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Dangerous goods related

Update date: January 25, 2022

PDF format

It is in PDF file format, so please print it out and use it.
Note: We recommend plain paper and A4 print size.
Thermal paper for thermal printers cannot be accepted.

Facilities that store or handle hazardous materials in excess of specified quantities

File Download Opens in a new window.Installation permit application (PDF: 104KB)

File Download Opens in a new window.Change permission application (PDF: 105KB)

File Download Opens in a new window.Application for change permission and temporary use approval (PDF: 112KB)

File Download Opens in a new window.Completion inspection application form (PDF: 101KB)

File Download Opens in a new window.Completion inspection certificate reissuance application form (PDF: 78KB)

File Download Opens in a new window.Re-issuance application (permit, tank inspection certificate) (PDF: 79KB)

File Download Opens in a new window.Application for provisional use approval (PDF: 82KB)

File Download Opens in a new window.Application for approval for temporary storage and handling of dangerous goods (PDF: 104KB)

File Download Opens in a new window.Application form for approval of establishment/change of prevention regulations (PDF: 85KB)

File Download Opens in a new window.Application withdrawal notification form (PDF: 72KB)

File Download Opens in a new window.Abolition notification form (PDF: 107KB)

File Download Opens in a new window.Notification form for change in product name, quantity, or multiple of specified quantity (PDF: 84KB)

File Download Opens in a new window.Safety supervisor selection/dismissal notification form (PDF: 80KB)

File Download Opens in a new window.Transfer and delivery notification form (PDF: 88KB)

File Download Opens in a new window.Document submission form (minor changes requiring confirmation) (PDF: 66KB)

File Download Opens in a new window.Document submission form (hot work) (PDF: 61KB)

File Download Opens in a new window.Document submission form (pause/resume) (PDF: 80KB)

File Download Opens in a new window.Practical experience certificate (PDF: 95KB)

Facilities with one-fifth or more of the specified quantity or less than the specified quantity

File Download Opens in a new window.Notification form for establishing a small quantity hazardous materials storage facility (PDF: 68KB)

File Download Opens in a new window.Notification of abolition of small quantity hazardous materials storage handling facility (PDF: 64KB)

About periodic inspection record sheet

Click here for the inspection list for each facility. (internal link)

word format

It is in a word file format, so please print it out and bring it to the counter.
Note: We recommend plain paper and A4 print size.
Thermal paper for thermal printers cannot be accepted.

Facilities that store or handle hazardous materials in excess of specified quantities

File Download Opens in a new window.Installation permit application (Word: 41KB)

File Download Opens in a new window.Application for change permission (Word: 42KB)

File Download Opens in a new window.Application for change permission and temporary use approval (Word: 40KB)

File Download Opens in a new window.Completion inspection application form (Word: 34KB)

File Download Opens in a new window.Application form for reissuance of completion inspection certificate (Word: 35KB)

File Download Opens in a new window.Re-issuance application (permit, tank inspection certificate) (Word: 37KB)

File Download Opens in a new window.Temporary use approval application (Word: 34KB)

File Download Opens in a new window.Application for approval for temporary storage and handling of dangerous goods (Word: 20KB)

File Download Opens in a new window.Application form for approval of establishment/change of prevention regulations (Word: 36KB)

File Download Opens in a new window.Notification of withdrawal of application (Word: 37KB)

File Download Opens in a new window.Abolition notification form (Word: 37KB)

File Download Opens in a new window.Notification form for change in product name, quantity, or multiple of specified quantity (Word: 36KB)

File Download Opens in a new window.Safety supervisor selection/dismissal notification form (Word: 37KB)

File Download Opens in a new window.Transfer and delivery notification form (Word: 38KB)

File Download Opens in a new window.Document submission form (minor changes requiring confirmation) (Word: 36KB)

File Download Opens in a new window.Document submission form (hot work) (Word: 33KB)

File Download Opens in a new window.Material submission form (pause/resume) (Word: 36KB)

File Download Opens in a new window.Certificate of work experience (Word: 18KB)

Facilities with one-fifth or more of the specified quantity or less than the specified quantity

File Download Opens in a new window.Notification form for establishing a small quantity hazardous materials storage facility (Word: 37KB)

File Download Opens in a new window.Notification of abolition of small quantity hazardous materials storage handling facility (Word: 36KB)

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Inagi City's official mascot, Inagi Nashinosuke

Inagi City Hall

2111 Higashinagumanuma, Inagi City, Tokyo 206-8601
Office hours: 8:30 a.m. to 5:00 p.m. Main phone: 042-378-2111 Fax: 042-377-4781
Copyright (C) Inagi City. All rights reserved.
Copyright （C）K.Okawara・Jet Inoue. All rights reserved.
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