Laserfiche WebLink
SJ COUNTY PHS-ENVIRONMENTAL HEALTH DNISh MASTERFILE RF 'D INFORMATION FORM{EH 00 691R•0eed 61041} <br /> N EH ProgramlFAsting Facility F— New EH P g /N Facility I-JI Data <br /> SHADED SECTIONS FOR LOCAL USE O-N7L/Y. <br /> JE- <br /> FACILITY ID # o (Y� RECORD ID # a4e 55, <br /> Please Mark the Appropriate Description end Specify Size endlor Number of Unna where applicable: <br /> _DAIRY PROGRAM {2000} .3 � 5D <br /> Crede A Dairy Chad.a Dairy Milk Dispenser Number of Container+in Multi-Heed Unit <br /> _FOOD PROGRAM {1 6001 <br /> 1 sham,,c.n.."y I sqn...F.om.. Produce Stand Ice Plant <br /> Restaurant <br /> 1 ory smm <br /> t.....ly I with Food Prep.n.tion Vendin Machines Nub.r of Unit• <br /> Commissar <br /> 1 Square Footage I with Meet Market nA, I with Food Pn•peration I Dry Goods ody <br /> Retail Market <br /> I MMe ; Vehicle Type I Color 1 Repbtrntlon t Ucano a <br /> Food Vehicle 1 1 <br /> I Make 1 Vehlde Type I CO., ; Re.Ntrntion R U.en•e a <br /> Moble Food Unit I 1 1 <br /> Temporary Food Facility Special Event <br /> D.I.+of op.r.aon horn ro Dere.or open.tlon hoot to <br /> _HAZARDOUS WASTE PROGRAM {2200} <br /> 1 Tons gen.retea Per year <br /> Hazardous Waste Generator <br /> 1 Categorically authorized Categorically E.elnPt Pamir by ROO <br /> Tiered Permit Facility1 <br /> _HOUSING PROGRAM {2400} EMPLOYEE HOUSING {2700} <br /> 1 Number of Unita Number of Employe.• Dairy Erc d"ee Hou•Ing <br /> Hotel/Motel <br /> ApF'..imere D.tes of O.cop.n., <br /> Jail or Exempt Institution to <br /> _6CILRD WASTE PROGRAM {4200} <br /> I R d+frntlon A 1 Uoeme a 1 Cnpedty 1 Vaud.a <br /> Pu p V hi le <br /> 1 N,—b.,of Ude <br /> Pum er Yard Packs Is Treatment Plant Chemical Toilets 1 <br /> _ MEDICAL WASTE PROGRAM {4500} <br /> Primary Care Acute Care Skilled NursingLar a Generator <br /> Small Generator Transfer Station Limited Hauler Veterinary Clinic <br /> 1 2-10 pammro,. 11-60 g.na,.tor+ >6o....rata,. <br /> Common Storage Facility <br /> _RECREATIONAL HEALTH PROGRAM {3600} <br /> Pool <br /> Spa Out of Service Pool/S a Natural Bathing Area <br /> Number of Pool+/Spas at Facility Padflip.ID a <br /> _SITE MITIGATION PROGRAM {2900} <br /> Environmental Assessment UST/CAP Local Haz Waste Haz Mat Pipeline <br /> I Cel EPA RW DCB 1 Cel EPA-DTSC 1 US-EPA <br /> Other Lead Agency Site <br /> 1 NPL Site I Water Mality Site 1 Other <br /> SOLID WASTE PROGRAM {4400} <br /> Landfill Transfer Station Aa/Cannery Aa/CanneryWaste Site <br /> Numbs of UNI. <br /> CIA Landfill Site Sludge/Ash Site Compost Facility Refuse Vehicles <br /> N.b.,of Unit. <br /> Waste Tire Facility Process/Recycle Facilit - Dum stere >20 cu yd <br /> _VECTOR CONTROL PROGRAM {4000} <br /> Ma.1rc..N,.nber of Bird. Kennel <br /> PoWtry Farm <br /> Emen.ency Notification for this FACRITY and/or PROGRAM Dey Night <br /> CONTACT PERSON: 14/ 7'C79 <br /> Designated Enph"..A Program Sem7t�,t �. Cune Btetw Numbsr of UNTO FPA ID f O D w <br /> ace va y .h. eviaw y xe Accounting Office Us.. ret e' ew nt S,Mf D.1c <br />