Forms and Guidelines

UST Monitoring PlanAll documents on this page are provided as Adobe Acrobat PDF files.  To get the latest version of Adobe Acrobat Reader please click on the link below.  For documents in alternate formats please contact the Riverside Main Office at 951-358-5172.

QUICK LINKS

Food Facilities

Food & Pool Plan Check

Haz Mat Emergency Response/Inventory(Business Plan) Forms

Aboveground Petroleum Storage Act (APSA)

Hazardous Waste Generator Forms

Underground Storage Tanks

Underground Storage Tank Clean-Up

Land Use - Biosolids

Septic and Sewer Systems

Water Systems - Backflow & Wells

Body Art

Medical Waste

Liquid Waste Hauler

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FOOD FACILITY GUIDES

FIXED FACILITIES
California Retail Food Code	-This document is the section Of California Health and Safety Code that relates to the operation of a Retail Food Facility.  This document is commonly referred to as CAL Code.
Food Facility Operators Guide	-A guide on the How's and Why's of the County's Food Inspection Program.
Food Facility Self Inspection Check List	-A guide line documents that shows allows the operator to do a self evaluation of their food facility.
Food Handler Exam Study Booklet	-A guide book that can be used to study for the foodworker card test
Food Handler Exam Study Booklet - Spanish	-A guide book that can be used to study for the foodworker card test.  (In Spanish)
Food Handler Exam Study Booklet - Korean	-A guide book that can be used to study for the foodworker card test.  (In Korean)
Food Handler Exam Study Booklet - Simplified Chinese	-A guide book that can be used to study for the foodworker card test.  (In Simplified Chinese)
Food Handler Exam Study Booklet - Traditional Chinese	-A guide book that can be used to study for the foodworker card test.  (In Traditional Chinese)
Food Handler Exam Study Booklet - Vietnamese	-A guide book that can be used to study for the foodworker card test.  (In Vietnamese)

 

MOBILE FOOD FACILITIES
California Retail Food Code	-This document is the section Of California Health and Safety Code that relates to the operation of a Retail Food Facility.  This document is commonly referred to as CAL Code.
Mobile Food Facility Guidelines	-A general reference for anyone who wants to or is operating a Mobile Food Facility within Riverside County.  Includes forms and Plan Check and commissary information.
Pre-Packaged Mobile Food Facility Guidelines	-A general refernce for anyone who want to or is operating a pre-packaged Mobile Food Facility within Riverside County.  Includes Plan Check and Permitting Information.
Written Operational Procedures - Mobile Food Facility	-A REQUIRED FORM that outlines Mobile Food Facility Operational issues and must be filled out and approved with new licensing and on a yearly basis.
Written Operational Procedures - Mobile Support Unit	-A REQUIRED FORM that outlines Mobile Support Unit Operational issues and must be filled out and approved with new licensing and on a yearly basis.
Mobile Food Facility Commissary Letter	-A REQUIRED FORM that is kept on file to show that the mobile Food Facility has an agreement to service the facility.  This is required with new licensing and on a yearly basis.
Pre-Packaged Commissary List Non-Prepackaged Commissary List	-Listings of both Pre-packaged and Non-prepackaged Mobile Food Facility Commissaries.  THESE LISTs DOES NOT CONSTITUTE AN ENDORSEMENT BY THE COUNTY AND CONSISTS OF COMPANIES THAT HAVE ASKED TO BE LISTED.

 

TEMPORARY FOOD FACILITIES
Temporary Events Operator Guide	-A guide on how a temporary food facility operator should operate at a community or occasional event.
Temporary Event Fees	-A listing of the fees that are required to secure a permit to operate a temporary food facility.

