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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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F
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FREMONT
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2150
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4400 - Solid Waste Program
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PR0440030
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COMPLIANCE INFO
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Last modified
7/30/2020 11:53:41 AM
Creation date
7/3/2020 10:33:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0440030
PE
4423
FACILITY_ID
FA0006368
FACILITY_NAME
WASTE MANAGEMENT OF CALIF INC
STREET_NUMBER
2150
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
2150 E FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
CField
Supplemental fields
FilePath
\MIGRATIONS\SW\SW_4423_PR0440030_2150 E FREMONT_.tif
Tags
EHD - Public
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GENERAL PROGRAM FILE New Change Edit (PROG3) revised 5/18/93 <br /> r FACILITY ID # V -FACILITY NAME r�✓q-S7� rm/}.✓i4G •Y�..�� aF Sst�,G )v..� <br /> RECORD ID # SfS o( PRIOR SWEEPS/CCMP # <br /> _ DAIRY: Grade A Grade B Milk Dispenser Number of Containers in Multi-Head Unit <br /> _ FOOD: Restaurant Market Commissary Mobile Food Produce Stand Ic_e Plant <br /> Seating Capacity Sq Ft Market w/Food Prep: Y / N Number of Vending-Machines <br /> Food Vehicle Make License # Registration # Color <br /> _ HAZARDOUS WASTE: Tons Generated/Yr TIERED PERMIT Facility : CA CE POR <br /> _ HOUSING: HoteL/Motet No. of Units Jail/Exempt Institution <br /> Employee Housing No, of Employees Approx Dates of Occupancy ___J_/_ to <br /> _ LIQUID WASTE: Pumper Vehicle Pumper Yard Chemical Toilets No. Package Tx Plant <br /> _ MEDICAL WASTE: Primary Care Acute Care Skilled Nursing Lg Generator Sm Generator <br /> Storage (2-10) _ Storage (11-50) _ Storage ( >50 ) _ Transfer Sta _ Ltd Hauler _ Vet Clinic _ <br /> _ RECREATIONAL HEALTH: Pool/Spa Number of Pools Out of Service Pool Natural Bathing Place <br /> SITE MITIGATION: Environ Assess UST/CAP Loc Haz Waste Naz Mat PPL <br /> Other Lead Agency Site Agency: RWQCB DTSC NPL Site RB/H2O 0 Other <br /> SOLID WASTE: Landfill Transfer Sta Recycling Fac Waste Storage Fac Ag Waste/Exempt Site <br /> SW Vehicle No. Dumpster ✓ No. Stationary Compactor Site <br /> VECTOR CONTROL: Poultry Farm Max Number of Birds Kernel <br /> EMERGENCY NOTIFICATION for this FACILITY and/or PROGRAM DAY NIGHT <br /> CONTACT 1 : ( ) ( ) <br /> CONTACT 2 : <br /> DESIGNATED EMPLOYEE # 1 PROGRAM ELEMENT # I�4 CURRENT STATUS <br /> # OF UNITS : ' EPA ID #: INSPECTION CODE <br /> BILLING ACKNOWLEDGEMENT: I, the undersigned owner, operator or agent of same, acknowledge that all site and/or project specific <br /> PHS/EHD hourly charges associated with this facility or activity will be billed to the party identified as the BILLING PARTY on <br /> this form. <br /> I also certify that I have prepared this application and that the work to be performed will be done in accordance with all SAN <br /> JOAQUIN COUNTY Ordinance Codes and Standards, State and Federal laws. <br /> APPLICANT'S SIGNATURE <br /> Title: Date: <br /> AUTHORIZATION TO RELEASE INFORMATION: In addition to the above, when applicable, I, the owner, operator or agent of same, of <br /> the property located at the above site address hereby authorize the release of any and all results, geotechnical data amid/or <br /> environmental/site assessment information to SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION as soon as <br /> it is available and at the same time it is provided to me or my representative. <br /> Fee Amount Amount Paid Date of Payment Payment Type Receipt # Check # Recvd By <br /> RENS �f / 3� / SUPV / l CCT I / UNIT CLK _/_� <br />
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