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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0513627
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COMPLIANCE INFO_PRE 2019
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Last modified
3/5/2020 12:23:37 PM
Creation date
3/5/2020 11:46:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0513627
PE
2227
FACILITY_ID
FA0003699
FACILITY_NAME
DSS COMPANY
STREET_NUMBER
655
Direction
W
STREET_NAME
CLAY
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
14707110
CURRENT_STATUS
01
SITE_LOCATION
655 W CLAY ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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FIELD RESPONSE <br /> SERVICE ORDER <br /> 1515 SOUTH RIVER ROAD WEST SACRAMENTO, CA 95691 0 TEL. (916) 371-5747 FAX (916) 371-9312 <br /> Customer Name �� Customer Name <br /> i <br /> Bill Address i _ r� Job Address <br /> City StdS- �. City St. Zip <br /> Job Location on Site ti k Job No <br /> Service Performed <br /> }rte` ,�✓ Phase Task Sub-Task <br /> Profit Center <br /> Cust.P.O./Job No. Transportation Dispos Manifest# Final ervice Order <br /> None ❑ Res Other❑ Yes No❑ Yes LJ No ❑ <br /> Class Employee Name Start Arrive Time Leave Stop Product Employee S.T. O.T. D.T Total Chg. <br /> ime Time Out Job Time Code No. Hours Hours Hours Hours Y.N. <br /> EQUIPMENT <br /> Equip.ID# Description UOM Qty Equip.ID# Description UOM City Equip ID# Description UOM City <br /> Truck.Flatbed / Pumps: Size: Type: Six Pack <br /> Truck.Pump Hose Size Length Respirator.Type. <br /> Truck.P'Up Fire Ext. <br /> Truck.Vac Hand Tools <br /> Tank Clean Mach. <br /> ERU Unit Blower,Size: <br /> Pressure Washer Generator: KW: <br /> Blaster 6'000 Boom: Perm Size <br /> Port Tank Fresh Air Masks <br /> Compressor:CFM: Air Pack <br /> MATERIALS <br /> Description UO City Description UOM City Description UOM Qty <br /> Detergent Vermiculite <br /> Rags Visqueen <br /> Poly Bags Absorbents,Type: <br /> Tyvek❑ White❑ Poly Drums,Type: I A^ S,�Aja <br /> Raingear❑HD❑L Chloro—Detect Kit <br /> Duct Tape Haz-Cat Kit <br /> Gloves,Type: ; • �.� �` i <br /> L <br /> RENTAUDISPOSAUCOMMENTS <br /> If <br /> SAFETY <br /> Prepared by: `T Date: '?�' Z FIRST Received By: <br /> Customer Representative <br />
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