Forms and Guidelines

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QUICK LINKS

Food Facilities

Food & Pool Plan Check

CUPA Forms

Hazardous Waste Generator Forms

Business Emergency Plan Forms

Underground Storage Tanks

Underground Storage Tank Clean-Up

Land Use - Biosolids

Septic and Sewer Systems

Water Systems - Backflow & Wells

Tattoo, Piercing & Permanent Cosmetics


 

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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 Worker Exam Study Booklet

-A guide book that can be used to study for the foodworker card test

Food Worker Exam Study Booklet - Spanish

-A guide book that can be used to study for the foodworker card test.  (In Spanish)

Food Worker Exam Study Booklet - Korean

-A guide book that can be used to study for the foodworker card test.  (In Korean)

Food Worker Exam Study Booklet - Simplified Chinese

-A guide book that can be used to study for the foodworker card test.  (In Simplified Chinese)

Food Worker Exam Study Booklet - Traditional Chinese

-A guide book that can be used to study for the foodworker card test.  (In Traditional Chinese)

Food Worker 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 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

-A listing of Pre-packaged Mobile Food Facility Commissaries.  THIS LIST 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.  **This is an interactive form that may be filled out and printed on your computer**.

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.  **This is an interactive form that may be filled out and printed on your computer**.

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.


HAZARDOUS MATERIALS

CUPA UNIFIED PROGRAM FORMS

Business Activities Form

-A REQUIRED FORM that must be completed and submitted by ALL facilities that are regulated under the CUPA program including Hazardous Waste Generators, Hazardous Materials Handlers/Business Emergency Plan, Underground Storage Tanks, Aboveground Storage Tanks and Cal-ARP facilities.

Business Owner/Operator Identification Form

-A REQUIRED FORM that must be completed and submitted by ALL facilities that are regulated under the CUPA program including Hazardous Waste Generators, Hazardous Materials Handlers/Business Emergency Plan, Underground Storage Tanks, Aboveground Storage Tanks and Cal-ARP facilities.

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 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.

EPA Identification Number Application

-A REQUIRED FORM for all facilities that 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 .

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.

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.

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 HMMD 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

Conditionally Authorized

 

Conditionally Exempt – Limited

 

Conditionally Exempt – Small Quantity Treatment

 

Conditionally Exempt – Specified Wastestreams

 

Permit by Rule

BUSINESS EMERGENCY PLAN/HAZARDOUS MATERIALS HANDLER FORMS

Hazardous Materials Business Emergency Plan Application

-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 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.

Guidelines for Handlers of Bulk Liquefied Carbon Dioxide Gas

-A guide to assist businesses in understanding the requirements for facilities that store bulk quantities of liquefied carbon dioxide gas.

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 HMMD.


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 Form D

- THIS IS A GUIDELINE  to assist owners/operators with written monitoring procedures for the UST system(s).

Options for UST Forms A - D

-Use this information in completing UST forms A through D.

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.

Monitoring System Certification

-A REQUIRED STATE FORM, to be completed by a certified technician and submitted to HMMD 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 HMMD by the owner/operator, to document the required testing of secondary containment on UST systems.

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.

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 HMMD 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 HMMD.

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.

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.

Sample Receipt Form

-A REQUIRED FORM that must accompany all samples, collected under HMMD supervision, to the laboratory. Also, this form must be included with the laboratory test results that are submitted to HMMD.

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 HMMD.

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 booklet that covers the elements required for plan submittal and installation of various types of Onsite Watewater Treatment Systems.

Property Will Serve Verification

-A REQUIRED FORM used to show that water and sewer service will be provide to a proposed property

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.
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 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 Registry

-A listing of all the entities that 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

-Download as 8.5 x 14 document only and submit to the Department with the original signatures and appropriate fees.

TATTOO, PIERCING AND PERMANENT COSMETICS

Tattoo, Piercing and Permanent Cosmetic Standards

-A document describing the operational procedures required of a business involved in one or more of these processes.

Tattoo, Piercing and Permanent Cosmetic Registration Application

-A REQUIRED FORM that must be filled out by each individual involved in one or more of the processes to apply for registration with the County of Riverside.  Also includes a cover letter explaing the process.