Hazardous Materials Disclosure Page Updated on 6/17/2019

QUICK LINKS (by Subject Area)

• Agency Contact Information
• Carbon Dioxide Reporting Exemption
• Electronic Reporting
• Emergency Contact Phone Numbers (For completing HMBP Emergency Response/Contingency Plan)
• Hazardous Materials Business Plan (HMBP)
  • HMBP Emergency Response and Training Plan
  • HMBP Facility Employee Training Record
  • HMBP Landlord Notification Form Letter
    
• Hazardous Materials Registration Form
  • Registration Form Hazardous Materials Inventory - Non-Waste Continuation Page
  • Registration Form Hazardous Materials Inventory - Waste Continuation Page
• Hazardous Waste Disclosures
  • Onsite Recycling Disclosure Form
  • Onsite Treatment Disclosure Forms
  • Onsite Treatment Financial Assurance
  • Remote Consolidation Disclosure
• Monitoring
  • Aboveground Storage Monitoring Plan (Appendix to Unidocs HMBP and Registration Form)
• Monitoring Inspection Form (Referenced by Unidocs HMBP)
• Toxic Gases (Note: Applicable in Santa Clara County Only)
  • Limited Use Laboratory and Research Facility Notification Form
• Which should I submit: the HMBP or Registration Form?

The documents listed below are available in PDF format and/or as Microsoft Word files. If you need help downloading, printing, or entering data for any of these documents, please view the Download Instructions and Uniform Document Questions and Answers pages.

Number (Rev. Date)	Document Title	Format		Description
UN-021 (11/15/18)	Aboveground Separation, Containment, and Monitoring Plan (Appendix to Hazardous Materials Business Plan and minimal storage site notification)			Submit this form, or an equivalent written monitoring plan for aboveground storage of hazardous materials and wastes, along with your HMBP or minimal storage site notification (e.g., Registration Form).
UN-017 (7/3/18)	Consolidated Emergency Response / Contingency Plan			Consolidated Emergency Response Plan for use by owners/operators of facilities subject to Hazardous Materials Business Plan (HMBP) reporting requirements. Complete and upload this document to the California Environmental Reporting System (CERS). [Note: You may also use the CERS Consolidated Emergency Response / Contingency Plan or other format with equivalent content.]
UN-103 (6/28/17)	Hazardous Materials Business Plan Facility Employee Training Record			This form may be used to document required Hazardous Materials Business Plan (HMBP) facility employee training.
UN-053 (6/17/19)	Hazardous Materials Business Plan (HMBP) Notification Letter			Form letter for use by owners/operators of facilities subject to Hazardous Materials Business Plan (HMBP) reporting requirements to notify property owner that facility owner/operator has complied with Health and Safety Code Chapter 6.95, Article 1 reporting requirements.
UN-012 (7/24/06)	Hazardous Materials Registration Form			Submit this Short-Form Hazardous Materials Management Plan (minimal storage site) only if your facility handles hazardous materials in quantities below Hazardous Materials Business Plan reporting thresholds, a local code or ordinance requires disclosure of less than HMBP materials, and your local agency accepts hard copy submittals of this information. [Electronic reporting via the California Environmental Reporting System (CERS) or local electronic reporting portal may be required.]
UN-012A (7/24/06)	Hazardous Materials Registration Form: Hazardous Materials Inventory - Non-Waste Continuation Page			Use this supplemental page if you run out of space in Section C of the Registration Form.
UN-012B (7/24/06)	Hazardous Materials Registration Form: Hazardous Materials Inventory - Waste Continuation Page			Use this supplemental page if you run out of space in Section D of the Registration Form.