Solid/Medical Waste Forms and Documents

​Solid Waste Local Enforcement Agency (LEA)

​PDF

Word​

1​ ​Application form for Farm and Ranch Illegal Dumping Clean-up
PDF
​N/A
​2 Farm and Ranch Solid Waste Cleanup and Abatement Grant Program Fact ​Sheet
PDF
​N/A
​3

Elements of a Manure Management Plan

PDF
​N/A

​Solid Waste Vehicle Management Program

​PDF

Word​

4​

Permit Application - Refuse and Limited Collector Vehicles 2012​

PDF
​N/A
​5

Minimum Standards for Solid Waste Handling and Disposal

PDF
​N/A

Septic Tank, Chemical Toilet & Grease Waste Pumper Management Program

​PDF

Word​

6 ​Fillable Environ​​​mental Health Permit Application
PDF
​N/A
​7 ​Pumper PPE and Guidelines
PDF
​N/A
​8

Regulations Guidance Sheet For Lavatory Carts and Airline Chemical Toilet Cleaners

PDF
​N/A
​9 ​Regulations Guidance Sheet For Septic Tank/Chemical Toilet Cleaners
PDF
​N/A
​10 ​San Jose/Santa Clara Water Pollution Control Plant Fact Sheet
PDF
​N/A
​11 ​List of Septic and Grease Waste Pumpers, Publicly Owned Treatment Works (POTWs) and RV Disposal Locations
PDF
​N/A

Medical Waste Management Program

​PDF

Word​

12

Medical Waste and Hazardous Waste Generator
Permit Application

PDF
Word Doc
13

Medical Waste Management Act

PDF
​N/A
14

Medical Waste Generator Facility Requirements

PDF
​N/A
15 ​Certification of Compliance
PDF
​N/A
16 ​Measures to Help Assist with Proper Medical Waste Disposal
PDF
​N/A
17 ​Elements Expected in an Emergency Action Plan
PDF
​N/A
18 ​Medical Waste Audit Questionnaire
PDF
​N/A
​19 ​Approved Home Generated Sharps Consolidation Point
PDF
N/A​
20 ​Limited Quantity Hauling Exemption Form
PDF
​N/A
​21 ​Requirements for Treatment of Medical Waste by Autoclaving ​N/A
22 ​Small Quantity Generator Permit Application (Short Form) ​N/A

Body Art Program

​PDF

Word​

23 ​New Body Art Facility Permanent Facility Application​ ​N/A
​24 New Body Art Practitioner Registration ​N/A
25 New Body Art Regulations ​N/A
​26 ​Sample Exposure Control Plan ​N/A
​27 Sample Sterilization Log

 

Word Doc
​28 Sample Client Consent Form
Word Doc
​29 Sample Aftercare Instructions  
Word Doc
​30 ​Hepatitis B Vaccination Declination Form ​N/A
​31 ​​Reference List of Available Blood Borne Training Courses N/A
​32 ​Sample Client History Form
Word Doc
​33 ​Hepatitis B Free Screenings and Vaccinations (English) ​N/A
​34 ​Hepatitis B Free Screenings and Vaccinations (Chinese) ​N/A
​35 ​Hepatitis B Free Screenings and Vaccinations (Vietnamese) ​N/A
36​ ​​MSCEP Notification
Word Doc
37​ ​​Instrument Usage Log
Word Doc
38​ ​​Needle Usage Log
Word Doc
39 ​​Sample IPCP ​​
Word Doc
40 BA Facility Plan Check Guide ​​ N/A

Waste Tire Enforcement Program

​PDF

Word​

41 Waste Tire Manifest Program ​N/A
​42 Waste Tire Manifest System-Field Reference Guide ​N/A

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