Pinal County, AZ · Pinal County

No notary required

Gas Station Tanks Form

Gas station owners or operators use this form to provide facility and petroleum tank details to the Pinal County Air Quality Control District.

At a glance

Issued by
City of Pinal County · Pinal County, Pinal County, Arizona
Notarization
Not required: file this form without a notary.
Official source
pinal.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This form collects information about a gas station and its petroleum storage tanks for the Pinal County Air Quality Control District. It asks for the owner’s name, station address, number of tanks and nozzles, and details for each tank, including fuel type, storage location, vapor recovery, annual throughput, capacity, orientation, and installation year.

Who needs it

Gas station owners or operators providing station and tank information to the Pinal County Air Quality Control District may use this form.

How to submit it

Submit the completed form to the Pinal County Air Quality Control District, 85 N. Florence St., PO Box 987, Florence, AZ 85132; the form also lists fax number 520-866-6967.

About notarization

This form is signed and dated without a notary; it does not mention a notarized attachment or related sworn step.

How to submit this form

  1. 1

    Download the Form

    Download the Gas Station Tanks Form PDF.

  2. 2

    Complete the Station Details

    Enter the owner name, station address, number of tanks, and maximum number of gasoline nozzles.

  3. 3

    Complete the Tank Details

    Provide the requested fuel, storage, vapor recovery, throughput, capacity, orientation, and installation-year information for each tank.

  4. 4

    Sign and Submit

    Sign and date the form, then send it to the Pinal County Air Quality Control District or fax it to the number listed on the form.

Frequently asked questions

What information does the Gas Station Tanks Form request?
It requests the owner’s name and station address, counts of tanks and nozzles, and details about each tank, including fuel type, capacity, vapor recovery, and installation year.
Who uses this form?
Gas station owners or operators can use it to provide station and petroleum tank information to the Pinal County Air Quality Control District.
How do I submit the Gas Station Tanks Form?
Send the completed form to the Pinal County Air Quality Control District at 85 N. Florence St., PO Box 987, Florence, AZ 85132, or fax it to 520-866-6967.
Do I need a notary for the Gas Station Tanks Form?
No. The form has a signature, title, and date field but no notary block; it does not mention a notarized attachment or related sworn step.

Need something notarized?

This Gas Station Tanks Form doesn’t need a notary, but if you have another Pinal County form that does, a commissioned online notary can help.