Ceres, CA · Stanislaus County

No notary required

Hazardous Materials Information Sheet and Questionnaire

This questionnaire gathers business, project, and hazardous-materials information from building permit applicants in Ceres.

What this form is

Complete this questionnaire with a building permit application to provide information about the project, business, hazardous materials, waste, and potential air contaminants. It asks for contractor and business contacts, site and project details, material amounts, and answers about facility conditions. A business employee completes the hazardous-materials section, and the form includes a signature and date.

Who needs it

Building permit applicants with a business or project covered by the questionnaire should complete it and include it with their application.

How to submit it

Complete the sheet with the building permit application. The document directs questions to the Department of Environmental Resources but does not provide a submission address or method.

About notarization

This document is signed without a notary; it includes a declaration under penalty of perjury, but no notarized attachment or related notarized step is specified.

How to submit this form

  1. 1

    Download The Form

    Download the Hazardous Materials Information Sheet and Questionnaire PDF.

  2. 2

    Complete The Questionnaire

    Provide contractor, business, site, project, and hazardous-materials information; a business employee completes the hazardous-materials section.

  3. 3

    Gather Project Information

    Use the form to report material amounts and answer questions about waste, facility location, and potential air contaminants.

  4. 4

    Submit With Your Application

    Include the completed sheet with your building permit application.

Frequently asked questions

What does the Hazardous Materials Information Sheet ask for?
It requests contractor and business details, project information, hazardous-material inventory amounts, and answers about hazardous waste, medical waste, facility location, and air contaminants.
Do I need a notary for the Hazardous Materials Information Sheet?
No. The form includes a declaration under penalty of perjury, but no notarized attachment or related notarized step is specified.
How do I submit the Hazardous Materials Information Sheet?
Complete it with your building permit application. The document does not state a submission address or method; it lists the Department of Environmental Resources for questions.

Need something notarized?

This Hazardous Materials Information Sheet and Questionnaire doesn’t need a notary — but if you have another Ceres form that does, a commissioned online notary can help.