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SU0000396
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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120 (STATE ROUTE 120)
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11555
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2600 - Land Use Program
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MS-90-44
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SU0000396
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Entry Properties
Last modified
11/19/2024 4:01:38 PM
Creation date
3/27/2020 10:20:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0000396
PE
2622
FACILITY_NAME
MS-90-44
STREET_NUMBER
11555
STREET_NAME
STATE ROUTE 120
ENTERED_DATE
9/19/2001 12:00:00 AM
SITE_LOCATION
11555 HWY 120
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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• <br /> 2 . Equipment Used None <br /> 3 . Hours and Days of Operation office 9-5 weekdays/sundays <br /> 4 . Employees : Total 3 Per Shift <br /> 5 . Number of customers/day 0 <br /> 6 . Trucks/day: Incoming 0 Outgoing 0 <br /> 7 . Electrical power and natural gas consumption: estimate amount if <br /> substantial None above the ordinary <br /> 8 . What, if any, off-site utility service, or road improvements, <br /> will be required? None <br /> 9 . Specify any hazardous materials involved in the operation <br /> ( including toxic substances, flammables or explosives ) . <br /> 0 <br /> 10 . Describe any air pollutants or odors from the operation and any <br /> permits needed from the Air 0Pollution Control District. <br /> 11. Describe source of any light or glare from the project : <br /> 0 <br /> 12 . Amount of noise or vibration from the project : <br /> 0 <br /> ❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal Property Owner (owner includes partner , trustee, trustor , <br /> or corporate officer ) , <br /> Owner 's legal agent (attach proof of the owner 's consent to file <br /> the application ) , <br /> aid th the foregoing is true and correct. <br /> 2 � <br /> -"- I( ignature (Date ) <br /> Use Permit Application - 6 - ( 6/86 ) <br />
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