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COMPLIANCE INFO_2020
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0541518
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
8/25/2020 12:33:37 PM
Creation date
7/22/2020 4:40:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0541518
PE
2220
FACILITY_ID
FA0023771
FACILITY_NAME
Ross Island Sand & Gravel Co.
STREET_NUMBER
1003
STREET_NAME
HUMPHREYS
STREET_TYPE
St
City
Stockton
Zip
95203
CURRENT_STATUS
01
SITE_LOCATION
1003 Humphreys St
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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rm t <br /> SINCEl979 , 20226 <br /> FIELD RESPONSE <br /> ;. _ <br /> _ Rx � ' SERVICE ORDER. <br /> 1515 SOUTH RIVER ROAD e WEST SACRAMENTO , CA 95691 • TEL. ( 916 ) 371 - 5747 e FAX (916 ) 371 - 9312 <br /> Customer Name Customer Name <br /> Bill Address Job Address <br /> CitvSt. Zip City Zoe St. ip <br /> f� Zoe <br /> Job Location on Site Job No <br /> Service Performed j Phase T30 S0425k <br /> Profit Center <br /> Cust. P.OJJob No. Transportation Disposal Manifest # Final Service Order. <br /> None 171 Res El Other ❑ Yes El No [I 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 /> .✓ i dpi <br /> Lai <br /> EQUIPMENT <br /> Equip. IDR Description UDM Qty Equip, On Description UOM Qty Equip IDII Description UOM Qty <br /> Truck, Flatbed Pumps: Size: Type: Six Pack <br /> Truck, Pump Hose Size Length Respirator, Type: <br /> Truck, P'Up dire Et ' <br /> Truck, Vac jihand Toois ' °j `3 , <br /> Tank Clean Mach. <br /> ERU Unit Blower, Size: i _. Q 2 U <br /> Pressure Washer Generator: KtN: <br /> Blaster 6'000 Boom: Perm Size <br /> Port Tank Fresh Air Masks �, p /CIA. ,; v <br /> Compressor: CFM: Air Pack <br /> WIN <br /> MATERIALS <br /> Description UOM Qly 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 Chloro-Detect Kit <br /> Duct Tape Haz-Cat Kit <br /> Gloves, Type: <br /> RENTAL/DISPOSAUCOMMENTS <br /> 71 <br /> > fit✓ <br /> SAFETYlose <br /> Prepared by: Date �( RReceived By : <br /> Customer Representative <br /> i <br /> i <br />
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