Skip County Banner   Bookmark and Share
ACGOV.org Flag
Alameda County's Official Website
Banner for Alameda County Environmental Health shows picture of department building.County of Alameda Department of Environmental Services
ACEH Home >> 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.

CUPA Program

General

  • Hazardous Materials Business Plan - PDF 290KB / Word 117KB
  • Satisfaction Survey - PDF 86KB
  • AST Daily Inspection Form - PDF17KB / Word 54KB
  • Emergency Procedures Poster - PDF 20KB
  • Compressed Gas Cylinder Safety Poster - PDF 21KB

Hazardous Waste

  • Weekly Hazardous Waste Storage Area Inspection Form - PDF 18KB / Word 53KB
  • EPA ID # Application - PDF 331KB
  • EPA Identification Number Factsheet - PDF 360KB
  • Hazardous Waste Generator Survey - PDF15KB / Word 32KB
  • Hazardous Waste Sign Poster - PDF 21KB

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
  • 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
Medical Waste
  • Application for Registration to Perform Tattooing, Body Piercing, or Permanent Cosmetics - PDF52KB
  • Medical Waste Generator Registration Application - PDF 44KB

Food Safety
  • Temporary Event Booth Preinspection/Self Inspection Form - PDF 49Kb
  • Temporary Events Vendor Application - PDF 26Kb
  • Temporary Events Sponsor Application Form - PDF 64Kb
  • Food Safety Certification 2010 Schedule and Registration: classes taught in English - PDF 18kb
  • Food Safety Certification 2010 Schedule and Registration: classes taught in Spanish - PDF 20kb

Copyright © 2009 Alameda County