UN-004
(3/27/08) |
Agency Contact Information:
Local Hazardous Materials Compliance Agency Jurisdictions List |
|
22KB |
List of Santa Clara County Unidocs Member Agency names, contact information, and jurisdictions. |
HMCD-030
(8/30/07) |
Agency Inspection Checklist - HazMat Storage:
Hazardous Materials Storage Program Violation Codes -
General Storage Provisions (Santa Clara County HMCD HazMat compliance inspection checklist) |
|
60KB
| One local agency's sample checklist to help with self-inspections for compliance with local hazardous materials storage regulations. Note that local fire agencies may have addiitonal requirements. |
UN-006
(9/10/96) |
Agency Inspection Form - UST Closure:
Underground Storage Tank System Closure Inspection Report (for up to 3 tanks) |
42KB |
21KB |
Agency inspectors will use this form or equivalent when overseeing a UST or piping system closure. |
UN-005
(9/10/96) |
Agency Inspection Form - UST Closure:
Underground Storage Tank System Closure Inspection Report (for up to 6 tanks) |
48KB |
22KB |
Agency inspectors will use this form, or equivalent, when overseeing an underground storage tank or piping system closure. |
UN-007
(9/10/96) |
Agency Inspection Form - UST Closure:
Underground Storage Tank System Closure Site Plan |
21KB |
7KB |
Agency inspectors will use this form or equivalent to document tank/piping layout and sample locations during UST or piping system closure inspections. |
UN-010
(9/5/96) |
Agency Inspection Form - UST Installation:
Underground Storage Tank System Installation Inspection Report
|
15KB |
9KB |
Agency inspectors will use this form or equivalent when overseeing a UST or piping system installation. |
UN-033
(5/17/00) |
Closure - HazMat Facility:
Closure Application for Aboveground Hazardous Materials Storage Facilities |
|
15KB |
Required notification form in advance of closing or discontinuing use of a hazardous materials/waste storage area or faciliy. |
UN-032
(5/17/00) |
Closure - HazMat Facility:
Closure Guidelines for Aboveground Hazardous Materials Storage Facilities |
|
14KB |
Guidelines for proper closure of any aboveground storage area or facility. |
hwf1249
(2/16/00) |
Closure - Onsite Cleaning / Cutting of Tanks (USTs & Aboveground Tanks):
UPCF Hazardous Waste - Hazardous Waste Tank Closure Certification |
112KB |
19KB |
This form, along with the UPCF Facility Information: Business Activities Page and UPCF Facility Information: Business Owner/Operator Identification Page, must be submitted to certify that tanks which previously contained hazardous materials, and which are cut and/or cleaned on-site, have been properly closed. |
UN-078
(10/10/06) |
Closure - UST:
Recommended Minimum Verification Analyses for Underground Storage Tank (UST) Leaks (Revised RWQCB Table 2) |
|
28KB |
List of soil/groundwater sample analyses required by the San Francisco Bay Regional Water Quality Control Board for closure of an underground tank or piping system. |
UN-002
(11/8/06) |
Closure - UST:
Underground Storage Tank System and Sump Closure Guidelines |
|
24KB |
Guidance document describing requirements for removal or closure-in-place (if allowed by local agency) of USTs and sumps. |
UN-003
(11/7/05) |
Closure - UST:
Underground Storage Tank System Closure Permit Application |
59KB |
15KB |
Submit this form to apply for a permit to close or remove an underground storage tank or piping system. |
UN-035
(9/5/08) |
Construction - Building Occupancy:
Building Occupancy Classification Inventory Form |
267KB |
30KB |
Use this form to determine building occupancy for new construction and tenant improvement projects
NOTE: Do it online for free at: Hazardous Materials Online Inventory Project . |
UN-018
(3/27/08) |
Construction - Emergency and Standby Generator Systems:
Installation Guidelines: Guidelines for Installation of Temporary and Permanent Aboveground Diesel Fuel Tanks for Emergency and Standby Power Systems Located Outside of Buildings |
|
49KB |
Guidelines for Installation of aboveground fuel tanks for emergency and standby power systems.
