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5r COUNTY PHS-ENVIRONMENTAL HEALTH DR 1 MASTEAFILE O../)RD INFORMATION FORM{EH 00 59M.vl.ad areal} <br /> N EH P 9 fEx t g F Irty N ENP 9 IN Facility II Dee <br /> SHADED SECT/ONS FOR LOCAL USE ONLY <br /> FACILITY ID # RECORD ID # <br /> Please Mark the Appropriate Description and Sp'ify Size midior N b f Unit- h ppl bl <br /> _DAIRY PROGRAM {2000} <br /> Ge d.A Dei Grad.B Odry Milk Dlao....r N.b.,of Con.kw.In MdtiJbad Unit <br /> _ FOOD PROGRAM {1600} <br /> I baatin.Cep.dr, I Sgaa,.F..Nga Produce Stand Ice Plant <br /> Restaurant <br /> I with Food preperntlon Nunber of Units <br /> I Dry stgrnq.any Vendin Machines <br /> Commissar <br /> t Sauer.Fgo.ps 1 with Most Minket oNY 1 with Food Praparetlon 1 Dry Coots N. <br /> Retail Market <br /> I Mak. I Vargas Tres I color Raght-ion J ; Us.m.J I, <br /> Food Vehicl <br /> 1 MA. I V.hiols Tres I Co., Rsd.aadon I U....J <br /> Moble Food Unit I <br /> Temporary Food Facility Special Event <br /> Dau.of Opnadon hom to Dau.of Operation from to <br /> _ HAZARDOUS WASTE PROGRAM {2200} <br /> I Tan..aranned par year <br /> Hazardous Waste Generator <br /> I CaugaebWy autMdz.d Cangodedly Ei.mpt Parmlt by RJs <br /> Tiered Permit Facility <br /> _ HOUSING PROGRAM {2400} _ EMPLOYEE HOUSING {2700} <br /> ' I Nunbu.f UNte Number.i Engoysn Ddry Fmgayaa Housing <br /> HotellMotel <br /> App,o.imeb Data-of Uooupanoy <br /> Jail or Exempt Institution I 1 11 <br /> tO <br /> _ LIQUID WASTE PROGRAM {4200} <br /> I R.V.tredon J 1 U.....J I C.pse1w 1 V.rgete J <br /> Pum "Vehicle <br /> Number of Unita <br /> Pum er Yard Packs a Treatment Plant Chemical Toilets <br /> MEDICAL WASTE PROGRAM {4500} <br /> I <br /> Primary Care - Acute Care Skilled NursingLar a Generator I <br /> Small Generator Transfer Station Limited Hauler Veterinary Clinic <br /> I 2.10 generator. 11 -50.snare... >bo g.,wrator. <br /> Common Stora a Facilit I <br /> _ RECREATIONAL HEALTH PROGRAM {3600} <br /> Spa Out of Service Fool/Spa Natural Bathing Area <br /> N b I p IS F "ry - Pools"ID I <br /> SITE MmGAnoN PROGRAM {2900} <br /> ffo,fies <br /> ml Asses UST/CAP Local Haz Waste Haz Mat Pi eline <br /> Cd EPA RWDCB I Cd EPA-DTSC I US-EPA <br /> Lead Agency Site <br /> 1 NPI Slu 1 Wabt DudhY Sita I Other <br /> SOLID WASTE PROGRAM {4400} Zv ti. O qII I� <br /> Landfill Transfer Station Aq/Cannery A /CanneryWaste Site <br /> Number of UN. <br /> CIA Landfill Site Sludge/Ash Site Compost Facility Refuse Vehicles <br /> Number of Unita <br /> Waste Tire Facility Process/Recycle FacilityDura eters >20 cu d <br /> _VECTOR CONTROL PROGRAM {4000} <br /> D 1 F Maximum Number of Bird. G' Kennel �I <br /> Enrtg.,wy Notification for IN.FACIUTY alts/g,PROGR,A1My� Dir, Night <br /> CONTACT PERSON: YgMO y <br /> Designated Enployss if U D Lj Progrwo Samar 4 (,, current Sutra Number of Unite FPA ID f <br /> ata 0 ewewe y ate . ccou.(l G F.C. ep 'I Cl.,k Data-- .tu e� <br /> 2 ,Z q'T / <br />