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Forms for Hazardous Materials Programs
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| Program | Description | Word | PDF* |
|---|---|---|---|
| Business Plan (Health & Safety Code Chapter 6.95 compliance) |
Hazardous Material Business Plan Pre-inspection Checklist | bp_precheck.doc | bp_precheck.pdf | new! Business Activities | bus_act.doc | bus_act.pdf |
| Emergency Response Plan (Hazardous Waste Contingency Plan) | bp_erp.doc | bp_erp.pdf | |
| new! California Hazardous Material Inventory Form Chemical Description Page | bp_inv.doc | bp_inv.pdf | |
| new! Map Grid | bp_map.doc | bp_map.pdf | |
| new! California Business & Owner / Operator Identification Page | bp_ooi.doc | bp_ooi.pdf | |
| Employee Training Program for Agricultural Handlers of Pesticides and Other Hazardous Materials | agbp_etp.doc | agbp_etp.pdf | |
| Employee Training Plan | bp_etp.doc | bp_etp.pdf | |
| California Accidental Release Prevention Program Registration forms and instructions | rs_ehs.doc | rs_ehs.pdf | |
| Business Plan Exemption Reference Sheet | bp_exemption.doc | bp_exemption.pdf | |
| Hazardous Materials / Waste Disclaimer | bp_disclaimer.doc | bp_disclaimer.pdf | |
| Remote Facility Exemption | bp_rfe.doc | bp_rfe.pdf | |
| CAER Minor Spill and Release Incident
(Prop 65) |
CAER Hazardous Materials Minor Spill and Release Incident Report Guide | caer_guide.doc | caer_guide.pdf |
| CAER Hazardous Materials Minor Spill and Release Incident Report Form | caer_form.doc | caer_form.pdf | |
| Hazardous Materials Management
Plan (Uniform Fire Code compliance) |
Hazardous Materials Management Plan Emergency Response Plan | hmmp_erp.doc | hmmp_erp.pdf |
| Hazardous Materials Management Plan Hazardous Material Inventory Form Chemical Description Page | hmmp_inv.doc | hmmp_inv_.pdf | |
| Hazardous Materials Management Plan Map Grid | hmmp_map.doc | hmmp_map.pdf | |
| Hazardous Materials Management Plan Business & Owner / Operator Identification Page | hmmp_ooi.doc | hmmp_ooi.pdf | |
| Hazardous Materials Management Plan Employee Training Program | hmmp_etp.doc | hmmp_etp.pdf | |
| Hazardous Waste Generator | Hazardous Waste Generator Application | hwg_app.doc | hwg_app.pdf |
| Hazardous Waste Generator Inspection Checklist | hwg_summary.doc | hwq_summary.pdf | |
| Hazardous Waste Generator Pre-Inspection Checklist | hwg_precheck.doc | hwg_precheck.pdf | |
| Hazardous Waste Generator Contingency Plan | hwg_contingency_plan.doc | hwg_contingency_plan.pdf | |
| Accessing DTSC for Hazardous Waste Manifest Information | dtsc_hw_manifest.doc | dtsc_hw_manifest.pdf | |
| Certification Of Financial Assurance | tier_cfa.doc | tier_cfa.pdf | |
| Onsite Hazardous Waste Treatment Notification Facility Page | tier_facility.doc | tier_facility.pdf | |
| Onsite Hazardous Waste Treatment Notification Unit Page | tier_unit.doc | tier_unit.pdf | |
| Onsite Tiered Permitting Permit By Rule Page | tier_pbr.doc | tier_pbr.pdf | |
| Onsite Tiered Permitting Conditional Authorization Page | tier_ca.doc | tier_ca.pdf | |
| Onsite Tiered Permitting Conditional Exemption - Limited Page | tier_cel.doc | tier_cel.pdf | |
| Onsite Tiered Permitting Conditional Exemption - Small Quantity Treatment Page | tier_cesqt.doc | tier_cesqt.pdf | |
| Onsite Tiered Permitting Conditional Exemption - Specified Wastestreams Page | tier_cesw.doc | tier_cesw.pdf | |
| Underground Storage Tanks | UST Operator Monthly Visual Inspection Checklist | ust_monthly-checklist.doc | ust_monthly_checklist.pdf | UST |
N/A | ust_financial responsguide.pdf |
UST Financial Responsibility Guide Certification Exhibit A | N/A | ust_financial responsexhibit_a.pdf |
Requirements For The Abandonment (Removal) Of Underground Hazardous Materials Storage Tanks | ust_09.doc | ust_09.pdf |
| Requirements For The Construction / Modification Of Underground Hazardous Materials Storage Tanks | ust_10.doc | ust_10.pdf | |
| Application To Construct And / Or Modify An Underground Hazardous Materials Storage Facility | ust_305.doc | ust_305.pdf | |
| Application To Permanently Close An Underground Hazardous Materials Storage Tank | ust_307.doc | ust_307.pdf | |
| Application To Temporarily Close An Underground Hazardous Materials Storage Tank / System | ust_308.doc | ust_308.pdf | |
| new! Underground Storage Tanks-Facility Form A | ust_forma.doc | ust_forma.pdf | |
| new! Underground Storage Tanks-Tank Form B | ust_formb.doc | ust_formb.pdf | |
| new! Underground Storage Tanks-Installation Certificate Of Compliance | ust_formc.doc | ust_formc.pdf | |
| new! Underground Storage Tanks-Monitoring Plan | ust_formd.doc | ust_formd.pdf | |
| new! Underground Storage Tanks-Response Plan | N/A | ust_forme.pdf | |
| Hazardous Waste Tank Closure Certification | ust_waste.doc | ust_waste.pdf | |
| LUFT/SMU | Well Permit Application | N/A | well_permit_app.pdf | Test Requirements for LUFT |
luft_test_reqs.doc | luft_test_reqts.pdf | LUFT Case Closure Summary |
N/A | luft_case_closure_summary.pdf | SMU Case Closure Summary |
N/A | smu_case_closure_summary.pdf | LUFT/SMU Perjury Statement |
N/A | luft_smu_perjury_statement.pdf |
| Misc | Standard Industrial Classification Codes For Agricultural Facilities | ag_sic_codes.doc | ag_sic_codes.pdf |
| Standard Industrial Classification Codes General Directory Listing | sic_codes.doc | sic_codes.pdf | |
| Santa Barbara County Site Map Symbols | site_map_symbols.doc | site_map_symbols.pdf | |
| 3 Digit Waste Codes | waste_codes.doc | waste_codes.pdf | |
| Hazardous Material/Waste Defined | hm_defined.doc | hm_defined.pdf | |
| Hazardous Materials Fee Schedule | hm_fees.doc | hm_fees.pdf | Community Right to Know Information Request | commrtn.doc | commrtn.pdf | File Review Request Guide |
N/A | file_review_guide.pdf | File Review Request |
N/A | file_review_application.pdf |
If you have question regarding these documents please contact Judy Doyle at (805) 686-8167 or contact her by email at <Judy.Fitzjarrell@sbcfire.com>.
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