|
UN-090
(8/25/08) |
Fire Safety - Barbeques:
Standards for Barbeques on Balconies, Patios, and Decks of Multiple Unit Residences |
|
22KB |
Guidelines for barbeques at apartments, condominiums, townhouses, etc. |
UN-024
(12/17/08)
|
Fire Safety - Construction Sites:
Standards for Construction Site Fire Safety |
|
39KB |
Minimum safeguards for new building construction and significant building alteration projects in order to provide a reasonable degree of safety to life.
|
UN-059
(4/14/08)
|
Fire Safety - Day Care:
Standards for Large Family Day Care Homes |
|
49KB |
Guidelines for Large Day Care Facilities |
UN-048
(5/7/08) |
Fire Safety - Gas Heaters:
Standards for Storage and Use of Portable Liquified Petroleum Gas Outdoor Heaters |
|
29KB |
For use by facilities that have portable LPG outdoor heaters. |
UN-076
(3/29/06) |
Fire Safety - Residential Care Facilities:
Residential Care Facility Pre-Inspection Application Form |
64KB |
18KB |
For use by owners/operators of residential care facilities (e.g., RCFE) to prepare for Fire Department inspections. |
UN-077
(8/28/06) |
Fire Safety - Residential Care Facilities:
Standards for Residential Care Facilities |
|
210 KB |
For use by owners/operators of residential care facilities (e.g., RCFE) to prepare for Fire Department inspections. |
UN-092
(2/4/09) |
Fire Safety - Smoke Alarms:
Smoke Alarm Compliance Statement |
|
48KB |
Required submittal from owners/managers of multiple-dwelling complexes. |
UN-042
(10/18/00) |
Fire Safety - Special Events:
Festival Cooking Booths |
|
11KB |
Diagram showing spacing for emergency access. |
UN-041
(10/18/00) |
Fire Safety - Special Events:
Festival Vendor and Cooking Booth Locations |
|
22KB |
Diagram showing spacing for emergency access. |
UN-043
(10/18/00) |
Fire Safety - Special Events:
Standards for Outdoor Carnivals and Fairs |
|
15KB |
Standards for tents and canopies used as outdoor carnival and fair booths. |
UN-044
(10/18/00) |
Fire Safety - Special Events:
Standards for Tents, Canopies, and Temporary Membranes |
|
26KB |
These standards shall apply to any temporary membrane structure, tent, or canopy accordance with the California Code of Regulations (CCR) Title 19. |
UN-058
(5/1/08) |
Fire Safety - Spray Painting:
Standards for Portable Spray Painting Operations Using Flammable or Combustible Materials |
|
23KB |
Requirements for portable spray painting operations using flammable or combustible materials. |
UN-014
(5/27/08) |
Gases - Silane:
Silane Gas Installation Supplement |
187KB |
50KB |
This form must accompany silane gas system installation/upgrade plan submittals. |
UN-015
(2/11/08) |
Gases - Toxic:
Toxic Gas Ordinance: Common Toxic Gases as Defined by the Toxic Gas Ordinance and California Fire Code (Note: Applicable in Santa Clara County Only) |
|
42KB |
List of toxic gases commonly found in Silicon Valley. (Note: Not a complete list of all toxic gases.) |
UN-027
(7/13/03) |
Gases - Toxic:
Toxic Gas Ordinance Consensus Guidelines (Note: Applicable in Santa Clara County Only) |
|
220KB |
List of guidelines developed to improve consistent interpretation and implementation of the Model Toxic Gas Ordinance. |
UN-037
(5/17/00) |
Gases - Toxic:
Toxic Gas Ordinance: Laboratory and Research Facilities Standard for Limited-Use Compliance (Note: Applicable in Santa Clara County Only) |
|
10KB |
Describes conditions where labs may use small quantities of toxic gases for short periods of time. |
UN-038
(5/17/00) |
Gases - Toxic:
Toxic Gas Ordinance: Limited Use Laboratory and Research Facility Notification Form (Note: Applicable in Santa Clara County Only) |
|
14KB |
Notification form used by facility to advise local agency of upcoming short-term use of small quantities of toxic gases. |
UN-020
(8/12/08) |
HazMat Disclosure:
Hazardous Materials Business Plan (HMBP) (Matrix Inventory Format) |
691KB |
280KB |
A HMBP must be submitted if your facility handles, at any time, any individual hazardous material in an aggregate amount equal to or greater than 55 gallons (liquids), 500 pounds (solids), or 200 cubic feet (gases). (The Matrix Inventory Format is the format preferred by Unidocs Member Agencies.)
