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u <br /> SAN JOAOUIN COUNTY ENVIRONMENTAL HEALTH DEPARTIIE <br /> MAS ME RECORD I"PQWTM FORMN <br /> a9 Eydstl F QNaMt P'r4 rasa and <br /> ID �3 ' <br /> il�+Ord <br /> Facility Addir+es Ajj W.. <br /> ( check ft appropratla deftr#ptice OW SpedlY- Of ultits and <br /> aoftamm(1160l <br /> C3 Raosursat S"Vmtl Com+ F 24 Food Handlers Ccw►t*1i" <br /> 0 Cofnmigeery 13 Dry dwage only C3 with Food Preparation ©Vondi ng MachirK-st Nuryter m units' <br /> 0 ReW MsrW--SqW*keeps 13 vah Meat Markel only 0 M DopxrmentsO ►tp d <br /> Cl Mobft Food 1AM"44ske vary Type C lar <br /> R 8 � maker d <br /> E3 Mobi Food Preps Bonk , <br /> Ragtson d t p r d <br /> 0 TomweryFood Fsa —0*106 of op <br /> C3 SPWW EVOM DOM of opera **m Or <br /> DAWY PROGRAM 0401" <br /> x n <br /> D Grad*A o ky 0 Grade 8 Daky CC Milk DispentaaaaF-: -r—of" <br /> WA 13 ftdo Facility 8umhwp 42 399) <br /> HAZARDOUS WASTE PROGRAM(220#1} <br /> C3 Ha silo s Wasta GerimraMOr-Tofas "` `Ied Pot Year -- 0 Re,c <br /> ®CRT Of le Hw d*s(2298) -(3 SMr(k0y i=ce.i C3 App <br /> Tlerad Parmllglq Faddy (3 Condit anally Authorized LCA) C3 Can <br /> Q Pat(AW-By-Ruta Food Unit C Perm , <br /> 0 AWWWROUND STORAGE TAIL FACIL Y(AST)(2390) Number of AST <br /> UNDEROROUND STORAGE TANK U$T)PROGRAM 12300 j Use MA and 8 ftws <br /> (2400) <br /> E3 #icdeldMate#--NMW of UMs E�aempt#naa bn <br /> En*Aoyee Wrie ap(27W)U" <br /> 1 <br /> v.ww,ww%mmgwWW <br /> ( Aaneewnwd 19 UST-0 low N <br /> AbandaNd WX Oft Q a rt uP Sft C3RVOQCS Ckmup <br /> Ulan E�Wwll <br /> Num`of Poat FSCIVY— 0 Poo Spa 0 <br /> - <br /> (4000 <br /> a Poultry P <br /> rArm 4i fiyi3$ <br /> IM T (4121( -- C 14120) <br /> Q Pumiae+r k ria HE _ w <br /> C7 PunVw Yod 1 <br /> '1 P" C! <br /> (440 � <br /> 0 Lsodfill d Tonster Ststioo 11 <br /> ,,, AgXsnno y <br /> C3 Waste Tire FacWW 13 Oonvost F 44ildy P <br /> C <br /> 13 PrimaarY Carr ® ACWa' <br /> C3 Transter Stabon 0 V40orm <br /> ter. <br /> CONTACT PERSON <br /> 1�E 's k <br /> 04 <br /> a --------- F�nuP <br /> r <br /> ,, <br /> � A <br />