Laserfiche WebLink
• <br /> YAIT ENVIRONMENTAL SYSTEMS <br /> CA i_ic. #588098 • AZ LiC. #095984 <br /> MONITOR CERTIFICATION & SITE SURVEY FORM <br /> Testing Date: 8113197 <br /> Testing Time: <br /> Site Location: PACIFIC BELL <br /> Tank ID #: 2029 <br /> 4051 NEWTON ROAD CLLC Code: SKTNCA16 <br /> STOCKTON Geo Parcel: UE-R47 <br /> County: SAN JOAQUIN Site Contact: CONNIE MITCHELL <br /> Agency Required To Be On-Site? Yes ❑ No <br /> Agency Requiring Certification: SAN JOAQUIN HEALTH DEPARTMENT <br /> Agency Contact: KASEY FOLEY Agency Phone No: 209 468-3420 <br /> Agency Inspector: NIA Signature: NIA <br /> Special Forms Required: Yes ❑ No <br /> Testing Permit Required: Yes ❑ No <br /> Permit Or Inspection Fee: Yes ❑ No <br /> Tank Testing Needed: Yes ❑ No <br /> Line Testing Needed: Yes ❑ No Z <br /> Leak Detector Test Needed: Yes ❑ No ❑ <br /> 1100 Town& Country Road • Suite 1200 • Orange, CA 92868 - (714) 560-8222 • (714) 560-8211 FAX <br /> Other Locations: San Diego,CA • Concord,CA • Sacramento,CA • Phoenix,AZ • Tucson,AZ <br /> Established 1964 <br /> J <br />