State Water Resources Control Board Privacy Notice on Collection for UST

Civil Code section 1798.17 requires a Privacy Notice on Collection to be provided when personal information is collected. Individuals have the right to review personal information maintained by State Water Resources Control Board and the Regional Water Quality Control Boards (Water Boards) unless access is exempted by law. You may review your records by contacting the official responsible for maintaining your information below. The State Water Resources Control Board (State Water Board) will not disclose your personal information unless authorized by law. To learn more about our Privacy Policy, visit waterboards.ca.gov/privacy.html.

Please do not include any personal information that is not requested.

Authority for Collection of Personal Information
The information on the form is required pursuant to Health and Safety Code, division 20, chapter 6.7, section 25280 et seq. and California Code of Regulations, title 23, division 3, chapter 16, section 2610 et seq. (Underground Storage Tank (UST) Statutes and Regulations). The form may be collected or maintained by the applicable Unified Program Agency, the California Environmental Protection Agency, and the State Water Board consistent with applicable UST Statutes and Regulations.

Principal Purpose for Which the Information Collected is to Be Used
The information will be used to review and ensure compliance with the UST Statutes and Regulations.

Known or Foreseeable Disclosures of the Information
Pursuant to the California Constitution and the Public Records Act, the State Water Board must disclose its records to the public upon request unless otherwise exempted by law.

Consequences of Not Providing Any or All Parts of the Requested Information
All requested information is required unless marked optional. Failure to provide requested information may result in violations of the UST Statutes and Regulations.

Official Responsible for Maintenance of Information
Senior Environmental Scientist Supervisor

Contact Information for Responsible Official
State Water Resources Control Board – Division of Water Quality
1001 I St.
Sacramento, CA 95814
(916) 327-8501
DWQ-PRALiaisons@waterboards.ca.gov