Do it online for free at: Hazardous Materials Online Inventory Project.
The Unidocs version contains all required elements of the HMBP, including inventory information; long-form Hazardous Materials Management Plan (HMMP); and hazardous waste Contingency Plan. Inventory continuation pages are available for Waste and Non-Waste Hazardous Materials.
|
UN-020UPCF
(8/12/08) |
HazMat Disclosure:
Hazardous Materials Business Plan (HMBP) (One Chemical Per Page Inventory Format) |
337KB |
230KB |
This document contains all required elements of the HMBP, including inventory information; long-form Hazardous Materials Management Plan (HMMP); and hazardous waste Contingency Plan. You have the option of using either this One Chemical Per Page Inventory Format or the Matrix Inventory Format preferred by Unidocs Member Agencies. A one chemical per page inventory continuation page is available.
Do it online for free at: Hazardous Materials Online Inventory Project.
|
UN-039
(10/9/07) |
HazMat Disclosure:
Hazardous Materials Business Plan (HMBP) Certification Form |
48KB |
10KB |
This form may be used by non-EPCRA facilities to make required annual hazardous materials inventory and triennial HMBP certifications. (See the HMBP Information Page for details.)
Do it online for free at: Hazardous Materials Online Inventory Project.
|
UN-020B
(7/2/02) |
HazMat Disclosure:
Hazardous Materials Business Plan (HMBP) Hazardous Waste Inventory Statement Continuation Page (Matrix Inventory Format HazWaste Inventory) |
414KB |
|
This page should be used when using the MS Word Matrix Inventory Format of the HMBP where additional space is needed to continue hazardous waste inventory reporting. (Note: This form is not required if you choose instead to use the one-chemical-per-page UPCF Hazardous Materials Inventory - Chemical Description form.)
Do it online for free at: Hazardous Materials Online Inventory Project. |
UN-020A
(7/2/02)
|
HazMat Disclosure:
Hazardous Materials Business Plan (HMBP) Non-Waste HazMat Inventory Statement Continuation Page (Matrix Inventory Format Non-Waste HazMat Inventory) |
407KB |
|
This page should be used when using the MS Word Matrix Inventory Format of the HMBP where additional space is needed to continue non-waste inventory reporting. (Note: This form is not required if you choose instead to use the one-chemical-per-page UPCF Hazardous Materials Inventory - Chemical Description form.)
Do it online for free at: Hazardous Materials Online Inventory Project. |
UN-053
(1/29/02) |
HazMat Disclosure:
Hazardous Materials Business Plan (HMBP) Notification Letter |
30KB |
|
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-020M
(7/24/06) |
HazMat Disclosure:
Hazardous Materials Business Plan (HMBP) Site Plan / Storage Map (Image Files) |
|
|
Bitmap and JPG files of the Unidocs HMBP's map page in case you want to prepare your map(s) using desktop publishing software. |
UN-012
(7/24/06) |
HazMat Disclosure:
Hazardous Materials Registration Form |
199KB |
133KB |
Submit this Short-Form Hazardous Materials Management Plan (minimal storage site) if your facility handles hazardous materials in quantities below Hazardous Materials Business Plan reporting thresholds. (See the HMBP instructions for details.)
