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A V---tttt <br /> DEPARTD".ENT OF HEALTH SERVICES <br /> FACILITY SCREENING INFORMATION SUMMARY <br /> Inspector: <br /> Date <br /> I. Facility Name po2GYpU �WCM 1(-44- <br /> Facility Location <br /> Mail address P.v . ('✓D>C 5IS8 <br /> Contact �y <br /> Phone # - 8543 <br /> EPA ID # G4-PUbq&8-IOGB <br /> II. Waste Management Units at the Facility: <br /> UNIT ACTIVE/ TREATMENT WASTE <br /> INACTIVE STORAGE HANDLED/ <br /> DISPOSAL GENERATED <br /> Containers <br /> i.A�k�U� � <br /> Tanks I /hc T I✓� o IsPdS4t, c�£,Jq—�p <br /> Landfill ti}orJ E <br /> Surface <br /> Impoundment 1000 E <br /> r <br />