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WP0037444
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DRY CREEK
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28755
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037444
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Entry Properties
Last modified
11/17/2021 9:29:46 AM
Creation date
7/24/2018 10:43:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037444
PE
4369
STREET_NUMBER
28755
Direction
N
STREET_NAME
DRY CREEK
STREET_TYPE
RD
City
GALT
Zip
95632-
ENTERED_DATE
10/17/2017 12:00:00 AM
SITE_LOCATION
28755 N DRY CREEK RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2018
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 thk 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 Escalon CA 95320 <br /> Professions Code,administered by the Division of MeasurementP > > <br /> Standards of the California department of Food and Agriculture. 209-838-1448 <br /> I H A ER I NATURE INVOICE NO. <br /> NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, WAITING TIME: <br /> INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE.WE MAKE DELIVERIES INSIDE CURB LINES AND ON <br /> LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES $ per hr.unloading charge. <br /> RESULTING FROM SUCH DELIVERIES.CUSTOMER SHALL INDEMNIFY, HOLD HARMLESS&DEFEND P&L CONCRETE LEAVE PLANT <br /> PRODUCTS,INC.FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF REMOVING <br /> MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OF <br /> ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST.WE DO ARRIVE JOB <br /> NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING,FINISHING OR <br /> CURING OF CONCRETE AND DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED,INCLUDING CRACKING. <br /> CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE LEAVE JOB <br /> PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE <br /> LOADING STARTS,CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE,ON CUSTOMER'S PROPERTY, <br /> FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE ARRIVE PLANT <br /> OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. <br /> SEE TERMS AND CONDITIONS ON REVERSE SIDE.READ FRONT AND REVERSE CAREFIULLY <br /> WATER ADDED CYLINDERS TAKEN <br /> BY: CUSTOMER SIGNATURE ATCUST <br /> AT CUSTOMER'S REQUEST GALLONS OYES ❑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 MEASURE PRICE PRICE <br /> TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE <br /> WAITING TIME <br /> SUB TOTAL <br /> SPECIAL INSTRUCTIONS TAX <br /> TOTAL <br /> GRAND TOTAL <br /> INVOICE NO. <br /> Tr Lick Dr-iver^ User Dl 1, T i c k e t NI_tIII -f ickv� 11) 1 ime L <br /> Load Size Mix Code PetI..trned Ot:y Mix Age P)ec1 Lc)id 11.; <br /> (-,. 00 y SANLIOO10136 1) G5: >':. <br /> Material Designoty Required Batc-hed 7L Var % Moisture Actual Wat <br /> SIM 1161 29-0 16 18126 lb 18460 lb 1.84% 6.M M 1225 g1 <br /> CEMENT 968.8 lb 5808.0 Ib 5785.0 lb -6.40% <br /> WATER 40.00 gl 165.05 gl 165.00 gl -0.03% 165.@10 gl <br /> Actual Nuo Batches: 1 <br /> Load Total: 25622 lb • Design 0."345 Nater/Ce#ent 0.419 A Desi n 240..0 q1 Actual 290.2 gl To Add: 0.0 gi <br /> Slump: 7.00 in # Water in truck: 0.0 11 Adjust 4later: 0.0 1 / Laa� Tr it dater: 5.6 l/ yd <br /> Actual W/C Ratio: 0.419 Aetual Water: 290 gl Batched Cesentg: 5785 lb Allowable Wa er: 0 lb <br />
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