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SAN JUAOU1N LULAL HLALIH I <br /> ENVIRONMENTAL HEALTH DIVISIOn <br /> Business Licence .Survey <br /> 1. Does the business handle Hazardous Material ? t� <br /> a. Type <br /> b. -Amount :,: ?A90--' <br /> 2. Does the business generate Hazardous Waste? r1(3 <br /> a. Type f.)C�.,e. t*wt. <br /> b. Amount generated per month. <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. Citv Permit / <br /> d. County Permit / <br /> e. Other <br /> 4. Type of sewage disposal system. <br /> a. Private Septic <br /> Under Sanitation Permit f <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 <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 />