Laserfiche WebLink
SAN jOAQUIN COUNTY LNVIRONME NTAL HEALTH DI—VISIO—N <br /> MASTERFILIE RECORD INFORMATION roRm(rui oo 9)* <br /> 0 New EH Program at ExIsfing Facility ONcw Eli Program and New IraciI.a <br /> nr ac <br /> 17.�,, ,,Progi'riaftc6 <br /> It rr ,,% <br /> .,,Pro ID <br /> Facility Address <br /> (I'leasc Check the appropriate description and specify Size,number or units and pertinent inrurnmoQn.) <br /> FOOD PROGRAM(1600) <br /> ❑ RCStAurallt: Scaling Capacity SquarcFootago FoodHand Ica's Co ursc min i rcd: YFsEl NoO <br /> OCommissaa-y ODry storage only 0 with Food Preparation El Vcj.iding Machines—Nunibcr of Units <br /> 0 Rclpll Marlict--Square footage 13 with Meat Market only 0 Multiple Dcparlincids 11 Prepackaged Goods Only <br /> Cl Mobile Food Vehicle-----Make Vehicle Type Color <br /> . Registration I/ Liccime# Stickcr 11 <br /> ❑ Mobile Food Prep Unit--Make — Vchick:Typc Color <br /> I Registration 11 License 11 —stickcr 11 <br /> Tculporal-y FoQd Facility-----Dales Dales of operation from to El fee Plant <br /> El Special Emit - Dales of operation rrom to 11 Produce Stand <br /> DAIRY PROGRAM (2000) <br /> El Gt,adc A Dairy 0 Grade B Dairy 0 Milk DIspcnscr.­Numbcr of Containers in Multi-ilcad Unit <br /> CVPA 135ta(eFacility 5urcitargc(2399) <br /> IIAZ, ADOUS WAS-rr PROGRAM(2200) <br /> P Hazardous Waste Generator ------- --------Tons Generated Per Year <br /> Tici"cd Permitting Facility El Conditionally AuUiorizcd(CA) 0 Conditionally Exempt E) <br /> 0 Pamil-By-Rule Fixed Unit 0 Perini[-By-Rule Household Hazardous Waste <br /> 0 ABOVEGROUND 5T011AGE TANK FACILITY(AST)(2390)---Number of AST <br /> UNDERGROUND STORAGE TANK(UST)PROGRAM(2300) Use USTI(and#farm <br /> HOUSING PROGRAM(2400) <br /> El Ilotcl/Molcl-------Number of Units 0 Jail or Exempt Institution—Number of Units <br /> Pnpl.ycc 119uslat;(2700) We QnjL1Qj'cC�Iliu / �OCanitl Auglicrifforr Form <br /> 51TE MITIGATION(2900) UNDERGROUND INJECTION CONTROL(3000) <br /> 0 Euvirounicn(al Assessment Cl UST-CA11 Site EI Local IIW Cleanup Site 11 NPUSEP Cleanup Site ❑ UIC site <br /> 13 Abandoned IIW Site 11 uon-NrL/SEPCIcanup Site El RWQCB Cleanup Si(c ❑ Water quality Renicaliatkan Site <br /> RECREATIONAL HEALTH PROGRAM(3600) <br /> Nurnbcr orPools/Spas.at Facility_ 1:1 Pool 11 Spa El Out of scrvlcc roollspa El Natural Bathing Area <br /> VECTOR CONTROL PROGRAM(4000) <br /> 11 Poulliy Farin—Maximurn number of birds 11 Kennel <br /> TATTOO. BODY PIERCING, PERMANENT COSMETIC PROGRAM(4100) <br /> El Tattooln�(412 1) ❑ Body Piercing(4120) ❑ I'crinancut Cosmetics(4122) <br /> LIQUID WASTE PROGRAM(4200) <br /> OPuiiil)crVclilcic--it,cgistrationt/ — Liccrascil Capacity Vehicle a <br /> 11 Punipci-Yard <br /> 13 Package Trcalnicut Plant El Ckcialcal Tollcts;-------NuinbcroMai(s <br /> SOLID WASTE PROGRAM(4400) <br /> ❑ Landfill 11 Tr2nSfCr5j2jjojj. El Ag Cannery Waste Site 0 Sludgc/Ash Site <br /> ❑ Waste Tire Facility 0 Compost Facility 11 Proccss/Rccycic Facility 11 CIA Landfill Site <br /> ❑ Refuse Vehicles--Numbcr of Units 11 Dumpslaas>20 cu yd ­—Nundncr of Units 0 Farnt/Ranci,cicanup Site <br /> MEDICAL WASTE PROGRAM(4500) <br /> 0 Primary Care 0 Acute Care 0 Skilled Nursing El Large Generator 0 Small Generator 0 Limited hauler <br /> 11 TransrcrStatioji El Veterinary Clinic 13 C0111111011 Storage Facility----02- 10-------0 11 -60 ❑ >60 generators <br /> PUBLIC WATER SYSTEM PROGRAM(4600) Use fjMEUQ06yUlrc litItIlicadors rorin <br /> EMERGENCY NOTIFICATION FOR THIS FACILITY ANDIOR PROGRAM <br /> CONTAC-I'VIERSON <br /> Day Nightilli <br /> Pitoc LAM ELF11 <br /> ❑surchar FreOther FEEIW <br /> PEITVAL14D' f <br /> .t �;� <br /> C3 Chcuk N Food Ilandicl <br /> Date INVOIci;# <br /> Cast) <br /> Kr ACCOMITING Oppla�aif"4, Dale <br /> EilwG9rl;7 oitm.,joc — <br />