Department of Environmental Health

Official Website: https://www.amadorgov.org/

“The Amador County Environmental Health Department is a group of dedicated professionals working together with the community to ensure a more healthful environment by applying practical knowledge of science and public health, coupled with the judicious use of regulations.

Forms & Documents

Browse all Department of Environmental Health government forms

1 - 20 of 45 forms

Form Title Topics
Ag Disclosure Form
Ag Warning Signs Template
Application for Permit to Operate Form
Application & Water Well Job Permit
Authorization To Release Analytical Results
Bacteriological Sample Siting Plan
Building Permit Clearance Form
Catering Facility Application Packet
CERS Emergency Response/Contingency Plan Form
Certification of Financial Responsibility
Cold Holding Temperature 41°- Label Size 3.3” X 4”(6 per sheet)
Commissary Verification Form
Cottage Food Permit Application and Cottage Food Operations Self Certification Checklist
Designated UST Operator
Dishwashing- Label Size 5.5”x 8.5”(2 per sheet)
Disinfection By-products Monitoring Plan
Event Organizer Application Packet
Facility Inspection Report Available For Review
Food Facility Application Packet
Help Save Water!

Contact Information & Office Locations

1 contact point

Address:
810 Court Street
Jackson, CA 95642

Phone numbers:
  • (209) 223-6439
Fax numbers:
  • (209) 223-6228

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