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SAN JOAQUIN LOCAL HE�H DISTRICT <731_ 22 6,0 <br /> ENVIRONMENTAL HEALTH VISION <br /> A%P ?may /ccG�c � � <br /> Business Licence Surfey O L <br /> 1. Does the business handle Hazardous Material? tilrT <br /> a. Type <br /> b. Amount <br /> 2. Does the business generate Hazardous Waste? ►JIA <br /> a. Type <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 V <br /> Under Sanitation Permit # <br /> b. Public Sewer <br /> Name of System <br /> —City Discharge Permit # <br /> 5. Type of Water Supply <br /> a. Public V <br /> Name of System <br /> b. Private Well Permit # <br /> Number of Employees I <br /> Distance from septic system(s) k k 11 <br /> Distance from Undergroung Storage Tank 06pt <br /> Distance from Hazardous Material Storage &lPf <br /> Distance from Hazardous Waste Storage oho <br /> 4-18-86 <br /> RLV <br />