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SAN JUAOU1N LULAL HLALIH U15, „I <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Business Licence-Survey <br /> I. Does the business handle Hazardous Material? <br /> a. Type. - ' <br /> 2. Does the business generate Hazardous Waste? UPz <br /> a. Type <br /> b. Amount generated per month. <br /> c. EPA N <br /> d. Storage method and time stored on premise. <br /> e. Waste disposal method. <br /> 3. Is the business presently under any Permits? <br /> a. State Permit N <br /> b. CRWQC8 Discharge Requirement N <br /> C. Cit Y Permi t M <br /> d. County Permit N <br /> e. Other <br /> 4. Type of sewage disposal system. <br /> a. Private Septic <br /> 'Under Sanitation Permit 1 <br /> b. Public Sewer <br /> Name of System <br /> City Discharge Permit / <br /> 5. Type of Water Supply <br /> a. Public <br /> Name of System <br /> b. Private Well Permit 0 <br /> Number of Employees <br /> Distance from septic system(s) <br /> Distance from Undergroung Storage Tank <br /> Distance from Hazardous Material Storage <br /> Distance from Hazardous Waste Storage <br /> 4-18-86 <br /> RLV <br />