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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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EIGHTH
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833
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2800 - Aboveground Petroleum Storage Program
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PR0529406
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BILLING_PRE 2019
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Entry Properties
Last modified
11/14/2024 4:34:38 PM
Creation date
8/24/2018 6:17:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0529406
PE
2833
FACILITY_ID
FA0002818
FACILITY_NAME
UNION PACIFIC RAILROAD - STOCKTON
STREET_NUMBER
833
Direction
E
STREET_NAME
EIGHTH
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
08801001
CURRENT_STATUS
01
SITE_LOCATION
833 E EIGHTH ST
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
EJimenez
Supplemental fields
FilePath
\MIGRATIONS\E\ELEVENTH\833\PR0529406\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
8/9/2018 4:49:33 PM
QuestysRecordID
3959709
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNT) fIRONMENTAL HEALTH DEPA ANT <br />MASTERFILE RECORD INFORMATION FORM <br />)VNew EH Proqram at Existinq Facility []New EH Proqram and New Facility <br />I Facility ID ') Y) l `fl Program Record ID 1` z9 w II <br />Facility Addresses 3� E - E �k � �_ I <br />(Please check the appropriate description and specify size, number of units and <br />FOOD PROGRAM (1600) <br />❑ Restaurant: Seating Capacity Square Footage Food Handlers Course required: YES ❑ No ❑ <br />❑ Commissary ❑ Dry storage only ❑ with Food Preparation ❑Vending Machines Number of Units <br />❑ Retail Market ----Square footage ❑ with Meat Market only ❑ Multiple Departments[] Prepackaged Goods Only <br />❑ Mobile Food Vehicle --Make Vehicle Type Color <br />Registration # License # Sticker # <br />❑ Mobile Food Prep Unit Make <br />Registration # License # <br />❑ Temporary Food Facility --Dates of operation from <br />❑ Special Event Dates of operation from to <br />DAIRY PROGRAM (2000) <br />rtinent information.) <br />I <br />Vehicle Type <br />Sticker # <br />Color <br />❑ Ice Plant <br />❑ Produce Stand <br />❑ Grade A Dairy ❑ Grade B Dairy ❑ Milk Dispenser -Number of Containers in Multi -Head Unit <br />CUPA ❑ State Facility Surcharge (2399) <br />HAZARDOUS WASTE PROGRAM (2200) <br />❑ Hazardous Waste Generator ----------- Tons Generated Per Year ❑ Recycle/Exempt System (2299) <br />❑ CRT Offsite Handlers (2218) ------------ ❑ Silver Only (2222) ❑ Appliance Recyclers (2217) <br />Tiered Permitting Facility------------------- ❑ Conditionally Authorized (CA) ❑ Conditionally Exempt (CE) <br />❑ Permit -By -Rule Fixed Unit ❑ Permit -By -Rule Household Hazardous Waste <br />1�_gBOVEGROUND STORAGE TANK FACILITY (AST -4-(-2-944 Number of AST <br />UNDERGROUND STORAGE TANK (UST) PROGRAM (2300) Use UST A and B forms <br />HOUSING PROGRAM (2400) <br />❑ Hotel/Motel ------Number of Units ❑ Jail or Exempt Institution ----Number of Units <br />Employee Housing (2700) Use Employee Housinq/Labor Camp Application Form <br />SITE MITIGATION (2900) UNDERGROUND INJECTION CONTROL (3000) <br />❑ Environmental Assessment ❑ UST -CAP Site ❑ Local HW Cleanup Site ❑ NPL/SEP Cleanup Site ❑ UIC Site <br />❑ Abandoned HW Site ❑ non-NPL/SEP Cleanup Site ❑ RWQCB Cleanup Site ❑ Water Quality Remediation Site <br />RECREATIONAL HEALTH PROGRAM (3600) <br />Number of Pools/Spas at Facility ❑ Pool ❑ Spa ❑ Out of Service Pool/Spa ❑ Natural Bathing Area <br />VECTOR CONTROL PROGRAM (4000) <br />❑ Poultry Farm -------Maximum number of birds ❑ Kennel <br />TATTOO, BODY PIERCING, PERMANENT COSMETIC PROGRAM (4100) <br />❑ Tattooing (4121) ❑ Body Piercing (4120) ❑ Permanent Cosmetics (4122) <br />LIQUID WASTE PROGRAM (4200) <br />❑ Pumper Vehicle Registration # License # Capacity Vehicle # <br />❑ Pumper Yard ❑ Package Treatment Plant ❑ Chemical Toilets ----Number of Units <br />SOLID WASTE PROGRAM (4400) <br />❑ Landfill ❑ Transfer Station ❑ Ag/Cannery Waste Site ❑ Sludge/Ash Site <br />❑ Waste Tire Facility ❑ Compost Facility ❑ Process/Recycle Facility ❑ CIA Landfill Site <br />❑ Refuse Vehicles (4 or Units) ❑ Dumpsters > 20 cu yd (# of Units) ❑ Farm/Ranch Cleanup Site <br />MEDICAL WASTE PROGRAM (4500) <br />❑ Primary Care ❑ Acute Care ❑ Skilled Nursing ❑ Large Generator ❑ Small Generator ❑ Limited Hauler <br />❑ Transfer Station ❑ Veterinary Clinic ❑ Common Storage Facility ❑ 2 - 10 ❑ 11 - 60 ❑ > 60 generators <br />PUBLIC WATER SYSTEM PROGRAM (4600) Use PWS EHD 46-02-003 Blue Application Form <br />EMERGENCY NOTIFICATION FOR THIS FACILITY AND/OR PROQUAM <br />CONTACT PERSON <%)kA10 -t(n IJI+' Day Ph ,SJf 6 Night Ph <br />PROGRAM ELEMENT FEE ❑ Surcharge FEE ❑ Other FEE <br />INSPECTOR # PERMIT VALID to ❑ Food Handler <br />❑ Check # AMOUNT PAID Date INVOICE # <br />❑ Cash REVIEWED BY iJl` ACCOUNTING OFFICE / Date 3L�9 <br />48-02-034 MASTERFILE RECORD INFORMATION PINK <br />11/15/07 <br />
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