 

FOOD FACILITY PLAN CHECK

Food Facility Plan Check Guide	-A general reference for submitting plans for the construction or remodel of a fixed food facility.  Includes examples and samples forms.
Plan Check Application	-A REQUIRED FORM that must be submitted with any plans that are to be evaluated by the Department.
Will Serve Letter	-A REQUIRED FORM that must be submitted prior to the approved plans being released.
Accepted Floor Materials	-A listing of currently approved food facility flooring materials.
Accepted Walls & Ceiling Materials	-A listing of currently approved food facility wall and ceiling materials.
Sneeze Guard Supplemental Form	-Guidelines for sneeze guards as they pertain to food facility plan check.
100 % Pre-Packaged Facility Guidelines	-Guidelines for facilities that will handle ONLY pre-packaged foods.
Material Supplier List	-A listing of companies that supply approved materials for food facilities.  THIS LIST DOES NOT CONSTITUTE AN ENDORSEMENT BY THE COUNTY AND CONSISTS OF COMPANIES THAT HAVE ASKED TO BE LISTED.

 

POOL & SPA PLAN CHECK

-Designed for use when submitting specific to pool & spa anti-entrapment retrofitting PRIORto commencing work.
THIS DOES NOT NEGATE THE SUBMISSION OF DETAILED PLANS IF REQUIRED

Pool Plan Check Guide	-A general reference for submitting plans for the construction of a public or semi-public pool or spa.
Plan Check Application	-A REQUIRED FORM that must be submitted with pool or spa plans.
Pool Specification Sheet	-A REQUIRED FORM that must be submitted with pool plans.
Pool Enclosure Requirements	-A general guideline for pool/spa enclosures as taken from California Health and Safety Code.
Spa Specification Sheet	-A REQUIRED FORM that must be submitted with spa plans.
Pool Code	-A reference document with exerpts from California Health and Safety Code, The California Code of Regulations, California Building Code and California Electrical Code
AB 1020 Bulletin	-Explains in detail what is required to comply with the new pool ans spa anti-entrapment requirements
Pool/Spa Renovation Worksheet	-Designed for use when submitting specific to pool and spa anti-entrapment retrofitting PRIOR to commencing work. THIS DOES NOT NEGATE THE SUBMISSION OF DETAILED PLANS IF REQUIRED.
California Dept of Public Health "Guide to Compliance"	-Flowchart condensing the information provided in the AB 1020 Bulletin

HAZARDOUS MATERIALS

HAZARDOUS MATERIALS EMERGENCY RESPONSE PLANS AND INVENTORY (BUSINESS PLAN) FORMS
Hazardous Materials Business Emergency Plan	-A REQUIRED FORM with instructions to assist businesses in creating their Hazardous Materials Business Emergency Plan.
Annual Business Emergency Plan Inventory Review and Update	-A REQUIRED FORM that must be completed and submitted in order to comply with the update requirements.  The Hazardous Materials Business Emergency Plan must be updated every 3 years and the Chemical Inventory portion of the Plan must be updated ANNUALLY.
Hazardous Materials Business Emergency Plan FAQs	-Frequently asked questions regarding the Hazardous Materials Business Emergency Plan.
Annual Training Documentation Template                              (English) Documentacion Anual Para Empleados                              (Spanish)	-This sample template can be used to document the required annual emergency procedures employee training for businesses that store and handle hazardous materials on site.
Business Emergency Plan Consultant list	-A list of private consultants who can assist with preparing a BEP plan
Hazardous Classification Level and Fee Schedule	-A guideline to help businesses determine their Handler category. Based on the category and amount of materials, Hazardous Materials Handlers are classified as one of the following:  Agricultural Handler, Special Handler, Level I Handler, Level II Handler or a Level III Handler.
Release Report Guidelines	-A guideline to provide businesses, subject to hazardous materials releases, with a better understanding of the hazardous materials release reporting notification requirements.
NFPA Posting Guidelines	-A business that is required to complete a Business Emergency Plan must post the appropriate NFPA 704 signs. This form is a guideline to assist businesses in the NFPA posting requirements.
NFPA 704 Ratings and ID Numbers	-A list of NFPA ratings for the most common hazardous materials to help businesses determine what to display on their NFPA sign.
List of NFPA Sign Vendors	-A list of vendors who can provide NFPA signs.
List of Compressed Gas Handlers	-A list of companies who can assist with handling compressed gases.
Guidelines for Secondary Containment of Hazardous Materials	-A guide to assist businesses in compliance for the Health and Safety Code Ch. 6.95 requirement to maintain all hazardous materials to minimize the possibility of release.
CalARP Registration Form	-A REQUIRED FORM for all facilities that store large quantities of regulated substances (i.e. extremely hazardous substances, chlorine gas, anhydrous ammonia, etc.) For more information about the California Accidential Release Prevention Program (Cal-ARP), contact the Department.

