California Code of Regulations › Title 23 - Waters › Division 3 - State Water Resources Control Board and Regional Water Quality Control Boards › Chapter 18 - Petroleum Underground Storage Tank Cleanup Fund Regulations › Article 7 - Underground Storage Tank Petroleum Contamination Orphan Site Cleanup Fund › Section 2814.28 - Orphan Site Cleanup Fund Application Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An Orphan Site Cleanup Fund application for payment of
					 costs of response actions shall contain the following:
(a) The name of the applicant, the type of
				  entity of the applicant, the applicant's mailing address, telephone number or
				  numbers where the applicant can be contacted during normal business hours, and
				  the applicant's tax identification number;
(b) If a joint application is submitted by
				  multiple applicants, the name, mailing address, telephone number or numbers,
				  and tax identification number of each applicant;
(c) The site address or a description of the
				  site where the underground storage tank(s) that is the subject of the
				  application is located;
(d) A site
				  map drawn to scale that includes a north arrow and distances relative to the
				  nearest public roads and which identifies locations of all underground storage
				  tanks and all other known or potential sources of contamination;
(e) The capacity of the underground storage
				  tanks(s), the substances that have been stored therein and the dates the
				  underground storage tank(s) were removed;
(f) A listing of all other known or potential
				  on or off-site sources of contamination;
(g) Name of the lead oversight regulatory
				  agency, case identification number, name and telephone number of the contact
				  person, and the date the regulatory agency confirmed contamination from an
				  on-site underground storage tank(s);
(h) A description of the unauthorized
				  release, including whether the unauthorized release has impacted, or is likely
				  to impact, groundwater;
(i) A brief
				  description of the response actions undertaken at the site, including an
				  explanation of whether the response actions are directed pursuant to Health and
				  Safety Code, division 20, chapter 6.7, Water Code, division 7, or California
				  Code of Regulations, title 23, division 3, chapter 16, article 11;
(j) Information that demonstrates that the
				  site is an eligible site, including:
(1)
				  Information that demonstrates that the petroleum contamination is the principal
				  source of contamination at the site and that the source of petroleum
				  contamination is, or was, an underground storage tank;
(2) Information that demonstrates that the
				  site is located in an urban area and that the site was previously the site of
				  economic activity that is no longer in operation at that location;
(3) Description of existing and historical
				  uses of the site;
(4) A statement
				  that demonstrates that the site is not listed or proposed for listing on the
				  National Priorities List and that the site is not, or was not, owned or
				  operated by a department, agency, or instrumentality of the United States;
				  and
(5) For applications involving
				  a contiguous expansion of an operating industrial or commercial facility,
				  information that demonstrates the facility is owned or operated by a small
				  business, a small business incubator that is undertaking the expansion with the
				  assistance of a grant authorized by section
				  15339.3 of
				  the Government Code or a loan guarantee provided pursuant to section
				  14090 of
				  the Corporations Code, or a nonprofit corporation formed under part 2 or part 4
				  of division 2 of title 1 of the Corporations Code.