Do it online for free at: Hazardous Materials Online Inventory Project. |
UN-012A
(7/24/06) |
HazMat Disclosure:
Hazardous Materials Registration Form: Hazardous Materials Inventory - Non-Waste Continuation Page |
164KB |
11KB |
Use this supplemental page if you run out of space in Section C of the Registration Form. |
UN-012B
(7/24/06) |
HazMat Disclosure:
Hazardous Materials Registration Form: Hazardous Materials Inventory - Waste Continuation Page |
218KB |
14KB |
Use this supplemental page if you run out of space in Section D of the Registration Form. |
UN-013
(8/11/03) |
HazMat Disclosure:
Matrix for Determining Form Submittals Needed for Hazardous Materials Disclosure Compliance |
|
15KB |
Use this form to determine what forms must be submitted for hazardous materials and hazardous waste storage, use, and handling. |
hwf2731
(1/17/08) |
HazMat Disclosure:
UPCF Hazardous Materials Inventory - Chemical Description Page |
209KB |
37KB |
This page may be used when additional space is needed to continue One Chemical Per Page HMBP waste or non-waste hazardous material inventory reporting.
Do it online for free at: Hazardous Materials Online Inventory Project. |
UN-051
(10/22/02) |
HazMat Storage:
Emergency Procedures |
46KB |
11KB |
Form HazMat storage facilities and Small Quantity Generators of hazardous waste can complete to satisfy requirements for posting of emergency information. |
UN-083
(1996) |
HazMat Storage:
Hazardous Materials Storage Secondary Containment Guidelines |
|
124KB |
General guidelines for providing secondary containment for aboveground storage of hazardous materials. |
UN-017
(3/27/08) |
HazWaste Management:
Hazardous Waste Contingency Plan |
326KB |
51KB |
Complete this document if you are required by State hazardous waste regulations to have a Contingency Plan. (Note: If you have already completed the Unidocs Hazardous Materials Business Plan, you have already satisfied this requirement and do not have to complete this stand-alone version.) |
UN-056
(10/9/07) |
HazWaste Management:
Hazardous Waste Point of Generation Accumulation Requirements |
|
24KB |
HazWaste compliance requirements for facilities that operate solely under point-of-generation (i.e. satellite) accumulation. |
UN-047
(1/7/08) |
HazWaste Management: Hazardous Waste Tank System Requirements for Large Quantity Generators and Onsite Treatment Facilities |
|
98KB |
Compliance requirements for Large Quantity Generator (LQG) facilities and facilities that engage in onsite treatment of hazardous waste under California "Tiered Permit" requirements for the Conditional Exemption (CE), Conditional Authorization (CA), and/or Permit by Rule (PBR) onsite treatment tiers. |
UN-073
(1/7/08) |
HazWaste Management:
Hazardous Waste Tank System Written Assessment Temporary Exemption Application |
91KB
|
34KB
|
Application form for submittal to a CUPA that is a Unidocs member agency to request temporary exemption (up to 36 months, at CUPA's discretion) from requirement to have a written HazWaste tank system assessment prepared. See Hazardous Waste Tank System Requirements for Large Quantity Generators and Onsite Treatment Facilities for details. |
UN-071
(1/7/08) |
HazWaste Management: Laboratory Hazardous Waste Treatment Guidelines |
|
34KB
|
Specific waste management guidelines for laboratory facilities that treat lab hazardous waste on-site. |
UN-072
(3/12/09) |
HazWaste Management:
Management of Wastes Generated at Motor Vehicle Fuel Dispensing Facilities |
|
29KB |
Specific waste management guidelines for gas stations and fleet fueling facilities. |
UN-091S
(3/12/09) |
HazWaste Management:
Requisitos Para Los Negocios Pequeños De La Reparación Automotriz |
