Red-Tag Aboveground Storage Tank Form
(Fields marked with a * are required)
Occupant
*  
*  
Owner
*  
*  
*  
*  
*  
*  

Tank Conditions/Details
*  
*  
*  
*

Please list the reason(s) why the above AST is/are "red-tagged" according to the Vermont AST Rules (2017). 9-306(C) *





AST Inspector Information
*  
*  
*
*

Click here if you are an out-of-state supplier

*  
*  

I certify under penalty of law that I have personally examined and am familiar with the information submitted herein. Based on information and belief formed after reasonable inquiry, the submitted information is true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment. I am authorized by the the fuel supplier to complete this form and act as the representative.