 
Aboveground Petroleum Storage Act (APSA)/Spill Prevention,
 Control, and Countermeasure (SPCC) Plan Forms

 

Facility Statement Form	-A REQUIRED FORM for facilities that store petroleum products in above ground tanks in capacities at or above 1,320 gallons.
Tier I SPCC Template     How to prepare your Tier I SPCC Template	-An optional form for facilities that store at least 1,320 gallons but less than 10,000 gallons total and do not have a single tank that exceeds 5,000 gallons capacity. -A step by step training course to assist businesses on how to prepare a Tier I SPCC Template.
Tier II SPCC Template	-An optional form for facilities that store at least 1,320 gallons but less than 10,000 gallons total and have a tank that exceeds 5,000 gallons capacity.
APSA Brochure	-A guidance document that explains the basic principles of the APSA program.
CAL EPA APSA Fact Sheet	-A guidance document from the California EPA that gives background on the APSA program.
CAL EPA SPCC Fact Sheet	-A guidance document from the California EPA that gives background on the SPCC program.
CAL EPA Scope of CUPA Implementation	-A guidance document from the California EPA that explains additional APSA requirements.
APSA FAQS	-A guidance document that answers common questions about APSA.
List of AST Testers	-A list of companies who test AST's
List of APSA-SPCC Consulting Firms	-A list of private consultants who can assist with preparing a SPCC plan

HAZARDOUS WASTE

HAZARDOUS WASTE GENERATOR FORMS
Hazardous Waste Generator Permit Application	-A REQUIRED FORM for all facilities that generate, store, accumulate, consolidate, treat or dispose of hazardous waste.
Permanent EPA ID # Application	-A REQUIRED FORM for businesses that routinely generate hazardous waste. IMPORTANT NOTE: This application must be submitted to the State! EPA ID numbers are issued by the Department of Toxic Substances Control .
Temporary EPA ID # Application	Temporary EPA ID numbers are issued to a person or business that does not routinely generate hazardous waste.
Recyclable Materials Report	-A REQUIRED FORM if you recycle onsite more than 100 kg/mo of recyclable material as defined in Section 25143.2 of the California Health and Safety Code.
Remote Waste Consolidation Site Annual Notification	-A REQUIRED FORM if you are a generator and you collect hazardous waste that is non-RCRA (not federally-regulated) initially at remote sites and subsequently transport the hazardous wastes to consolidation sites which you also operate.  For further information, see Section 25121.3 of the California Health and Safety Code .
Universal Waste Guidelines	-A guideline to assist businesses in proper handling of universal waste.
List of Universal Waste Haulers	-A list of companies who can haul universal waste.
List of CRT Recyclers	-A list of companies who can assist with recycling CRT's such as computer monitors and televisions.
New Manifest Fact Sheet	-A factsheet to inform generators about the upcoming changes in the California hazardous waste manifest requirements.
Release Report Guidelines	-A guideline to provide businesses, subject to hazardous materials releases, with a better understanding of the hazardous materials release reporting notification requirements.
Registered Hazardous Waste Transporter List	-A listing of companies registered to Transport hazardous waste.
List of Waste Oil and Antifreeze Haulers	-A list of companies who can haul waste oil and antifreeze.
List of Container Recyclers	-A list of companies who can assist with recycling hazardous waste or hazardous material containers.
List of Photo Chemical and X-Ray Waste Haulers	-A list of companies who can assist with hauling photo chemical waste and x-ray waste containing silver.
List of Refrigerant Recyclers	-A list of companies who can assist with recycling refrigerants.
List of Water-based Solvent Suppliers	-A list of vendors who sell water-based degreasing solvents.
Guidelines for Managing Hazardous Non-Saleable Merchandise	-A guideline to assist businesses in proper handling of hazardous non-saleable merchandise products commonly found at retail/wholesale establishments.
For Generators that are treating their hazardous waste, there are additional forms and requirements that fall under the Tiered-Permitting Program.  These are the required forms for all the different types of Tiered Permitting Facilities. Contact the Department for questions if you are treating a hazardous waste or for questions regarding Tiered Permitting.
Hazardous Waste Treatment Notification - Facility Page
Hazardous Waste Treatment Notification - Unit Page
Certification of Financial Assurance
Phase I Environmental Checklist
Conditionally Authorized
Conditionally Exempt – Limited
Conditionally Exempt – Small Quantity Treatment
Conditionally Exempt – Specified Wastestreams
Permit by Rule

