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TY ?ENVY P CH TAUT"Alki. I I
<br /> SAT 1 J(K�Q lll''' ;-Ik'0-)! -
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<br /> WHERFILE W',C(A(i) fl
<br /> I lcv,. I I P I :k C Ot
<br /> El I'I cwJ_--H Piogr�im
<br /> FaciliO,RD QA 7k 3 1'ru«,ram Rc:c,,wd 10 xv
<br /> Facik(-yAdduss
<br /> 19�
<br /> (pla,,cb,IIIZ d§qthu nd Iwo&on:,fnanber cruns and ramew inkron(W
<br /> FOOD PROGRAM(IGOO) Fo-)d 11 i!idlei-s CwIC53 KC�cd: vEs El !?o 0
<br /> El lusilumal; Sam ing Qad Y Square Mtge
<br /> L] Commissary 1-1 D i-y s I c,r-zqg,e only tvith Food pfcpamlian EJ Wadiag Wchincs -4 lumber of Unit;
<br /> ❑ fWail Market —Square foo(aec ❑wit WN flubt only El Multiple rJ i,[Qp3ck2gcd Good;Only,
<br /> ❑ M obite Food Vclkicic MUT, Color
<br /> WgWrAwn License it SOM i,
<br /> Cl -Mobile Food Prep Urii(-Make WANTypc Colo[
<br /> ps"Ilvion" L.keno# SM"1 El kc ilaa
<br /> El "temporary Food Facili(-y-D�(es ofoperahoii from
<br /> El SpccialE 'ent Uatcs of operation from to El Pradure Sbad
<br /> DAIRY PROGRAM(2000)
<br /> El Cr--dc A Dairy D Gr-adc B Diivy D Milk ofConluncFs iabilflLi-lle.!J Unit
<br /> COPA. [I State Facility Surcharge(2399)
<br /> JJAZARDOUS WAS7TE 1'R,0Gf(A111(2200)
<br /> 0 )_Yaste Gencovd por-yen Ej Rnyde Quillp(syste[ll (2299)
<br /> El CRT Offsit,-, thindlors(2218) 0 Silver Ofily(2222) F1 AMAKwe ReUden P217)
<br /> Mcd Fc"Whg NOW)----------- F] Conditioodly.Who6zed(CA) EXCIlipi(CE)
<br /> 1:1 PCM-nit-Bly-Paile Excd unit T1oi_, c6,)ld Ha-zardn"s Wasto
<br /> 0 A3C1' T_GROUN D STO Rik GE TA 11 1�FAC[LITY(AST)(23'Q) fluntUc:F of AST
<br /> Ljtjj)-EP,Gr,1,0UHD STOR-4,-GE T,ktjjz(UST)�IZCGPAT;l(2300) Use UST an,lf j_i;ri,
<br /> jjotjsltY,(,- (2-100)
<br /> D HO(CM01cl--Tl11ml-,"-r of UniLs MH or Exempt )iskutioa-NumEor Mat,
<br /> Employes Thaing(2700) CWPAEnfinifiorcForms
<br /> SITE r,,11T1GA_fi0H(2900) WIDERGROU14D
<br /> ❑ EaAr-onmeom As3cssmeaf 0 UST-CAP SW El LoW WN(Amoup We ❑ NPL 6ET.'C1L:iaup S;(L El jj'c suc
<br /> ❑ Abandoned UM'SK 11 goa-l'IrUSE1,cinD.Up sue ❑ MQU fAnnup sRe El '','2teF Q U:)Uly R,-LnCdiaUQP-Sift
<br /> LRECREATIONAL HEALTM PROGRAM(MOO)
<br /> 11urnber orpool"ISF,D-3-it F_cil ity El P901 ❑ spa ❑ Out or sarvivt VON#I El NmuxM Anti&g An i
<br /> VECTOR.COFITROL PROGMqM OOW)
<br /> El poultq,rarm—Mw�imam number of birds D Kennel
<br /> TATTOO,BODY PIERCHIG, PERM.,-\HE[,1T COSI` MAG PROGRIkM(4100)
<br /> El Trittooijag(4 12 1) D 3todyPiercing(JUO) E] Cosricti._s(a 122)
<br /> LUOUID WASTE PROGRNM(1200)
<br /> 0 Pumper I License cspaciiy vdUck it—
<br /> El PIAMJIir Y2V(l Ej vionge Tuntment llaav Ej C1cmdrA Toil-As—1(umber of Units
<br /> SOLID'iASTI: PRIDGR?3F,"(140(I)
<br /> El Laudl-ill S(-tiiori El AF C.11:1RN_)' El sudgamb site
<br /> ( 1,1I awifill S ik
<br /> T"Vo TH Fouliq D MTV,
<br /> ❑ jKlIse
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<br /> 1 rt Ird f i- in I f,inli(erj jljul(-T-
<br /> F] FT,
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