Get Cleanup Program Application - County Of Ventura - Ventura

Filling out the CLEANUP PROGRAM APPLICATION for the County of Ventura is an important step in seeking eligibility for the Ventura County Cleanup Program. This guide will provide you with clear, step-by-step instructions to ensure you complete the application accurately and efficiently.

Follow the steps to effectively complete the application online.

1. Click the ‘Get Form’ button to access the application and open it in your chosen document editing program.
2. Begin with Section 1, where you will provide information about the responsible party. Fill in the name of the responsible party and the principal contact, along with their phone number and fax number. Ensure to include the complete address and describe the responsible party's relationship to the site.
3. In Section 1, also include a brief statement explaining why the responsible party is interested in receiving services related to the site from the Ventura County Environmental Health Division.
4. Move to Section 2 to provide detailed site information. Indicate whether the site is listed on Calsites by selecting 'Yes' or 'No.' If applicable, supply the specific name and number from Calsites.
5. Continue filling out Section 2 by entering the name and address of the site, including the city and zip code. Also, include the Assessor’s Parcel Number and attach a copy of an appropriate map page.
6. Next, identify the current owner of the site, providing their name and address, and include their phone number.
7. Detail the background of the site by listing previous business operations, including their names, types, and years of operation. Specify any hazardous substances associated with the site and discuss any environmental media that may be contaminated.
8. Address whether sampling or investigation has been conducted on the site. If so, specify what hazardous substances were detected and their maximum concentrations.
9. Inquire if any federal, state, or local regulatory agencies are currently involved with the site. Include their contact names and phone numbers if applicable.
10. Discuss the proposed future use of the site and the oversight services requested from the Ventura County Environmental Health Division. Check the appropriate boxes to indicate the nature of the services requested.
11. Assess whether there is a potential exposure to hazardous substances for the community or workers at the site, and provide an explanation if applicable.
12. Proceed to Section 3, where you will describe the community profile information, including site property size, surrounding land use, and the visibility of site activities to neighbors.
13. Explain the community demographics and any local interest or past public involvement concerning the site. List out any specific concerns or anticipated issues raised by the community.
14. Compile a list of key contacts for the site, including relevant local officials and interested community members. Attach this list to the application.
15. Finally, in Section 4, certify that all provided information is true to the best of your knowledge. Ensure the responsible party signs, dates the application, and includes their title before submitting.

Complete the CLEANUP PROGRAM APPLICATION online today to take the first step toward addressing site eligibility for cleanup services.