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Consumer Protection Programs
Food Protection General Food Forms & Applications Mobile Food Facilities Community Event Organizer Temporary Food Facilities Cottage Food Operations Forms	Recreational Health Public Pools & Spas Body Art Tattoos
Land & Environmental Programs
Biosolids Land Use Survey (PDF) Sewage Disposal/Septic	Solid Waste Drinking Water Ground Water Protection
Hazardous Material Programs
Aboveground Storage Tanks (*AST) California Accidental Release Prevention (CalARP) California Environmental Reporting System (CERS) Hazardous Materials/Hazardous Waste Monitoring wells & Soil Borings Well/Septic Systems On-site Hazardous Waste & Treatment Underground Storage Tanks (UST*) Additional UST Forms
Miscellaneous Forms
Complaint Form (*Non-Housing*)	Housing Complaints (*within city limits*)
Substandard Housing Complaint Form (*Unincorporated areas of Yolo County*)

CONSUMER PROTECTION PROGRAMS

FOOD PROTECTION PROGRAM
Permit Application (Food Service Establishments)	Veteran's Fee Exemption Form
Plan Check Review Application (Retail Food Facilities)	Non-Profit Exemption Form
Plan Review Checklist (Retail Food Facilities)	Hot Holding Temperature Log
Mobile Food Facility
Mobile Food Application Package	Mobile Food Commissary Agreement
Mobile Food Application Package (Spanish)	Mobile Food Restroom Agreement
Community Event Organizer
Community Event Forms & Application Package	Non-Profit Exemption Form
Temporary Food Facility
Temporary Food Forms & Application Package	Non-Profit Exemption Form
Cottage Food Operations Forms
Registration Permit Form (Class A and B)	Self-Certification Form (Class A only)

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RECREATIONAL HEALTH (POOL AND SPA)
Pool/Spa Health Permit Application	CCDEH Guidelines for Water Parks
Recreational Health Facility Plan Review Guide	CCDEH Guidelines for Spraygrounds
California Pool Code	CCDEH Guidelines for Water Slides
Pool & Spa Inspection Checklist	Pool/Spa Daily Maintenance Log
California Department of Public Health AB1020 Compliance Form	Drain Cover Replacement Certification Form

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BODY ART
Perform Tattooing, Body Piercing, or Permanent Cosmetics
Practitioner Registration Application	Facility Permit Application
Infection Prevention and Control Plan Guideline	Hepatitis B Declination Statement
Approved Bloodborne Pathogen Training Course	Sharps Mail Back List

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LAND & ENVIRONMENTAL PROGRAMS

BIOSOLIDS
Biosolids Permit	Biosolids Checklist

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SEWAGE DISPOSAL
Septic System Guidelines (Guidelines to the planning, installing, and maintaining of septic systems.)
Soil Type Search by GIS	Septic System Installers (List of Septic System Installers)

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SOLID WASTE
Enforcement Agency Notification (CIWNB Form 169) Word File PDF File	Registration Permit Application (CIWMB Form 83) Word File PDF File
Solid Waste Facility Permit Application (CIWMB Form E-1-77) Excel File PDF File	Directions for Completion of Form E-1-77 Word File PDF File
Standardized Permit Application (CIWMB Form 92) Word File PDF File

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DRINKING WATER PROGRAM
Bacteriological Sample Siting Plan	Domestic Water Permit
Emergency Notification Plan	Operational Requirements
Permit Amendment Application	Regulations Excepts
Well Completion Report	TMF Assessment

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GROUND WATER PROTECTION/ WELL PERMITS
Well and Septic Disposal Application Fill-able PDF Form	Well Septic Plot Plan

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HAZARDOUS MATERIAL PROGRAMS

ABOVEGROUND STORAGE TANK

Daily Inspection Log for Tank Systems

Tier I Qualified Facility SPCC Plan Template

Tier II Qualified Facility SPCC Plan Template

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CALIFORNIA ACCIDENTAL RELEASE PREVENTION
Please visit the CERS webpage to upload/update all forms online
Annual Renewal Certification	Consolidated Contingency Plan
Instructions for all of the CUPA forms	Site Map (Excel)/(PDF)

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HAZARDOUS MATERIALS/HAZARDOUS WASTE BUSINESS PLAN & INVENTORY

Please visit the CERS webpage to upload/update all forms online

Consolidated Contingency Plan	Site Map (Excel)/(PDF)
Financial Responsibility & CFO Letter

Annual Renewal Certification	Training Documentation Form (used to log employee training)
Ag Facility Exemption (Farm Exemption Application)	Ag Cover Letter (Farm Exemption Cover Letter )
All CUPA Instructional Forms	Site Map (Excel)/(PDF)
All CUPA Instructional Forms	Consolidated Contingency Plan

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MONITORING WELLS & SOIL BORINGS

Monitoring Wells & Soil Borings
Permit Application
For projects on multiple parcels a separate permit application is required for each parcel.

