My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2009
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
B
>
BECKMAN
>
351
>
2300 - Underground Storage Tank Program
>
PR0231310
>
COMPLIANCE INFO_2009
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/25/2022 2:32:10 PM
Creation date
6/23/2020 6:46:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009
RECORD_ID
PR0231310
PE
2361
FACILITY_ID
FA0003773
FACILITY_NAME
VAN DE POL ENT INC/PACIFIC PRIDE
STREET_NUMBER
351
Direction
N
STREET_NAME
BECKMAN
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04903015
CURRENT_STATUS
01
SITE_LOCATION
351 N BECKMAN RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231310_351 N BECKMAN_2009.tif
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
160
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
TACTOS, Continuation iginal / <br /> State Lic.#660 Ref: <br /> J0D <br /> Fax(209)461-6342 <br /> '. FAC# DATE <br /> A PUMP TEST HOSE N <br /> AME <br /> "N <br /> .,: G c <br /> MONEY TOTAL <br /> JOB SITE <br /> TOTAL GALLONS <br /> TOTALIZER BEFORE <br /> ORDERED BY <br /> TOTALIZER AFTER <br /> DESCRIPTION OF WORK DONE �j \ ` L <br /> LA,5 <br /> I <br /> fi CA <br /> P o <br /> 1 <br /> a <br /> I HEREBY ACKNOWLEDGE COMPLETION OF THED WORK <br /> E ABOVE DESCRIBSIGNATURE <br /> MATERIAL AND LABOR RECORD <br /> 4RATE AMOUNT <br /> MATERIAL USED <br /> MATEPRICE AMOUNT TECH SITE IN SITE OUT HRS <br /> QTY - AM <br /> ��r/�� <br /> k AM (3-t/PM r <br /> AM AM /^I Ou <br /> looPM ✓? ` <br /> PM ` <br /> AM A 00 <br /> PM <br /> AM <br /> PM PM <br /> AM AM <br /> PM PM <br /> Y TRAVEL TIME <br /> TOTAL MILAGE <br /> OT:_Y O <br /> GRAND TOTAL <br /> WARRANTY WORK-YES � PINK-CUSTOMER COPY <br /> COMPLETED_'�'� ---moo CANARY-FILE COPY <br /> WHITE-OFFICE COPY <br /> - - .�. ...� _----��--.. svb nm a�. 'vv vV• Fos VV <br />
The URL can be used to link to this page
Your browser does not support the video tag.