When the number of facilities exceeds the space available on any of the Form 62-761.900(3) parts, or if the provider company prefers to attach a facility list or when this list is amended, we recommend the attachment include the following elements:
The word “Attachment” (such as “Attachment: Facility/Tank Schedule dated XX/XX/XXXX”)
Type of financial assurance instrument it accompanies
Rule required elements
Facility identification number (FacID) for facilities in Florida
Facility Name (should match the name registered when obtaining the placard)
Site Address (matching the registration)
Identify the number of regulated tanks (or list tank ID numbers)
Additional information such as tank size and location (UST/AST) is acceptable
A fillable PDF Attachment/Amendment example is available near the top of this page. An MS Word version of the example is available below.
The Florida Department of Environmental Protection is the state’s lead agency for environmental management and stewardship – protecting our air, water and land. The vision of the Florida Department of Environmental Protection is to create strong community partnerships, safeguard Florida’s natural resources and enhance its ecosystems.