HAZARDOUS MATERIALS MANAGEMENT SERVICES

Forms and Applications

(*Download Instructions)

    Aboveground Petroleum Storage Tank Program Word PDF
1   APSA Facility Storage Statement  
2   Tier I SPCC Plan Template
3   Tier II SPCC Plan Template (not yet available)    
4   Aboveground Storage Tank Daily Inspection Form
5   APSA Frequently Asked Questions  

    Contractor/Consultant Information Word PDF
6   Analytical Laboratories  
7 Cal-ARP Consultants
8   Environmental  Consultants  
9 Hazardous Waste Haulers & Drop-off Locations
10   Other Services  
11   Underground Storage Tank Install/Removal Contractors
12 Underground Storage Tank Testing Contractors  

    Hazardous Material Program Word PDF
13   Business Response Plan
14   Certification Form
15   Business Response Plan Memorandum of Understanding

    CUPA Forms - General Word PDF
16   CUPA Business Activites
17   CUPA Business Owner/Operator Identification
18   CUPA Hazardous Material Inventory - Chemical Description
19   Site Map and Instructions

    CUPA Forms - Hazardous Waste Treatment Word PDF
20   Tiered Permitting Flowchart
21   Onsite Hazardous Waste Treatment Notification -
Facility Page
22   Onsite Hazardous Waste Treatment Notification -
Unit Page
23   Conditionally Exempt - Limited (CEL)
24   Conditionally Exempt Small Quantity Treatment (CESQT)
25   Conditionally Exempt - Specified Wastestream (CESW)
26   Conditionally Authorized (CA)
27   Permit By Rule (PBR)
28   Certification of Financial Assurance
29   Remote Waste Consolidation Site Annual Notification
30   Hazardous Waste Tank Closure Certification  

    Educational Publications Word PDF
31 Business Environmental Compliance Guide
32   Paint Waste Handling and Management
33 Paint Waste Handling and Management - Spanish
34   Recycling Solvent and Lacquer Thinner Waste
35 Recycling Solvent and Lacquer Thinner Waste - Spanish
36   Recycling Solvent and Lacquer Thinner F-List
37   Recycling Solvent and Lacquer Thinner F-List - Spanish
38   Silver Waste Handing and Management
39   Silver Waste Handing and Management - Spanish
40   Universal Waste Handling and Management
41   Universal Waste Handling and Management - Spanish
42   Public Guide to Pesticide Related Illness and Injury
43   Guia para el Publico de Enfermedades y Lesiones Relacionadas con Pesticidas  
44   Pesticide Illness Reporting for Health Care Professionals

    Site Mitigation Program Word PDF
45   Monitoring well permit application
46   Monitoring well permit application procedures
47   Monitoring well destruction information
48   Soil boring permit application
49   Soil boring permit application procedures  
50   Soil boring destruction information
51   Guidelines for Site Mitigation
52   Application for Site Mitigation Inspection/Workplan Review
53   Contamination reporting procedures
54   Site Safety Plan
55   Hydraulic Lift and Reservoir Removal Procedure


    UST Program - Installation Word PDF
56   UST Installation/Repair Permit Application Packet (without CUPA Forms)
57   Fee Schedule - click here
58   CUPA UST Tank Pages 1 and 2  
59   Site Safety Plan
60   CUPA UST Facility  
61   CUPA UST Installation
62   UST Emergency Response Plan  

    UST Program - Removal Word PDF
63   UST Removal Permit Application Packet (without CUPA Forms)
64   UST Removal Procedures
65   Fee Schedule -  click here    
66   UST Tank Cleaning Guidelines
67   Contamination Reporting Procedures
68   CUPA UST Tank Pages 1 and 2  
69   Site Safety Plan
70   Hazardous Waste Tank Closure Certification (Instructions and Form)  

    UST Program - Monitoring & Financial Responsibility Word PDF
71   UST Monitoring Plan  
72   UST Financial Responsibility Form
73   Letter from Chief Financial Officer
74   UST Financial Responsibility Guide  
75   Designated Operator Submittal Form


    File Review Word PDF
76   Application for File Review

    Hazardous Materials Questionnaire Word PDF
77   Hazardous Materials Questionnaire


    Household Hazardous Waste Word PDF
78   Household Hazardous Waste:  How to Manage and Properly Dispose of Residential Hazardous Waste

    Pesticide Reporting Word PDF
79   Pesticide Reporting Procedures Handout
80   Pesticide Reporting Codes
81   Pesticide Illness Report  
82   Public Guide to Pesticide Illness and Injury
83   Guia para el Publico de Enfermedades y Lesiones con Pesticidas  
84   Pesticide Illness Reporting for Health Care Professionals

   



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