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-rte /'�( r <br /> sJ OOUNTY PHS .ENVIRONMENTAL HEALTH DIVI"- V I L�C�l5'--��11"6EfIFILE Rc'`RD INFORMATION FORM(Elire <br /> (Eli 00 591Rs.i.ni areal}-F7 <br /> New EH Program/Eaiating Focility L New EH Program/New Fg ilky L Date -2 `- - <br /> SHADED SECTIONS FOR LOCAL USE ONLY <br /> FACILITY ID # D� �7 RECORD ID <br /> Pleme MarX the Appropriate Oefeription end SpeoiN Sizeandlor Number of Unit where applieeble: <br /> _ DAIRY PROGRAM {2000} ' ' 011, rf CIL <br /> Ned.A On" G'.d.a Doig Milk ol.onn.w, n1.nb.r of Conlnln.rf in Mddal.nd Unit <br /> _ FOOD PROGRAM {1600} <br /> 1 s..dnq cnpmir, I 5gmr.Fnetn°. Produce Stand Ice Plant <br /> Restaurant <br /> I 0,sn,".Adv .wb Fowl R.nerndon NUM.r of Udb <br /> Commissar Vendin Machines <br /> I $rnmrw Fnnma. 1 wul,M..,Mn...,nNv 1 wNb Fnml P..nM.d.n 1 DN Good.°ni, <br /> Retail Market <br /> 1 Mnk. I V.14a1.Tvn. 1 colo. i Rlninrndgn a I Ila.nw♦ li <br /> Food Vehicle I 1 1 <br /> 1 Md1. i Vw1i.l.Tvm coin, R.dnr.don f i u..m.a <br /> Mobile Food Unit <br /> Temporary Food Facility Special Event <br /> 0.1e.of OPentlon Omn to D.I.f of oo.r.don Ram to <br /> ZARDOUS WASTE PROGRAM {2200} T, G <br /> I Ton,q.n n.IM P.r Y.nr q. \<)� / <br /> Hazardous Waste Generator <br /> Cnlagodcelly nmhorli.d C.I.q.dCdN Fa.lnPl P.Imit by Rd. <br /> Tiered Permit Facility 1 <br /> HOUSING PROGRAM {2400} _ EMPLOYEE HOUSING {2700} <br /> — I <br /> 1 N.b.,of Udu Nmnb.f of S.,]V eu on,endovw R .vinq <br /> HotellMotel <br /> APPrmiln.l.D.Is.e1 o.eup.nPY <br /> Jail or Exempt Institution tO <br /> _ LCIUID WASTE PROGRAM {4200} <br /> I R.ginrntlon A 1 Ueew ! 1 GP.nN 1 V.Nda <br /> Fe—ZFe-Zef Vehicle <br /> 1 Wmbn of U,ilf <br /> Pumper Yard 11 package Treatment PI t CI I Toilets 1 <br /> MEDICAL WASTE PROGRAM {4500} <br /> Primer Care Acute Care Skilled NursingLar a Generator <br /> Small Generator Transfer Station Limited Hauler Veterinary Clinic <br /> 1 n j tT 60...anion 1 >60......... <br /> Common Storage Facility 2-10.......o <br /> I I <br /> RECREATIONAL HEALTH PROGRAM {3600} <br /> Pool S a Out of Service Pool/S a Natural Bathing Area <br /> N b f P IIs In F.c lir, Pod/soe ID a <br /> SFM MMGAT10N PROGRAM {2900} <br /> — I <br /> Environmental Assessment UST/CAP local Hat Waste Hat Mat Pi eline <br /> I CN ITA-AWGCB I CN UA-DTSC I VS-VA <br /> Other Lead Agency Site L <br /> 1 NPL sit. f W.I.,Q,nAw sin, 1 othw <br /> SOLID WASTE PROGRAM {4400} <br /> Landfill Transfer Station AQ/Cannery AQ/CanneryWaste Site <br /> Nvn of Nil. <br /> CIA Landfill Site Sludge/Ash Site Compost Facility Refuse Vehicles I <br /> nwnba,of unil. i <br /> Waste Tire Facility Process/Rec cle Facility Dum stars >20 cu yd <br /> _ VECTOR CONTROL PROGRAM {4000} <br /> Poultry Farm <br /> M..nn—Nnnb.f of atm. Kennel II <br /> L <br /> enugenev Notlpnnegn Iqr Id.FAGNTY nlNflor PROGRAM 0— Nigbt <br /> CONTACT PERSON: I <br /> Da.ignan,d FmPIPY.e A Rogrml 9wnmt 4Current Strom Nunbw of Vdtf EPL Ip �q ZOO <br /> .nn�..0 by Ont. R.Ynw.d Y nn cnqunvnq Dlhc. .Ia nt Calk I. I nt u V t ICa-- <br />