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CO4GF0XEK
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HOUSTON
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1740
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2500 – Emergency Response Program
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CO4GF0XEK
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Last modified
3/3/2021 2:51:34 PM
Creation date
3/3/2021 2:16:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO4GF0XEK
PE
2546
STREET_NUMBER
1740
STREET_NAME
HOUSTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95206
APN
16307036
ENTERED_DATE
2/25/2020 12:00:00 AM
SITE_LOCATION
1740 HOUSTON AVE
RECEIVED_DATE
2/25/2020 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\ymoreno
Tags
EHD - Public
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RECEIVED BY SJCEHD (EF) ON 3/9/2020 <br /> SINCESINCE 1G� <br /> FIELD RESPONSE <br /> RATS SERVICE ORDER <br /> .D' nmRONNEFfiAL fER1(ICES:• i <br /> 1515 SOUTH RIVER ROAD WEST SACRAMENTO, CA 95691 TEL. (916) 371-5747 FAX (916) 371-9312 <br /> Customer Name Customer Name <br /> Bill Address Job Address <br /> City SL Zip City•> <br /> Job Location on Site Job No <br /> Service Performed f <br /> _ c-`..,;-, ,"_-. e.-- Phase Task SuoTasc <br /> Profit Center <br /> Cust.P.O./Jab No Transportation Disposal Manifest q Final Service Order <br /> None ❑ Res❑ Other C] Yes❑ No❑ 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.IDN Description UOM Qty Equip.IDN Description UOM Oly Equip IDM Description UOM Qty <br /> Truck,Flatbed Pumps: Size: Type Si.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 /> Blaster 6'000 Boom: Perm Size <br /> Port Tank Fresh Air Masks <br /> Compressor:CFM: Air Pack <br /> MATERIALS <br /> Description UOM Qty 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 /> RENTAUDISPOSAUCOMMENTS w . <br /> i <br /> SAFETY <br /> Prepared by: Date: FIRST Received By: - <br /> Customer Representative <br />
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