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THIS NOTICE AND THE 3-DAY TELEPHONE NOTICE ARE REQUIRED prior to starting decommissioning work on a regulated underground storage tank (UST). Decommissioning work includes but is not limited to excavation and removal of the tank and its appurtenances, removal of underground piping (product, vent and vapor recovery piping), soil sampling, and groundwater sampling. (See 40 CFR 280.71 through 40 CFR 280.74 as amended by OAR 340-150-003) THIS NOTICE IS NOT REQUIRED for decommissioning nonregulated underground tanks. To determine whether an underground tank is regulated please refer to 40 CFR 280.10 for USTs that are excluded or deferred from regulation and 40 CFR 280.12 for the definition of an UST or contact DEQ. (Examples are heating oil tanks, most residential and farm motor fuel tanks and tanks under 110 gallons.) ALL PAST DUE UST PERMIT FEES MLJST BE PAID before this decommissioning notice will be accepted by DEQ. Please contact DEQ for UST permit application forms, if necessary. For information or assistance with this form call (503) 229-5733 or the UST HELPLINE: 1-800-742-7878 (Toll Free in Oregon) 3-DAY NOTICE: Contact your local DEQ Regional Office 3-days before decommission work. (Phone numbers are listed below) REGIONAL DEQ OFFICES NORTHWEST REGION Phone: Portland (503) 229-5263 EASTERN REGION / THE DALLES Phone: The Dalles (503) 298-7255 WESTERN REGION / SALEM Phone: (503) 378-8240 EASTERN REGION / PENDLETON Phone: (503) 276-4063 WESTERN REGION / MEDFORD EASTERN REGION / BEND Phone: (503) 776-6136, Ext. 233 Phone: (503) 388-6146 WESTERN REGION / EUGENE August 23, 1994 UST Decommissioning/Change-In-Service 30 DAY NOTICE Page 2 of 2 Oregon DEQ MAKE SURE THE FORM IS COMPLETE WITH ALL ATTACHMENTS. A notice that is incomplete, (or without a permit application or without permit fee, where needed) will not be accepted as the 30 Day Notice until it is complete.