and Answers

Decommissioning Form



DNR Stage II Vapor Recovery Rule Changes for Gasoline Dispensing Facilities Fact Sheet

III — Inspection and Testing (Regulatory Inspector, Contractor)

?DATCP Form Number

UST Corrosion Protection Test/Survey Report

Word Version /PDF Version

TR-WM-141

Annual Underground Tank System Functionality Verification  

Word Version / PDF version?

TR-WM-139

Annual Underground Tank System Functionality Verification Guide

API 653 Tank Inspection Summary Report

Word Version / PDF Version?

TR-WM-119

Line Leak Detector Functionality Test Report

Word Version / PDF Version

TR-WM-123

Tank System Repair Report

Word Version / PDF Version

TR-WM-136

?Tank Precision Tightness Test Report

*Coming Soon*

TR-WM-152?

Line Precision Tightness Test Report 

Word Version / PDF Version

TR-WM-125

?Extension Request for ATCP 93 Administrative Order

Word Version / PDF Version

?TR-WM-158

IV — Inspection (Owner or Operator)

?DATCP Form Number

Maintenance of Motor Fuel Dispensing Equipment:

    Daily Conventional Dispensing Equipment Inspection (PEI 500 Form)

    Monthly Dispensing Equipment Inspection (PEI 500 Form)
    Annual Dispensing Equipment Inspection (PEI 500 Form)
    Daily Vacuum Assist Vapor Recovery System
    Post-Incident Fueling System Inspection Checklist

Maintenance of UST Systems:

    Daily UST System Inspection Checklist (PEI 900)

    Monthly UST System Inspection Checklist (PEI 900)

    Annual UST System Inspection Checklist (PEI 900)

Maintenance of AST Systems:

     STI SP001 Monthly Tank Inspection Checklist

    Word Version / PDF Version?

TR-WM-128

    STI SP001 AST Annual Inspection

    Word Version / PDF Version

TR-WM-135

    AST Data Record as Companion to STI SP001 Inspection Forms

V — Financial Responsibility -- Affidavit of Financial Responsibility:

Pollution Insurance:

    Owner is Operator

    Self-Insurance

    Government Bond

VII — Other:

?DATCP Form Number

Wisconsin Material Approval Application

Word Version / PDF Version

TR-WM-127

Petition for Variance Application

Word Version / PDF Version

TR-WM-129

Educational Course Approval Application

Word Version / PDF Version

TR-WM-107

?A/B/C Operator Training Program Approval Application

Word Version / PDF Version

?TR-WM-159

STI SP031 Repair / Modification Summary

TR-WM-134

Important Building Determination

Word Version / PDF Version

TR-WM-144

?Application For Use of An Alternative Method or Equipment

Word Version / PDF Version
?TR-WM-157

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