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ACEH Home >> Forms

The following documents are provided in Portable Document Format (PDF) and require the free Adobe Reader.

CUPA Program

Hazardous Materials Business Plan

  • CERS Lead User Authorization Form - PDF 473KB
  • HMBP Training Record - PDF 119KB
  • Property Owner Notification Template - PDF 1329KB

Hazardous Waste

  • EPA ID # Application - PDF 331KB
  • EPA Identification Number Factsheet - PDF 360KB
  • Generator Requirements Summary Chart - PDF 93KB
  • DTSC Factsheet Generator - PDF 61KB
  • DTSC Factsheet Accumulation - PDF 110KB
  • DTSC Factsheet Universal Waste - PDF 116KB
  • Hazardous Waste Generator Requirements - PDF 57KB
  • Hazardous Waste Generator Survey - PDF 15KB / 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 Food Facility Permit or Catered Event Permit Application - PDF 1Mb
  • 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

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