|
146KB |
Documento para ayudar a los propietarios o titulares de pequeñas instalaciones de reparación de automóviles de California con las necesidades de manejo de residuos peligrosos. |
UN-091
(3/12/09) |
HazWaste Management:
Small Automotive Repair Facility Requirements |
|
149KB |
Document to assist owners or operators of small automotive repair facilities with California hazardous waste management requirements. |
hwfrecyc
(2/16/00) |
HazWaste - Onsite Recycling Disclosure:
UPCF Hazardous Waste - Recyclable Materials Report
|
126KB |
31KB |
Submit this form if you recycle more than 100 kilograms per month of recyclable material under a claim that the material qualifies for an exclusion or exemption pursuant to H&SC Section 25143.2. |
hwf1772f
(2/16/00) |
HazWaste - Onsite Treatment Disclosure:
UPCF Hazardous Waste - Onsite Hazardous Waste Treatment Notification - Facilty Page |
91KB |
23KB |
Submit this form, UPCF Onsite Hazardous Waste Treatment Notification - Unit page(s), and the appropriate UPCF Waste and Treatment Process Combination page(s) (see below) if your facility performs onsite treatment of hazardous waste generated onsite and the facility is eligble under the CEL, CESW, CESQT, CA, or PBR tiers. |
hwf1772u
(2/16/00) |
HazWaste - Onsite Treatment Disclosure:
UPCF Onsite Hazardous Waste Treatment Notification - Unit Page
|
87KB |
20KB |
Submit a separate copy of this form for each Tiered Permit treatment unit operating at your facility. |
hwfca
(5/8/00) |
HazWaste - Onsite Treatment Disclosure:
UPCF Onsite Tiered Permitting - Conditionally Authorized (CA) Waste and Treatment Process Combinations Page |
87KB |
19KB |
Submit a separate copy of this form for each CA Tiered Permit unit. |
hwfcel
(5/8/00)
|
HazWaste - Onsite Treatment Disclosure:
UPCF Onsite Tiered Permitting - Conditionally Exempt - Limited (CEL) Waste and Treatment Process Combinations Page |
51KB |
15KB |
Submit a separate copy of this form for each CEL Tiered Permit unit. |
hwfcesqt
(5/8/00) |
HazWaste - Onsite Treatment Disclosure:
UPCF Onsite Tiered Permitting - Conditionally Exempt Small Quantity Treatment (CESQT) Waste and Treatment Process Combinations Page |
72KB |
20KB |
Submit a separate copy of this form for each CESQT Tiered Permit unit. |
hwfcesw
(5/8/00) |
HazWaste - Onsite Treatment Disclosure:
UPCF Onsite Tiered Permitting - Conditionally Exempt Specified Wastestreams (CESW) Waste and Treatment Process Combinations Page |
64KB |
17KB |
Submit a separate copy of this form for each CESW Tiered Permit unit. |
hwfpbr
(8/2008) |
HazWaste - Onsite Treatment Disclosure:
UPCF Onsite Tiered Permitting - Permit By Rule (PBR) Waste and Treatment Process Combinations Page |
102KB |
20KB |
Submit a separate copy of this form for each PBR Tiered Permit unit. |
hwf1232
(5/18/00) |
HazWaste - Onsite Treatment - Financial Assurance:
UPCF Hazardous Waste - Certification of Financial Assurance for Permit by Rule and Conditionally Authorized Onsite Treaters Form
|
|
11KB |
This form must be submitted by the owner or operator of a Fixed Treatment Unit under Permit by Rule (PBR) or a generator operating pursuant to a grant of Conditional Authorization (CA). |
hwf1196
(5/8/00) |
HazWaste - Remote Consolidation Disclosure:
UPCF Hazardous Waste - Remote Waste Consolidation Site Annual Notification Form
|
81KB |
9KB |
Submit this form annually if your facility consolidates hazardous waste that is collected from remote, unmanned sites you operate. |
UN-052
(1/29/02) |
Marking & Labeling:
Hazardous Waste Labels: Types and Vendors |
|
116KB
| General instructions for hazardous waste container labeling and partial list of suppliers.
