Navigating the realm of hazardous material handling within Massachusetts requires understanding and adhering to specific regulatory requirements, one of which involves the FP-300 form issued by the Department of Fire Services. This form serves as an Application for Permit to Process Hazardous Materials, crucial for businesses and facilities engaged in the handling or processing of hazardous substances. Entities must disclose company information, including the name, address, and contact details of a responsible party, asserting the facility’s compliance with state regulations, specifically 527 CMR 33 and other applicable provisions. The form categorizes operations based on the capacity of the largest vessel used in processing hazardous materials or the total amount of hazardous materials, spanning from capacities greater than 2.5 gallons up to those exceeding the thresholds set by federal regulations. In promising to adhere to these stringent standards, facilities demonstrate their commitment to safety and environmental protection, while the affixed signature of the responsible party under the penalty of perjury further emphasizes the gravity of the compliance. Additionally, the form outlines the procedure for obtaining a fire department-issued permit, which includes specifying the category of hazardous materials processed and the requisite fee, culminating in the permit's issuance and its mandatory display on the premises. Understanding the FP-300 form and its requirements is essential for maintaining regulatory compliance and ensuring the safe processing of hazardous materials within Massachusetts.
| Question | Answer |
|---|---|
| Form Name | Form Fp 300 Massachusetts |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | fp 300 application for permit to process hazardous materials how do i application for permit to process hazardous materials fp300 form |
THE COMMONWEALTH OF MASSACHUSETTS
DEPARTMENT OF FIRE SERVICES
Application for Permit to Process Hazardous Materials
(Rev. 02/12)
Company Information:
Company Name: _______________________________________________________________________________________
Street Address: ________________________________________________________________________________________
Responsible Party:
Official Title:
Telephone number: |
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Email: |
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In accordance with 527 CMR 33, the above named facility is conducting the following hazardous material process(es) at the category identified below (Select all categories applicable to the facility):
CATEGORY 2 – Capacity of largest size vessel used in hazardous material process is greater than 2.5 gallons, but does not exceed 60 gallons
CATEGORY 3 – H Occupancy Classified facility, per 780 CMR Mass Building Code, or capacity of largest size vessel used in hazardous material process is greater than 60 gallons, but does not exceed 300 gallons
CATEGORY 4 – Capacity of largest size vessel used in hazardous material process exceeds 300 gallons, but is not covered by Category 5.
CATEGORY 5 – Amount of hazardous material in a process exceeds threshold quantity of 29 CFR 1910.119 or 40 CFR 68
I attest that as the responsible official for the company named above that the facility is in compliance with the applicable requirements of 527 CMR 33 and other applicable provisions of 527 CMR and MGL 148. Further, I herby certify that I am authorized to execute this application. I declare under the penalty of perjury that the statements and information provided herein are true as of the date of this application.
Signature of Responsible Party:
Title: _____________________________________________ Telephone number:
THE COMMONWEALTH OF MASSACHUSETTS
_______________________ Fire Department
PERMIT
City or Town: ________________________________Date: _________________ Permit Number (if applicable): _________
In accordance with the provisions of M.G.L. Chapter 148, as provided in 527 CMR 33 this permit is granted
to ________________________________________________________________________________________
(Full Name of Person, Firm or Corporation)
at ________________________________________________________________________________________
(Street and # or Describe Location for Adequate Identification)
for the processing of hazardous materials.
CATEGORY 2 CATEGORY 3 CATEGORY 4 CATEGORY 5
Fee Paid $ _____________________________ This Permit will expire on _______________________________
Signature of Official Granting Permit: __________________________________Title ______________________
This permit must be conspicuously posted upon the premises