Az periodic status form 2025

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arizona site status report Preview on Page 1

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  1. Click ‘Get Form’ to open the az periodic status form in the editor.
  2. Begin by entering the 'DATE FORM COMPLETED' at the top of the form. Ensure you attach the site classification form as required.
  3. Fill in your 'FACILITY ID' and 'LUST NUMBER'. If there are other LUSTs at your facility, indicate them accordingly.
  4. Respond to questions regarding ADEQ approvals and corrective action plans by checking 'YES' or 'NO'. If applicable, provide dates where indicated.
  5. For each remedial corrective action technology being performed, enter operational dates next to each type listed in section 3.
  6. Attach any monitoring and laboratory results collected since your last submission as required in section 4.
  7. Select the estimated time frame for response activities completion from section 6.
  8. Finally, review all entries for accuracy before submitting your completed form through our platform.

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