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Si COUNTY PHS -ENVIRONMENTAL HEALTH DMS"'N MASTERRLE REr'ORD INFORMATION FORM (EH 00 59M.yi..d 619"1} <br /> D J <br /> N EH P 9 /Existing Facility I r N EH PragranUNew Flwility �. <br /> SHADED SECTIONS FOR LOCAL USE ONLY i <br /> FACILITY ID # RECORD ID # <br /> Ple...Mark the Appropriate Des—lipDes-limim and Specify S4. and/.,Number f Unit. h ppI bl <br /> _ DAIRY PROGRAM {2000} <br /> ewa.a D., G,wd•8 Open, <br /> Oiep+ne,r N,mbo pr containers in Mdd-H.M Unit <br /> — FOOD PROGRAM { GOO} <br /> 1 stpenr C.P—,W I sour.Fopuo• Produce Stand lee Plant <br /> Restaurant <br /> popper.1 Unit. <br /> I or sm,we n.+y I wne F.md p..m,"too Vendin Machines <br /> Commissar <br /> I Snvn Gnnm°. I wilb Meet MwrA.r..r�lv <br /> ...d,Pone P.pw.,doo 1 on coon.otiv <br /> Retail Market <br /> =WASTE <br /> Mne. I V.I..I.Typ. cao. R.a•awdon s u..n..: <br /> eI MN�n I Voted•Type I Color I Rather"pori I � Uom..Unit I Special Event <br /> ood Facility n Irwn to Dene or oomedonRDOUS WASTE PROGRAM {2200} <br /> Tom°an.,.," Peraste Generator <br /> C"t•aorineiv when ter CM" cle Ekappet t Parallel,RIM <br /> Tiered Permit Facility <br /> _ HOUSING PROGRAM {2400} EMPLOYEE HOUSING {2700} <br /> I <br /> I Number or U.I. Nupb.r.r EnolaY.,e D.ry Employ«(terrtlM <br /> F <br /> lotelA.....im•t o.m o1 o.<um.", <br /> r Exempt Institution 1O <br /> _ LIQUID WASTE PROGRAM {4200} <br /> I R" ...soon I I U..m.I I C.teaiN I WMCN I <br /> pumper Vehicle <br /> N,mbm of unit <br /> rpumper Yard Package Treatment PI t Chemical Toilets <br /> MEDICAL WASTE PROGRAM {4500} <br /> i <br /> Primary Care Acute Care Skilled Nursing Large Generator <br /> Small Generator Transfer Station Limited Hauler Veterinary Clinic i, <br /> z.+ .......or. >6o 9an.,..,. <br /> Common Storage Facility <br /> RECREATIONAL HEALTH PROGRAM {3600} <br /> I <br /> Pool Out of Service Pool/S a Natural Bathin AreaNumbs,or��.a <br /> podlspe 10 I , <br /> _ SITE MITIGATION PROGRAM {2900} <br /> Environmental Assessment UST/CAP Local Haz Waste Haz Mat Pi aline <br /> I Cd EPA-RWOCR I CM EPA DTSC I US-EPA <br /> Other Lead Agency Site I 1 <br /> I NPI.Site I Weur ouaFry sit. I om,. <br /> _ SOLID WASTE PROGRAM {4400} <br /> Landfill Transfer Station Aq/Cannery Waste Site <br /> rv—b.,.1 V-1. <br /> CIA Landfill Site Sludge/Ash Site Compost Facility Refuse Vehicles <br /> Nlmbee.1 U-I. <br /> Waste Tire Faeilit Process/Ree cle FacilityDum stars >ZO cu vd <br /> _VECTOR CONTROL PROGRAM {4000} <br /> Meemem wmbm or Bit". Kennel I' <br /> P Itr F <br /> en.r°.rwy Nn,illnwuon lo,u..FACIUTV m•1/.r PROGRAM One <br /> CONTACT PERSON_ ( I ( I <br /> D,w°neted Errol....A pra9Nm earnest I 2. 2� Cwr«t Stall.. Nlmbo.l Urib EPA IDI <br /> e.m."d by D"t R.,,.-.d by "n °oonbn, O Im. .t ut C e,. "l. I n[ t. wea <br />