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Forms
The following documents are provided in Portable Document Format (PDF) and require the free Adobe Reader.
Where indicated, forms are also available in Microsoft Word (WORD). If you do not have WORD installed, you can download a free reader.
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CUPA Program
General
- CERS E Reporting Authorization Form - PDF 473KB
- Hazardous Materials Business Plan (HMBP) - PDF 640KB / Word 511KB
- Annual Update Certification form - PDF 142KB
- Aboveground Petroleum Storage Tank Facility Statement - PDF 225KB
- HMBP Inspection Checklist - PDF 66KB
- Satisfaction Survey - PDF 89KB
- AST Daily Inspection Form - PDF17KB / Word 54KB
- Emergency Procedures Poster - PDF 20KB
- Compressed Gas Cylinder Safety Poster - PDF 21KB
Hazardous Waste
- EPA ID # Application - PDF 331KB
- EPA Identification Number Factsheet - PDF 360KB
- Generator Requirements Summary Chart - PDF 93KB
- Hazardous Generator Inspection Checklist - PDF 138KB
- Hazardous Waste Generator Requirements - PDF 57KB
- Hazardous Waste Generator Survey - PDF15KB / Word 32KB
- Hazardous Waste Sign Poster - PDF 21KB
- Large Quantity Hazardous Waste Generator Checklist - PDF 73KB
- Weekly Hazardous Waste Storage Area Inspection Form - PDF 18KB / Word 53KB
Underground Storage Tanks
- UST: Form A (Facility) - PDF 32KB / Word 98Kb
- UST: Form B (Tank Page 1) - PDF 47KB / Word 208KB
- UST: Form C (Installation) - PDF 25KB
- UST: Form D (Monitoring Plan) - PDF 165KB / Word 208kB
- UST: Form E (Response Plan) - PDF 32KB / Word 98KB
- UST Inspection Checklist - PDF 308KB
- Change of Ownership-Operator Form - PDF 27KB / Word 39KB
- DO Owner Statement - PDF 76KB / Word 36KB
- Certification of Financial Responsibility - PDF 265KB
- CFO Letter - PDF 73KB
- Daily Tank Monitoring System Log - PDF 17KB
- Dollars & Sense Financial Responsibility - PDF 401KB
- List of Known Insurance Providers - PDF 117KB
- Financial Responsibility for UST's - PDF 2.9MB
- Inspecting & Maintaining Sumps & Buckets - PDF 840KB
- Leak Detection Methods - PDF 453KB
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Medical Waste
- Application for Registration to Perform Tattooing, Body Piercing, or Permanent Cosmetics - PDF52KB
- Medical Waste Generator Registration Application - PDF 44KB
- Liquid Waste Haulers Registration Form - PDF 106KB
Food Safety
Certification Class Schedule:
Mobile Food Facilities - Trucks Trailers, and Carts::
- Required Documents for Mobile Food Facility Permitting - PDF 396Kb
- Mobile Food Facility Permit/Caterer Registration Application Form - PDF 653Kb
- List of Commissaries in Alameda County Area - PDF 69Kb
- Regulations Specific to Mobile Food Facilities - PDF 324Kb
Temporary Events:
- Temporary Events Food Booth Operator Application - PDF 26Kb
- Food Safety Quiz for Temporary Food Facility Operators - PDF 156Kb
- Temporary Events Sponsor Application - PDF 26Kb
- Temporary Event Booth Pre-/Self-Inspection Form - PDF 95Kb
Special Projects
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