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ENVIRONMENTAL HLAL111 <br /> 10 <br /> Business Licence Survey <br /> 1. Does the business handle Hazardous Material ? D; / -r G <br /> : a. TypeM. <br /> ��.I�������-.� <br /> b. Amount :__ - - <br /> ' 2. Does the business generate Hazardous Waste?- <br /> a. Type <br /> b. Amount generated per month. <br /> c. EPA N `' <br /> d. Storage method and time stored on premise. <br /> e. Waste disposal method. Pr'Cx5�r C? <br /> 3. Is the business presently under any Permits? /l/"k) <br /> a. State Permit N <br /> dh� <br /> b. CRWQCB Discharge Requirement I <br /> c. City Permit N <br /> d. County Permit I <br /> e. Other <br /> 4. Type of sewage disposal system. QS <br /> a. Private Septic <br /> Under Sanitation Permit I <br /> . _b. Public Sewer <br /> Name of System <br /> City Discharge Permit I <br /> 5. Type of Water Supply CEblcJ <br /> a. Public <br /> Name of System <br /> b. Private Well Permit N <br /> Number of Employees o`L <br /> Distance from septic system(s) <br /> Distance from Undergroung Storage Tank <br /> Distance from Hazardous Material Storage <br /> Distance from Hazardous Waste Storage <br /> ® <br /> 16 <br /> 4-18-86 <br /> RLV <br />