|
UN-016
(2/11/08) |
Marking & Labeling:
Marking Requirements and Guidelines for Hazardous Materials and Hazardous Wastes |
|
41KB |
Marking and labeling requirements and guidelines for containers and tanks. |
UN-026
(4/8/97) |
Miscellaneous:
Issue and Resolution Submittal Form |
|
21KB |
Use this form to submit issues for consideration by Unidocs Member Agencies (e.g. requests for regulatory interpretations, new documents, etc.). |
UN-025
(10/30/00) |
Miscellaneous:
Uniform Documents: Questions & Answers |
|
19KB |
PDF version of document describing how to use Unidocs' Uniform Documents. |
UN-021
(7/24/06) |
Monitoring:
Aboveground Separation, Containment, and Monitoring Plan (Appendix to Hazardous Materials Business Plan and Hazardous Materials Registration Form) |
119KB |
11KB |
Submit this form, or an equivalent written monitoring plan for aboveground storage of hazardous materials and wastes, along with your HMBP or Registration Form. |
UN-023
(5/16/00) |
Monitoring:
Hazardous Material/Waste Aboveground Storage Area Inspection Form
| |
68KB |
Sample form which can be used by facility to document required self-inspections. |
UN-055
(7/2/02) |
Monitoring:
Hazardous Materials Monitoring System Inspection Form |
49KB |
66KB |
This form may be used to document periodic inspections of electronic monitoring systems for aboveground HazMat storage systems (e.g., aboveground fuel tanks). |
UN-080
(1999) |
Self-Audits - Fire Safety:
Typical Fire Safety Inspection Violations |
70KB |
208KB |
List
of commonly observed fire safety-related violations. Useful for pre-inspection preparation, training facility and inspection staff, and establishing baseline inspection standards. |
UN-082
(1999) |
Self-Audits - Gas Storage:
Typical Toxic Gas System Inspection Violations |
60KB |
230KB |
List of commonly observed toxic gas related violations. Useful for pre-inspection preparation, training facility and inspection staff, and establishing baseline inspection standards. |
UN-081
(1999) |
Self-Audits - HazMat Storage:
Typical Hazardous Materials Inspection Violations: |
78KB |
266KB |
List of commonly observed hazardous materials-related violations (other than toxic gases). Useful for pre-inspection preparation, training facility and inspection staff, and establishing baseline inspection standards. |
UN-085
(4/25/00) |
Self-Audits - HazWaste Management:
Hazardous Waste Generator Audit Checklist for Remote Consolidation Sites |
|
15KB |
Checklist to help with self-inspections. Use this form if your facility consolidates hazardous waste that is collected from remote, unmanned sites you operate. |
UN-086
(7/10/00) |
Self-Audits - HazWaste Onsite Treatment:
Hazardous Waste Tiered Permit Audit Checklist - Conditional Authorization (CA) |
|
23KB |
Checklist to help with self-inspections. Use this form if your facility treats hazardous waste on-site under the CA tier. |
UN-087
(4/25/00) |
Self-Audits - HazWaste Onsite Treatment:
Hazardous Waste Tiered Permit Audit Checklist - Conditional Exemption-Limited (CEL) |
|
12KB |
Checklist to help with self-inspections. Use this form if your facility treats hazardous waste on-site under the CEL tier. |
UN-088
(4/25/00) |
Self-Audits - HazWaste Onsite Treatment:
Hazardous Waste Tiered Permit Audit Checklist - Conditional Exemption Small Quantity Treatment (CESQT) and Conditional Exemption Specified Wastestreams (CESW) |
|
13KB |
Checklist to help with self-inspections. Use this form if your facility treats hazardous waste on-site under the CESQT or CESW tiers. |
UN-089
(7/10/00) |
Self-Audits - HazWaste Onsite Treatment:
Hazardous Waste Tiered Permit Audit Checklist - Permit by Rule (PBR) |
|
23KB |
Checklist to help with self-inspections. Use this form if your facility treats hazardous waste on-site under the PBR tier. |
UN-074
(3/12/09) |
Training - Documentation:
Training Record Form |
842KB |
135KB |
Form which may be used to document training of employees and managers. |
UN-075
(4/17/08) |
Motor Vehicle Fuel Dispensing:
Unattended Self-Service Motor Vehicle Fuel Dispensing Requirements |
|
18KB |
Requirements for self-service motor vehicle fuel dispensing facilities where a qualified attendant is not on duty at all times during business hours. |
hwfactiv
(1/17/08) |
UPCF - All-Required:
UPCF Facility Information: Business Activities
|
122KB
|
33KB |
Unless a current copy is already on file with your local Unified Program Agency (UPA), this form must be submitted with all other Unified Program Consolidated Form (UPCF) submittals other than the UPCF Waste - Certification of Financial Assurance for Permit by Rule and Conditionally Authorized Onsite Treaters.
