EH Complaint Form

Printer Version

REPORT A PROBLEM TO:
ENVIRONMENTAL HEALTH SERVICES
PO Box 1489, San Luis Obispo, Ca 93406
(805)781-5544 Fax (805)781-4211

San Luis Obispo County Environmental Health Services responds to several types of public health complaints from citizens concerning, but not limited to: restaurants, markets, mobile food vehicles, illegal food vending; public swimming pools and/or spas; failing septic systems; illegal dumping or trash buildup; waste tires; hazardous material violations and vector control. This form can be submitted electronically or it can be downloaded and sent by mail or fax. If you have a potential food borne illness complaint it is recommended you phone this office to generate a faster response.

All complaints are confidential unless a court action requires this office to provide a complainant's name.

Page 1 of 1

Complaint Type:
(Click the button that most closely describes your complaint)

Restaurant, market

Mobile food, illegal food vending

Public swimming pool/spa

Failing septic system

Illegal dumping/trash buildup

Waste tires

Hazardous material/waste violations

Vector control (mosquitoes, rats, flies, etc.)

Other

If other, please specify:

Name of facility or offending party:

Street address of offending party:

City of offending party:

Describe the condition(s) you believe to be a public health concern.
Please provide dates and times if applicable.
Keep your description brief but as accurate as possible. (2,000 character limit):

Your first name:

Your last name:

Your phone number:

Your street address:

Your city:

Your Zip code:

Your email address:

Enter a valid email address. Example: name@company.com

Date of complaint (mm/dd/yyyy):

After completing the form, select NEXT to continue.

San Luis Obispo County, California

EH Complaint Form