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COMPLIANCE INFO_2003-2007
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231939
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COMPLIANCE INFO_2003-2007
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Last modified
11/14/2023 10:55:58 AM
Creation date
6/3/2020 9:55:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003-2007
RECORD_ID
PR0231939
PE
2361
FACILITY_ID
FA0002570
FACILITY_NAME
QUIK STOP MARKET #3144
STREET_NUMBER
7272
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
094-040-13
CURRENT_STATUS
01
SITE_LOCATION
7272 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231939_7272 WEST_2003-2007.tif
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EHD - Public
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d <br />ELITE IV CONTRACTORS, INC. <br />2535 Wigwam Dr. State Lic. #660076 <br />Stockton, CA 95205 <br />(209) 461-6337 Fax (209) 461-6342 <br />Omni -. <br />CARD <br />3�,6'8 <br />Ref# 8501 <br />P.O. # I jP` �c� �� FAC # L/ PHONE.# DATE (% `OL/ TIME •/5� TAKEN BY, /�v <br />JOB NAME� <br />c <br />KQ O <br />PUMP TEST HOSE # <br />/°C � L c� '<y) V! Z� u' •. � 2S �� <br />'sc-� i� � �-r. v1 .c�� <br />lam► C� <br />JOB SITE// <br />MONEY TOTAL <br />C4 ! -� �.�� <br />� J � � <br />s'O C[.- � �./ `-*tel �� w..�. � � ' � <br />TOTAL GALLONS <br />�� <br />TOTAL MATERIAL <br />ORDERED BY <br />TOTALIZER BEFORE <br />I HEREBY ACKNOWLEDGE COMPLETION OF THE ABOVE DESCRIBED WORK <br />TOTALIZER AFTER <br />SIGNATURE _ <br />WORK ORDERED P J C A/ / d <br />U Go.1 vs . <br />DESCRIPTION OF WORK DONE <br />� —.S �'a� <br />.S (.� e �y�- <br />/°C � L c� '<y) V! Z� u' •. � 2S �� <br />'sc-� i� � �-r. v1 .c�� <br />lam► C� <br />a� �' S �/,_��1: <br />� � � ,�� �-,� cL,-.. � �"�� <br />C4 ! -� �.�� <br />� J � � <br />s'O C[.- � �./ `-*tel �� w..�. � � ' � <br />(�(J � � 61 f J ' J� v3 G) { : • t„ <br />�� <br />TOTAL MATERIAL <br />ISOiu�`� <br />I HEREBY ACKNOWLEDGE COMPLETION OF THE ABOVE DESCRIBED WORK <br />SIGNATURE _ <br />" - <br />MATERIAL AND LABOR <br />QTY <br />MATERIAL USED <br />PRICE <br />AMOUNT <br />QTY <br />MATERIAL USED PRICE <br />AMOUNT <br />TOTAL MATERIAL <br />TAX <br />TOTAL <br />TECH <br />SITE IN <br />SITE OUT HRS RATE <br />AMOUNT <br />PM <br />AM i <br />'&3. <br />a "M <br />AM <br />PM <br />AM <br />PM <br />AM <br />PM <br />AM <br />PM <br />AM <br />PM <br />AM <br />PM <br />TRAVEL TIME <br />TOTAL MILAGE <br />COMPLETED _YES AVO WARRANTY WORK _YES �NO OT: _YES _NO <br />TOTAL <br />WHITE - OFFICE COPY CANARY - FILE COPY PINK - CUSTOMER COPY <br />
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