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Master List of Documents Page Updated on 8/26/2014

The table of documents on this page is sorted alphabetically by Subject / Document Title. To sort table by Document Number, click on "Number" at the top of the left column.

QUICK LINKS (by Subject Area) Documentos en Español


Number
(Rev. Date)
Format
Description
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)
This document has been retired. Current requirements for UST sites located in Santa Clara County can be found on the Santa Clara County Department of Environmental Health's website by clicking here.
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 using the California Environmental Reporting System (CERS).

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
Portable Spray Painting Guidelines pdf
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
(8/26/09)
Fire Safety - Day Care:
Standards for Large Family Day Care Homes

49KB
Guidelines for Large Day Care Facilities
UN-096 (10/6/09)
Fire Safety - Fire Department Vehicle Access:
Standards for Fire Department Vehicle Access

29KB
Requirements for providing acccess for Fire Department emergency response vehicles.
UN-098
(3/28/12)
Fire Safety - Fire Protection Systems:
Fire Protection System Impairment Directive
Document format icon
14KB
Requirements building owners/occupants when fire alarm systems or fire sprinkler systems are impaired.
UN-048
(9/4/12)

Fire Safety - Gas Heaters:
Standards for Storage and Use of Portable Liquefied Petroleum Gas Outdoor Heaters

Document format icon
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
Document format icon
64KB
Document format icon
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
Document format icon
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
Portable Spray Painting Guidelines pdf
48KB
Required submittal from owners/managers of multiple-dwelling complexes.
UN-042
(10/18/00)
Fire Safety - Special Events:
Diagram - Festival Cooking Booths
Document format icon
11KB
Cooking booth diagram showing spacing for emergency access. Supplement to Unidocs Standards for Outdoor Carnivals and Fairs.
UN-041
(10/18/00)
Fire Safety - Special Events:
Diagram - Festival Vendor and Cooking Booth Locations
Document format icon
22KB
Festival vendor and cooking booth diagram showing spacing for emergency access. Supplement to Unidocs Standards for Outdoor Carnivals and Fairs.
UN-043
(12/14/11)
Fire Safety - Special Events:
Standards for Outdoor Carnivals and Fairs
Document format icon
22KB
Standards for outdoor carnivals and fairs.
UN-046
(10/31/12)
Fire Safety - Special Events:
Standards for Temporary Haunted Houses, Ghost Walks, and Similar Events
Document format icon
25KB
These standards apply to temporary haunted houses, ghost walks, and similar amusement uses where decorative materials and confusing sounds are present.
UN-044
(9/4/12)
Fire Safety - Special Events:
Standards for Tents and Other Temporary Membrane Structures
Document format icon
44KB
These standards apply to any temporary membrane structure, tent, or canopy accordance with 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
Portable Spray Painting Guidelines pdf
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-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)
BMP
2.34MB
JPG
898KB
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.)

NOTE: Do it online for free using the California Environmental Reporting System (CERS).

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.
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-051 SCC
(10/22/02)
HazMat Storage:
Emergency Procedures

11KB
This version contains agency contact information for businesses located within Santa Clara County.
UN-051S
(8/18/09)
HazMat Storage:
Procedimientos de Emergencia

46KB

11KB
Formulario de instalaciones de almacenamiento de materiales peligrosos y generadores de pequeñas cantidades de residuos peligrosos pueden completar el formulario para satisfacer los requisitos de publicación de los procedimientos de emergencia.
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
(12/14/10)
HazWaste Management:
Hazardous Waste Contingency Plan

311KB

49KB
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-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.
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-028
(3/21/11)
Leak / Spill Reporting:
Unauthorized Release (Leak)/Contamination Site Report

 

 

PDF Document
178KB
This is an interactive PDF form intended for use within Santa Clara County for the reporting of releases or site contamination from any source.
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
Document format icon
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
Document format icon
Document format icon
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
(12/31/09)
Monitoring:
Hazardous Materials/Waste Aboveground Storage Area Inspection Form

17KB

Form which can be used by facility to document required self-inspections.

UN-023S
(10/7/09)
Monitoring:
Forma de Inspección para Materiales Peligrosos/Desechos Área de Tanques con Almacenamiento

18KB
 
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-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.
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-074S
(10/7/09)
Training - Documentation:
Archivo de Entrenamiento

488KB

46KB
 
UN-001
(12/20/99)
UST - Amendments to State Regulations:
Guidelines for Adoption of California Underground Storage Tank Regulations
  PDF Document
9KB
Unidocs Member Agency amendments to State UST Regulations.
UN-095
(6/18/09)
UST - Biodiesel Storage
Biodiesel Blends in Underground Storage Tanks
  PDF Document
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
DO Inspection Checklist
158KB

DO Submittal Form

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

Word Document

127KB

PDF Document

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
(11/15/10)
UST - Financial Responsibility:
Letter from Chief Financial Officer

66KB

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.
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-011
(9/10/96)
UST - Lining:
Underground Storage Tank Lining Requirements

64KB
Requirements for lining existing underground storage tanks.
UN-094
(3/12/09)
UST - Monitoring:
Emergency Generator Tank System Monitoring System Daily Inspection Log

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.
UN-101
(8/7/14)

UST - Monitoring:
Emergency Generator Tank System Unburied Piping Exemption Inspection Log

 
Adobe PDF Document Icon
19KB
Per HSC §25281.5(b)(3), the operator of an emergency generator UST system must conduct visual inspections of unburied portions of fuel piping runs each time the fuel supply pump operates, but no less than monthly, in order to exempt the piping from being regulated piping per California UST Regulations. This form can be used to document those inspections.
UN-102
(8/7/14)
UST - Monitoring:
Underground Storage Tank System Leak Alarm Log
 
Adobe PDF Document Icon
65KB
All UST leak alarms must be documented. This form can be used to document those alarms and corrective actions taken.
  UST - Monitoring:
UPCF Underground Storage Tank Monitoring Plan
 

See Electronic Reporting
N/A
(11/96)
UST - Monitoring:
Understanding Automatic Tank Gauging Systems

1.9MB
Guidance document prepared by the SWRCB to describe operation of ATG equipment.
N/A
(6/00)
UST - Monitoring:
Understanding Line Leak Detection Systems

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

18KB

Guidelines for complying with basic UST system operating requirements. Use this form to avoid violations.

UN-022B
(12/14/10)
UST - Response Plan:
Underground Storage Tank Response Plan
Word Document
165KB
PDF Document
42KB
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

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/