FORMS: Bureau of Environmental Health Services

Food Safety

Form Name DHEC Form #
Application for Retail Food Establishment Permit - Apply to operate retail food establishment D-1769
File a Food Safety Complaint - Use this online form to file a food safety complaint about a South Carolina Food Service D-1218
Permit Amendment - Apply to operate retail food establishment D-1716
Event Authorization Application - Apply to operate retail food establishment D-1717

Bureau of Environmental Health, Division of Food Protection - Phone: (803) 896-0640 Fax: (803) 896-0645.

Septic Tanks

Form Name DHEC Form #
Application for Permit to Construct an Individual Sewage Treatment and Disposal System D-1740
Application for License to Construct or Clean Onsite Wastewater Systems and Self-Contained Toilets D-1777

Bureau of Environmental Health, Onsite Wastewater Management Division - Phone: (803) 896-0640 Fax: (803) 896-0645.

Laboratory

Form Name DHEC Form #
Application for Laboratory Certification- Use this form to apply for DHEC laboratory certification D-2802
Instructions for Completing Laboratory Certification Application- Instructions for Form D-2802 D-2802i
Chlorite Analysis form (pdf) - This form is designed for laboratories performing chlorite and/or chlorine dioxide analyses. ----
Colilert-18® Fecal Coliform QC Form (pdf) - This is an example form for performing media quality control checks with pure cultures for fecal coliform analyses. ----
Colilert® QC Form (pdf) - This is an example form for performing media quality control checks with pure cultures for total coliform/E. coli analyses. ----
Colilert Quanti-Tray® Total Coliform/E. coli MPN Form (pdf) - This form is designed for laboratories performing total coliform/E. coli MPN analyses using the Quanti-Tray®. ----
Colilert-18 Quanti-Tray® Fecal Coliform MPN Form (pdf) - This form is designed for laboratories performing fecal coliform MPN analyses using the Quanti-Tray®. ----
Enterococci Medium Quality Control Record (08/05) (pdf) - This is an example record that the laboratory may use to record the quality control checks performed on the medium. ----
Enterolert© Sample Analysis Form (10/06) (pdf) - This is a form that laboratories may use when recording enterolert© results. ----
Initial Demonstration of Capability (IDOC) form (pdf) - This form is designed for laboratories performing organic analyses. The form includes all required information to make the necessary review possible. Please ensure that when applying for certification, the IDOC studies submitted include all of the information included on this form. ----
Method Detection Limit (MDL) form (pdf) - This form is designed for laboratories performing organic analyses. The form includes all required information to make the necessary review possible. Please ensure that when applying for certification, the MDL studies submitted include all of the information included on this form. ----
Spore Ampule Sterilization Confirmation (pdf) - This is an example form for performing spore ampule sterilization checks on the autoclave. ----

Bureau of Environmental Services, Office of Laboratory Certification - Phone: (803) 896-0970 Fax: (803) 896-0850.

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Forms & Worksheets Office of Environmental Affairs