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Storage Tank Local Government Guarantee without Standby Trust

Form 62-761.900(3) Part N
Also Needed:

  • Form Part P (Certification of Financial Responsibility) must also be completed
    • Period of Coverage for the guarantee: enter the Period of Coverage for supporting instrument - see that Part's guidance
      • The actual Guarantee is evergreen and does not require updating unless its details change.
  • The Guarantor must complete Form Parts I, J or O

General Guidance:

  • Calculate FR needs, Reference Manuals, EPA link and FAQs
  • DEP forms must be used and filled out completely.
  • Verify current version of form part is used (as of the mechanism's signing date - "October 2019" version if signed after 10/13/2019)
  • Verify facility and tanks at site have coverage. The following should match the state registration:
    • Facility identification number (FacID) (for facilities in Florida)
    • Facility name
    • Site address
    • Number of regulated tanks (or list of tank identification numbers)

Guarantee Specific Guidance

  • The “owner or operator” name identified on mechanism needs to match the name on Part P.

What to Do with Completed Forms

  • An owner or operator must maintain financial responsibility records (copies of the completed form parts with required supporting documentation) at the facility or at their business office
  • If not kept at the facility, they shall be made available at the facility or another agreed upon location upon five business days notice by a department or county inspector

Return to the Storage Tank Financial Assurance Forms (Mechanisms) webpage.

Form Number: 
62-761.900(3) Part N
Effective-Revision Date: 
Friday, February 7, 2020
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Last Modified:
January 27, 2021 - 10:35am

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