Hazardous Materials Forms
PDF format
This is in PDF format, so please print it out for your use.
Note: It is recommended to use plain paper and A4 print size.
Thermal printers cannot accept thermal paper.
Facilities that store or handle hazardous materials in quantities exceeding the specified amount
- Installation Permit Application Form (PDF 104.5KB)
- Application Form for Change Approval and Temporary Use Approval (PDF 112.8KB)
- Completion Inspection Application Form (PDF 101.2KB)
- Application Form for Reissuance of Completion Inspection Certificate (PDF 78.8KB)
- Reissue Application Form (Permit, Tank Inspection Certificate) (PDF 79.5KB)
- Temporary Use Approval Application Form (PDF 82.4KB)
- Application Form for Temporary Storage and Handling Approval of Hazardous Materials (PDF 104.5KB)
- Application Form for Approval of Establishment or Amendment of Prevention Regulations (PDF 85.0KB)
- Application Form for Withdrawal of Application (PDF 72.8KB)
- Notification of Abolition (PDF 107.2KB)
- Notification of Change in Product Name, Quantity, or Multiple of Specified Quantity (PDF 84.4KB)
- Notification of Appointment and Dismissal of Security Supervisors (PDF 80.9KB)
- Transfer Delivery Notification (PDF 88.8KB)
- Document Submission Form (Minor Changes Requiring Confirmation) (PDF 66.7KB)
- Document Submission Form (Flammable Work) (PDF 61.5KB)
- Document Submission Form (Suspension and Resumption) (PDF 80.4KB)
- Certificate of Practical Experience (PDF 95.9KB)
Facilities that are more than one-fifth but less than the specified quantity
- Notification of Installation of Small Quantity Hazardous Material Storage and Handling Facility (PDF 68.6KB)
- Notification of Abolition of Small Quantity Hazardous Materials Storage Handling Facility (PDF 64.0KB)
About the Regular Inspection Record
Please click the following link for the inspection sheet of each facility.
Word format
It is in Word file format, so please print it out and bring it to the counter.
Note: Regular paper is recommended for printing, and A4 size is preferred.
Thermal paper for thermal printers cannot be accepted.
Facilities that store or handle hazardous materials in quantities exceeding the specified amount
- Installation Permit Application Form (Word 41.0KB)
- Application Form for Change Permission (Word 42.0KB)
- Application Form for Change Approval and Temporary Use Approval (Word 40.5KB)
- Completion Inspection Application Form (Word 34.5KB)
- Application Form for Reissuance of Completion Inspection Certificate (Word 35.0KB)
- Reissue Application Form (Permit, Tank Inspection Certificate) (Word 37.5KB)
- Temporary Use Approval Application Form (Word 34.0KB)
- Application Form for Temporary Storage and Handling Approval of Hazardous Materials (Word 21.0KB)
- Application Form for Approval of Establishment or Amendment of Prevention Regulations (Word 36.5KB)
- Application Withdrawal Notification (Word 37.0KB)
- Notification of Abolition (Word 37.0KB)
- Notification of Change in Product Name, Quantity, or Multiple of Specified Quantity (Word 36.0KB)
- Notification of Appointment and Dismissal of Security Supervisors (Word 37.0KB)
- Transfer Delivery Notification (Word 38.0KB)
- Document Submission Form (Minor Changes Requiring Confirmation) (Word 36.5KB)
- Document Submission Form (Flammable Work) (Word 33.5KB)
- Document Submission Form (Suspension and Resumption) (Word 36.5KB)
- Certificate of Practical Experience (Word 18.8KB)
Facilities that are more than one-fifth but less than the specified quantity
- Notification of Establishment of Small Quantity Hazardous Material Storage and Handling Facility (Word 37.5KB)
- Notification of Abolition of Small Quantity Hazardous Materials Storage Handling Facility (Word 36.5KB)
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Inquiries about this page
Inagi City Fire Department Prevention Division
2111 Higashi-Naganuma, Inagi City, Tokyo 206-0802 (Inagi Fire Station)
Phone number: 042-377-7119 Fax number: 042-377-0119
Contact Inagi City Fire Department Prevention Division