Forms & Guidelines
The Santa Clara Fire Department Hazardous Materials Division accepts the Santa Clara County Uniform Documents for most submittals. These documents are maintained on the Internet.
The forms on this website are in Portable Document Format (PDF) or Microsoft Word (doc) format. Portable Document Format (PDF) files require an Adobe Acrobat Reader which may be downloaded for free.
The Santa Clara Fire Department also maintains other documents that are available for downloading or on-line submission.
The Santa Clara Fire Department forms and guidelines listed below that are highlighted are available online. Please click the highlighted link below to go to the online form or guidance document you desire.
The Business Plan includes an inventory statement, a site map showing the location of hazardous materials, an emergency response and contingency plan, an employee training plan, and general information about the facility. The Business Plan must be kept on site in a readily accessible area. The company must also review the business plan at least once every two years. Copies of the inventory statement, site map, and facility information must be submitted to the Santa Clara Fire Department annually. These are due within two weeks of the annual Fire Department inspection.
The available forms may be filled out on-line, printed out and mailed to 1675 Lincoln Steet, Santa Clara, CA 95050. You may also e-mail the completed forms. Please note that the requirement for original signatures on some of the forms (Business Owner/Operator Identification and, for companies subject to the Emergency Planning and Community Right to Know Act, the Hazardous Materials Inventory forms) will necessitate that you print out copies of these forms, sign them and mail them to the above address.
Request for Incident and/or Inspection Reports
(PDF) - this form is used to request copies of incident reports or inspection reports. While this form is not interactive it may, however, be filled out online, then printed and mailed, faxed or delivered to the Hazardous Materials Division office.
Hazardous Waste Generator Permit Application
(PDF) - this form is required of businesses that generate hazardous waste, but do not store or use hazardous materials or waste above the Hazardous Materials Business Plan reporting threshold (see above). This form is available at our office at 1675 Lincoln Street in Santa Clara. It must be signed and mailed or delivered to the Hazardous Materials Division.
- Onsite Hazardous Waste Treatment Notification Form (DTSC 1772) - this form is required of hazardous waste generators that treat hazardous waste under Conditional Exemption, Conditional Authorization or Permit By Rule. It is available at our office at 1675 Lincoln Street in Santa Clara, or it is available online from the California Environmental Protection Agency (Hwf1772f and Hwf1772u). It must be signed and mailed or delivered to the Hazardous Materials Division when complete.
- Inspection Report for Generators - this document is the inspection checklist that Division personnel use when conducting inspections of hazardous waste generators and tiered permitting facilities. Businesses may find it useful for pre-inspection audits. This form is available at our office at 1675 Lincoln Street in Santa Clara.
- Closure Plan for Hazardous Materials Facilities (PDF) - this form is for facilities that used hazardous materials and are either closing or eliminating the use of hazardous materials in certain areas. A closure plan is required to assure that the hazardous materials were removed or disposed of in a way that minimizes the threat to public health and safety. This form is available online, or it may be picked up at our office at 1675 Lincoln Street in Santa Clara. The Santa Clara Fire Department also accepts the Santa Clara County Uniform Document version of this form. The forms on this website are also in Portable Document Format (PDF) or Microsoft Word (doc) format. Portable Document Format (PDF) files require an Adobe Acrobat Reader which may be downloaded for free.
- Underground Tank Installation Guidelines - These guidelines are for facilities that wish to install underground tanks containing hazardous materials. These guidelines are also available at our office at 1675 Lincoln Street in Santa Clara.
- Underground Storage Tank Removal Policy - this document describes the permitting process and removal procedures for removing underground storage tanks that contained hazardous materials. This document is available at our office at 1675 Lincoln Street in Santa Clara.
- Chemical Labeling Guidelines (PDF) - The guidelines are to assist businesses in labeling chemical baths, tanks, containers, and storage areas in a manner that satisfies the requirements of the Santa Clara Municipal Fire Code, Section 8001.7. These guidelines are also available at our office at 1675 Lincoln Street in Santa Clara.
- Customer Service Survey (PDF) - this form allows our customers the opportunity to provide feedback on the quality of our customer service. The form my be filled out online, printed and mailed to us at 1675 Lincoln Street, Santa Clara, CA 95050.