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CUPA Forms

CUPA Review Request

Please note the following before requesting a public records review from the Alameda County Department of Environmental Health (ACDEH) Certified Unified Program Agency (CUPA).

  1. A physical site address is needed to administer a search. For example, 1234 Main Street, Oakland, CA 94603.
  2. Check if the physical site address is within our jurisdiction by clicking http://www.acgov.org/aceh/documents/CUPA-jurisdictions.pdf (PDF - 228kb)* Many cities within Alameda County are not part of ACDEH CUPA's jurisdiction. Please contact that city's CUPA to review their records.
  3. Public records are available for review at our office located at 1131 Harbor Bay Parkway, Alameda, CA 94502 by appointment only on Thursdays and Fridays from 9:00 am until 12:00 noon.

To request a public records review, please click here: CUPA File Review Request. Enter the physical site address in the Subject and specify the records being requested (for example, closure report) in the Comments.

If you have any other questions please call 510-567-6809.




Online Services
CUPA File Review Request
Tank Removal Request Form
Forms
*Requires the free Adobe Reader.
**Requires the free Microsoft Word reader.

CERS E Reporting Authorization Form
General Instructions
Aboveground Petroleum Storage Tank Facility Statement*
Generator Survey Form*
Change of Ownership / Operator UST*
Designated UST Operator Form*
UST Modification Plan*
UST Monitoring Plan Form*
More forms...

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