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<br /> i,E It 3I z, PSDD-J)10-) I,1 1.1,U,Tk-.N FOW,I
<br /> 11 New Ell Progr;'m at 1C v..E I 11 1 C,u--�111 11
<br /> LL,--a ci I i(y rD r I C CO I Li It D
<br /> Facility Addus, —�,O,
<br /> (Plen-se Check the app[OpINA(f jejcriptim and specify size,jium I jer of units arid pc N in I)
<br /> FOOD PROGRJ-1il 16 O 0) L V-)A H:indlers Cours-c i-equired: VES ❑ NO
<br /> El Rc,,(aurant: --aiim7, '�'i
<br /> — ,] 'Ll-c r0l�'tlgf�
<br /> El Commissary IJ P!-,,s, t-jg,c u L-11'( 0' l,ilh Food Pfq11Fa[1lDf1 ElVeading Macbinc3-flumbcr of Units
<br /> M(--L MDTI:ct Only -E] MuhiPll� El 1,rcp3cL,,pQd Good;Only
<br /> El Re(aii Nfarl�el
<br /> El -Mlkilv Food Vchic 1� Color
<br /> Cl Mobile Food 1'rcp Vellick, Color
<br /> bcm�-c i", Sticker N
<br /> IT-
<br /> El Temporary Food fit'OF `
<br /> cf-A 0 If' I toIce Plant
<br /> 0 if-Cm El Produce Shad
<br /> DAIRY PROGRi-kMi (2000)
<br /> ❑ E-j 11fiP.: of Containers in MU16-flead Unit
<br /> Gr de A Dairy El Gr d;: B
<br /> CUPA El S(ate Facitio,SlArchaw-gc(2391)
<br /> JfA.ZARDOUS WA52E llrC -
<br /> jC-j�j�M(2200)
<br /> El 11,1zardous .`fir Ste GCncralor—- Toris Generated Per Ycar FJ Recycle I Exclupt system(2299)
<br /> 0 CRT Offislt,-- ) _ndicr(2216) El Silver Only(2222) 0 Appliance llecyclefS(2217)
<br /> Tiered Permikiin'r 0 CoDdlUoinfly Autborized (Ol.) 0 (7cla-ittlooally Exempt(CE)
<br /> L-1 j1fC-r,-aiL-Br,,
<br /> f- u1C Fixed Uait Ej 1,cm-u[-D,Ruh�11ouschoid Hazaidous-Wast.
<br /> --
<br /> El ABOVEGROUND SICORA'GE TAHK CAULITY(AS)(231QQ) i!unikv:r of -%S1
<br /> UNDERGROUND T1R*.OGP-UJ(2300) Us,: CIS TA af,1 i,
<br /> JJOUSMG PROGMaAA(2,109)
<br /> D 101C].—1,jumher 01 uniis El 'f,iil or Eump( hs(ib-i(ion—141-111lb--rolUnitz
<br /> EnTploycC Housing(2700) Use)"Fil-mFopte H(Twsi,Clg 11,11,C1l,fj7App1iCT6arr FOMI
<br /> SITE MITIGATIOH(2900) UNDERGROUND 1P1JF-C1Iola CODITROL(3000)
<br /> 0 EnAroumca(-A Asscssruent El usT-cm,site- El Lcc?-1 UN-V Cleanup Site. D NP-USET!+:-'Ieauup Site ❑ uicsi(c
<br /> Cl Abnadoned 11WSUc El nou-NPUST-7P clr,�Imqp Site Site ❑ Vl,:2tel-Qu2tity Rmcdi:ffloll sitc
<br /> 1,-,ECREA'TKWP,,-HEALTH PROGPSMI 0600)
<br /> J 1pa_3 - 'q�,I D :Spa. Niturat Pt2tbiug i,,Vca
<br /> .I t 17 l.'
<br /> VEG-'fQRCOM T4'ZOL PROGR)M.-I(4.009)
<br /> D Poultry uum1bu of bins El f",mael
<br /> TATTOO, P-C)iDYPjE-RG3NG,PEPAMOM-ci i T COSNIEI�I(.;
<br /> 0 Tattooing(I i2t) t Cosmetics-�L
<br /> JetiCS(1122)
<br /> LIQUID WASriF '00)
<br /> f ;'T
<br /> T-, T 1 t o
<br /> bt,of Ufliu
<br /> S Q,L 9 D .I)--ST E 1'R0 11(•!400)
<br /> C-1 "Y.; S
<br /> Virt: 11 -7
<br /> -----------
<br /> )ILI 11D
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