Forms Index

Publications Index

Keyword Document Title Date
 
Brownfields Tax Incentives U.S. Taxpayer Relief Act - Brownfields Tax Incentive Submittal Form for a Qualified Contaminated Site 4/02

Collection Facilities CUPA Form 1220 10/07

DOF Std. 204 State of CA Dept of Finance Std. Form 204 - Payee Data Record 6/03

DTSC 1004 Oil Shipment Certification 6/08

DTSC 1151 Tiered Permitting Phase I Environmental Assessment Checklist 6/99

DTSC 1154 1154 - Instructions for Completing Closure/Postclosure Trust or Standby Trust Agreement 2/13

DTSC 1154CL 1154CL - Instructions for Completing Closure/Postclosure and Liability Trust Agreement or Standby Trust Agreement 2/13

DTSC 1154L 1154L - Instructions for Completing Liability Trust Agreement 2/13

DTSC 1154O 1154O - Instructions for Completing Liability Standby Trust Agreement 2/13

DTSC 1154S 1154S - Instructions for Completing Operations and Maintenance Trust/Standby Trust Agreement 2/13

DTSC 1154U 1154U - Instructions for Completing Closure Trust or Standby Trust Agreement (Permit by Rule or Conditional Authorization - Closure) 2/13

DTSC 1155 1155 - Financial Guarantee Bond - Closure 12/10

DTSC 1155S 1155S - Instructions for Operation and Maintenance Financial Guarantee Bond 2/13

DTSC 1155U 1155U - Instructions for Financial Guarantee Bond Closure - Permit-by-Rule or Conditionally Authorized 2/13

DTSC 1157 1157 - Instructions for Irrevocable Standby Letter of Credit (Closure and/or Postclosure) 10/10

DTSC 1157CL 1157CL - Instructions for Irrevocable Standby Letter of Credit (Closure/Postclosure and Liability) 2/13

DTSC 1157L 1157L - Instructions for Irrevocable Standby Letter of Credit (Sudden and Nonsudden Liability) 10/10

DTSC 1157S 1157S - Instructions for Irrevocable Standby Letter of Credit (Operations and Maintenance) 10/10

DTSC 1157U 1157U - Instructions for Irrevocable Standby Letter of Credit (Permit by Rule or Conditional Authorization - Closure) 10/10

DTSC 1158 1158 - Instructions for Certificate of Insurance (Closure and/or Postclosure) 2/13

DTSC 1158S 1158S - Instructions for Certificate of Insurance (Operations and Maintenance) 2/13

DTSC 1158U 1158U - Instructions for Certificate of Insurance (Permit by Rule or Conditional Authorization - Closure) 2/13

DTSC 1159 1159 - Instructions for Financial Test for Closure and Postclosure 2/13

DTSC 1159S 1159S - Instructions for Financial Test for Operations and Maintenance 2/13

DTSC 1159U 1159U - Instructions for Financial Test - Closure (Permit by Rule or Conditional Authorization) 2/13

DTSC 1171 DTSC Form 1171 10/07

DTSC 1294 Transportation Regulatory Exemption Application/Variance, DTSC Form 1294 4/12

DTSC 1306 Affidavit in Support of Designation as a Qualified Contaminated Site 10/04

DTSC 1313 Storage Extension Application for Generators 5/03

DTSC 1358 California Hazardous Waste Permanent ID Number Application 10/12

DTSC 1359 HELP Hospital Partnership Sign Up Form 5/03

DTSC 1360 HELP POTW Partnership Sign Up 5/03

DTSC 1365 Hazardous Waste Materials Program Disclosure Statement 8/08

DTSC 1375 HELP Hospital System Sign Up Form 12/03

DTSC 1388 Notice of Intent to Handle and Treat or Recycle: DTSC Form 1388 8/09

DTSC 1428 Certified Appliance Recycler Application 7/14

DTSC 1430 Form 1430: Certified Appliance Recycling 12/05

DTSC 1443 Complaint Form for Denial of Services 7/06

DTSC 1447 Model Application for Corrective Action Delegation Form 1447 1/08

DTSC 1447 UPA Model Application For Corrective Action Delegation Form 1447A-M-Fillable 1/08

DTSC 1447 - Instructions Model Application for Corrective Action Delegation Form 1447 - Instructions 1/08

DTSC 1459 Certified Appliance Recycler Orphan Waste Form 12/07

DTSC 1492 Credit Card Payment Authorization 1/13

DTSC 1493 E-waste Annual Report for businesses with many collection sites  

DTSC 8464 DTSC Form 8464 10/07

DTSC Form 1471 DTSC Form 1471  

DTSC Form 1478 Notification for Exporting Electronic Waste 6/10

Form 1093B Instructions 1093B 8/06

Form 1094B Instructions and Form 1094B for Permit by Rule Notification for Permanent Household Hazardous Waste Collection Facilities 11/08

Groundwater Groundwater Remediation Loan Program - Loan Application (printable PDF form)  

Metal Finishing Metal Finishing Model Shop Program General Business Information Form 6/05

Model P2 Shop Program P2 Opportunities Checklist for Vehicle Maintenance Activities 4/04

Model P2 Shop Program DTSC Model Shop Pollution Prevention Checklist 4/04

Oversight Request for Agency Oversight of a Brownfield Site 5/13

Perchlorate One-Time Notification for Perchlorate Materials- DTSC Form 1444 1/07

Prospective Purchaser Application Prospective Purchaser Application 5/01

Redevelopment Agency Prototype Environmental Oversight Agreement 3/04

Reporting Releases Reporting Nonemergency Hazardous Waste Releases 1/08

Schools Environmental Oversight Program Application 9/05

Supplemental Insurance Supplemental Insurance Coverage Form 1309 11/07

Transporter - insurance Certificate of Insurance for Public Liability Coverage - Form 8038 11/07

Transporter Notification Consolidated Transporter Notification Form 1299 11/07

Transporter Registration Application Hazardous Waste Transporter Registration Application - Form 187 11/07