***ADDITIONAL requirements for a Monitoring well and/or Soil Boring Permit***
The additional documents in the link above MUST be attached to the permit application upon submission or else the application will be rejected.

General Permit Conditions for Monitoring Well & Soil Borings
Monitoring Well & Soil Boring Permit Conditions

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WELLS AND SEPTICS

Planning, Installing, and Maintaining Septic Systems in Yolo County
Guidelines

Well/Septic Permit and Plot Plan
Application

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ON-SITE HAZARDOUS WASTE TREATMENT

On-site Hazardous Waste Treatment Unit Forms This document contains several pages. For each treatment unit, submit the first page and one of the additional pages depending on the type of treatment unit this notification is for. The treatment types are: Waste Treatment Unit

Conditionally Exempt - Small Quantity Treatment (CESQT)
Conditionally Exempt - Specified Wastestream (CESW)

Conditionally Authorized (CA)
Permit By Rule (PBR)
Conditionally Exempt - Limited (CEL)

Download the Hazardous Materials Business Plan Packet: self-executable zip.
Recyclable Materials Report (only facilities that recycle more than 100 kg/month of excluded or exempted recyclable materials)	On-site Hazardous Waste Treatment Facility Form (one form per facility and the Waste Treatment Unit Forms below)
Certification of Financial Assurance	Remote Waste Consolidation Site Annual Notification
Haz Waste Tank Closure Certification	CUPA Forms Instructions
Consolidated Contingency Plan Manual (Click Read-Only* to view the manual*)	Business Activities Page
Business Owner/Operator Identification	Consolidated Contingency Plan (click "yes" when asked to view file as read only)
Hazardous Material Inventory Report Form	Annual Renewal Certification

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UNDERGROUND STORAGE TANKS

UST Installation/Modification Forms:
New Install Cover Letter New Install Application Contingency Plan Financial Responsibiltiy & CFO Letter	UST Designated Operator Response Plan Site Map Repair Classifications

Change of Ownership Forms:
Contingency Plan Financial Responsibility & CFO Letter UST Designated Operator Statement	Response Plan Site Map

UST Repair Modifications Packet :
Repair Classifications Description of Repair Work Completed

UST Permanent Removal Packet:
Cutting and Cleaning Disclaimer UST Removal Cover Letter UST Removal Application UST Removal Inspection Report	Site Map Tank Closure Form A Form B

UST Abandonment in Place Packet:
Abandonment In Place Requirements Authority to Abandon UST Abandonment Cover Letter UST Abandonment Application	Cutting and Cleaning Disclaimer HW Tank Closure Certification Site Map Plan Check Guidance

UST Temporary Abandonment Packet:
Temp. Abandonment Cover Letter Temp. Abandonment Application Temp. Abandonment Requirements	Cutting and Cleaning Disclaimer HW Tank Closure Certification Site Map Plan Check Guidance

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ADDITIONAL UNDERGROUND STORAGE TANK FORMS

Financial Responsibility & CFO Letter
Hazardous Waste Tank Closure Certification
UST Installation/Modification/Repair Cover Letter
UST Installation/Modification/Repair Application Packet
UST Plan Check Guidance
UST Designated Operator Statement
UST Financial Responsibility Documentation (SAMPLE)
UST Site Plan
UST Site Map (PDF)
UST Self Audit Checklist
(Used by UST operators for preparation during an inspection)

UST Repair Classifications
(Used to determine what type of permit to apply for: Major vs. Minor Repair work)
UST Description of Repair Work Completed
(Used when completing repair work that does NOT require a permit from the Yolo County Environmental Health Department)
UST Removal Application Cover Letter
UST Removal Application
UST Abandonment In Place Requirements
UST Temporary Abandonment Requirements
UST Cutting and Cleaning Disclaimer

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