|
hwf2730
(1/17/08) |
UPCF - All-Required:
UPCF Facility Information: Business Owner/Operator Identification
|
196KB |
31KB |
Unless stated otherwise, this form must be submitted with all Unified Program Consolidated Form (UPCF) submittals other than the UPCF Waste - Certification of Financial Assurance for Permit by Rule and Conditionally Authorized Onsite Treaters. |
UN-001
(12/20/99) |
UST - Amendments to State Regulations:
Guidelines for Adoption of California Underground Storage Tank Regulations |
|
9KB |
Unidocs Member Agency amendments to State UST Regulations. |
UN-095
(6/18/09) |
UST - Biodiesel Storage
Biodiesel Blends in Underground Storage Tanks |
|
24KB |
Guidelines for obtaining a variance from your local agency as required by State UST Regulations prior to storing Biodiesel in a UST. |
UN-061
(7/13/05) |
UST - Designated UST Operator:
Underground Storage Tank System Designated Operator Facility Employee Training Record |
158KB |
28KB
|
This form can be used by Designated UST Operators to document training of UST facility personnel as required by California UST regulations training and record keeping requirements that took effect as of 7/1/2005.
|
UN-057
(9/26/05) |
UST - Designated UST Operator:
Underground Storage Tank System Designated UST Operator Monthly Inspection Report |
251KB |
26KB |
This form can be used by Designated UST Operators to document required monthly inspections of UST systems. It is a modified version of the State Water Resources Control Board (SWRCB) sample form. The MS Word version is a template which can be saved and filled out on your computer. |
UN-062
(9/22/05) |
UST - Designated UST Operator:
Underground Storage Tank System Owner Statements of Designated UST Operator and Understanding of and Compliance With UST Requirements |
127KB |
20KB
|
This form can be used by a UST facility owner/operator to demonstrate compliance with California regulatory requirements regarding the naming of Designated UST Operators and statements of compliance It is a modified version of the State Water Resources Control Board sample form. The MS Word version is a template which can be saved and filled out on your computer. |
UN-049
(10/16/06)
|
UST - Financial Responsibility:
Certification of Financial Responsibility for Underground Storage Tanks Containing Petroleum |
83KB |
17KB |
State Water Resources Control Board (SWRCB) form that satisfies the requirement that Owners/Operators of USTs containing petroleum products submit a certification of financial responsibility to their local agency. |
UN-079
(4/5/00) |
UST - Financial Responsibility:
Letter from Chief Financial Officer |
39KB |
17KB |
Letter template for CFO Letter to demonstrate UST financial responsibility. (PDF version includes an example of the completed letter.) |
N/A
(7/95)
|
UST - Financial Responsibility:
Petroleum Underground Storage Tank Financial Responsibility Guide |
|
2MB |
Comprehensive SWRCB guidance document to assist owners/operators of facilities in complying with UST financial responsibility requirements. |
UST-C
(1/17/08) |
UST - Installation / Modification:
UPCF Underground Storage Tank Certification of Installation / Modification |
110KB |
37KB |
This form must be submitted along with the UPCF Facility Information: Business Activities, UPCF Facility Information: Business Owner/Operator Identification, UPCF UST Operating Permit Application - Facility Information, and UPCF UST Operating Permit Application - Tank Information forms upon completion of installation or upgrading of tanks and/or piping associated with a UST system. |
UN-008
(8/13/01) |
UST - Installation / Modification:
Underground Storage Tank System Installation Guidelines |
|
16KB |
Guidance document to assist contractors in obtaining permits to install underground tanks and piping systems. |
UN-009
(9/29/08) |
UST - Installation / Modification:
Underground Storage Tank System Installation/Upgrade Supplement |
232KB |
59KB |
This form must accompany UST system installation/upgrade plan submittals. |
UN-028
(10/31/06) |
UST - Leak / Spill Reporting:
