Laserfiche WebLink
U' N- 7-99 FRI 1245 PM P. <br /> /kaRAM fit* : Neu i Cf+Ange Wit _ (PR003) revts-d 5/2f/93 <br /> lilt io ! FACILity PAW <br /> •fie CORD 10 a O '�� L( rely% fur�t:rsjvW <br /> DAky <br /> t OrK <br /> e A Grsdt R Nick DiAparstr Nrsrbor of etertAlnors in multi-Rood Wir <br /> Raeurt�L Nlrk.t r.a...l*4AIY neblle fmf produce St+d Ice rlxnt <br /> (tetCApgclty _ lq it N^rktt v/rnod rr.T,: T t N <br /> TPUMrary Food fschilY SpecInt road Event verdlTy MrchlT+ts __ Ntrrtmr of Yendlno th.ito <br /> rood Vehlclt Mike Ltcw+t< e - _ Keotatrat{tvi s color <br /> NAZAADt7JS VASTLY r Tors Genetetedlyr iIEAEO rtRtut IaCitlty : CA CE PSR <br /> HOU9iNG: Nottl/Notal No- of UU+its Jeft/tv" rt rh'stltutlu" Mouslr,g AOetr^0,1t <br /> T Eeptoyet Mousing No. of E+rotoyte• AprroA Cnt" of OCCUI+r+ntY ^J / to <br /> t10UID UASIET F%r"r Vehlote Pinner 1x14 Chaeirat TOlttt• 1lt. pAckAae Tx vtent <br /> MEDICAL WASTE: Primtry Care Acute CArt Skilled Nurorrtg __ to G!nerorar SM CentrAtor <br /> Storage (2.10) storage tii•50) — Sterooe t x50 ) trar+•Ttr STO — Ltd Neuter — vtt Cllnie <br /> RECREATIONAL N[ALIM: pool/Spa Ncrrh.r of feole �•_�_ R,t of Service Pool Natural flsthing Fiore <br /> Vll3lle mIlIcATION: Environ Assets UST/CAP Loc 1101 Vete list Het PPL <br /> Other Ltod AgeMy SItR AgencYT RUOCR _ DISC wfl Site RVINTO 0 other <br /> tottD uAST[t larxlfllt __ Ironxfer Su __ RecyeH •o Inc Weate Stvrege fee Ag Vette/EAevt site <br /> $v vehicle No, 01'"for re. Stationery Ca+vActor Site <br /> VECTOR COMMKI Poultry Farm NAx NtrlXr of afrd+ Kevr+rl <br /> ENERGEMCY NOTItIC/ATTION for this FACIUiTI_st'llOr r1to"AM �y Gt,L DAY NTCHT <br /> CONTACT 1 1 lllr �l_lin Knfi�tJl��� �. -� tl�s, li3 .`=� ( ) <br /> caxTAtr z : � t% - S ._.. tKl ) ��(l -• �l t 1 <br /> DE;1GNAtEO EN/lorEE f PstTPRAN EIEnEMT I Z� C CURRENT SiA/tfi <br /> Of liN 1[S T <br /> EPA 10 INSPECTION CMM t <br /> IiLt(WC Ord C014PLIAPICX ACKMt AID91NlNT: it the ir+dersignetf owner, aperetor or oaFK of +one, eekMwl.dgt that alt site and/or <br /> pro;tet gptd fiC PMI:/EwD hourly Ch■raee associtted with this teetlity or Activity vitt be bliled to the party idtntltled As the <br /> be pRrft)rmed will be dors <br /> IILLIR, PARif at this fore. I etgo Ctrtlfy that I hnva prtptrtd this application amd that the work to <br /> in e..Cordarxt With Ott epolicobte SAN JOtDUIN C"ty Oldinnnca rodts pd/or St"xrdt std Stitt end/er federal fowl. <br /> APptlt;AMI'S SiGKATURI i ,.. iT t,t <br /> ,�a � ' 11'1P,�{/ — CTA; nf,e DRt1'tr�;c• 1(Ilt <br /> Title! <br /> AVO"IZATION TO RELEASE INFORNAT ONr in addition to the ebo,t, Winn appllceble, 1, tilt owmr, operator or event of stM+e, of <br /> the prorzrry,tocated at the ebave S1ea address hneby AuthorlLo the release of any and atI results, Dtotechnitai dots and/Or <br /> tnrfrom+entsl/alta assessment Inforgtatton to SAN JCAOUIK COUNTY PIIeIIC HFAL114 SERVICES ENViROsMENTAt NFALTH DIVILICN at door* to <br /> It Is available end at the soma %Imp it to provld:d to ne Or of represehtttivs- <br /> set A+ravtt Arovnt Fold OAte of PxWy".Ilt payment typeReeelpt a Cheek / Recvd Fly <br />