Laserfiche WebLink
6-2S-1996' 2 2SP6l rRUI P_ <br /> ;DAIRY,10"Crecle <br /> iFILE New CImn4,! Idle (PROG3) rw(rd 5/21/73 <br /> 1OTY ID R n it ' /ACIIITT A'AtejPRIOR SUP,EPS/CCNr e <br /> A Crede ■ Milk Disperser Ntnber of Containers In Multi-Need Unit <br /> IOCOr Anatatlrant Market Comnlss•ry _— Mobile rmf Prod„o.. St" Ice rlant <br /> Seating Cal;-ItY Sq It M„rket u/real Prapt Y / R <br /> Teaporery food Facility ^ Special orad Event --___ Verdlr9 Mn<hlneA Munber of V&ding Units <br /> Food Vehicle _- Hoke Lida-. e _ Reolatretlwi a Color <br /> -„ HAZARDOUS WASTE: - Torn Generated/Yr -_ TIERED PFiD11T reclllty t CA CE . rgR <br /> MOUSING: Notel/Motel _ No. of LYdti, Jait/E-eopt Inst ltuttwa Mouaing AboteA+ent —_ <br /> Eeployee Novs Ing _ No. o1 Enployeen Arrrnx Data. of OceLroncy to <br /> -� LIQUID VAStEr Pusher V-hiele Pamper Yard chr.mfral 7o1lato No. Package Tx Plant ^_ <br /> -- MEDICAL HASTE: Prianery Care Acute Care _ Skilled Nuralnq Lg Ceratrator _ Sm Generator _ <br /> Storage (2.101 _ Storage (11.50) — Stnnnq< ( ,50 ) _ 7rwvfer Sta Ltd Neuter _. Vet Clinic <br /> RECREATIONAL MEALTB: Pool/Spa _ Ntnber of rm,-e _-� Out of service Pool _ Natural 6ethltp plate <br /> SITE MITIGATION: Environ Assess U5t/CAr Loc Nat Waste list Mat pro _ <br /> Other teed Agency Site __ Aga,ey: RIncR --- DISC NrL Site — RN/H20 0 _ Other <br /> SOLID WASTEI LAndfit( Trampler Its _ Rrrve!:ng I'm Wnate Storage Fat _ Ag WaAto/Except Site —_ <br /> IV Vehicle !, No. D.nPNer Ne. Stationary Coapnctor Site �— <br /> —�, VECTOR CONTROLt Poultry Farm _- Max Nrnber of Rlyde — ceraati - <br /> EMERGENCY R071FICATIO61 for this IACILI7Y and/or PRnCAAM T DAY NICHT <br /> CONTACT 1 '1 <br /> CONTACT 2 <br /> DMMARTED EMPLOYEE R VPOGRAM ELEMERT R - WRiENr STATUS 7fiYVl <br /> Y Of UNITS I EPA (D f: �5d IMSPECTICM CODE <br /> SILLiNC and COMPLIANCE ACRNOULEDOEMENT: 1, the trdersigned owner, operator or egait of gems, acknowledge that all site and/or <br /> project specific PNS/END hourly charges assacloted with this facility or Activity wiit M billed to the �?iyd• I} ed n the <br /> IILIINC PARTY on this form. i also certify that I hnva prepared thie application and that the Work, to b rl w�tl be done <br /> In accordance With sol applicable SAN JCAOVIW C�OOUNTYYOrdl,mnce Code- wd/or Strdards and State and/or federal lows. <br /> APAUUNT•S S7CNATIIRE Y^Z� 4-" JUL 2 41996 <br /> y �l �9C SAN J-AowN co+�nft�'c /l111 <br /> 71t1s: /t-aG �t/9 4•'7 ��' -�A6 dL Orate. _ <br /> Ref{�ci6 IiAL'-IJ "ri V0sr- <br /> WfNCR1TRI0N TO RELEASE TMroR)Nt1ON: In addition to the clava, ubm appt ieabl e, 1, the ov,�.�'�rl�� oS 9 n� o�i.swM; 'of <br /> �otoc Ai.si � H ) <br /> the pr:ptrty'located at the above site address hereby f+Jthorlee the releAse of any and all rawltr, peoteehnlesl des s IJb4 <br /> env lronmenH l/sits ae/element Information to SAN JOAQUIN COLwiY Wet IC HEAITM SERVICES ENVIRONMENTAL WEALTH VIVISIOR as tom sA <br /> It is available and at the same tins it Is provided to me or ray representative. <br /> Fee AmptRlt AAutAX Paid Dau of payment peyeae,t type Receipt 0 Check 0 Necvd By <br />