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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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H
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HARDING
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2900
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1600 - Food Program
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PR0546309
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Entry Properties
Last modified
1/18/2023 2:56:10 PM
Creation date
12/3/2020 2:05:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546309
PE
1635
FACILITY_ID
FA0026231
FACILITY_NAME
TACOS EL TARASCO #93491D2
STREET_NUMBER
2900
Direction
E
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
14310020
CURRENT_STATUS
01
SITE_LOCATION
2900 E HARDING WAY
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> MASTERFILE RECORD INFORMATION FORM <br /> New EH Program at Existing Facility ❑New EH Pro ram�andd New Facilit <br /> Facilit ID 002,(�7-E3 Pro ram Record ID Dj//(1z�!) <br /> Facility Address aqJ)D k�14-7S WAV <br /> (Please check the appropriate description and specify size, number of units and pertinent information.) <br /> FOOD PROGRAM(1600) <br /> ❑ Restaurant: Seating Capacity Square Footage Food Handlers Course required: YES ❑ No ❑ <br /> 0.(Commissary ❑ Dry storage only ❑ with Food Preparation ❑Vending Machines Number of Units <br /> �otb <br /> ail Market----Square footage— 11w/Meat Market only El Multiple Departments❑ Prepackaged Goods Only <br /> 1leFood Vehicle--Make o[ N�1lYo Vehicle Type Color (!2,9.4- <br /> Registration# License# Sticker# <br /> 8 Mobile Food Prep Unit--Make Vehicle Type Color <br /> Registration# License# Sticker# <br /> ❑ Temporary Food Facility--Dates of operation from to ❑ Ice Plant❑ Produce Stand <br /> ❑ Special Event---Dates of operation from to ❑ CFO ❑ A ❑ B <br /> DAIRY PROGRAM (2000) <br /> ❑ Grade A Dairy ❑ Grade B Dairy ❑ Milk Dispenser-Number of Containers in Multi-Head Unit <br /> CUPA <br /> ❑ Hazardous Materials Business Plan (1900) Number of chemicals: <br /> ❑ CaIARP Program ❑ Program 1 Facility ❑ Program 2 Facility ❑ Program 3 Facility <br /> ❑ Hazardous Waste Generator(2200)---------->-Tons Generated Per Year <br /> ❑ Tiered Permitting Facility-------> ❑ CA(2232) ❑ CE (2233, 2234, 2235,2237) ❑ PBR(2231) ❑ PBR HHW(2236) <br /> ❑ Aboveground Storage Tank Facility(AST) (2800) Number of ASTs <br /> ❑ Underground Storage Tank Program (UST) (2300) Use UST A and B forms <br /> ❑ Other CUPA Program <br /> HOUSING PROGRAM (2400) <br /> ❑ Hotel/Motel------Number of Units ❑ Jail or Exempt Institution ----Number of Units <br /> Employee Housing (2700) 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-NPLISEP 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 /> ❑ Body Art Practitioner Reg (4110) ❑ Mechanical DSPS Notification (4115) ❑ Body Art Facility-Single Use(4120) <br /> ❑ Body Art Facility-Sterilization (4121) ❑ Body Art Temp Event Co-ord (4130) ❑ Body Art-Temp Event Mobile Facility(4131) <br /> LIQUID WASTE PROGRAM(4200) <br /> ❑ Pumper VehicleRegistration# 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 ❑ Sl;rmV1X` <br /> elAf,, <br /> ❑ Waste Tire Facility ❑ Compost Facility ❑ Process/Recycle Facility ❑ CIeYT <br /> ❑ Refuse Vehicles(#of units) ❑ Dumpsters>20 cu yd (#of Units) ❑ Fa;k^ p Site <br /> MEDICAL WASTE PROGRAM(4500) ,YU <br /> ❑ Primary Care ❑ Acute Care ❑ Skilled Nursing ❑ Large Generator ❑ Small Gen% or IJ Ci128,,*uler <br /> ❑ Transfer Station ❑ Veterinary Clinic ❑ Common Storage Facility 112- 10 ❑ 11 -6111B(y 0 generators <br /> PUBLIC WATER SYSTEM PROGRAM ( 600) Use <br /> PWSNOTIFICATION 6-00003 BFACILITY ANlue ro Form o/OR PROGRAM H�THADf ME MWMENyrry <br /> CONTACT PERSON //�� /)') UYl '1 - Day Ph 7.�9 f{b(� 3 b I Night Ph � /—�5a 7� <br /> PROGRAM ELEMENT FEE d 3 / ❑ Surcharge FEE ❑ Other FEE <br /> INSPECTOR# IAC 0 PERMIPERMITVALID c3 ZO t0 20� ❑ Food Handier <br /> ❑ Check# AMOUNT PAID 2 Date �I 2 INVOICE# 3 <br /> On Cash REVIEWED BY ACCOUNTING OFFICE Date �� (� 2b <br /> 48-02-034 MASTERFILE RECOR INFORMATION PINK <br /> 1/23/13 <br />
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