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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0516483
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BILLING_PRE 2019
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Entry Properties
Last modified
12/12/2024 1:05:45 PM
Creation date
10/31/2018 3:31:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0516483
PE
2220
FACILITY_ID
FA0012634
FACILITY_NAME
A ADVANCED AUTO BODY & COLLISION CNTR
STREET_NUMBER
23922
Direction
S
STREET_NAME
DARRIGO
STREET_TYPE
RD
City
TRACY
Zip
953047804
APN
25014009
CURRENT_STATUS
02
SITE_LOCATION
23922 S DARRIGO RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\dsedra
Supplemental fields
FilePath
\MIGRATIONS\D\DARRIGO\23922\PR0516483\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
7/21/2016 4:47:14 PM
QuestysRecordID
2438607
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNTt- NVIRONMENTAL HEALTH DI ON <br /> MASTERFILE RECORD INFORMATION FORM EH 00 69) <br /> ❑ New EH Program at Existing Facility ew EH Program and New Facili <br /> Facility ID Program Record ID <br /> Facility Address 1 <br /> (Please Check the appropriate description and specify sim number of units an eertinent information.) <br /> FOOD PROGRAM(1600) <br /> ❑ Restaurant: Searing Capacity Square Footage Food Handlers Course required: Yrs❑ 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 Fond Vehicle—Make Vehicle Type Color <br /> Registration# License# Sticker# <br /> ❑ Mobile Food Prep Unit—Make Vehicle Type Color <br /> Registration# License# Sticker# <br /> ❑ Temporary Food Facility--Dates of operation from to ❑ Ice Plant <br /> ❑ Special Event - Dates of operation from to ❑ Produce Stand <br /> DAIRY PROGRAM(2000) <br /> ❑ Grade A Dairy ❑ Grade B Dairy ❑ Milk Dispenser—Number of Containers in Multi-Head Unit <br /> CUPA ❑ State Facility Surcharge(2399) <br /> 42A OUS WASTE PROGRAM(2200) <br /> azardous Waste Generator-----------------Tons Generated Per Year C� <br /> Tiered Permitting Facility ❑ Conditionally Authorized(CA) ❑ Conditionally Exempt(CE) <br /> ❑ Pen-nit-By-Rule Fixed Unit ❑ Permit-By-Rule Household Hazardous Waste <br /> ❑ ABOVEGROUND STORAGE TANK FACILITY(AST)(2390)—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(2 700) Use Employee Housing/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(412 1) ❑ 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—Number of Units ❑ Dumpsters>20 cu yd—Number of Units ❑ Farm/Ranch Cleanup Site <br /> MEDICAL WASTE PROGRAM(4500) <br /> ❑ Primary Care ❑ Acute Care ❑ Skilled Nursing ❑ Large Generator ❑ Small Genemtor ❑ Limited Hauler <br /> ❑ Transfer Station ❑ Veterinary Clinic ❑ Common Storage Facility —❑ 2-10--❑ It -60—❑ >60 generators <br /> PUBLIC WATER SYSTEM PROGRAM(4600)Use PWS EH0069 Blue Application form <br /> (/� EMERGENCY TIFICATION FOR THIS FACILITY <br /> S�AND/OR <br /> �PROGRAM <br /> CONTACT PERSON CA )Y)', G Day Ph 336 rJGTOC// Night Ph <br /> PROGRAM ELE'/MErNT �2 �� FEE ❑ Surcharge EE ❑ Other FEE <br /> NSPECTOR# 01/7 PERMIT VALID DU to /:-X 3! 00 ❑ Food Handler. <br /> [JCheck# AMOUNT PAID `ate 4'/yoD INVOICE#, <br /> ❑Cash REVIEWED BY ACCOUNTING OFFICE 4 <br /> Date <br /> EH 0069 PINK FOR.M.doe Rev.07/07199 <br />
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