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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HARDING
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2900
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1600 - Food Program
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PR0548846
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Entry Properties
Last modified
2/14/2024 2:46:49 PM
Creation date
2/14/2024 2:46:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548846
PE
1635
FACILITY_ID
FA0027990
FACILITY_NAME
RUCHULU CAFE #12291V3
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
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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{ SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />MASTERFILE RECORD INFORMATION FORM <br />New EH Program at Existing Facility ONew EH Program and New Facility <br />Facility ID FA,602-71'etb <br /> <br />Program Record ID PRO,S-1-25346, <br />Facility Address 1711 .1- up,' CF xk 1,-„0 ci4 <br />(Please check the appropriate description and specify size, number of units and pertinent information.) <br />FOOD PROGRAM (1600) <br />ElRestaurant: Seating Capacity <br /> <br />Square Footage <br />Commissary 0 Dry storage only 0 with Food Preparation <br />Retail Market----Square footage 0 w/Meat Market only <br />Mobile Food Vehicle --Make <br />Registration # <br />0 Ice Plant 0 Produce Stand <br />0 CFO 0 A 0 B <br />DAIRY PROGRAM (2000) <br />El Grade A Dairy <br />CUPA <br />0 Grade B Dairy 0 Milk Dispenser -Number of Containers in Multi-Head Unit <br /> <br />Hazardous Materials Business Plan (1900) Number of chemicals: <br />CalARP Program 0 Program 1 Facility 0 Program 2 Facility 0 Program 3 Facility <br />Hazardous Waste Generator (2200) >-Tons Generated Per Year <br />Tiered Permitting Facility > 0 CA (2232) 0 CE (2233, 2234, 2235, 2237) 0 PBR (2231) 0 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 <br /> 0 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 0 UST-CAP Site 0 Local HW Cleanup Site 0 NPL/SEP Cleanup Site 0 UIC Site <br />Abandoned HW Site 0 non-NPL/SEP Cleanup Site 0 RWQCB Cleanup Site 0 Water Qugashitgre <br />RECREATIONAL HEALTH PROGRAM (3600) <br />Number of Pools/Spas at Facility 0 Pool 0 Spa 0 Out of Service Pool/Spa ISECIENEDg Area <br />Vehicle Type <br /> License # •c' \j <br />Mobile Food Prep Unit-- Make Vehicle Type <br />Registration # License # <br />Temporary Food Facility --Dates of operation from to <br />Special Event---Dates of operation from to <br />woHK <br />Food Handlers Course required: YES 0 No 0 <br />OVending Machines Number of Units <br />0 Multiple Departments 0 Prepackaged Goods Only <br />Sticker # <br />Color <br />Sticker # <br />Color Blac la <br />n Site <br />VECTOR CONTROL PROGRAM (4000) <br />El Poultry Farm Maximum number of birds <br />TATTOO, BODY PIERCING, PERMANENT COSMETIC PROGRAM (4100) <br />Body Art Practitioner Reg (4110) 0 Mechanical DSPS Notification (4115) <br />Body Art Facility-Sterilization (4121) 0 Body Art Temp Event Co-ord (4130) <br />LIQUID WASTE PROGRAM (4200) <br />El Pumper Vehicle Registration # License # <br />Pumper Yard 0 Package Treatment Plant <br />SOLID WASTE PROGRAM (4400) <br />Landfill <br /> <br />OTransfer Station <br />Waste Tire Facility O Compost Facility <br />Refuse Vehicles (rt or units) <br />MEDICAL WASTE PROGRAM (4500) <br />EiEkcia 2023 <br />SAN JOAQUIN COUNTY <br />0 Body Art FacilitydgEMIT <br />0 Body Art-Temp Event Mobile Facility (4131) <br />Sludge/Ash Site <br />CIA Landfill Site <br />Farm/Ranch Cleanup Site <br /> Capacity Vehicle # <br />0 Chemical Toilets ----Number of Units <br />Ag/Cannery Waste Site <br />Process/Recycle Facility <br />Dumpsters > 20 cu yd (# of Units) <br />Primary Care 0 Acute Care 0 Skilled Nursing 0 Large Generator 0 Small Generator 0 Limited Hauler <br />Transfer Station 0 Veterinary Clinic 0 Common Storage Facility 0 2-10 0 11 - 60 0 > 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 PROGRAM <br />CONTACT PERSON '4:_iJhio-taki CA„.; nnaft,0 rr) 1,72,. Day Ph <NS -01_,7_2017, Night Ph _Ai -L17 -g2_70 <br />48-02-034 <br />1/23/13 474L+1 rn tn-313) <br />PROGRAM ELEMENT ao35 FEE $ 23 -I- <br />NSPECTOR # PERMIT VALID 12_ ,2.46 23 to i 2 <br />Check # V/ <br />Cash <br />Other FEE <br />Food Handler <br />147 Z INv0ICE#_37O 4ecv <br />dit Date <br />MASTERFILE RECORD INFORMATION PINK <br />AMOUNT PAID Al• A Date <br />REVIEWED BY ACCOUNTING OFFICE <br />0 Surchar e FEE <br />Lfr
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