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()uWTY PIIS-ENVIRONMENTAL IIEALTII DNIStC NIASTEftF11.E RE` rp INFORMATION FORM(Eli DO f>fJgtevleed e1941) <br /> • New Eli ProgramiNew Faoilityattl <br /> New EH ProgremlErlisling Facility <br /> SHADED SECTIONS FOR LOCA[ SE ONLY <br /> FACiLItY ID # L <br /> Please Mark ilia Appropriate Doeoription and Specify Si:e and/or Number r of Unite whertl eppGoaLle: <br /> DAIRY PROGRAM {2000} <br /> ends A Dalry state f<Dally Milk Dlepenssr �Nun�iwratnwimis In�Mulliod Unit <br /> FOOD PROGRAM {1600} <br /> I Seating cop•dly 1 aquae Foolsps Produce stand Ice Plant <br /> asisuran <br /> 1 will,Food Pre msdur, Nu�nbao of U,Jis <br /> 1 Dry Bwtape only P anti 1 AC 11 as <br /> Colnndaaar <br /> I 8,1­16 Foulage <br /> I with Mr■1 Mn,k.t ady 1 with Fond Ptepw/wdon I Dry Goods only <br /> Regall <br /> I Make I V*Nd*TyP• I CaratI Repiwadon s � Uoarue t <br /> Food Vehicle I I I I <br /> I Make I veloote Type Coloo Ragistradon 0 <br /> Mohiie Food Unit f 1 <br /> Ten+parary Food Facility Special Event <br /> Dein of OP•r•don }loin to Dotes of Operatimt loom to <br /> HAZARDOUS WASTE PROGRAM {2200} <br /> Tone gansut*d per yoar <br /> Hazardous Waste Generator <br /> f C*Upododly aullwrind - I Calagodually Exempt 1 Permit by Rule <br /> Tiered Permlt Facility <br /> HOUSING PROGRAM (2400) EMPL4YFk HOUSING (27003 <br /> I Nunber of UiJ la Numbar of Eonployeas Odry FJndoy Hou*Ing <br /> ate Mo e <br /> Approrlmate Data*of Ououpol,oy <br /> Jam or Exempt Institution 1O <br /> LIQUID WASTE PROGRAM {4200} <br /> I Raplutadon/ I Uoensa R i Cepaafty i VsNol*I <br /> Pumper Vehicle <br /> Pum ar Yard Package Treatment Plant Chemical Toilets I Nurnb•r of u1pt+ <br /> MEDICAL WASTE PROGRAM {4$00} <br /> Pflmafy Care Acute Care Skilled NursinaLarne Generator <br /> Small Generator Transfer Station Limited Hauler Veterinary Clinic <br /> l 1 Z'10 pstnralors t 11-S0 pensrstou 1 >60 goneo•lore <br /> Common Storage FacAi <br /> RECREATIONAL HEALTH PROGRAM {3600} <br /> Pool Sve Oul of Se ca poollsoft Balldna.Area <br /> Nunb*r of pooletspas al Faolpry p4aU$P+16 <br /> SITE MITIGATION PROGRAM {2900} <br /> Environlnantal Assessment US CAP Local tjaz Waste Haz Mat Pipeline <br /> ICA EPA•RWQCB 1 C.t EPA-DT60 1 US-EPA <br /> Otter Lead Agency Site I <br /> I NPL site I Water Quality site I Otho <br /> SOLID WASTE PROGRAM {4400) , <br /> Landfill Transfer Station Aq/Cannery Waste Sita <br /> CIA Landfill Site Sludge/Ash Site Compost Facility Refuse Vehicles Number of ui,lu <br /> s1matera >2OWeate Tire Facility ProcesalRac cla Facility cu yd Nugb•r of elite <br /> VECTOR CONTROL PROGRAM {40003 <br /> Maxlm,sn Nu,nber of Blyda Kenna! <br /> Poultry Farrn <br /> Frnslgenoy Nodfloadon for 114s FACIUTY and/or PROGRAM Day Night <br /> l <br /> CONTACT PERSON: <br /> DarlQl,sud Filotlk <br /> � ' ,lit+ EPA Ip aM <br /> aux va y ala R ale <br /> ff <br /> } ' <br />