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Regulations/Forms |
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[ Epidemiology ] [ Food Safety ] [ Other Programs ] [ Regulations/Forms ] [ Sewage/Water ]
The Regulations and Forms are in PDF
format
and require that your computer
be running Adobe® Reader software.
Please
Note: If you experience difficulty in
downloading or printing forms, please refer to the Adobe Web Site for
troubleshooting and support guidelines.
Regulations:
Body Piercing/Tattoo Studios:
64-80 Body Piercing Studio
Business
16-38 Tattoo Studio Business
Child Care Centers:
64-21
Child Care Centers
Clean Indoor Air:
HBOH Clean Indoor Air Regulation
Epidemiology:
19-20A
WV Rabies Vaccination Law
Food Sanitation:
64-17 Food Establishments
2005 FDA Food Code (3MB)
SF-4 Temporary
Food Service Guidelines
Farmers
Market
Farmers Market Vendor Guide
General Sanitation:
64-18 General Sanitation
Mobile Home Parks:
64-40 Mobile Home
Park Regulations
64-41
Design,
Information and Procedural Manual for Mobile Home Parks
Recreational Water
Facilities:
64-16 Recreational Water Facilities
Sewage:
64-47 Individual
and On-Site Sewage Systems (Excerpts)
64-47 Sewage
Treatment and Collection System Design Standards
64-09 Sewer
Systems, Sewage Treatment Systems, and Sewage Tank Cleaners
Water:
64-19 Water Well
Regulations
64-46
Water Well Design Standards
Forms:
Animal Encounter:
SG-58
Animal Encounter Report Online Form (Complete Form, Print,
and Deliver to us!)
Body Piercing/Tattoo Studios:
SG-49
General Sanitation Permit Application (Complete Form, Print, and Deliver to us!)
SG-86
Piercing Studio Plan Review
SG-88
Piercing Technician Certification Application
SG-89
Information & Notification
SG-90
Hepatitis B Declination
64-80A Body Piercing Studio Rule Public Notice
Child Care Centers:
SG-49
General Sanitation Permit Application (Complete Form, Print, and Deliver to us!)
SG-99
Plan Review Information for Child Care Centers (New or Remodeled
Complaint:
SG-51
Online Complaint Form (Complete Form, Print, and Deliver to us!)
Food Sanitation:
SF-4 Temporary
Food Service Guidelines
SF-5
Food Establishment
Permit Application
SF-7A
Food Guide
SF-7B
Equipment Guide
SF-7C
Management Guide
SF-7D
Employee Guide
SF-7E
Inspection Guide
SF-35
Plan Review for New or Remodeled Food Establishments
1999
Food Code Plan Review References
Form 1-A
Applicant Food Employee Interview
Form
1-B
Food Employee Reporting Agreement
Form
1-C
Applicant and Food Employee Medical Referral
OLS
Request Food
Filth Lab Analysis
PHSD
Retail Food Emergency Flip Chart
General Sanitation:
SG-49 General Sanitation Permit Application (Complete
Form, Print, and Deliver to us!)
Mobile Home Park:
SG-49 General Sanitation Permit Application (Complete
Form, Print, and Deliver to us!)
EG-1
Mobile Home Park Specification and Plan Review Summary Form
EG-2 Application for a permit to Construct, Install, Alter, or Extend a
Mobile Home Park
EG-4 Sewage System Data Sheet
EG-5 Water System Designs
Recreational Water
Facilities:
SG-49 General Sanitation Permit Application (Complete
Form, Print, and Deliver to us!)
ER-32
Recreational Water Facility Weekly Report
SR-153 Recreation Water Facilities Tables
Sewage:
SS-182 Application for a Permit to Construct, Modify, or Abandon
a Water Well and/or Install or Modify a Small Sewage Disposal
System
SS-182A Application to Install or Modify a Small Sewage Disposal
System
ES-57 Affidavit
Home Aeration Unit (HAU) Forms:
HAU Application Package
SS-188
Sewage System with Discharge Permit Application
SS-188A Surface Discharge Site Evaluation Report
SS-191
Annual Report For 600 GPD Point Source Discharge System
Home Loan Evaluations:
SG-55 Home Loan Evaluation Report
SG-55A Home Loan Evaluation Procedures
Subdivision Forms:
ES-76
Subdivision Application
Septic Tank Cleaner Forms:
SS-181
Application For Sewage Tank Cleaning Permit
For Installers Only:
SS-192 Installer Certification Renewal Application
Water:
SW-252a Dug Wells (Prior to 2008)
SW-252b Approved Pitless Well Installation (Prior to 2008)
SW-252c Springs
SW-252d Cisterns
SW-252e Installing a Pump
SW-252f Approved Well House Installation (Prior to 2008)
SW-252g Pitless Units
SW-253 Water Analysis Request (Complete Form, Print, and Deliver to us!)
SW-256 Water Well Application
SW-258 Water Well Completion Report
SW-260 Water Well Variance Request
SW-261 Water Well Abandonment Report
SW-262 Water Well Pump Installation Report
DW-22
Water Well Violation Report
Water Quality Labs
Private Water Well Owners–What to Do Before Drilling
the Well
Private Water Well Owners–Water Well Pumping Systems
Private Well Owners-Four Steps to Water Well Safety
How to Disinfect a Private Water Well
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| Calendar of Events |
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April 2012
Administrative
Holiday
N/A
Health Fair
April 14 - East Hardy Middle School - 8am to 11am
Clinical
Breast and Cervical Clinic
April 3, 10, 17 - 8am to 11am and 1pm to 3pm
April 24 -1:00pm to 3:00pm
Family Planning Clinic
April 3, 10, 17 - 8am to 11am and 1pm to 3pm
April 24 -1:00pm to 3:00pm
Family Planning Supplies/Depo
Injections
April 3, 10, 17 - 8am to 11am and 1pm to 3pm
April 24 -1:00pm to 3:00pm
Immunization Clinic
April 4, 11, 18, 25 - 8am to 11am and 1pm to 3pm
Pediatric Clinic
April - N/A
Prostate Clinic
April 25
STD Testing
April - By Appointment Only
Environmental
Food School
April 2 @ Health Department - 9am
April 2 @ Mathiasl - 7pm
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