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125Z2- 0ocDt- WA6t ie � <br /> SJ COUNTY PHS - ENVIRONMENTAL HEALTH DTVI—IN MASTERFILE RECORD INFORMATION FORM {EH 00 591R.rt.M 61aa1} <br /> New EH Program/Flisting Focality r+ New EH Progranv New Facility L—, Dote -/7 {/ <br /> SHADED SECTIONS FOR LOCAL USE ONLY <br /> FACILI-ry ID # <br /> DD 7 cJ RECORO ID # D 17n ! j <br /> PI.... Mark rhe Appropriate Description end Specify Size and/or Number of Unita where applicable: <br /> DAIRY PROGRAM {2000} <br /> ci.e. a DMry G..d.a D., Milk of,P.n,., ro.nh..al com.rn...in Mlteaf..e udt <br /> FOOD PROGRAM (1600) <br /> S.^ena C^necm I sou...F....a. <br /> Restaurant Produce Stand Ice Plant <br /> Ory S—,,i.nrJv I with Fmd Vrenmvinn Nunen.o!Urru <br /> Commissar Vendin Machines <br /> Snnnr,FnrrrnO. with M.n.MnrF.r in.V wrrh Fnpl R.O n.neon o.rlV <br /> Retail Market Dry Good, <br /> r MK. Ve Nvl. <br /> Food Vehicle T, Col., a......... t I {la.nu I <br /> I I I I 1 <br /> Mn4. V.Ivd. T, 1 Color 1 aep.lrnbon t U..... I <br /> Mobile Food Unit 1 1 1 <br /> I <br /> Temporary Food Facility Special Event <br /> D^1..of on+..don f,.rn to D.u,m o1».naon Irwn m <br /> HAZARDOUS WASTE PROGRAM {22001 <br /> 1 Ton. .......so u.. <br /> Hazardous Waste Generator <br /> Tiered Permit Facility C.uvoncdltt .urMoz.E C.."01M11 lb,-01 M1 11 try al/. <br /> _ HOUSING PROGRAM {2400} EMPLOYEE HOUSING {2700} <br /> I Number of Uric Nunbo of andoy.n> Dalry FinPIPYw Ibueirp � <br /> Hotel/Motel <br /> AP.......,. D.u.01 oa.lm..cy <br /> Jail or Exempt Institution m <br /> LIQUID WASTE PROGRAM {4200} <br /> Rnbannpon t I Uc.... t C.p.tdy 1 V.NCI.f <br /> PNunbn..1 Uu1> <br /> Pumper Vard acks a Treatment Plant Chem'cal To'Iets I <br /> MEDICAL WASTE PROGRAM (4500) <br /> primary Care Acute Care Skilled Nursing Large Generator <br /> Small Generator Transfer Station Limited Hauler Veterinary Clinic <br /> z- 10 <br /> Common Storage Facility a,n.mmr, n sa tun....... >so a.......... <br /> RECREATIONAL HEALTH PROGRAM {3600} <br /> p I <br /> Sru Out of Service P..i/Spe Natural B th' g Area <br /> t <br /> Numbs of PaabIsom o Fnciliry Padlsbe <br /> SITE MITIGATION PROGRAM {2900} <br /> Environmental Assessment UST/CAP Local Hat Waste Haz Mat Pipeline <br /> CM EPA-RWOCB CN EPA-OTSC I US-EPA <br /> Other Lead Agency Site <br /> NPL sI,. I Wnur puMlry siu 1 Otho <br /> SOLJD WASTE PROGRAM {4400} <br /> Landfill Transfer Station Ag/Cannery Ag/CanneryWaste Site <br /> Nrme•r of Uuu �I <br /> CIA Landfill Site Sludge/Ash Site Compost Facility Refuse Vehicles <br /> I.—b.,.1 u.+1. <br /> Waste Tire Facility Process/Recycle Facility <br /> Dumosters >20 cu yd <br /> _ VECTOR CONTROL PROGRAM (4000) <br /> Poultry Far. It el.d, Kennel Ij <br /> E,...P•nw Nminw;nrr IED I,i.FACwrY.ndm. IetaeaW D.y woe, <br /> CONTACT PERSON: <br /> Dn>iamme FmoIPY.• t Program Eiament r Z 2� Cw....StMm Numbo of U.I. Ca_19 s�y�IC� (C <br /> m.nrveb br O^1e 911-1a by n1a ccoununy 0"... eu ut C a,n eu t bu_ eu <br /> t <br />