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COMPLIANCE INFO_2020
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0538583
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COMPLIANCE INFO_2020
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Last modified
7/29/2020 4:15:28 PM
Creation date
5/29/2020 10:51:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0538583
PE
2220
FACILITY_ID
FA0018383
FACILITY_NAME
J&B AUTO BODY
STREET_NUMBER
2200
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12330041
CURRENT_STATUS
01
SITE_LOCATION
2200 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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3 .3] <br /> Ile <br /> FIELD RESPONSEI, loIle I - , I ' llIII % TIle <br /> All <br /> SERVICE ORDERI Ile 11 <br /> 1515 , SOUTH RIVER ROAD IleWEST SACRAMENTO , CA 95691 TEL (916} 371 - 5747 " • " FAX (916} 371 -9312 <br /> ee <br /> Customer Name ; e, <br /> I Customer Name <br /> Bill AddressII v Job Address <br /> CitySt. . zip City SL zfp <br /> e <br /> Job Location on Site Job No . <br /> Ile <br /> Service Performed Ile -ol <br /> i' Rase Task Sub-TaskIv <br /> Iv Profit Center <br /> Cust. RO.IJob No. Transportation Disposal " Manifesk # Final Service Order. <br /> None Q I Res Q 0 Other Q I Yes No Q Yes Do No Q <br /> Class Employee Name Start Arrive Time Leave Stop Product Employee S.T. I O.T, D.T Total Chg. <br /> Time ime Out Job . Time Code No; . Hours Hours Hoursi Hours l Y. N. <br /> No ol <br /> EQUIPMENT ' <br /> Equip. iD# " Description I I UOM Qty Equip. LD# Description UOM Qty Equipre 1D9 Description UOM Qty <br /> Truck, Fletbed = Pumps: Size: Type: Six Pack <br /> Truck, Pump Hose Size Length Respirator, Type: <br /> Truck, P'UpIle 11Fire Ext,, <br /> I Ile Truck, Vac Hand Tools - <br /> TankClean Mach. <br /> ERU Unit Blower, Size: <br /> Pressure Washer Generator ' KW: <br /> Blaster 6000Boom: Perris Size <br /> PortTank Fresh Air Masks <br /> Compressor: CFM: Air PackWIN I 11111111 111 " <br /> MATERIALS <br /> " Description UOM Qty Description " UOM Qty ..Description,nI F UOM Qty <br /> Detergent Vermiculite <br /> Rags Visqueen <br /> :^ . <br /> Poly Bags Absorbents, Type: - <br /> Tyvek ❑ White ❑ Poly Drums, Type: <br /> RaingearQHDO L Chloro-Detect Kit <br /> Duct Tape Haz-Cal Kit <br /> Gloves, Type: <br /> RENTAL/DISPOSAUCOMMENTS ' <br /> SAFETY <br /> Prepared by: -xF Date: - FIRST I , Received i3y: <br /> Customer Rep{eseritative <br />
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