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EHD Program Facility Records by Street Name
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E
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EIGHT MILE
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2420
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4700 - Waste Tire Program
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PR0524828
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Entry Properties
Last modified
9/24/2019 4:23:15 PM
Creation date
9/24/2019 3:01:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
BILLING
RECORD_ID
PR0524828
PE
4740
FACILITY_ID
FA0012408
FACILITY_NAME
Heavy Transport Inc.
STREET_NUMBER
2420
Direction
E
STREET_NAME
EIGHT MILE
STREET_TYPE
RD
City
STOCKTON
Zip
95210
CURRENT_STATUS
02
SITE_LOCATION
2420 E EIGHT MILE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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CField
Tags
EHD - Public
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aid. btu ° <br /> --- 2 <br /> SAN J®AQt)IN COUNTY EN�'IR01`I1� 1~1N'TAI.HEALTH DEPARTMENT O f\ <br /> NIASTERFIL E RECORD INFORMATION FORM <br /> ❑New Eli Program at Existing Facility ❑New EH Program and New Facility '� <br /> '5//j s �/j <br /> (j Pro ram Record ID / y1 <br /> Facilrf•ID a , <br /> Facility A_ddresS _ iZd E�'�M M'� ��� <br /> (Please Check the appropriate description and specify size number of units and pertinent information.) <br /> FOOD PROGRAM(1600) <br /> El Restaurant: Seating Capacity Square Footage Food Handlers Course required:. Yss 13 No El <br /> ❑ Commissary ❑ Dry storage only [Iwith Food Preparation ElVending Machines—Number of Units <br /> ElRetail 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 Vehicle Type Color <br /> Registration# License# Sticker# <br /> El Temporary Food Facility—Dates of operation from - to 11 Ice Plant <br /> ❑ Special Event —Dates of operation from <br /> to ❑Produce Stand <br /> DAIRY PROGRAM(2000) <br /> ❑ Grade A Dairy ❑ Grade B Dairy ❑ Milk Dispenser—Number of Containers in Multi-Bead 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 /> El Permrnit-By-Rule Fined Unit ❑Peit-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/lilotel Number of Units 11 Jail or Exempt Institution Number of Units <br /> Employee Housing(2700) Use Employee dfarrsinjz= abor Camp Application Form <br /> SITE MITIGATION(2900) UNDERGROUND INJECTION CONTROL(30o0) <br /> ❑ EnAronmeatal Assessment ❑UST-CAP Site ❑Local IBV Cleanup Site. ❑NPL/SEP Cleanup Site ❑UIC Site <br /> ❑ Abandoned IfNV Site ❑ non-NPLISEP Clea-nup Site ❑RNVQCB Cleanup Site ❑ tii'ater 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 /> ElPoultry Farm Maximum number of birds 1:1 Kennel <br /> TATTOO,BODY PIERGING PERMANENT COSMETIC PROGRAM(4100) <br /> ❑ Tattooing(4121) ❑ Body Piercing(4120) ❑ Permanent Cosmetics(4122) <br /> LIQUID WASTE PROGRAM(4200) <br /> [I pumper Vehicle—Registration# License# Capacity Vehicle# <br /> [I pumper Yard ❑Package Treatment Plant ❑ Chemical Toilets Number of Units <br /> SOLID WASTE PROGRAM(4400) <br /> ❑ LandfiH E] Transfer Station El Ag I Cannery Waste Site ® Sludge/Asla Site <br /> X\Vaste Tire Facility ❑ Compost Facility ❑ Process[Recycle Facility ❑ CIA.-Landfill Site <br /> ❑Refuse Vehicles—Number of Units ❑ Dumpsfers>20 cu yd—Number of Units ❑ FarmfFanch Cleanup Site <br /> filEDIGAL WASTE PROGRAM(4500) <br /> ❑ Primary Care El Acute Care ❑ Skilled Nursiag F1 Large Generator Cl Small Generator El Lin <br /> Hauler <br /> ❑ Transfer Station ❑Veterinary Clinic ❑ Common Storage Facility--E] 2- 10 ❑ 11-60--❑>60 generators <br /> PUBLIC WATER SYSTEM PROGRAM(4600) Use Pff`SE1TD�f6-02-003 BlueAppticcr6wt Fornr <br /> EMERGENCY NOTIFICATION FOR TFlis FACILITY ANOIOR PROGRAM <br /> CONTACT PERSONDay Ph Night Ph <br /> ''ll <br /> I'ROGRAMELEMENT �IuU _ FEE /" ❑ Surcharge FEE - ❑ Other FEE _ <br /> IIgSPECrOR# __1aJZ __ PERMITVALID to ❑ Faod Handler__ <br /> 1.1 Check V AmouNrF PAID ID ---- - — Date 11NOICE it — --- --- <br /> Cash !{LYiL�'1F. BY )O Accm_ dTli:,OFFICE Date <br /> -- - <br />
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