UNDERGROUND STORAGE TANKS

 

Underground Storage Tank Form A	-A REQUIRED STATE FORM for all UST sites that designates the owner/operator of the UST site along with information required by the State Water Resources Control Board (SWRCB).
Underground Storage Tank Form B	-A REQUIRED STATE FORM for each UST system that provides individual UST system design information.
Underground Storage Tank Form C	-A REQUIRED STATE FORM for each UST system to certify that proper UST installation has been performed by a responsible party.
Underground Storage Tank Monitoring Plan	- THIS IS A REQUIRED STATE FORM  that desribes monitoring methods for the UST systems.
Underground Storage Tank Response Plan	-This is a guideline to assist owners/operators with written procedures for responding to an unplanned release from the UST system.
Underground Storage Tank Ownership Transfer Form	-A REQUIRED FORM to be completed and submitted when the owner of the UST site changes.
Underground Storage Tank Plan Check Application	-A REQUIRED FORM to be completed and submitted, along with fees and four sets of approved plans, before a UST may be installed, upgraded, modified or repaired.
Underground Storage Tank General Plan Review	-A guideline to assist owners/operators in the procedures to be followed when submitting UST plans for installation, upgrade, modification or repair.
List of UST Installers	-A list of companies who install UST's.
Monitoring System Certification	-A REQUIRED STATE FORM, to be completed by a certified technician and submitted to the Department by the owner/operator, to document the annual continuous monitoring device certification for all USTs.
Monitoring System Certification Site Map	-A REQUIRED STATE FORM that is a component of the above-listed Monitoring System Certification form.
Secondary Containment Testing Report Form	-A REQUIRED STATE FORM, to be completed by a certified technician and submitted to the Department by the owner/operator, to document the required testing of secondary containment on UST systems.
Annual Spill Bucket Testing Form	-A REQUIRED FORM, to be completed by a certified technician and submitted to this Department by the owner/operator, to document the annual spill bucket testing requirement.
Vacuum Pressure Interstitial Sensor Testing Form	-A REQUIRED FORM, to be completed by a certified technician and submitted to this Department by the owner/operator within 30 days of test date, to document the annual testing of the vacuum/pressure interstitial sensors.
List of Secondary Containment Testers	-A list of compaines who can provide UST secondary containment (SB989) testing.
Guidelines for Spill Container Testing	-A guideline to assist owners/operators/ contractors in conducting spill container testing for UST sites in Riverside County.
Tank/Line Integrity Test Report	-A REQUIRED FORM that is a cover sheet to be completed by a certified technician and attached with the documentation for tank and/or pipeline integrity test results.
List of UST Testers	-A list of companies who test UST's.
Designated Operator Form	-A REQUIRED FORM to be completed and submitted by all UST owners as the Owner Statements of Designated Underground Storage Tank (UST) Operator and Understanding of and Compliance with UST Requirements.”
Designated Operator Monthly Visual Inspection Checklist	-A sample form to assist UST owners/operators in creating a monthly inspection checklist required to be completed each month by the Designated Operator for the site.
Certification of Financial Responsibility	-A REQUIRED STATE FORM with samples and instructions for UST owners to demonstrate financial responsibility in case there is a release at the UST site.  This form must be accompanied supporting documentation depending on the type of mechanism used, contact the Department for questions.
Chief Financial Officer Letter Form	-A REQUIRED STATE FORM for UST owners/operators that are utilizing the State fund as a mechanism for certification of financial responsibility.
