Laserfiche WebLink
SCAN J0AOUI11 LU1(,L LAL I I I I I L i <br /> ENVIRONMENTAL HEALH DIVISION <br /> Business Licence S rve <br /> 1. Does the busin ss handle Hazardous Material ? y <br /> a. T w a " o a I fr,,,,4--1 - �,,,Q,u,v:� }� �n c�•� , <br /> Type <br /> b. Amount S rQ-� 0 4&--j S <br /> 2. Does the busin ss generate Hazardous Waste? <br /> a. Type V�-4 <br /> b. Amount gen rated per month. `r.-s <br /> d. Storage me hod and time stored on premise. $PrgR-f-L b� <br /> e. Waste disp sal method. mow@.-- rhA- <br /> 3. Is the business presently under any Permits? <br /> a. State Permit # fJ r) <br /> b. CRWQCB Disc arge Requirement # <br /> c. Ci tv Permit #0 <br /> a <br /> d. County Permit # OWF <br /> e. Other C^.an--a- Acme, <br /> 4. Type of sewage isposal system. <br /> a. Pr vato Sep i c ""'o U-�k-- � �"�' 2 <br /> Under Sanit tion Permit # t4 AJAr <br /> b. Public Sewe /✓o <br /> Name of Sys em `✓"' <br /> City Di s cha ge Permit <br /> 5. Type of Water upply ✓tp ��u o <br /> a. Public <br /> Name of System _ f L4 <br /> b. Private Well Permit # <br /> Number of E pl oyees <br /> Distance f m septic system(s) <br /> Distance f m Undergroung Storage Tank /✓ / <br /> Distance f m Hazardous Material Storage <br /> Distance fr m Hazardou Waste Storage ,SG<-OV49' <br /> V � <br /> �,k <br /> Vj <br /> I <br /> 4-18-8t <br /> P,LV i (/ <br />