Form 8000-FM-OOGM0143U "Oil and Gas Operations Underground or Partially Buried Storage Tank Registration Form (Unconventional Operations Only)" - Pennsylvania

What Is Form 8000-FM-OOGM0143U?

This is a legal form that was released by the Pennsylvania Department of Environmental Protection - a government authority operating within Pennsylvania. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on August 1, 2016;
  • The latest edition provided by the Pennsylvania Department of Environmental Protection;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 8000-FM-OOGM0143U by clicking the link below or browse more documents and templates provided by the Pennsylvania Department of Environmental Protection.

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8000-FM-OOGM0143U
8/2016
COMMONWEALTH OF PENNSYLVANIA
Form
DEPARTMENT OF ENVIRONMENTAL PROTECTION
OFFICE OF OIL AND GAS MANAGEMENT
OIL AND GAS OPERATIONS UNDERGROUND OR
PARTIALLY BURIED STORAGE TANK REGISTRATION FORM
(Unconventional Operations Only)
A. OPERATOR IDENTIFICATION
Well Operator
DEP ID/OGO No.
Address
Email
City
State
Zip Code
Telephone No.
Fax No.
B. UNDERGROUND OR PARTIALLY BURIED STORAGE TANK INFORMATION
Check Appropriate Box:
Existing Underground or Partially Buried Storage Tank
New Underground or Partially Buried Storage Tank
County
Municipality
Latitude (DD)
Longitude (DD)
  .    
-  .    
Well Sites / Wells Serviced by Storage Tank [US Well ID No. (API No.)]
C. APPLICANT SIGNATURE
Well Operator’s Signature
DEP USE ONLY
Print Name and Title of Applicant
Title
Applicant Signature
Reviewed by
Date
Date
Other
8000-FM-OOGM0143U
8/2016
COMMONWEALTH OF PENNSYLVANIA
Form
DEPARTMENT OF ENVIRONMENTAL PROTECTION
OFFICE OF OIL AND GAS MANAGEMENT
OIL AND GAS OPERATIONS UNDERGROUND OR
PARTIALLY BURIED STORAGE TANK REGISTRATION FORM
(Unconventional Operations Only)
A. OPERATOR IDENTIFICATION
Well Operator
DEP ID/OGO No.
Address
Email
City
State
Zip Code
Telephone No.
Fax No.
B. UNDERGROUND OR PARTIALLY BURIED STORAGE TANK INFORMATION
Check Appropriate Box:
Existing Underground or Partially Buried Storage Tank
New Underground or Partially Buried Storage Tank
County
Municipality
Latitude (DD)
Longitude (DD)
  .    
-  .    
Well Sites / Wells Serviced by Storage Tank [US Well ID No. (API No.)]
C. APPLICANT SIGNATURE
Well Operator’s Signature
DEP USE ONLY
Print Name and Title of Applicant
Title
Applicant Signature
Reviewed by
Date
Date
Other