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GENERAL PROGRAM FILE New Change Edit (PROG3) revised 8/26/93
<br /> FACILITY 10 8 FACILITY
<br /> RECORD 10 # cr/ I PRIOR SWEEPS/cow
<br /> DAIRY: Grade A Grade B Mltk Dispenser Number of Containers in Mutti-Read Unit
<br /> F Restaurant Market Commissary "Ito Food Produce Stand lea Plant
<br /> Seating Capacity lq Ft Market w/food Prept Y ® if;
<br /> Temporary Food FacitIty Speciat Food Event Vending Machines Number of Vending Units•
<br /> Food Vehicle Make
<br /> License % Registreticn d Caton
<br /> NAZAROOUSWASTE: Tons Generated/Yr
<br /> TIERED PEiHiIT Facility : G CE PBR ,
<br /> HOUSING: � HoteVMotel No.Sof Units Jait/Exeqt Institution � Housing Abatement
<br /> Emptoyee Housing No. of Employees - Approx Dates of Occupancy f / to
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<br /> LIQUID WASTE: Pumper VeNicte Pumper Yard Chemical Taitets No. Package Tx Plant
<br /> MEDICAL WASTE:. Primes y Care Acute Care Skitted Nursing Lg Cwwator , Generator
<br /> Storage(2-10Y Star C11 50) Drage f 3,50 ) Tr St
<br /> fer a Ltd Neater ® Vet Clinic 1
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<br /> '' ...(.�.rc3 Sre y 77 77 q,'
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<br /> RECREATIONAL HEALTH: Poot/Spa Number of Poots out of Service Poot Natural Bathing Piece ..
<br /> SITE MITIGATION: Environ Assess �UST/CAP , 'Loc Nsz to x Naz Mat PK
<br /> Other Lead Agency Site Agency: RWOCB DISC NPL Site RB/R2O 0 Other x:
<br /> -SOLID, WASTE: Lendf i t l'
<br /> Transfer Sta Rescyef ing Fac {issta St ago Fac
<br /> `Ag Waste/Exempt Site •` s
<br /> St1 Vehicle 1ta. a Dempster Stationary Co Site
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<br /> „;i tE INS ash COM PLIANGE ACKNOWLEOGEMENT't�N f,tet ,end si owner„ opecatoe oil a C,af same, atknow efto that atE sitar'am tar � .
<br /> marc sped is PNS Et h ty charges associated wit this"taGft 4 a activity tett be b[1t toa tl Party}tdat~tified"�
<br /> i�LItN: PARTS on thiol for " alai cairn thin Casvrt pre�reai th�app icat iat Ii that t� t�5e�perftlrmad diff:tom done
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