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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0539008
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COMPLIANCE INFO_2020
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Last modified
7/14/2020 6:04:37 PM
Creation date
6/24/2020 3:21:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0539008
PE
2220
FACILITY_ID
FA0009191
FACILITY_NAME
PENNY NEWMAN GRAIN
STREET_NUMBER
1805
STREET_NAME
HARBOR
STREET_TYPE
RD
City
STOCKTON
Zip
95203
APN
14502005
CURRENT_STATUS
01
SITE_LOCATION
1805 HARBOR RD
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 ®FADER <br /> 1515 SOUTH RIVER ROAD . WEST SACRAMENTO, CA 95691 • TEL. (916) 371-5747 • FAX (916) 371-9312 <br /> Customer Name Customer Name <br /> n Ala,ii an 6 Sex; <br /> BILI Address Job Address �6ac— <br /> CitySt, zip City St. p <br /> Job Location on Site Job No <br /> Service Performed Phase Task Sub-Task <br /> wa <br /> Profit Center <br /> Cust.P.O./Job No. Transportation Disposal Manifest# Finalervice Order: <br /> None ❑ Res El Other❑ Yes [INo❑ Yes � No ❑ <br /> Class Employee Name Start Arrive Time Leave Stop Product Employee S.T. O.T. D.T Total Chg. <br /> Time Time Out Job Time Code No. Hours Hours Hours Hours Y.N. <br /> EQUIPMENT <br /> Equip.ID# Description UOM Qty Equip.ID# Description UOM Qty Equip ID# Description UOM Qty <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 /> Buster 6'000 Boom: Perm Size <br /> Port Tank Frosh Air Masks <br /> Compressor:CFM: Air Pack <br /> MATERIALS <br /> Description UOM Oty Description UOM Qty Description UOM Qty <br /> Detergent Vermiculite <br /> Rags Visqueen <br /> Poly Bags Absorbents,Type: <br /> Tyvek❑ White❑ Poly Drums,Type: <br /> Raingear❑HD❑L Chlcro—Detect Kit <br /> Duct Tape Haz-Cat Kit <br /> Gloves,Type: <br /> RENTAUDISPOSAUCOMMENTS <br /> i <br /> r AFEIY <br /> Prepared by: Date. J F[RST:: ,Received By: tfi;Arl <br /> ustomer Regresentati <br />
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