Skip County Header
Alameda County, CA, acgov.org
Banner for Alameda County Environmental Health shows picture of department building.County of Alameda Department of Environmental Services
ACEH Home >> Forms

The following documents are provided in Portable Document Format (PDF) and require the free Adobe Reader. Where indicated, forms are also available in Microsoft Word (WORD). If you do not have WORD installed, you can download a free reader.

CUPA Program

General

  • CERS E Reporting Authorization Form - PDF 473KB
  • Satisfaction Survey - PDF 89KB
  • Emergency Procedures Poster - PDF 20KB
  • Compressed Gas Cylinder Safety Poster - PDF 21KB
  • Employee Training Record - PDF 119KB / Word 27KB
  • Release Reporting - PDF 284KB

Hazardous Waste

  • EPA ID # Application - PDF 331KB
  • EPA Identification Number Factsheet - PDF 360KB
  • Generator Requirements Summary Chart - PDF 93KB
  • DTDC Factsheet Generator - PDF 61KB
  • DTDC Factsheet Accumulation - PDF 110KB
  • DTDC Factsheet Universal Waste - PDF 116KB
  • Hazardous Waste Generator Requirements - PDF 57KB
  • Hazardous Waste Generator Survey - PDF15KB / Word 32KB
  • Hazardous Waste Sign Poster - PDF 21KB
  • Weekly Hazardous Waste Storage Area Inspection Form - PDF 18KB / Word 53KB

Underground Storage Tanks

  • Change of Ownership-Operator Form - PDF 27KB / Word 39KB
  • DO Owner Statement - PDF 76KB / Word 36KB
  • Certification of Financial Responsibility - PDF 265KB
  • CFO Letter - PDF 73KB
  • Daily Tank Monitoring System Log - PDF 17KB
  • Dollars & Sense Financial Responsibility - PDF 401KB
  • Financial Responsibility for UST's - PDF 2.9MB
  • Leak Detection Methods - PDF 453KB
  • DO Training Curriculum - PDF 12KB / Excel 22KB
Medical Waste
  • Medical Waste Large Quantity Generator Registration Application Form - PDF 44KB
  • Liquid Waste Haulers Registration Form - PDF 106KB
  • Small Quantity Generator Registration Permit Application Form - PDF 87KB
  • Medical Waste Program Temporary Offsite Event Notification Form - PDF 129KB

Food Safety
Certification Class Schedule:
Catering & Mobile Food Facilities (Trucks, Trailers and Carts) Forms and Documents:
  • Mobile Food Facilities and Caterer Registration Application - PDF  (PDF - 890kb)*
  • Part D Commissary Agreement for inside and outside Alameda County - PDF  (PDF - 631kb)*
  • Part E Route Sheet - PDF  (PDF - 335kb)*
  • Checklist of Required Documents for Mobile Food Facility Permitting and Caterer Registration - PDF  (PDF - 457kb)*
  • Regulations Specific to Mobile Food Facility Permitting - Note: Document undergoing revisions
  • Ware Washing (3-Compartment Sink) Requirements for Mobile Food Facilities - PDF  (PDF - 262kb)*

Temporary Events:
  • Temporary Events Food Booth Operator Application - PDF 611Kb
  • Food Safety Quiz for Temporary Food Facility Operators - PDF 156Kb
  • Temporary Events Sponsor Application - PDF 458Kb
  • Temporary Event Booth Pre-/Self-Inspection Form - PDF 95Kb

Special Projects

Alameda County sealAlameda County © 2016 • All Rights Reserved • Legal / DisclaimersAccessibility