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SJ COUNTY PIIS -ENVIRONMENTAL HEALTH DItrIS.—A MASTERFILEAWFID INFORMATION FORM(Ell 00 691H..i..d ero4l} <br /> Naw Eft Program/Exiating Facility New EH ProgramiNew Facility Date <br /> SHADED SECTIONS FOR LOCAL USE ONLY <br /> FACILITY ID # RECORD ID # <br /> Please Mark the Appropriate Desoriplion and Speoily Size and/or Number of Unita where appGoabl,. <br /> DAIRY PROGRAM f2000 <br /> Grad•A Odry G-d.a Dairy MIlk Dl.p..... N—bu of C-W-h— In MdU flood Udt <br /> yiTH <br /> FOOD PROGRAM {1 600} <br /> 1 64.0,19 Capaolty I 6yuar•Foora9. <br /> estaurant 1 1 P odisco Stand Ice Plant <br /> Dry 6tut.g.ody I will,Food Prapm.Uuu Nunb.r of Chit. <br /> Commissar Vending Meclllnes <br /> I bqu.0 Foutag• 1 wltlr M.•t Mar4.1 udy I wlih Fuod Prap.r.Uun 1 Dry Good.ody <br /> alai RNs ke <br /> 1 M.k. 1 V.iJW.TYp. 1 CWor 1 Raglw.Uon / t U..... / <br /> Food Valdcie 1 I 1 t 1 <br /> Mak. 1 V.W.l. Typo color i R.gt.tr.tion 0 i Uo.rua / <br /> Mobila Food Unit 1 I <br /> t I 7 I I <br /> �::Po,.,Y Facility Special Event fwrn Io Do(..of Op—don hwn to <br /> HAZARDOUS WASTE PROGRAM {2200} <br /> 1 Ton. guts•too par y— <br /> Hazardous Waste Generator <br /> Ca1.9od.Wlyau0rodz.d 1 C.t.uorloaily E.wnpt P.rmll by Rd• <br /> Tiered Permit Facility1 <br /> HOUSING PROGRAM {2400} EMPLOYEE HOUSING {2700} <br /> 1 Nunbu al Udt. Number of F—ploya.. Dairy Finpioys lloudn9 <br /> Hotel Motel <br /> Appro.krou. D.u•of Gooupuwy <br /> Jag or Exempt Institution to <br /> 1JQUID WASTE PROGRAM {4200} <br /> I Raglwedon / I Uomu. / 1 Capwlry, I <br /> Pumper Vehicle t 1 t <br /> Nunb.r of Udta <br /> Pum ar Yard Pecka a Treetlnent Plant C1lemlcal Toilets <br /> MEDICAL WASTE PROGRAM {4500} <br /> Primary Care Acute Care Skilled Nursing Large Generator <br /> Small Generator Transfer Station Limited Haufer Veterinary Clinic <br /> 2-10 g.n.ulora 11 -60 9•rw ator. >60 9•rw aloe <br /> Common Storage Facility <br /> RECREATIONAL HEALTH PROGRAM {3600} <br /> Pool spa Out of Se elm Pool/Spa Ne urs Batldto Area <br /> Nunbar of PoW.(bpu <br /> At F..Wly Poo{ISp•ID IF <br /> SITE MmGAnoN PROGRAM {2900} <br /> Environmental Assessment UST/CAP Local Hez Waste Hez Met PI aline <br /> 1 C.1 EPA-RW GCB 1 Cal EPA-DT6C ( U&-EPA <br /> Other Lead Agency Site 1 <br /> I NPL 6It. 1 W.w Ou Aly lilts I Gtfw <br /> SOLID WASTE PROGRAM {4400} <br /> } <br /> Landfill Transfer Station Ag/Cannery Ag/CanneryWaste Site <br /> Nunb.r of Udt. <br /> CIA Landfill Site Sludge/Ash Site Compost Facllty Refuse Vehicles <br /> Nurlb.t of UWt. <br /> Waste Tire Facility Procese/Rec cla Facility Dum eters >20 cu yd <br /> VECTOR CONTROL PROGRAM {4000} <br /> poultry FarmMaxlmun Nunb.r of Blida Kennel <br /> Enuganuy Notification for(No FACILITY andJor PROGRAM / CDay <br /> Night <br /> CONTACT PERSON: <br /> D..lglbud Bnployse f Progran El milt I f} Ct.rMt 0 atua Number of Unlit '(, EPA ID I <br /> *..iv., y Data n.vil-ed by Uale Totiounilliq offlo4 0At. JIYI UK elf - iii to el. <br />