Underground Storage Tank Leak Documentation Form
Facility Information
Facility Name
Facility Address
City
State
Zip Code
Contact Person
Phone Number
Tank Information
Tank ID
Tank Size (gallons)
Tank Material
Substance Stored
Leak Details
Date Detected
Time Detected
Detection Method
Estimated Volume Leaked
Leak Location Details
Description of Leak
Actions Taken
Immediate Actions Taken
Notifications Made
Cleanup Actions
Additional Comments