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SAN JOAQUIN LOCAL HF" TH DISTRICT40 �QuN <br /> ENVIRONMENTAL HEALTIr` ISION10� <br /> O� -346j- <br /> Business <br /> GG,J'Business Licence Survey J4a /P. eo; OAC <br /> 1. Does the business handle Hazardous Material? ) 1 . <br /> a. Type U <br /> b. Amount /v <br /> 2. Does the business generate Hazardous Waste? � <br /> a. Type N^!�)� 016, <br /> b. Amount generated per month. s <br /> c. EPA # -- <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 # <br /> b. CRWQCB Discharge Requirement # <br /> c. City Permit # <br /> County Permit # <br /> e. Other <br /> 4. Type of sewage disposal system. <br /> Private Septic (� <br /> Under Sanitation Permit # N U ,uJ (� <br /> b. Public Wer <br /> Name of S m <br /> City Dischar Permit # <br /> 5. Type of Water Supply <br /> a. Public <br /> Name of System <br /> rivate Well Permit # <br /> Number of Employees <br /> Distance from septic system(s) (00 <br /> i <br /> Distance from Undergroung Storage Tank �l <br /> Distance from Hazardous Material Storage 1) <br /> Distance from Hazardous Waste Storage i� <br /> 1 � 1 <br /> 4-18-86 <br /> RLV <br />