Forms - Chelan Douglas Health

Forms

On- Site Program

Septic Systems

On-Site Sewage System Permit Transfer Form Report of Wastewater Tank Abandonment CDHD Onsite Construction Manual Onsite Septic System Installation Study Guide

Service Providers

Requirements for Licensed Installers at Inspection Installer As-built Drawing Form Operation and Maintenance Handout O&M Service Provider Study Guide

Water Systems

Public Water Availability CDHD Flow Test Capacity Nitrates above MCL information sheet Joint Use Agreement High Nitrates – Notice to Title Notice to Title Surface Water Hauling Water Notice to Title Positive Coliform Instructions Covenant Examples – Private Well

Solid Waste Program

Annual Report Form

Food and Living Environment

Food Program

Opening a New Food Establishment Plan and Menu Review Process * Appendix I (Catering)* Appendix II (Mobile Unit)* Appendix III (Bed & Breakfast)Plan and Menu Review Application Pre-Opening Checklist

Food Establishment Permit Application

Temporary Food Establishment Permit Application

Temporary Food Multiple Location Application

Temporary Food Coordinator’s Application

Exemptions from Food Permit Temporary Food Information Pamphlet Farmer’s Market Informational Handout Apple Cider Pressing Guidelines for Retail Sale Guidelines for Sale of Fresh Salmon/Crab Food Worker Cards

Vomit and Diarrhea Clean-up Plan

Allergen Awareness for Food Workers

Food Safety Education

Keep Them Clean Keep It Healthy Keep It Untouched Keep It Separate Keep It Hot Keep It Cold Keep It Hot or Cold Cool It Quickly Keep Your Hands Off My Food!

Guidelines For Power Outage

Washington Food Recalls

Washington State Retail Food Code

Water Recreation Facilities

First Aid Kit Requirements Signage Requirements Water Quality Standards Injury-Death Report Form Single Main Drains Guidance Shut-down & Reopening Guidance Fecal Incident Response Guidelines Pool Barrier Design Guidelines Cleaning Body Fluid Spills Guidance

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