Unauthorized Release Reporting Form	-A REQUIRED STATE FORM to be completed by the owner/operator whenever an unauthorized release occurs at a UST site.  For assistance refer to the instructions included with the Form or contact the Department.
Underground Storage Tank Closure Application and Permit	-A REQUIRED FORM to be completed and submitted, along with a work plan and fees, by UST owners/operators whenever a UST is to be closed (i.e. removed, abandoned in place or placed in temporary closure).
Guidelines to Underground Storage Tank Closure by Removal	-A guideline to assist UST owners/ operators/contractors in compliance with the requirements removal of a UST.
Guidelines to Underground Storage Tank Temporary Closure	-A guideline to assist UST owners/ operators/contractors in compliance with the requirements temporary closure of a UST.
Guidelines to Underground Storage Tank Closure in Place	-A guideline to assist UST owners/ operators/contractors in compliance with the requirements for closure in place of a UST.
List of UST Removers	-A list of companies who remove UST's.
Laboratory Analyses for Samples Collected at UST Sites	-A guideline to assist UST owners/ operators/contractors in the analyses required for samples at UST sites.
List of California Certified Labs	-A list of certified labs who can assist with sample analysis.
Sample Receipt Form	-A REQUIRED FORM that must accompany all samples, collected under the Department supervision, to the laboratory. Also, this form must be included with the laboratory test results that are submitted to the Department.
Hazardous Waste Tank Closure Certification Form	-A REQUIRED STATE FORM to be completed by the appropriate professional contracted by the tank owner to clean the tank prior to disposal.  This form must be used for closure of both underground and aboveground storage tanks.
Consulting Firms Listing	-A listing of the known available consultants, servicing Riverside County, providing a wide variety of services in the hazardous materials field.  To be added to this list, please contact the Department.
UST Plan Check Fees	-A guideline to assist UST owners/ operators/contractors in determining their UST plan check fees.
Corrective Action Guidelines	-A guideline to assist responsible parties and environmental consultants in the investigation and cleanup of contaminated sites.
Sample Owner/Operator Agreement	-A sample form which may be utilized for sites where the owner of the underground storage tank is different than the operator of the underground storage tank.
UST Ownership Transfer	-A REQUIRED FORM which must by completed and submitted whenever there is a change of ownership at an underground storage tank site.
Release Report Guidelines	-A guideline to provide businesses, subject to hazardous materials releases, with a better understanding of the hazardous materials release reporting notification requirements.
UNDERGROUND STORAGE TANK CLEAN-UP
Unauthorized Release Report	-A REQUIRED STATE FORM for reporting a leak, spill, or other release from a UST system.
List of Landowners Form	-A REQUIRED FORM to notify the Department of all record owner of fee title (landowners) for a site.
Notice of Proposed Action Form	-A REQUIRED FORM to notify landowners of planned corrective actions or the Department’s intent to issue a no further action/closure letter for the cleanup site.
Corrective Action Guidelines	-A guideline to assist responsible parties and environmental consultants in the investigation and cleanup of contaminated sites.
Release Report Guidelines	-A guideline to provide businesses, subject to hazardous materials releases, with a better understanding of the hazardous materials release reporting notification requirements.

HAZARDOUS MATERIALS REQUEST FOR PUBLIC INFORMATION

Request for Records	-A guideline to assist the public in requesting records from the Hazardous Materials Management Division.
Lists Available for Purchase	-A listing of the current hazardous materials information lists that are available for purchase through the Hazardous Materials Management Division.

