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SITE INFORMATION AND CORRESPONDENCE_FILE 2
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0504943
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SITE INFORMATION AND CORRESPONDENCE_FILE 2
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Last modified
6/17/2020 4:01:50 PM
Creation date
6/17/2020 3:15:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0504943
PE
2951
FACILITY_ID
FA0004032
FACILITY_NAME
AMERICAN MOULDING & MILLWORK (FRMR)
STREET_NUMBER
2801
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11709001
CURRENT_STATUS
02
SITE_LOCATION
2801 WEST LN
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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}-� .. SERVICE ORDER <br /> C & H Veteran Enteirprises, Inc. <br /> P.O.Box 695.3208 West Capitol Ave.,West Sacramento, CA 95691 2341; <br /> (9 16)371-Q148-Fax(E 16)373-7176 <br /> ORDER DATErrIME: CUSTOMER: t PHONE#: ORDER PLACED BY: <br /> SERVIC,F-DAT I E: 1� � U JOB NAME GENERATOR <br /> SERVICE 6 DRES.S-,2 MAP PAGE DRESS: <br /> CITY STATE,ZIP CODE: CI ,STATE,ZIP CODE: <br /> SrrE CONTACT. SITE PHONE#: GEN.CONTACT: GEN.CONT.PHONE#: <br /> SITE PAGER# J08,# P.O.# ERA.I.D. # B.O.E.# <br /> ADDITIONALSITE INFORMATION: <br /> Cube Van 0 Roll.Off ❑ Semi 0 <br /> SERVICES REQUESTED: ] j f ) BIN# SIZE BIN# SIZE <br /> DEL <br /> ✓�� � �'� ll PIU ./ , <br /> MANIFESTED BY: DISPOSAL BILLED TO: PROFILE# MANIFEST Ct MANIFEST# QTY. <br /> WEE 0 CUSTOMER O ff;' 4 I <br /> PLACARDS# 0 YES LABELS OYES BIN LINERS 0 YES - TS•FIW STE TYPE. rSDFNVASTE TYPE <br /> ❑ NO ONO REQUIRED 0 NO 1.s X <br /> Additional Load Ticket: TSDF CONTAINER INSPECTION <br /> YOU MI JST WEAR YOUR RESPIRATOR ANYTIME YOU <br /> HAVE,TO 130 INSIDE OF THE BOX TO CLEAN IT OR LINE ITI <br /> Additional Load Ticket TSDF x DEL's PIU's <br /> BIN NU BERS.• <br /> DRIVERS NAME: Do all doors,lids and binders woi k.propenyl <br /> UNIT# ��� MAILER# a` <br /> Is the inside of the container clew i and free of holes? <br /> Is there graffiti on the oontainer? <br /> SERVICES PERFORMED: Are there C&H stickers on all four sides? <br /> Document all stand-by times <br /> Total Stand By Hours: <br /> Start Leave Job Site Job Site Disposal Disp sal Yard Stop Break TOTAL <br /> Time: Yard: Arriv I: Depart: Arrival: Depart Arrival: Time: Time: HOURS: <br /> AM :%cfr%'AM /0 , AM 4 AM AM AM AM AM <br /> j ✓ <br /> PM PM PM PM PM PM PM PM PM <br /> DAY DATE: DRIVERS NAME: UNIT# TRAILER# TOTAL <br /> AM AM AM AM AM AM AM AM AM HOURS: <br /> PM PM PM PM Phil PM PM1 PM PM <br /> CUSTOMER SIGNATURE' <br /> WHITE-OFFICE 1 GREEN-CONTRACTOR 1 CANARY-BILLING 1 PINK-CUSTOMER 1 GOLD-DISPATCH <br /> III <br />
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