Environmental Health Services Forms 
             and Publications...

 

     The below links will take you directly to the Program . . . . . . . . .
     
General Use        Food Program    Recreational Health   Liquid Waste    WATER PROGRAM

    BODY ADORNMENT       PESTICIDE REPORT

Each form name has a link to the form. Some forms are available in Microsoft Word documents (.doc) and other may be in Adobe Portable  Document Format (.pdf).  In order to view the forms properly, you may have to download a Microsoft Word viewer or an Adobe Acrobat Reader, which are provided below.

  

Adobe Acrobat Reader

 

          Microsoft Word Viewer

                     General Use                         

Environmental Health Service's Fee Schedule       Public Record Review Agreement 
Known or Suspected Pesticide-Related Illness     State Laws and Regulations - Organized Camps
Health Permit Application

                          Food Program                                   

        Calif. Retail Food Code (CalCode)                       Request for Exemption From Regulation as a Food Facility 
        Opening a Restaurant Guide                                 Veteran's fee exemption for Health Permit    
        Food Vendor Schedule of Stops
                          Food Plan Check Form   
        Statement of Commissary Use (English)              Statement of Commissary Use (Spanish)
        Calif. Health and Safety Code Revisions Affecting Mobile Food Facilities (MFF)
                                                                   Form (English)         Forms (Spanish) 
              

    Temporary Food Facility Forms
        Temporary Food Facility Guidelines   Request for Exemption - Food Facility

                                Event Organizer Packet: (forms #1, #2 and #3 MUST be completed)
       #1 Event Organizer Application     #2 Sketch Sheet 2- Event diagram
  
       #3 Name of Booths/Organization  

                              
Temporary Food Booth Packet: (forms #1, #2, #3. #4 and #5 MUST be completed)
       
      
#1 Temporary Food Booth Application  #2 Sketch Sheet 1 - Booth diagram
       #3 Employee log
    #4 On-site Food Preparation at temporary booth   
       #5 Off-site Food Preparation at a licensed permanent food facility
 
      
 

            Recreational Health Program              

  Pool / Spa Application Form
Pool Plan Check Form

Santa Barbara County - Public Swimming Pool and Spa Virginia Graeme Baker Act Requirements

  
 
 
 

                   Liquid Waste Program                                 

Homeowners' Septic System Guide  
Permit Procedures for Septic System Evaluations - based on typical scenarios, plans you will need to include with the applications  
Onsite Sewage Treatment System Permit Application:
New Sewage Treatment System
Graywater System
Repair
Modification
Abandonment
Application Instructions: Onsite Sewage Treatment System: New System
Application Instructions: Onsite Sewage Treatment Repair
Application Instructions: Onsite Sewage Disposal System Abandonment
Application And Instructions: Onsite Sewage Treatment: Evaluation
Onsite Sewage Disposal System Minimum Horizontal Distance In Clear - Table I-1 and
Capacity of Septic Tanks - Table I-2
State Regional Water Quality Control Board Prohibitions
Septic System Sanitary Survey Report (PDF Format)  
Septic System Sanitary Survey Appendix  

                   Water Program                                 

Water Well Permit Application  

Single Parcel Water System Permit Application (1-4 connections)
Instructions - Single Parcel Water System Permit Application
Single Parcel Water System Application Plot Plan (Enclosure #1)
 Single Parcel Water System Schematic Diagram For A Typical System
(Enclosure #2)
Single Parcel Water System Exclusive Ownership Declaration (Enclosure #3)
Water Treatment Letter (Enclosure #4)

 
 
 
 
 
 
 

Body Adornment
Body Adornment Application form Body Adornment Application
Pesticide Illness
Known or Suspected Pesticide-Related Illness  

    Home

The Official Site of the County of Santa Barbara, Environmental Health Services
Copyright©2007 County of Santa Barbara Environmental Health Services. All rights reserved.