To streamline the permitting process, many applications are now available through our online portal. Submit your application here: https://myhealthdepartment.com/YoloCountyEH.

Please ensure that all required information and documentation are included with your submission. Incomplete applications may result in delays. If you have any questions or need assistance, please contact us by calling 530-666-8646 or emailing ehealth@yolocounty.gov. 

Posted below are links to hard copy forms and documents organized by programs.

General Food Facilities

• Application for Food Establishment Permit

• Application for Plan Check Review for Food Establishments

• Food Facility Transfer of Ownership Questionnaire 

• Food Facility Plan Checklist

• Application to become a Host Facility

• Application for Limited Service Charitable Feeding Organization

• Food Safety Certification Classes

• File a Complaint 

Mobile Food Facilities

• Application for Food Establishment Permit

• Commissary Agreement (English)

• Commissary Agreement (Spanish)

• Out of County Commissary Agreement (English)

• Restroom Agreement (English)

• Restroom Agreement (Spanish)

• Food Cart Operations Information

• Compact Mobile Food Operation Proposal 

• Mobile Food Truck Checklist / Information

• Mobile Reciprocity Checklist 

• State Insignia Information 

Temporary Food Permits & Event Forms

• Temporary Food Facility (TFF) Permit Application

• Community Event Organizer Application

• Affidavit for Exemption

• Veteran's Exemption

Cottage Food Forms

• Application for Cottage Food Permit 

Recreational Health

• Pool/Spa Health Permit Application

• Recreational Health Facility Plan Review Guide

• Pool & Spa Inspection Checklist

• California Pool Code

• CCDEH Guidelines for Water Parks

• CCDEH Guidelines for Spray grounds

• CCDEH Guidelines for Water Slides   

• Pool/Spa Daily Maintenance Log

• California Department of Public Health AB1020 Compliance Form

                   

Body Art (Tattooing, Body Piercing, or Permanent Cosmetics)

• Application for a Body Art Facility Permit

• Application for a Practitioners' Permit

• Infection Prevention and Control Plan Guideline 

• Approved Bloodborne Pathogen Training Course

• Hepatitis B Declination Statement

• Sharps Mail Back List

Substandard Housing

• Housing Complaints (within city limits)

• Substandard Housing Complaint (unincorporated areas of Yolo County)

Water Wells

• Application for a Water Well Permit

• Property Owner's Authorization & Acknowledgement Letter

• Application for a Water Well Abandonment Permit

• Agricultural Wells: Link to Information

• Domestic Well Declaration (Exhibit B)

• Public Water System Declaration (Exhibit C)

• Site Map and Table Required to Support the New Agricultural Well Permit Application

• Well Plot Plan Example

• Water Well Setbacks

• Petition for Variance Form

• Well Driller's Authorization Letter

• State Certified Drinking Water Labs

 Monitoring Wells & Soil Borings 

• Permit Application (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 the application will be rejected.)

• Monitoring Well & Soil Boring Permit Conditions

 Public Water System 

• Domestic Water Supply Permit Application

• Domestic Water Supply Permit Amendment Application

• Cal Code/Cottage Food Operation Water System Application

• State Small Water Permit Application

• Water System Determination Form

• Water System Permit Application Instruction

• Operation Plan Form

• Technical Report Guide

• CEQA Application Information form

• Drinking Water Source Assessment Form

• Service Request Form for PWS

• TMF Assessment Requirement

• Water Quality Emergency Notification Plan

• Water Quality Emergency Notification Plan COMMUNITY

• Emergency/Disaster Response Plan

• State Certified Drinking Water Labs

• Bacteriological Sample Siting Plan 

• Cross Connection Control Plan TNC

• Cross Connection Control Plan NTNC

• Cross Connection Control Plan COMMUNITY 

Onsite Wastewater Treatment System (Septic System)

• Application for a Septic System Installation Permit

• System Design Supplemental Form -Standard System

• System Design Supplemental Form - PD or Supplemental System

• Application for a Septic Abandonment Permit

• Site Evaluation/Soil Profile Request Form

• Site Evaluation Report Coversheet Checklist

• Site Map Example for Septic Applications

• Typical Process for Designing and Installing a New Septic System

• Septic System Contractors

• Septic System Setbacks

• Septic System Designers/Qualified Professionals

• Septic Contractor's As-Built Form

• Septic System Variance Application

• Property Line Setback Reduction Request

• Onsite Wastewater Percolation Test 

• Levee Setback Reduction Request

• Wet Weather Groundwater Determination Procedure

• Septic Pumper Truck Registration Form

• Septic Tank Pumper Contractors List

• Request for Service

• Petition for Variance for OWTS Requirements for Ag Operations

Solid Waste Disposal

• Enforcement Agency Notification (CalRecycle Form 169)

• Registration Permit Application (CIWMB Form 83)

• Solid Waste Facility Permit Application (CIWMB Form E-1-77)

• Directions for Completion of Form E-1-77  

• Standardized Permit Application (CalReycle Form 92)

Underground Storage Tanks (UST)

Install / Modification / Repair

• New Install/Modify/Repair Application

• New Install/Modify/Repair Cover Letter

• Financial Responsibility & CFO Letter

• Response Plan

• Site Map

• Plan Check Guidance

• Repair Classifications  (Used to determine what type of permit to apply for: Major vs. Minor Repair)

• Description of Repair Work Completed (Used when completing repair work that does NOT require a permit from the Yolo County Environmental Health Department)

UST Permanent Removal Packet

• Business Activities

• Business Owner-Operator ID

• HWTank Closure Certification

• UST Application - Facility

• UST Application - Tank

• UST Removal Application

• UST Removal Cover Letter

• UST Site Plan

• Yolo County Cutting and Cleaning Disclaimers

UST Abandonment in Place Packet

• Abandonment In Place Requirements

• Business Activities

• Business Owner-Operator ID

• HWTank Closure Certification

• UST Application - Facility

• UST Application - Tank

• UST Removal Application

• UST Removal Cover Letter

• UST Site Plan

UST Temporary Abandonment in Place Packet

• Temporary Abandonment Requirements

• Business Activities

• Business Owner-Operator ID

• HWTank Closure Certification

• UST Application - Facility

• UST Application - Tank

• UST Removal Application

• UST Removal Cover Letter

• UST Site Plan

Aboveground Storage Tanks (AST)

• Daily Inspection Log for Tank Systems

• Tier I Qualified Facility SPCC Plan Template

• Tier II Qualified Facility SPCC Plan Template

California Accidental Release Prevention

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

• Consolidated Emergency Response / Contingency Plan

• Site Map

Onsite Hazardous Waste Treatment

For each treatment unit, submit the first page and one of the additional pages below depending on the type of treatment unit. The treatment types are: Waste Treatment Unit

1. Conditionally Exempt - Small Quantity Treatment (CESQT)
2. Conditionally Exempt - Specified Waste stream (CESW)
3. Conditionally Authorized (CA)
4. Permit By Rule (PBR)
5. Conditionally Exempt - Limited (CEL)

• 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

• Consolidated Emergency Response / Contingency Plan

Hazardous Materials Business Plan and Inventory

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

• Ag Facility Exemption

• Wildfire Clean-Up Application

• Wildfire Debris Management Requirements with sample Work Plan

• Wildfire Clean-Up Certification of Completion 

• Wildfire Clean-Up Conditional Exemption Application

• Wildfire Clean-Up Conditional Exemption Requirements

• Protecting Yourself from Ash Factsheet

• Protecting Children from Wildfire Smoke and Ash Factsheet