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SJ l:OUNTY PHS-ENVIRONMENTAL HEALTH DIVIS P MASTERFILE Rr' RD INFORMATION FORM{EH 00 591Revl•ed 61941} <br /> New EH e /Ex t 9 F lay N ENP 9 /N Facility I Dete — <br /> SNADED SECT/ONS FOR LOCAL USE ONLY <br /> FACILITY ID # 00533 RECORD ID <br /> Plea..Mark the Appropriate Description and Specify Size and/or Number of Units where applicable: <br /> _DAIRY PROGRAM {2000} r� - <br /> Gr 1.A Da,y Grade B Dairy Milk Di•pemer Nrmber or Conralner°In Multi-Heed Unit <br /> FOOD PROGRAM {1600} <br /> I Seating C.Padty I a.....Footage produce Stand Ice Plant <br /> Restaurant <br /> I Or at 1 with Food Prepm"Man Nnnbef of Urns <br /> Commissar r Y Vending Machines <br /> I SOanre Fort." I with Most Market only I with Food Plo'ho.da I Dry Good•only <br /> Retei Market <br /> I Make I Vehicle Type t Coto, I fleytrntlon R Uven•. <br /> Food Vehicle I I 1 I <br /> Malts V.N.I.Type I Color Regbrtntlon R U—n•.R <br /> Mobile Food Unit <br /> Temporary Food Facility Special Event <br /> Daae or operation boar n oat..or operadon boar m <br /> HAZARDOUS WASTE PROGRAM {2200} <br /> I Ton•g.....vid per Ya., <br /> Hazardous Waste Generator <br /> Tiered Permit Facility <br /> Car•godro ly nummized CMegorc"lly Exempt Permit by Rd• <br /> HOUSING PROGRAM {2400} _ EM EE HOUSING {2700} <br /> 1 Nunber or Unib Number of Dnployee. Dalry Fmpi.y.s Houdng <br /> Hotel Motel <br /> Approxlmnre oat.•or ogaupangy <br /> Jail or Exempt Institution to <br /> _ LIQUID WASTE PROGRAM {4200} <br /> I Registration R I Uvenae R I C...dho 1 V.Nele R <br /> Pum er Vehicle <br /> Nunber of U.N. <br /> Pumper Yard Packs a Treatment Plant Chemical Toilets <br /> MEDICAL WASTE PROGRAM {4500} <br /> Primer Care Acute Care Skilled Nursin Lotus Generator <br /> Small Generator Transfer Station Limited Hauler Veterinary Clinic <br /> Common Storage Facility <br /> 3-10°°"B1BtOf° 11-so venerator. >60 g•n•,aof. <br /> RECREATIONAL HEALTH PROGRAM {3600} <br /> PoDI Spa Out of Service Pool/Spa Natural Bathing Area <br /> Nurnbar of Pool•/Spa°at Faviliw Pod/sp.ID A <br /> SITE MITIGATION PROGRAM {2900} <br /> Environmental Assessment UST/CAP Local Haz Waste Haz Mat Pipeline <br /> 1 Cel EPA-RW DCB I Cal EPA-DTSC I US-EPA <br /> Other Lead Agency Site <br /> 1 NPL Site I Wan,Quality Site 1 Other <br /> SOLID WASTE PROGRAM {4400} <br /> Landfill Transfer Station Aa/Cannery Waste Site <br /> Nnnh.r of unity <br /> CIA Landfill Site Sludge/Ash Site Compost Facility Refuse Vehicles <br /> Waste Tire Facility Process/Rec cle Facilit Norther of Units <br /> Dum eters >20 cu d <br /> VECTOR CONTROL PROGRAM {4000} <br /> PoWtry Farm Maximum Manb°r of gird. Kennel <br /> Dnv,rhey Notlgca lean for this FACIUTY and/or PROGRAM U.y Night <br /> CONTACT PERSON: 13bg 11C <br /> 11"igu.nd Uraloyee RPecgrnrn nnt <br /> # ` CnrStarve Ift Number of Units EP 10 If <br /> • ava y ate Reviewed y Data J r..uhh g we ate nrt er •n <br /> nort to eta <br />