My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO 2002 - 2005
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
H
>
HAM
>
1331
>
2300 - Underground Storage Tank Program
>
PR0231332
>
COMPLIANCE INFO 2002 - 2005
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/12/2019 2:07:54 PM
Creation date
12/4/2018 11:32:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002 - 2005
RECORD_ID
PR0231332
PE
2361
FACILITY_ID
FA0003961
FACILITY_NAME
LODI MUNI SERVICE CENTER
STREET_NUMBER
1331
Direction
S
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03104050
CURRENT_STATUS
01
SITE_LOCATION
1331 S HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
349
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
12916 <br /> ELITE IV CONTRACTORS, INC. JOB WORK ORDER & <br /> 2535 Wigwam Dr. State Lic. #660076 <br /> Stockton„CA 95205 TIME CARD Ref # <br /> (209)461-6337 • FaxP09)461-6342 <br /> 11� <br /> p QJe FAC# PHONE o DATE TIME TAKEN BY <br /> JOB NAME PUMP TEST HOSE Al <br /> JOB SITE MONEY TOTAL <br /> TOTAL GALLONS <br /> ORDERED BY. .�/ v '� � TOTALIZER BEFORE <br /> TOTALIZER AFTER <br /> WORK ORDERED <� <br /> DESCRIPTION OF WORK DONE <br /> �C±4�/n i P) 4." ��b T L /1� /2 L7 G 1�� T �G�"/! <br /> //,-I / <br /> 1�G[��✓/ 1��i / lie /ti+ ick O �G/ �G�F//- t� � t� � vr- /J <br /> I HEREBY ACKNOWLEDGE COMPLETION OF THE ABOVE DESCRIBED WORK <br /> SIGNATURE <br /> MATERIAL AND LABOR REC RD <br /> QTY MATERIAL USED PRICE AMOUNT QTY MATERI L USED PRICE AMOUNT <br /> 1 LTOTAL MATERIAL <br /> TAX <br /> TOTAL <br /> TECH SITE IN SITE OUT HRS RATE AMOUNT <br /> A11 AM <br /> A11 AM <br /> AM AM <br /> PM .—II'M <br /> AM AM <br /> PM PM <br /> AM AM U <br /> r PM PM <br /> TRAVEL TIME <br /> TOTAL MILAGE (1' <br /> COMPLETED YES _NO WARRANTY WORK_YES NO OT:_YES :_j_NO GRAND TOTAL <br /> WHITE—OFFICE COPY CANARY—FILE COPY PINK—CUSTOMER COPY <br />
The URL can be used to link to this page
Your browser does not support the video tag.