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5.1 COVN iY PHS-ENVIRONMENTAL HEALTH DNIS MASTERFILE R' RD INFORMATION FORM(EH 00 691Revl..a areal} <br /> wN EHP 9 /N F 'Ifty Det <br /> N EH P g /E t 9 Facility <br /> SHADED SECT/ONS FOR LOCAL USE ONLY <br /> FACILITY ID # <br /> G RECORD ID # S' o90S <br /> - Pleeae Mark the Appropriate Description and Specify Si..and/or Number of Unke where applicable: <br /> _ DAIRY PROGRAM {2000} <br /> Cmtl.A Dairy Grade B Dalry <br /> Milk Dirp.n..r Nombre or Container.In Maid Heed Unit <br /> _ FOOD PROGRAM {1 6001 <br /> 1 rearm.Capacity 1 Squ.r.Foot... Produce Stand Ice Plant <br /> Restaurant Nombre of Unit. <br /> I Ory smmge only 1 will,Food P.....nn.n 11 Vending Machines <br /> Commissary 1 Dr Good.only <br /> I F..0,9.uare F.oga <br /> 1 with Meet Market only 1 with Food Preperenon Y <br /> Retal Market 1 1 upon..a <br /> 1 Make 1 VeN.la Ty, 1 Color Regi.tretlon a 1 <br /> Food Vehicle <br /> I1 Repirtmti.n 0 1 license a <br /> I Mnke C <br /> 1 V.Ng.Tyne 1 olor 1 I <br /> Mobile Food Unit 1 1 <br /> Temporary Food Facility Special Event I <br /> D.t.e of op..an.n f..rn <br /> m oat..of OP.retlon from t° <br /> HAZARDOUS WASTE PROGRAM {2200} <br /> 1 Ton.genar.bd per Year <br /> Hazardous Waste Generator <br /> 1 1 categorically Exempt ^ 1 Permit by Rul. <br /> I Cete.orlcallY.uMadzed 1 I^ 1 <br /> Tiered Permit Facility <br /> FJail <br /> APWoxlm.b Deter of oe....noy toHOUSING PROGRAM {2400) _ EMPLOYEE HOUSING {2700] <br /> m1 Nuber of Unitr Motel <br /> r Exempt Institution. <br /> _LIQUID WASTE PROGRAM {4200} <br /> 1 R.gietrad.n a 1 Uc.ra.a I Capacity I V.Nrle/ <br /> Pumper Vehicle <br /> 1 Number of Unib <br /> Pumper Yard Packs a Treatment Plant Chemical Toilets <br /> _MEDICAL WASTE PROGRAM 14 00) <br /> primary Care Acute Care Skilled Nursing Larne Generator <br /> Shall Generator Transfer Station Limited Hauler Veterinary Clinic <br /> 1 2-10 generator. 11 -60....rotor. >60.emreton <br /> Common Store a Facilit 1 <br /> _ RECREATIONAL HEALTH PROGRAM {3600) <br /> o_..r SDa Out of Service Pool/Spa. Natural BathingArea <br /> NV b f Pon,fislSion,at facility Pod/spa to P <br /> SHE MMGATION PROGRAM (2900) <br /> Environmental Assessment USTICAP Local Haz Waste Haz Met Pipeline <br /> I Cal EPA-RVIQCB 1 Cd EPA-DTSC 1 US-EPA <br /> Other Lead Agency Site <br /> 1 NPL sus 1 Water O.NItY site I Other <br /> SOLID WASTE PROGRAM {4400} <br /> Landfill Transfer Station Ag/Cannery Ag/CanneryWaste Site <br /> Number of Unit. <br /> CIA Landfill Site Sludge/Ash Site Compost Facility Refuse Vehicles <br /> Number.f Univ <br /> Waste Tire Facility Process/Recycle Facility Dum stere >20 cu yd <br /> VECTOR CONTROL PROGRAM {4000) <br /> Poultry FarmMeximu.n Number of Bird. Kennel <br /> Emer...... Nonfic.tlon for tlne FACILITY end/o.PROGRAM Dny Night <br /> CONTACT PERSON] <br /> Oe.ignaed 6nploye.a Program Dem..t# "-� Current Stmue _ Number of Unib EPA ID e <br /> L 7`� <br /> eonve y ate emewe y ale cagunbnq O ce era nit er me fir[81.ff Do,. <br />