Laserfiche WebLink
SAN JOAOUIN LOCAL IILAI.IH UISIRICI <br /> ENVIRONMENTAL HEALTH 16SION <br /> Business Licence Survey 1-1 /?eceO�/ S� <br /> 1. Does the business handle Hazardous Material ? Y6 <br /> a. Type 09 <br /> b. Amount � m������%��✓icQ� � ,� 5rr�s (s�-E�,.� <br /> 2. Does the business generate Hazardous Waste? U <br /> a. Type l_'lea? :Lp Aw�,� <br /> b. Amount generated per month. .L Sb# <br /> c. EPA fl f+ ..1u a. <br /> d. Storage method and' time stored on premise. .,ktt'111� <br /> e. Waste disposal method. <br /> 3. Is the business presently under any Permits? <br /> a. State Permit N <br /> b. CRWQCB Discharge Requirement N <br /> C. City Permit N <br /> d. County Permit H <br /> e. Other <br /> 4. Type of sewage disposal system. <br /> a. Private Septic <br /> Under Sanitation Permit # <br /> b. Public Sewer I,' <br /> Name of System (- 0 � <br /> City Discharge Permit N <br /> 5. Type of Water Supply <br /> a. Public U" <br /> Name of System <br /> b. Private Well Permit N <br /> Number of Employees / - <br /> Distance from septic system(s) IVIA <br /> Distance from Undergroung Storage Tank [-1)/A <br /> Distance from Hazardous Material Storage d/," <br /> Distance from Hazardous Waste Storagej�/A <br /> 4- 18-86 <br /> RLV <br />