• Change of Ownership Form / Data Entry Form 
• Cambio de Dueño (Forma de Recopilación de Datos)
• Food Facility Inspection Report Availability Informing NOTICE  

Community Food Event Forms

• Vendor Packet: Community Food Event Vendor Permitting Requirements, Application and Guidelines
  • Comunidad alimentos evento forma en español: Requisitos, Solicitud y Guia
• Organizer Packet: Community Food Event Organizer Permitting Requirements, Application and Guidelines
• Annual Temporary Food Facility Permit Application

Cottage Food Operation Forms and Information

• Required Forms: Cottage Food Operation Application and Self Certification Checklist
• California Homemade Food Act FAQs (AB1616) English / Acta de Comida Casera de California
• Cottage Food Law AB 1616
• California Department of Public Health (CDPH) Information/Food Processor Course

Mobile Food Facility Forms

• Commissary Approval Form 
• Formulario De Aprobación Del Comisario 
• 2021 Food Vehicle Operational Log 
• 2021 Hoja De Registro Operacional Del Vehiculo De Comida
• Mobile Food Preparation Unit Operational Statement
• Unidad Móvil de Preparación de Alimentos Estado Operacional.
• Mobilefood@countyofmerced.com 

Plan Review Applications

• Electronic Plan Submission "NEW Effective December 23, 2019" 
• Food Facility Plan Review Application & Questionnaire / Establecimiento de Comida (Revision de la Construccion del Plan / Solicitud de Remodelacion)
• Swimming Pool, Spa, and Wading Pool Plan Review Application
  

Well Systems

• Well Construction & Destruction Application & Permit
• Well Construction, Destruction, Mining, and Export Application/Permit User Guide
• Letter of Intent – Existing or Out-of-Service Well
• Contours of Corcoran Clay
• Depth to the top of the Corcoran Clay – South Central Valley, CA
• Merced Area Subsidence, 2011-2014
• San Joaquin Region Groundwater Subbasins
• Merced County Groundwater Mining and Export Ordinance Frequently Asked Questions (FAQ’s)

Water Sampling Request

• Water Sample Request Data Form

Onsite Wastewater Treatment Systems (OWTS)

• Chapter 9.54, Regulation of Onsite Wastewater Treatment Systems
• Merced County Local Agency Program (LAMP)
• SWRCB OWTS Policy
• SWRCB OWTS Policy Fact Sheet
• OWTS Installation Guide
• Sewage System Construction & Destruction Application
• Community Sewer Service Availability Form for Community Sewer Provider 

Hazardous Materials/CUPA Program

• To download the AST closure application, please click here: Aboveground Tank System Closure Application   
• To download the UST Permit Application: Install, Upgrade, Repair, & Closure, please click here: UST Permit Application
• To download the UST Closure Procedures guidance document, please click here: UST Closure Guidance Document 

Body Art Facility Forms

• Assembly Bill No. 1168
• Body Art Practitioner Annual Registration & Hepatitis B Vaccine Statement of Declination/Completion 
• Approved List of Bloodborne Pathogen Training

Online Forms

• Consumer Complaint Form

Public Records Act Request Procedure (PRA)

Environmental Health receives California Public Records Act (PRA) requests (verbal, written or email). The request must include the name, address, phone number, email information of the requesting party, the address or location of the requested Public Records Act information and what information is requested. Environmental Health staff reviews the files to determine if we have the information. If we do not have any information, we would notify the requesting party that we have no information.

• California Public Records Act Request Form

Please submit your Public Records Act Request Form to:

Juana Garcia Juana.Garcia@countyofmerced.com and

Sandra Hernandez Sandra.Hernandez@countyofmerced.com

You may also contact the Environmental Health office by phone (209)381-1100.