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FROM : i FO-PHA' F FHV r_-'0,4lFHTAL Ih C PA71AF H0. 209 5F,3 1129-, P03
<br /> aJ COUNTY PIIS•EMVMOrdMFNTAL HEALTH DIVISION MABMWILE RECORD INFORMATION FORM (CH QD e,41)
<br /> kaw 91 Wa romlEsl.ting F.Mty MFI Pnyr—fiUw Fr�Wltr Dau -
<br /> �HAPEO F_Vii(MIS FOR OCA! USE ONJ Y
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<br /> `,"a'; wwvn rwn.p.--v.,v,..-.n.:.V'.hv:.% v:!v:ni:w:•:: '•:. �.:nV',.'a:
<br /> FAQ r� :::.> :���:'^:= "� •� � « •:;;::.: �•:::;:°"::'..
<br /> p6soe UMk d.■Approprl.do Oseoriptlsa and SpeicAy'k=x..ndfor Mumbor of Gn+ls Wirt■aPpli■abls:
<br /> DAIRY PROGRAM (2000}
<br /> M.O.A Dir W■d.a or.r klNk O}rs.•••r Na.n6..of Go..r.i.r.In IAl19J-1■■d Urit
<br /> FOM PROGRAM {1000}
<br /> I loans C.a.dty + eel+w■FssMar educe Sisnli toe Plant
<br /> Refflaurimill _..- ...._ .._.—
<br /> 1 MMIrrWI.Y.pr.a■e
<br /> Nwa.r of Udu
<br /> , o>y■.orp.Orr _ _-_ Vending Mas:hL!ve
<br /> + wNh U-1 M.rk.l adv I vllh Food P1515 I by 600d..dr
<br /> I yam. t We"."TVP- I Cdor 1 MI.n■!{er+/ U__-a
<br /> Food VaNcJs I
<br /> I M■k• f V•'•_. Type 1 Color 1 IMd■Uadan/ ; UWN.a I
<br /> Moble Food Unil I i
<br /> r L
<br /> TwnporwV Food Facillty specl■1 Event
<br /> Mtsn at vows"n hen. m Dsl.s of OpsrNw! kom M
<br /> HAiU1pp aUS WASTE PROBRAMM {2200} —
<br /> _ r
<br /> r
<br /> 1 torts p.wr■r j P.,y.ri:-
<br /> Hazardous Wools Gen�ralol
<br /> r
<br /> Tiered Parma Fad calsrO1 r °rte i Cn.Q °r1.."v d10mot j P■Adr by Rids
<br /> Hmwia PRat:RAm (2400) immAym HOUSMa {2700} , -
<br /> DAM 1-19imv..tl."ng
<br /> Jai or Exempt Institution APprimet .1.Dot-of 0o0■Iryw+A
<br /> Ltauv WAsre Notw-Am {4200}
<br /> f1.e+.1..+I■n r - 1 Irs■rr.lr + C•,r•+h I V.Md.A _ 4
<br /> Pikneg VahFia
<br /> -- --- l Munbsr of Ild1.
<br /> Pulrl Yard Paoke i Tf#■tlriont Plant Clsasnlcal Toaeta t _ __ __-
<br /> PFAMI AL WAISM PROGRAM {4500}
<br /> Ptb"wy Ca � Acute Gare Sbaked tkurellxr -__-- Lv=,m
<br /> ta[sxr --
<br /> fimall Generator Transfer Station Llmlaed HslJar ry Clidu
<br /> �-f b artir■lar■ 71-{C Psrw.tor. � Y W eMyt.is�+s
<br /> Common$tern a Facility -
<br /> limmiumAL HEAL-im PimaiAm (3600) --
<br /> Pool9 OO oeManuLiff-WrIg Sites
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<br /> W r b.r or p..lUap.r.t fsoilr
<br /> _C_&'ate MmaATwN PitaoiwN 129001
<br /> EnrFonmental Asaeeement `" UOTICAP Local Ilan Waste H.Mot PI din.
<br /> 01her Lead Ogalwly 91t■ "VA-mwaee �t r 1J a-oT&C 1
<br /> 1 not Mi- 1 W_a.A v ale. 11 Oar,
<br /> $Dan WAaTR PROGRAM {4400]
<br /> :��rM�iA�v�'i��S;!riii '.,i�yR��'.r::"e)i:. :.r`.� `•so: `i��Awas�:
<br /> Landfill Ammampory Warta Site
<br /> �..�_
<br /> G A Landfill alto sludge/An"+silts Compost FacUty Raines Vehicles Numb"of Ulla
<br /> ,.a',. �3 taidsR•+!e�u„'x+J.w *d:�sn:�V
<br /> + , � , Dum stere ?2a cu d No.Ib.rotudl.
<br /> YVnte life Fac>rit d
<br /> Prvcasa►Rec a Faci[i1� ,... �•_. __,._•_____
<br /> Yuma Cam-mm PnaoRAM 14000)
<br /> Po+altry Perm iA.rllmw.Nvnb.r.r Wra. Kennel -" -- - -
<br /> bo.r..rm n.Yll.sba fm d"PAMMY amiltim PMOnAAd e.!r M1e6e
<br /> CarrACT PERSOM:
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