 

LAND USE
 

CLASS A BIOSOLIDS
Generator-Processor Registration Form	-A REQUIRED FORM used to register companies that intend to use generated Class A biosolids for agricultural purposes
Biosolid Tier Placement Application	-A REQUIRED FORM used to register all biosolids for agricultural use into tiers by the Product Review Panel
Biosolid Transporter Application	-A REQUIRED FORM used to register all companies that intentd to transport Class A biosolids
Tier 1 Biosolid Site Use Registration	-A REQUIRED FORM used to register sites that will be accepting Tier 1 biosolids.  Registration must be filed prior to accepting any biosolids.
Tier 2-3-4 Biosolid Site Use Registration	-A REQUIRED FORM used to register sites that will be accepting Tier 2, 3 or 4 biosolids.  Registration must be filed prior to accepting any biosolids.
SEPTIC AND SEWER SYSTEMS
Onsite Wastewater Treatment System Installation Guide	-A guide that covers the elements required for plan submittal and installation of various types of Onsite Watewater Treatment Systems.
Request for Records	-An application to assist the public in requesting records from the Land Use and Water Resources Program.
Septic System Install/Repair Application	-A REQUIRED FORM used to apply for a permit to repair or install a septic system
Certification of Exisitng Septic System	-A REQUIRED FORM used by certification company to verify an existing septic system and its location.  This is only intended as an example.  The official form must be obtained from the office and filled out.
C-42 State Licensed Plumbers List	-A courtesy list of C-42 State Licensed Plumbers. THIS LIST DOES NOT IMPLY AN ENDORSMENT OF ANY ENTITY BY THE COUNTY.
Soils Percolation Engineers List	-A courtesy list of Soils Percolation Engineers. THIS LIST DOES NOT IMPLY AN ENDORSMENT OF ANY ENTITY BY THE COUNTY.
EPA - A Homeowner's Guide to Septic Systems	-A homeowner's guide to onsite waste water treatment system (septic system) maintenance.

WATER SYSTEMS

BACKFLOW PREVENTION
Backflow Device Tester Application	-This application is required for any individual or company that wants to provide backflow testing within the County of Riverside
Certified Backflow Tester List	-A listing of all the entities that have been certified to provide backflow testing within the County of Riverside.  THIS LIST DOES NOT IMPLY AN ENDORSEMENT OF ANY ENTITY BY THE COUNTY.
WATER WELLS
Well Driller Registration Application	-This application is required for any individual or company that wants to provide well drilling within the County of Riverside.
Well Driller Registry	-A listing of all the entities that have been certified to provide well drilling within the County of Riverside.  THIS LIST DOES NOT IMPLY AN ENDORSEMENT OF ANY ENTITY BY THE COUNTY.
Well Permit Application	-A required form to construct or destruct a well. Download and submit to the Department with the original signatures and appropriate fees.

 

 LIQUID WASTE

Liquid Waste Hauler Permit Application

-A required form that must be filed along with the appropriate fee payment with this Department in order to operate as a Liquid Waste Hauler in Riverside County

BODY ART 

Body Art Facility Application	-A REQUIRED FORM that must be filled out by each Body Art facility involved in one or more Body Art Porcedures.
Body Art Practitioner Application	-A REQUIRED FORM that must be filled out by each individual involved in one or more Body Art Porcedures.

MEDICAL WASTE 
 

Small Quantity Generator Application	-This application is required for any individual or company that generates less than 200 pounds of medical  waste per month and does not treat that waste onsite.
Large Quantity Generator/Small Quantity Generator with Onsite Treatment	-This application is required for any individual or company that generates 200 pounds or more of medical waste in a month.  This application covers Large Quantity Generators with offsite treatment, Large Quntity Generators with onsite treatment and Small Quantity Generators with onsite treatment.
Limited Quantity Hauling Exemption Application	-This application is for any individual or company that generates less than 20 pounds of medical waste a week and transports less than 20 punds of medical waste at one time.
Medical Waste Management Plan Checklist	-This document is provided by the California Department of Public Health as a guide in creating a Medical Waste Management Plan.