My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2021
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
F
>
FAIRMONT
>
975
>
2300 - Underground Storage Tank Program
>
PR0231331
>
COMPLIANCE INFO_2021
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/8/2021 2:09:51 PM
Creation date
1/5/2021 8:59:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231331
PE
2351
FACILITY_ID
FA0000513
FACILITY_NAME
LODI MEMORIAL HOSPITAL
STREET_NUMBER
975
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03107039
CURRENT_STATUS
01
SITE_LOCATION
975 S FAIRMONT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
58
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
ELITE IN' CONTRACTORS Work Order <br /> 2535 Wigwam Dr- State Lic.41001331 <br /> Stockton,CA 95205 <br /> (209)461-6337 Fax(209)461-6342 <br /> PO FAC* DATE <br /> JOB NAME PUMP TES HOSE t <br /> SITE <br /> MONEY TOTAL <br /> TOTAL GALLONS <br /> ORDERED BY TOTALIZER BEFORE <br /> TOTALIZER AFTER <br /> Vp V <br /> DESCRIPTION OF WORK DONE 4. <br /> I HEREBY ACKNOWLEDGE COMPLETION OF THE ABOVE DESCRIBED WORK <br /> SIGNATURE <br /> MATERIAL AND LABOR RECORD <br /> QTY MATERIAL USED PRICE AMOUNT TECH SITE IN SITE OUT HIRS RATE AMOUNT <br /> ANI <br /> AA <br /> �--Pm <br /> AM AM <br /> PM PM <br /> XNS AM! <br /> P%l PAI <br /> AM AM <br /> PM PM <br /> TRAVEL_MIF <br /> TOTAL MILAGE <br /> COMPLETED `c YES ----NO WARRANTY WORK—YES OT:—YES ,,No <br /> I GRAND TOTAL <br /> WHITE—OFFICE COPY CANARY—FILE COPY PINK—CUSTOMER COPY <br />
The URL can be used to link to this page
Your browser does not support the video tag.