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COLNJVCEO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ROTH
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2500 – Emergency Response Program
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COLNJVCEO
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Entry Properties
Last modified
4/14/2023 4:21:19 PM
Creation date
4/14/2023 4:16:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COLNJVCEO
PE
2546
FACILITY_NAME
Flying J
STREET_NUMBER
345
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
Zip
9523-1
APN
19333039
ENTERED_DATE
10/3/2022 12:00:00 AM
SITE_LOCATION
345 ROTH ROAD FRENCH CAMP 95231
RECEIVED_DATE
10/3/2022 12:00:00 AM
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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(:1 Job complete 121 Job ongoing <br />Notes: <br />ANCON <br />Project Location: t P F-0241c lk CA4 NA toy r4A4 <br />Office: Page / of 5,E3,-t42.4a- o <br />DATE: - 3 — -Z. 2 Project Number: •//),1 (2- YO7g7 <br />DAILY WORK REPORT <br />CHANGE ORDER <br />4,1 EMERGENCY RESPONSE <br />_PROJECT SERVICE <br />_ PREVAILING WAGE <br />PO Number: S TWThFS <br />Client 4-epl; A/1 Description: c.bie 510ZLI 01" <br />a5 p ka-14 <br />Phone: <br />LABOR STRAIGHT TIME OVERTIME PRE)AUIA <br />I POSMON NAME START END START END HOURS RATE HOURS RATE HOURS RATE AMOUNT I <br />fr'S ,r-7.-E7-11-1 .12-3c.i /qt.° <br />-7-e- eioleto- "---=.6.5,7e...-- i'iMb Jilt + <br />LAsoR SUB-TOTAL I <br />['Required breaks not provided? <br />EQUIPMENT MATERIALS <br />DESCRIPTION RATE LIOM QTY moct-trr I <br />L-5:64744if-s-P6;h <br />5 5" ,F,or 4Y-0 <br />M4 TERIALS SUB-TOTAL <br />I DEM:SPOON <br />..$-44..e..6 .0J <br />UONI RATE QTY AMOUNT <br />E-OUIPMENT SUB-TOTAL <br />RepresentativeSignature: <br />, <br />,7 , Client Representative Signature: <br />Printed Name and Title: je., ,.-,7"._47_,,,.,_ Printed Name and Title: <br />16454 <br />OUTStOE SERVICES <br /> <br />LABOR <br /> <br />EQUIPMENT <br /> <br />MATERIALS <br /> <br />OUTSIDE SERVICES <br />TOTAL <br />DESORPTION QTY UOM RATE AMOUNT <br />OUTSIDE SERVICES SUB-TOTAL <br />MARKUP <br />OUTSIDE SERVICES TOTAL
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