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- GEMERil. PROGRAM FILE New __10_ Change Edit (PROG3) revised 5/21/93 FACILITY ID # /�j©G FACILITY NAME `1 RECORD ID # (� j}L�'(�L�� PRIOR SWEEPS/COMP # _ DAIRY: Grade A Grade B Milk Dispenser Number of Containers in Multi -Head Unit _ FOOD: Restaurant Market Commissary Mobile Food Produce Stand Ice Plant Seating Capacity Sq Ft Market w/Food Prep: Y / N Temporary Food Facility Special Food Event Vending Machines Number of Vending Units Food Vehicle Make License # Registration # Color V HAZARDOUS WASTE: Tons Generated/Yr_*f 5 -Z6 �TIERED PERMIT Facility CA CE PBR _ HOUSING: Hotel/Motel No. of Units Jait/Exempt Institution Housing Abatement Employee Housing No. of Employees Approx Dates of Occupancy _/ / to LIQUID WASTE: Pumper Vehicle Pumper Yard Chemical Toilets No. Package Tx Plant MEDICAL WASTE: Primary Care Acute Care Skilled Nursing Lg Generator Sm Generator Storage (2-10) _ Storage (11-50) _ Storage ( >50 ) _ Transfer Sta Ltd Hauler Vet Clinic _ RECREATIONAL HEALTH: Poot/Spa Number of Pools SITE MITIGATION: Environ Assess UST/CAP Other Lead Agency Site Agency: RWQCB Out of Service Pool Natural Bathing Place Loc Haz Waste Haz Mat PPL DTSC NPL Site RB/H20 0 Other _ SOLID WASTE: Landfill Transfer Sta Recycling Fac Waste Storage Fac Ag Waste/Exempt Site _ SW Vehicle No. Dumpster No. Stationary Compactor Site _ VECTOR CONTROL: Poultry Farm Max Number of Birds Kennel EMERGENCY NOTIFICATION for this FACILITY and/or PROGRAM ` 'MY / , NIGHT CONTACT 1 : CONTACT 2 : ( ) DESIGNATED EMPLOYEE # I I PROGRAM ELEMENT # \IVCUIfRENT STA # OF UNITS : EPA ID #: ION CODE : BILLING and COMPLIANCE ACKNOWLEDGEMENT: 1, the undersigned owner, operator or agent of same, acknowledge that all site and/or project specific PHS/EHD hourly charges associated with this facility or activity will be billed to the party identified as the BILLING PARTY on this form. I also certify that I have prepared this application and that the work to be performed will be done in accordance with all applicable SAN JOAQUIN COUNTY Ordinance Codes and/or Standards and State and/or Federal taws. APPLICANT'S SIGNATURE : Title: Date: AUTHORIZATION TO RELEASE INFORMATION: In addition to the above, when applicable, I, the owner, operator or agent of same, of the property located at the above site address hereby authorize the release of any and all results, geotechnical data and/or environmental/site assessment information to SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION as soon as it is available and at the same time it is provided to me or my representative. Fee Amount Amount Paid Date of Payment Payment Type Receipt # Check # Recvd By REHS_/ / SUPV _J / ACCTJU) !a ,J UNIT CLK _/ /