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NASSAU COUNTY, NY
Department of Health
Small Petroleum Tank Closure Inspection
Scheduling System
Application CSS
Oil Tank Abandonment
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Contractor Address Lookup
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Date & Payment Information
Schedule Job Date
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Paid By
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CONTRACTOR
HOMEOWNER
Contractor
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Contractor
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Contractor
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Street Number
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Street Name
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Street Type
AVE.
BLVD.
BROADWAY
CIRCLE
CRESCENT
CT.
DR.
GATE.
HWY.
LN.
PATH
PKWY.
PL.
RD.
ROW
ST.
TERRACE
TPKE.
WAY
RD N
RD E
RD S
RD W
Village
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State
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Zip Code
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Telephone
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E-Mail
Contractor Found
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Homeowner
First Name
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Last Name
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Telephone
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E-Mail
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Homeowner
Type your full address and click on the address below that match
Street Number
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Street Name
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Street Type
Village
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State
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Zip Code
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Tank Information
Tank Size
(Value Required)
240
275
285
330
550
1,000
Other
Fill Material
(Value Required)
--
SAND
CONCRETE
APPROVED FOAM
OTHER
Tank Location --- (Example... Tank is located in the back of the house.)
(Value Required)
0
of
4000
Inspection Notes
Notes
Second Tank Information
Tank Size
--
240
275
285
330
550
1,000
Other
Tank Type
--
Indoors
CrawlSpace
Basement
Above Ground Outside
Pad/Containment
Below Ground
Spill Number
Tank Contents
Other
New Installation
Gas Conversion
(Value Required)
Yes
No
Please enter a tank size and location.
Tank Size
240
275
285
330
550
1,000
Other
Location
Above Ground on Pad/Containment
Below Ground
Basement
Crawlspace
Other
Indoors/Above Ground
Outdoors/Above Ground
HIDE REGION
Telephone
Spill Number
(Value Required)
Expected format: DD-MON-RR
Late Notification
Error Date
Zip Code
Village
(Value Required)
Zip
(Value Required)
Branch To
Towns
ALBERTSON
ATLANTIC BEACH
BALDWIN
BALDWIN HARBOR
BAYSHORE
BAYVILLE
BELLROSE
BELLROSE TERRACE
BELLROSE VILLAGE
BELLMORE
BETHPAGE
BROOKVILLE
CARLE PLACE
CEDAHURST
CENTERPORT
CENTRE ISLAND
COVE NECK
E. ATLANTIC BEACH
E. MASSAPEQUA
E. WILLISTON
EAST FARMINGDALE
EAST HEMPSTEAD
EAST HILLS
EAST MEADOW
EAST NORWICH
EAST ROCKAWAY
ELLMONT
FARMINGDALE
FLORAL PARK
FLORAL PARK CREST
FLOWER HILL
FRANKLIN SQ
FREEPORT
GARDEN CITY
GARDEN CTY PK
GARDEN CTY S.
GLEN COVE
GLEN HEAD
GLENWOOD LDG
GREAT NECK
GREAT NECK ESTATES
GREENVALE
HEMPSTEAD
HERRICKS
HEWLETT
HEWLETT BAY PARK
HEWLETT HARBOR
HEWLETT NECK
HICKSVILLE
HUNTINGTON STATION
INWOOD
ISLAND PARK
JERICHO
KENSINGTON
KINGS POINT
LAKE SUCCESS
LAKEVIEW
LATTINGTOWN
LAUREL HOLLOW
LAWRENCE
LEVITTOWN
LIDO BEACH
LINDENHURST
LLOYD HARBOR
LOCUST VALLEY
LONG BEACH
LYNBROOK
MALVERNE
MANHASSET
MANHASSET HILLS
MANORHAVEN
MASSAPEQUA
MASSAPEQUA PK
MATINECOCK
MATINICOCK
MELVILLE
MERRICK
MILL NECK
MINEOLA
MUNSEY PARK
MUTTONTOWN
N. BALDWIN
N. BELLMORE
N. HEMPSTEAD
N. LAWRENCE
N. MASSAPEQUA
N. MERRICK
N. VALLEY STR
N. WOODMERE
NEW CASTLE
NEW HYDE PARK
NORTH HILLS
OAKDALE
OCEANSIDE
OLD BETHPAGE
OLD BROOKVILLE
OLD WESTBURY
OYSTER BAY
OYSTER BAY COVE
PLAINEDGE
PLAINVIEW
PLANDOME
PLANDOME HEIGHTS
PLANDOME MANOR
POINT LOOKOUT
PT WASHINGTON
ROCKVILLE CTR
ROOSEVELT
ROSLYN
ROSLYN ESTATES
ROSLYN HARBOR
ROSLYN HEIGHTS
S. BELLMORE
S. FARMINGDALE
S. FLORAL PARK
S. HEMPSTEAD
S. MERRICK
S. VALLEY STR
SANDS POINT
SEA CLIFF
SEAFORD
SEARINGTON
STEWART MANOR
SYOSSET
THOMASTON
UNIONDALE
UPPER BROOKVILLE
VALLEY STREAM
W. ATLANTIC BEACH
W. HEMPSTEAD
W. VALLEY STREAM
WANTAGH
WESTBURY
WILLISTON PK
WOODBURY
WOODMERE
WOODSBURGH
Towns2
Zip Code2
Street 2
Town Hold
Confirmation Year
Confirmation day
New Date
Expected format: DD-MON-RR
Cost Stored
Res Type
Res Type Cnt
Res Conf Year
Res Conf Month
Ab Credit Cost
Confirmation Month
Refund Flag
FULL CON ADDRESS
Payment Type
Individual Cost
Entered As
Article XI Notice
*** All removals / abandonments, installactions etc. must be done in accordance with Article XI of the Nassau County Public Health Ordinance.
This form is to be used only when the individual storage tank capacity is 1,100 gallons or less
.
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Submit