My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2019
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MICKE GROVE
>
11793
>
2200 - Hazardous Waste Program
>
PR0514036
>
COMPLIANCE INFO_2019
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/22/2020 12:19:49 PM
Creation date
6/22/2020 12:09:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0514036
PE
2220
FACILITY_ID
FA0000287
FACILITY_NAME
SJC MICKE GROVE PARK
STREET_NUMBER
11793
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
11793 N MICKE GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
32
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
i <br /> SINCE FIELD RESPONSE <br /> - I <br /> C <br /> ! s ./;_ SERVICE ORDER <br /> 1515 SOUTH RIVER ROAD • WEST SACRAMENTO , CA 95691 • TEL ( 916 ) 371 - 5747 FAX ( 916 ) 371 - 9312 <br /> Customer Name t Customer Name L <br /> Bill Address Job Address IF to IF , <br /> IF to It I <br /> IF <br /> i ' City SL Zip City SL , 7_jp <br /> Job Location on Site Job No <br /> Servico Performed , ; , Phase Task Sub-Task <br /> - -- ------rrr--- Profit Center <br /> Cust. P.O./Job No. ' " ansportalion Disposal Manifest It Final Service Order: <br /> _ I <br /> Norio ❑ Res ❑ Other ❑ Yes ❑ No ❑ Yes ❑ No ❑ <br /> Class Employee Name ^~ Start Arrive Time Leave Stop Product Empployee S .T. O.T. D .T. Total Chg . <br /> Time Time Out Job Time Code No. Flours Hours Hours Hours Y. N . <br /> / I fl, i 1 <br /> EQUIPMENT <br /> Equip, IDN Description UOM Oty Equip. IDN Description UOM City Equip' IDII Description UOM Qly <br /> Truck , Flatbed Pumps: Size: Type: Six Pack _ <br /> t Truck, Pump J Flose Size Length Respirator, Type: <br /> Truck, P' Up Fire Ext, <br /> Truck, Vac Hand Tools <br /> Tank Clean Mach , <br /> I ERU Unit Blower, Size: <br /> Pressure Washer <br /> — Generator: KW: <br /> Blaster 6'000 Boom: Perm Size <br /> Port Tank _ <br /> Fresh Air Masks <br /> too Compressor: CFM : Air Pack <br /> MATERIALS <br /> Description ' UOM Qty Description UOM Qty Description UOM Qly <br /> Detergent ( i r, Vermiculite <br /> i i <br /> p Rags Visqueen <br /> Poly Bags 01 1 ( d ) Abso,rbe I§, TYPo,• . ; <br /> Tyvek ❑ While ❑ Poly Drums, Type: ° . � , ' I <br /> {-- - Kit <br /> r Hp <br /> lI Chloro-Detect <br /> i Ramgea ❑ ❑ L <br /> i <br /> Duel Tape Haz•Cal I<il <br /> Gloves, Typ <br /> RENTAL/DISPOSAL/COMMENTS <br /> SAFETY <br /> Prepared by: 1 Date : :y • � FIRST Received By .( <br /> Customer Representative <br />
The URL can be used to link to this page
Your browser does not support the video tag.