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#ENTORY CERTIFICATION Instructions In order to simplify business compliance with the annual inventory reporting requirements of Chapter 6.95 of the California Health and Safety Code,we are providing an Inventory Certification Form. Businesses may use this form to meet this year's reporting requirement for all hazardous materials which are being handled in the same basic quantities as indicated in their last inventory submittal. Significant changes in your inventory,however,must be reported. A significant change is defined as a change of more than 100 percent in the quantity of a hazardous material handled at any one time from the previous years report. In addition, any hazardous material added since the last inventory submittal that exceeds 55 gallons,500 pounds,or 200 cubic feet at any one time must be reported. Also,any hazardous material deleted from your inventory since the last inventory submittal must also be reported. In order to comply with this years annual inventory submittal, please read and follow all of these steps: 1. Review the inventory that you submitted last year to the Office of Emergency Services and your current inventory of reportable hazardous materials. 2. Determine if there have been any changes as defined above. 3. Complete a Chemical Inventory Form(copies included in this packet) only for any added ma- terials, deleted materials, and/or change in quantity greater than 100 percent of a previously reported material. 4. In completing necessary Chemical Inventory Forms, please follow these guidelines. Indicate at the top of each chemical listing whether the chemical is an addition, deletion,or change of over 100 percent. For additions, complete all information requested for each added material. For deletions, only complete the "Chemical Name", "Trade Name", and "Daily Amount Stored" sections of the inventory report form for each deleted material. For changes of more than 100 percent, complete the "Chemical Name", "Trade Name", and "Daily Amount Stored" sections of a Chemical Inventory Form for each material which has changed quantity more than 100 percent. Show any other changes applicable for all changes submitted. 5. Submit Chemical Inventory Forms for any inventory changes with the completed Inventory Cert- ification Form which will constitute verification that all other materials listed on your previous report remain the same. 6. If there have been no changes in your inventory as defined above, simply complete and sign the Inventory Certification Form and return it to our office. _ NOTE: If you have changed, added or removed any storage locations for your hazardous materials, be sure to report them as part of your HMMP update. If this is the first inventory submittal by your business, then you must complete Chemical Inventory Forms for all hazardous materials handled by your business at or above 55 gallons, 500 pounds,or 200 cubic feet at any one time. Please return all completed forms along with the HMMP updates as outlined in the cover letter to this packet.