Chino, CA · San Bernardino County
Hazardous Waste Substances Statement
Applicants submit this statement to the Chino Planning Division with project information and a certification about hazardous waste site listings.
What this form is
This statement records project and applicant details and asks the applicant to indicate whether the project or its alternatives appear on specified hazardous waste site lists. The signer certifies that the information is true and understands that missing required information may affect whether the application is accepted as complete for filing or processing. The document also includes lists of sites and a date for those lists.
Who needs it
Applicants submitting a development project application in Chino use this statement to provide project information and certify its accuracy.
How to submit it
The form identifies the Community Development Department, Planning Division, at 13220 Central Avenue, P.O. Box 667, Chino, CA 91708-0667. It also lists the phone number and city website.
About notarization
This document is signed and dated without a notary; it does not identify a notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Statement
Download the Hazardous Waste Substances Statement PDF.
- 2
Complete The Form
Provide applicant and project information and indicate whether the project or its alternatives are on the listed sites.
- 3
Review And Sign
Certify the information, then sign and date the statement.
- 4
Submit To The Planning Division
Submit it to the Community Development Department, Planning Division, at the address shown on the form.
Frequently asked questions
- What is the Hazardous Waste Substances Statement?
- It records applicant and project details and asks whether the project or its alternatives are on specified hazardous waste site lists.
- Who completes this statement?
- Applicants submitting a development project application in Chino complete the form, provide project information, and certify that the information is true and correct to the best of their knowledge.
- Do I need a notary for the Hazardous Waste Substances Statement?
- No. This document is signed and dated without a notary, and it does not identify a notarized or sworn attachment or related step.
- How do I submit the Hazardous Waste Substances Statement?
- The form identifies the Community Development Department, Planning Division, at 13220 Central Avenue, P.O. Box 667, Chino, CA 91708-0667.
Need something notarized?
This Hazardous Waste Substances Statement doesn’t need a notary — but if you have another Chino form that does, a commissioned online notary can help.