Laserfiche WebLink
SAN JOAnUIN LOCAL HEALTf STRICT � C� `� _ �Z�✓`e <br /> ENVIfZONMENTAL HEALTH DIV!SION <br /> Business Licence Survey <br /> 1. Does the business handle Hazardous Material ? <br /> a. Type <br /> b. Amount <br /> 2. Does the business generate Hazardous Waste? <br /> a. Type <br /> b. Amount generated per month. <br /> c. EPA # fi y�'�"`� i c Iva- <br /> d. Storage method and time stored on premise. <br /> e. Waste disposal method. <br /> 3. Is the business presently under any Permits? <br /> a. State Permit # <br /> b. CRWQCB Discharge Requirement # <br /> c. Citv Permit # bi,Y-/c <br /> d. County Permit <br /> e. Other <br /> 4. Type of sewage disposal system. <br /> a. Private Septic <br /> Under Sanitation Permit # <br /> b. Public Sewers - <br /> Name of System <br /> City Discharge Permit # <br /> 5. Type of Water Supply <br /> a. Public <br /> Name of System <br /> b. Private Well Permit # <br /> Number of Employees <br /> Distance from septic system(s) <br /> Distance from Undergroung Storage Tank <br /> Distance from Hazardous Material Storage <br /> Distance from Hazardous Waste Storage c /Lic/�✓ <br /> 4-18-86 <br /> P.L V <br />