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Hazardous Materials Disclosure Page Updated on 11/15/2018

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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)
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
(1/4/16)
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.