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80-1009
EnvironmentalHealth
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BUENA VISTA
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22696
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4200/4300 - Liquid Waste/Water Well Permits
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80-1009
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Last modified
6/30/2019 10:37:49 PM
Creation date
12/5/2017 11:25:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
80-1009
PE
4366
STREET_NUMBER
22696
Direction
E
STREET_NAME
BUENA VISTA
STREET_TYPE
RD
City
CLEMENTS
SITE_LOCATION
22696 E BUENA VISTA RD
RECEIVED_DATE
11/28/1980
P_LOCATION
DON STEELY
Supplemental fields
FilePath
\MIGRATIONS\B\BUENA VISTA\22696\80-1009.PDF
QuestysFileName
80-1009
QuestysRecordID
1673208
QuestysRecordType
12
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EHD - Public
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WEIGHIMAnWS CERTIFICATE OF WEIGHT AND MEASURE C, <br /> THIS IS TO CERTIFY that the following described merchandise was weighed,measured or taunted by a private wergh- <br /> noster, and his signature is a recognized authority of accuracy as prescribed by Chapter 7.3(commencing nth Sr3'kion <br /> 12740) of Division 5 of the California Business and Professions Code, administered by"the DMeasurement - <br /> itondards of the Department of Food and Agriculture of the State of California. f/ s •4' <br /> !LODI <br /> �® CWOQ��. •ROCK <br /> (611TYACTOKS eSAND j <br /> . O. BOX 599 P11aN1 *CEMENT R� 7403 <br /> LODI:334-0790 <br /> CAL]F ARNOLD:795-1036 <br /> STOCKTON:948-0123 bate �D — Z ]9�� <br /> 686 E.LOCKEFORD ST. <br /> Weighed At <br /> i <br /> Sold to <br /> Address <br /> Deliver to— <br /> Zone <br /> o Zone Job No. Order No. ' <br /> OUAN. UNIT DESCRIPTION PRICE AMOUNT <br /> r <br /> This Load Yards <br /> Cubic Sods <br /> Guaranteed �s <br /> To Produce � Cemen ix <br /> Socks ' <br /> Lbs. CEMENT <br /> Lbs. W C SAND ADMIX <br /> Lbs. ROCK <br /> Lbs. ROCK <br /> Lbs. ROCK <br /> Lbs. WATER ADDED AT PLANT -! <br /> CLAUDE C.WOOD CO. /f <br /> Private Weighmoster <br /> i L <br /> By Deputy P <br /> Water added at site _Gallons Truck No. �–+ <br /> Extra Water <br /> Requested By bet <br /> Left '10 Arr'd Left Unloading Overt me <br /> Plant��, Job ,_, Job Time,_ <br /> 5 minutes per cubic yard allowed to dischorge load.Excess time chorged ai hourly rate.This load <br /> of concrete is guaranteed by CLAUDE C.WOOD CO. <br /> Keeo th❑delivery slip la chec stpp;ement No cla+ms allowed unless made when material is delivered and receipted <br /> for We make deliveries cu ffr he tot at Customer's risk only,and accept no responsibility whatsoever <br /> for da o:,r:,resuftin fr `s qs' CLAUDE C.WOOD CO. <br /> Abnve <br /> 4ec d By X <br /> FORM 3 READ'/MIX.— '" <br />
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