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SR0076970
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0076970
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Entry Properties
Last modified
7/22/2024 4:34:41 PM
Creation date
12/4/2017 4:04:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0076970
PE
4378
STREET_NUMBER
3832
Direction
E
STREET_NAME
CALIMYRNA
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00514512
ENTERED_DATE
3/16/2017 12:00:00 AM
SITE_LOCATION
3832 E CALIMYRNA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
FilePath
\MIGRATIONS\C\CALIMYRNA\3832\SR0076970.PDF
QuestysFileName
SR0076970
QuestysRecordID
3357339
QuestysRecordType
12
Tags
EHD - Public
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WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity <br /> was weighed,measured,or counted by a weighmaster,whose <br /> signature Is on this certificate,who is a recognized authority CONCRETE PRODUCTS INC. <br /> of accuracy,as prescribed by Chapter 7(commencing with <br /> Section 12700)of Division 5 of the California Business and 1900 Roosevelt Avenue, ESCaIOn, CA 95320 <br /> Professions C$de,administered by the Division of Measurement <br /> Stwdaids of the California department of Food and Agriculture. 209-838-1448 <br /> VVEIGHMASTER SIGNATURE INVOICE NO. <br /> NOTICE: My signature below indicates that I accept the terms and conditions of this delivery ticket,incl the terms and WAITING TIME: <br /> conditions on the reverse.We make deliveries inside curb lines and on lots or property at customers risk only and accept <br /> no responsibility whatsoever for any damages resulting from such deliveries.Customer shall indemnify,hold harmless& $ per hr.unloading charge. <br /> defend P&L Concrete Products,Inc.for,from&against all claims for damages or personal injury.Expense of removing LEAVE PLANT <br /> mired truck payable by Customer.We are not responsible for the strength,slump,or quality of any concrete to which water <br /> or any other material has been added at the buyer's request. <br /> ARRIVE JOB <br /> WE DO NOT GUARANTEE THE COLOR OF THE CONCRETE.We have no control over the placing,finishing or curing <br /> of concrete and do not guarantee the finished work in which it is used,including cracking.Concrete is a perishable commodity <br /> and becomes the property of the Purchaser upon leaving the plant any changes or cancellations of original instructions LEAVE JOB <br /> must be telephoned to office before loading starts.Customer is responsible for providing a suitable place,on Customer's <br /> property,for drivers to wash chutes as necessary.Any cleanup cost of customer-provided washout site or removal of tracked- <br /> mud from streets and roads will be billed to Customer. ARRIVE PLANT <br /> SEE TERMS AND CONDITIONS ON REVERSE SIDE.READ FRONT AND REVERSE CAREFULLY <br /> BY: CUSTOMER SIGNATURE WATER ADDED CYLINDERS TAKEN <br /> AT CUSTOMER'S REQUEST GALLONS OYES D NO <br /> CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET <br /> SOLD TO DELIVER TO DRIVER <br /> TERMS <br /> QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED <br /> THIS LOAD DELIVERED CODE DESCRIPTION h�tt MEASURE PRICE PRICE <br /> r <br /> i. 1,71 f.ANDOID:I0� `1 .I.0. 3 SACK SANE) SLURR`•' <br /> 00 SHORT <br /> TO 4. 25 <br /> TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE <br /> WAITING TIME <br /> T. 1714'1 Ah�l ;:;I..r.�ru ti 'I ' i'I" SUB TOTAL <br /> SPECIAL INSTRUCTIONS TAX <br /> TOTAL <br /> GRAND TOTAL <br /> INVOICE NO. <br /> Driver IiSaIrl ('J3 =.� ..l ii=ket Pijoi Ticket ID 'Ti Ine D_�,.te <br /> ROGEL 10 PH I L I F) 844 1.0:46 :312`81/1..! <br /> i _te Mix Code Fir?tr-tr,ned Qty Mix Age Seq L-oad ID <br /> '1e.1 yd S(-lt�ll)i'0 . 'I 1') 10 21 1 <br /> A <br /> Ba}cFleet'� % Moisture Actual Wat <br /> .qfc 110'f rf 10574 lb 10510 lb 0.60% 6.00% M 71 gl <br /> �_:MFNI lb 3388.0 lb 3380.0 1b -0.24% <br /> !HTF6 40.00 gl 92.78 gl 93,60 g1 0.24% 93.00 gl <br /> ! NUN Batches: 1 <br /> TO►al: 14666 lb design 0.345 WateriCesent 0.406 A Design 140,0 gg1 Actual 164.3 gl To Add: 0.0 g). <br /> 'o>V in ll Water in Truck: 0.0 gl Adjust Water: 0.0 gl / Load Tris Rater: 4.0 gl/ yd <br /> r� <br />
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