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- SJ COUNTY PHS-ENVIRONMENTAL HEALTH DI 1N MASTEFFIIf 'ORD INFORMATION FORM (EH 00 591R.Yi«d blsal) <br /> N EH P g /Ex' t" g Facility 'New EH ProgramiNew FLliW �.e <br /> SHADED SECT/ONS FOR LOCAL USE ONLY n <br /> FACILITY ID # RCD !Gr' <br /> Please Mark the Appropriate Description awed Specify Size atW/or Number of Unita where applicable: <br /> _ DAIRY PROGRAM {2000} <br /> Dud.A Univ Grml.B Dalry Milk Dhp.w"r Nr.nbar al Contrvno.in mtphf i.ne Unit <br /> _ FOOD PROGRAM {1 6001 <br /> c...."Y I sow..Fao..a• Produce Stand Ice Plant <br /> Restaurant <br /> l ory slm.a+ndr I wnb Fam+vr.m.ndan <br /> Commissar Vendin Machines name..ar um. <br /> II <br /> ynmrn Fmnna• I wOM1 M.nt Mnrkn nNY I wish Fro RwanrnJon pn Cma.oNv <br /> Retail Market <br /> Food Vehicle <br /> MKw ' v+lvtl.Tr- <br /> Mobile <br /> wMoble Food Unit I <br /> Temporary Food Facility Special Event <br /> Dal..of On..ntlmt Iran m Onm or On.rntlan Irom to <br /> HAZARDOUS WASTE PROGRAM {2200} <br /> l <br /> nerator To..a. bw <br /> rb.. d y.•r C,c.� S'Z�� <br /> Hazardous Waste Ge <br /> I cebaodaalW,wdw.iT.d I cet•a..balW Fx.rnpt I <br /> v.mtll by A'.• <br /> Tiered Permit Facility <br /> _ HOUSING PROGRAM {2400} _ EMPLOYEE HOUSING {2700} <br /> DNry findon. Nnoan <br /> I Nunbar of UNu N.mb.r el finploy. < <br /> Hotel/Motel <br /> Avv.oamet. Dem or ooaw..av <br /> Jail or Exempt Institution <br /> _ Licium WASTE PROGRAM {4200} <br /> q+q.vntlon tl I Ucen."/ 1 CeonnN V.fvde/ <br /> P per V h' le <br /> Nlnnb.r of Univ <br /> Pumper Yard Packa a Treatment Plant Chemical Toilets <br /> _ MEDICAL WASTE PROGRAM {4500} <br /> Primar Care Acute Care Skilled NursingLarge Generator <br /> Shall Generator Transfer Station Limited Hauler Veterinary Clinic <br /> 2.10 a•n•rntov 11-60 y.mretnv >60,.."ron <br /> Common Storage Facility <br /> _ RECREATIONAL HEALTH PROGRAM {3600} <br /> P I Sp / Out of S P I/Sp Natural Bathing Area <br /> Numbs bt Podel6P.. .1 Fecilily %oils'. <br /> Srm MmGATiON PROGRAM {2900} <br /> Environmental Assessment UST/CAP Local Haz Waste Haz Mat Pipeline <br /> 1 Cal EPA-RWOCB I CN eA-DTSC I US-FPA <br /> Other Lead Agency Site <br /> 1 NPL Sib I W.I.Qu ir,Slb I Othwr <br /> _ SOLID WASTE PROGRAM {4400) <br /> i <br /> Landfill Transfer Station A /Canner Waste Site <br /> wenb.r.r unit. <br /> CIA landfill Site Sludge/Ash Site Compost Facility Refuse Vehicles <br /> N�.nber of Udb <br /> Waste Tire Faeilit Process/Recycle Facilit Dum stars >20 cu Yd I <br /> _VECTOR CONTROL PROGRAM (4000) <br /> IF Poultry For, N.—.,el 84,1, <br /> Kennel <br /> finnaencY Norillcntimr for Ilv.FNCRITY pw1/o.RWGRArA 0nv Nbrt <br /> CONTACT PERSON: ( ) ) ) <br /> 0......E Employs A Roarvn ewm•nt/�� 2�. Current Suuv Nvnb.r al um'. ! f / G <br /> 1 <br /> m:mva hY D"te R—.-.d br "- D.I. vWVn.�ta Le. .0 .I Cl `� "u I n[ la eu <br />