Skip to main content

Log in links for this page

MassDEP Stage I Vapor Recovery Forms

Skip table of contents

Table of Contents

You skipped the table of contents section.

System Installation or Modification

Open DOCX file, 87.13 KB,  Stage I Form A: Installation/Substantial Modification Certification (English, DOCX 87.13 KB)
Open PDF file, 132.72 KB,  Instructions for Completing Form A (English, PDF 132.72 KB)

Annual In-Use Certification

Open DOCX file, 133.02 KB,  Stage I Form C: Annual In-Use Compliance Certification (English, DOCX 133.02 KB)
Open PDF file, 120.83 KB,  Instructions for Completing Form C (English, PDF 120.83 KB)
Open DOCX file, 105.68 KB,  Stage I Form D1: Alternate Annual In-Use Compliance Certification, No Testing Required (English, DOCX 105.68 KB)
Open PDF file, 128.85 KB,  Instructions for Completing Form D1 (English, PDF 128.85 KB)
Open DOCX file, 120.84 KB,  Stage I Form D2: Alternative In-Use Compliance Certification, Testing Required (English, DOCX 120.84 KB)
Open PDF file, 124.89 KB,  Instructions for Completing Form D2 (English, PDF 124.89 KB)

Change of Owner, Operator, Lessee, Controller

Open DOC file, 220.5 KB,  Stage I Form E: New Owner, Lessee, Operator or Controller Notification (English, DOC 220.5 KB)
Open PDF file, 163.38 KB,  Instructions for Completing Form E (English, PDF 163.38 KB)

System Closure

Open DOC file, 217 KB,  Stage I Form F: System Closure Notification (English, DOC 217 KB)
Open PDF file, 121.58 KB,  Instructions for Completing Form F (English, PDF 121.58 KB)

Stage I Testing Companies

Open DOC file, 169.5 KB,  Stage I Form G: Compliance Testing Company Documentation (English, DOC 169.5 KB)
Open PDF file, 118.37 KB,  Instructions for Completing Form G (English, PDF 118.37 KB)
Open DOC file, 191.5 KB,  Stage I Form H: Change of Compliance Testing Company Documentation (English, DOC 191.5 KB)
Open PDF file, 121.05 KB,  Instructions for Completing Form H (English, PDF 121.05 KB)

Contact

Phone

Contact MassDEP 617-556-1035

Online

aq.stage2@mass.gov

Help Us Improve Mass.gov  with your feedback

Please do not include personal or contact information.
Feedback