Underground Storage Tank Unauthorized Release (Leak)/Contamination Site Report |
165KB |
40KB |
This is a template version of the standardized Form for reporting UST releases or site contamination. |
UN-011
(9/10/96) |
UST - Lining:
Underground Storage Tank Lining Requirements |
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64KB |
Requirements for lining existing underground storage tanks. |
UN-094
(3/12/09) |
UST - Monitoring:
Emergency Generator Tank System Monitoring System Daily Inspection Log
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21KB |
Per 23 CCR §2636(f)(6), the leak detection monitoring system for any underground emergency generator tank system (EGTS) with pressurized piping exempted from the requirement to be equipped with a line leak detector must be checked daily by either remote electronic access or onsite visual inspections. This form can be used to document these inspections. |
UST-D
(1/17/08) |
UST - Monitoring:
UPCF Underground Storage Tank Monitoring Plan |
267KB |
142KB |
This form must be used to satisfy state required submittal of an approved UST Monitoring Plan. |
N/A
(11/96) |
UST - Monitoring:
Understanding Automatic Tank Gauging Systems
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1.9MB |
Guidance document prepared by the SWRCB to describe operation of ATG equipment.
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N/A
(6/00) |
UST - Monitoring:
Understanding Line Leak Detection Systems |
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747KB |
Guidance document prepared by the SWRCB to describe operation of mechanical and electronic line leak detectors (LLD). |
UN-019
(9/9/96) |
UST - Operation:
Underground Storage Tank System General Compliance Guidelines |
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18KB |
Guidelines for complying with basic UST system operating requirements. Use this form to avoid violations. |
UST-A
(1/17/08) |
UST - Permit Application:
UPCF Underground Storage Tank Operating Permit Application - Facility Information
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173KB |
39KB |
Submit this form along with the UPCF Facility Information: Business Activities, UPCF Facility Information: Business Owner/Operator Identification, and UPCF UST Operating Permit Application - Tank Information forms for all new UST permits, permit changes, or any other facility information changes. |
UST-B
(1/17/08) |
UST - Permit Application:
UPCF Underground Storage Tank Operating Permit Application - Tank Information |
168KB |
49KB |
Submit a separate form for each tank along with the UPCF Facility Information: Business Activities, UPCF Facility Information: Business Owner/Operator Identification, and UPCF UST Operating Permit Application - Facility Information forms for all new permits, permit changes, or any other facility information changes. |
UN-022B
(4/2/08) |
UST - Response Plan :
Underground Storage Tank Response Plan |
164KB |
44KB |
This form may be used to satisfy State-required submittal of an approved UST Response Plan. |
UN-050
(6/3/02) |
UST - Testing:
Guidelines for Testing of Underground Storage Tank Secondary Containment Systems |
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121KB |
Guidance document describing requirements for required periodic testing of UST secondary containment systems. |
UN-036
(1/17/08) |
UST - Testing:
Monitoring System Certification |
267KB |
50KB |
This form must be used to document required post-installation and annual testing and certification of UST monitoring equipment. |
UN-036A
(1/26/06) |
UST - Testing:
Monitoring System Certification Form: Addendum for Vacuum/ Pressure Interstitial Sensors |
145KB |
50KB |
This form may be used as a supplement to the UST Monitoring System Certification form to document required post-installation and annual testing and certification of UST vacuum and/or pressure interstitial sensors. |
UN-054
(2/26/02) |
UST - Testing:
Secondary Containment Testing Report Form |
107KB |
30KB |
This is a template version of the form required by California UST regulations to document testing of UST secondary containment systems/ |
