HomeMy WebLinkAboutHazardous Waste ScreeningMlsslon-.
To protect, promote & knpmve
the health
of all people in Florida dwo . qh integrated
DATE 11--l'
ON mwf
H F, ALM.
11'Islon'Zo M the 1161thlest State In the Ration,
HAZARDOUS WASTE SCREENING'
FORA LOCAL BUSI E R
Lbczuon: 3855 SUS, I Hwy, Ste: Pierce; FL 3498;
I. BUSINESSNAME- - f C,0, I
2. bUSINES&OWNEk(S);
31.
41.
Ron DeS.an-ffs
Govem
Joseph A. Laclapoi. MD,. PhD
State si6po,i G ai
Fee $10.00,(0312018).
5. MAILINGADDRE:88: I-)OL -
(CIMM (STATE) (23P)
6. NAME OF;COMMERClAL/SHbPPINP-CENTER:
e .l el-
7. PROPERVIPARCELID4- -14 1 a. Ian oc3o%5- -o-cg-j 91
ZONING: Cjorn(y�
8. BRIEF DESCRIP=KOF�ACTIVITIES: CJL,,., 0. DbES'tHts BUSINESS OPERATE-AT'ANY OTHERIOC ATIONS PR.Ppll rjnNaS INNfS,
dbumy
OTHER THAN AT TH9'BUS,IN.JESS'ADDFtF-SSLj6.fE6 74d IF-s6. WHAT L6'CA'n16N:%
PLEASE CHECK THE THAT.APPLY,,T.O':FHiS'.Ptj$[NEgt*-Mf&LS.T,80 COMPLETED FORAPPRO
6EWAGE--�l PUBLIC SEWER OR OSEPTICTANSYSTEM. 'WELL
K W�m: -U8dCVAt.E-R W OR 0
DOES THIG',BUSINESS:.GENERATE OR DISPOSE OF ANY OF THE FOLLbWING:',FW`NT PkbDLfiCTS-,;9 -- BATTERIES; CLEANING
sowgNTs, PESTICIDES;,'USED OILS,. . I M$;b- - ' " . —1. - I - I , qLVENTS, BAT
,PETROLEUMS; R.6THER.HAZARD'OUIS WASTE7 13YES j5.N0
DOES THIEBUSINESS GENERATE. AND /-OR DISPOSE 0 6-YES AD MEDI�qAL WAS�tg
DOES- BUSINESS CURRENTLY HAVE LICENSED HAULER L-
bYES 11NO E3.WA.
IHEREBY'AGREE THAT THE-BUSINIESS ABOVE WILL COMPLYWMI ALL, FEDERAL,'STATEAND STE LAWS.
PRINT NAME --(AGENT FOR, THRABOVE BUSINESS) SIGNATURE
H5ALTI-IMEPARTMENT PERMIT RE * IRE6? - Y
Q.0 0
PERMIT NUMBER-
M R A 1'Q .2022�
Florida Departmentiof I-lealth-St-Lucle.County
Division of Disease Contr6l a6dHe2ithP r-thiction
Bureau of Envfmnmenial Health
Locakfigh,2845 S,.US,,H g4urayl ort:PIerco, FL.34082
MhIIInj 5150 NW Milner Drive Port St. Lucie, FL 34 1 9P A CNrdHeafthDepa01ft
Phdn6 Ti-O-
",
-
:PUN �ie�fthAccredftat6n Ebard
Fax772-SZ-1306
noridameatth4av
>` St. Lucie County Health Department
HEALTH 5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON: #: BILL Doc#:56-BID-5800301
RECEIVED FROM: Accurate Pool Plastering Inc AMOUNT PAID: $ 10.00
PAYMENT FORM: CREDIT CARD 7888232 PAYMENT DATE: 03/10/2022
MAIL TO: Accurate Pool Plastering Inc
Fort Pierce FL 34946
FACILITY NAME: Accurate Pool Plastering Inc
PROPERTY LOCATION:
Fort Pierce FL 34946
Lot:
Property ID:
EXPLANATION or DESCRIPTION:
-1 - Hazardous Waste Sign Off
Block:
QUANTITY FEE
1 $ 10.00
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-5472277
Linda Pendarvis
From: Susan Walker <accuratepoolsspas@yahoo.com>
Sent: Sunday, March 13, 2022 12:43 PM
To: Linda Pendarvis
Subject: Inspection Appr
Attachments: Fire Msarshall approved 2303 ste 23.pdf, Health Department approved.pdf
SECURITY, WARNING.:This ema�I orig'►nated from,outside',the Gouritysystems: Please show caution°when
licking Inks or opening attachments.unless,youu. recogn':ize the sender and know.the"content.isssfe.
See attached approval for the Code Compliance required or Fire Department and Health Department.
I am in the process of submitting final requirements for Alfanette.
Please Note: Florida has very broad public records laws. Most written communications to or from County officials regarding County business are public records
available to the public and media upon request. It is the policy of St. Lucie County that all County records shall be open for personal inspection, examination and /
or copying. Your e-mail communications will be subject to public disclosure unless an exemption applies to the communication. If you received this email in error,
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