Certified Unified Program Agency (CUPA) Forms
Below are Certified Unified Program Agency (CUPA) forms and permits you may need for your business.
How to Apply
New! Apply Online with MyEHS
You can now apply for CUPA permits, pay invoices, and manage
your permits online using MyEHS.
Payments cannot be made to or accepted by inspectors. Payments must be made in person at the Environmental Health Services office, by mail, by phone at (650) 372-6200, or online through the MyEHS Portal.
If you’re unable to apply online with MyEHS, you can download and
complete your application at smchealth.org/myehs (see Resources & PDF
Applications). Under this section you will find:
- New Facility Permit Registration Form
- Permit Application to Construct/Replace/Modify Underground
Storage Tank System
- Underground Storage Tank System Closure Permit
Application
– Hazardous Materials Business Plan Program Exemption Application
for Temporary Emergency Generator Deployment. Please
note: a CUPA Permit is not required if the
temporary emergency generator deployment is less than 30
days.
Hazardous Materials Business Plan Program
- Hazardous Materials Business Plan Employee Training Plan
- Hazardous Materials Business Plan Site Map
- Employee Training Documentation Form
- HMBP Property Owner Notification Letter
- HMBP Property Owner Notification Letter
Hazardous Waste Generator Program
- Hazardous Waste Generator Closure Notification and Procedures
- Non-RCRA and/or RCRA-Exempt Hazardous Waste Storage 90-day Extension Notification
- Emergency Procedures Form
- Hazardous Materials/Waste Aboveground Storage Area Inspection Form
- Hazardous Waste Tank Daily Inspection Form
- Used Oil Disposal Certification Form
- Hazardous Waste Tank Closure Certification
- Hazardous Waste Generator Training Records
- Hazardous Waste Tank System Written Assessment Temporary Exemption Application
- Hazardous Waste Contingency Plan
- Universal Waste Aerosol Can Processing Notification
- Apply for a Hazardous Waste EPA ID Number
Underground Storage Tank Program
- Underground Storage Tank Application Requirements
- Underground Storage Tank Plan Check
- Facility Page - State’s Operating Permit Application – UPCF UST-A (For Tank REMOVAL applications only)
- Tank Page – State’s Operating Permit Application – UPCF UST-B (For Tank REMOVAL applications only)
- Certification of Financial Responsibility
- Recommended Minimum Verification Analyses
- Underground Storage Tank Repairs Permit Requirements
- Underground Storage Tank Information Application - August 2016
- Underground Storage Tank Facility Application - August 2016
- San Mateo County Environmental Health Characterization and Reuse of Petroleum Hydrocarbon Impacted Soil Policy
- Overfill Inspection Information
- UST Owner Operator Agreement