Laserfiche WebLink
SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Business License Survey <br /> 1. Does the business handle Hazardous Material? <br /> a. Type OIL <br /> b. Amount xgat,Lcko <br /> 2. Does the business generate Hazardous Waste? <br /> a. Type lVt95, <br /> b. Amount generated per month ���� <br /> c. EPA # 4� Ih�O✓ 'fo1� <br /> d. Storage method and time/stored on premise 55Y//"Y)L Aez,—P" <br /> e. Waste disposal method. ✓JCS <br /> 3. Is the business presently under any Permits? Ab <br /> a. State Permit # <br /> b. CRWQCB Discharge Requirement # <br /> c. City Permit # <br /> d. County Permit # <br /> e. Other / <br /> 4 . Type of sewage disposal systemr7ofhinj f /� <br /> a. Private Septic <br /> Under Sanitation Permit # <br /> b. Public Sewer <br /> Name of System <br /> City Discharge Permit # <br /> 5. Type of Water Supply A/p b—( <br /> a. Public <br /> Name of System <br /> b. Private Well Permit # <br /> Number of Employees !- <br /> Distance from septic system(s ) <br /> Distance from Underground Storage Tank <br /> Distance from Hazardous Material Storage — <br /> Distance form Hazardous Waste Storage <br /> EH 00 10 ( 4/86 ) <br />