The Official Site of San Joaquin County Government - Environmental Health Department

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    DIRECTOR
    Donna Heran, REHS

    600 E. Main Street
    Stockton CA 95202
 

     Map and Directions
    

    (209) 468-3420 Phone
    (209) 464-0138 Fax

    Office Hours:
    8:00am - 5:00pm

 

   PROGRAMS/SERVICES
    Applications and Forms
    Fee Schedule

  ** Pay Fees by Credit Card **

    Job Opportunities

    Laws and Ordinances

    Programs/Services

    News and Health Warnings
   
Register a Complaint
    
   GENERAL INFORMATION
    What is the EHD?
    Contact Us
    FAQs

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Environmental Health Department (EHD)
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What forms will I need?

Find the EHD program below which pertains to your business and print out the appropriate forms.  Fill out the form completely and then bring it to the EHD office with the appropriate fees. To assist you in filling the forms out or in determining the appropriate fees, please call our office at (209) 468-3420.

 
 

FORMS LISTED ALPHABETICALLY

2007 CCR Guide

2007 CCR Report

2007 CCR Report Instructions

2007 CCR Report Attachments

2007 CCR Report Certification

App. to Operate a Small Public Water System

Application for a Dairy Farm Permit

Application for Limited Quantity Haul Exemption

Application for Registration to Perform Tattooing

Application Requirements for a Permit to Drill

Approved Commissary Facilities List

Blue Green Algae Information

Boil Water Order

Boring & Drilling Information

CalCode Regulations

CalCode Summary of Changes

CalCode Summary of Changes (Korean)

CalCode Summary of Changes (Spanish)

Cert. Backflow Prevention Device Testers List

Certified Labs for Water Testing

Complying With the Drinking Water Standard for Arsenic

Confined Animal Facility Manure Management Plan

Cooking Churros on Mobile Food Facilities

Disposal Sites for Septic Tank

EHD Program Brochure

Emergency Handbook for Food Managers

Emergency Notification Plan for Small Water Systems

Exotic Newcastle Disease Information

Fecal Accidents

Fee Schedule

Flood Recovery Handout

Fluorescent Tube Recycler List

Food Handler Certification Examination Providers List

Food Plan Check Guide

Guidelines For Food Safety & Security

Info Packet for Medical Waste Gen.

Inventory of Injection Wells

July-December 2008 Schedule at a Glance

Liquid Waste Application

List of USTs

Livestock Carcass Disposal List

Master File Record (MFR-Site Mitigation)

Master File Record Information I (Pink)

Master File Record Information II (Green)

Mobile Food Facility Application
Mobile Food Preparation Unit Application

Nitrate Loading Requirements Study Checklist

Onsite Wastewater Disposal Standards

Operator Reimbursement Assistance Brochure

Percolation Test Rate Form

Poison Prevention Information

Preventative Maintenance Card File for SPWS

Public Records Release Application

Register for a Drinking Water Workshop

Registered Waste Oil Haulers List

Removal/Installation of Well Pumps and Eqpt.

Residential Onsite Systems Bulletin

Sample Siting Plan

Septic Systems Contractors List

Septic Tank/Cesspool Cleaners Report

Service Request Form

SJ Pool Code

Small Systems Guide to Total Coliform Rule

Small Systems Guide to Safe Drinking Water Act

Soil Suitability Contractor List

Soil Suitability Study Requirements Checklist

Surface & Subsurface Contamination Checklist

Tank Fees

Tattooing & Body Piercing Registration

Temporary Event Application

UST Consultant List

UST Monitoring Plan Form

UST Response Plan Form

Waterworks Standards

(Well) Boring Permit Application

Well Destruction Permit Application

Well Driller Contractor List

Well/Pump Permit Application

Well Permit Application (LOP, UIC, Site Mitigation)

Well Standards

West Nile Virus Information

 

 

 

 

 

 

FORMS BY PROGRAM

General Forms

Application for a Dairy Farm Permit

Application for Limited Quantity Haul Exemption

Application for Registration to Perform Tattooing

Blue Green Algae Information

Boring & Drilling Information

Confined Animal Facility Manure Mgmt. Plan

EHD Program Brochure

Exotic Newcastle Disease Information

Fee Schedule

Fecal Accidents

Flood Recovery Handout

Fluorescent Tube Recycler List

Info Packet for Medical Waste Generators

Livestock Carcass Disposal List

Master File Record Information I (Pink)

Master File Record Information II (Green)

Poison Prevention Information

Public Records Release Application

Registered Waste Oil Haulers List

Removal/Installation of Well Pumps and Eqpt.

Service Request Form

SJ Pool Code

West Nile Virus Information   

Food & Restaurants

Approved Commissary Facilities List

CalCode Regulations

CalCode Summary of Changes

CalCode Summary of Changes (Korean)

CalCode Summary of Changes (Spanish)

Cooking Churros on Mobile Food Facilities

Emergency Handbook for Food Managers

Food Handler Certification Examination Providers List

Food Plan Check Guide

Guidelines For Food Safety & Security

Mobile Food Facility Application
Mobile Food Preparation Unit Application
Temporary Event Application

Land Use

Nitrate Loading Requirements Study Checklist

Soil Suitability Study Requirements Checklist

Surface & Subsurface Contamination Checklist

Liquid Waste

Cert. Backflow Prevention Device Testers List

Disposal Sites for Septic Tank

Liquid Waste Application

Onsite Wastewater Disposal Standards

Percolation Test Rate Form

Residential Onsite Systems Bulletin

Septic Systems Contractors List

Septic Tank/Cesspool Cleaners Report

Site Mitigation

Application Requirements for a Permit to Drill

Master File Record (MFR)

Soil Suitability Contractor List

(Well) Boring Permit Application

Small Public Water Systems (SPWS)

2007 CCR Guide

2007 CCR Report

2007 CCR Report Instructions

2007 CCR Report Attachments

2007 CCR Report Certification

Application for a Permit to Operate a SPWS

Application Requirements for a Permit to Drill

Boil Water Order

Certified Labs for Water Testing

Complying With the Drinking Water Standard for Arsenic

Emer. Notification Plan for Small Water Systems

July-December 2008 Schedule at a Glance

Operator Reimbursement Assistance Brochure

Preventative Maintenance Card File for SPWS

Register for a Drinking Water Workshop

Sample Siting Plan

Small Systems Guide to Total Coliform Rule

Small Systems Guide:Safe Drinking Water Act

Waterworks Standards

Well/Pump Permit Application (SPWS)

Underground Injection Control (UIC)

Application Requirements for a Permit to Drill

Inventory of Injection Wells

Well Permit Application (UIC)

Underground Storage Tanks (UST & LOP)

List of USTs

UST Consultant List

UST Monitoring Plan Form

UST Response Plan Form

Well Permit Application (LOP)

Well Permits

Well Destruction Permit Application

Well Driller Contractor List

Well/Pump Permit Application

Well Standards