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WP0037416
EnvironmentalHealth
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KASSON
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25100
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037416
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Entry Properties
Last modified
7/31/2018 3:13:45 PM
Creation date
7/31/2018 2:08:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037416
PE
4369
STREET_NUMBER
25100
Direction
S
STREET_NAME
KASSON
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
23918002
ENTERED_DATE
10/13/2017 12:00:00 AM
SITE_LOCATION
25100 S KASSON RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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AMeuangkhoth
Tags
EHD - Public
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SUNR'SE <br />sto <br />4518e <br />Oakdale Road <br />J� REDI-MIX <br />Modesto 95357 <br />209-551-5.450 Tel, <br />n <br />209-551-3736 Fax <br />"WIVI, t'i'2S xtikIi10irl!�Jt"at.ter;aIS.'cca Ie'a <br />Invoice Address Delivery Address <br />Hennings Bros. Drilling Co. Hennings Bros. Drilling Co. <br />1930 LADD RD 25100 Kasson Rd <br />MODESTO, CA, 95356 Tracy <br />Delivery Ticket <br />Order No <br />Order Date <br />Customer <br />Your Ref <br />Delivery <br />Taken By <br />11415595 <br />11/03/2017 <br />211616N% <br />On 11/08/2017 <br />DG <br />Page 1 of 1 <br />Special Instructions <br />Notes <br />LSC <br />11/8 11.00 <br />Item <br />Product Code <br />Description <br />Qty Delivered <br />Qty Backordered <br />Qty Received <br />1 <br />2 <br />TM -10.3 -WD <br />TM -ENV <br />10.3 SACK SAND SLURRY WEEKDAY <br />TRANSIT Mix Environmental Fee <br />8.00 YD <br />1.00 EA <br />WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighrnaster, whose signature is on this <br />certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions <br />Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br />LEFT YARD <br />START POUR/JOB <br />LEFT JOB <br />MINUTES/HOURS USED <br />ARRIVED JOB <br />FINISH POUR/JOB <br />ARRIVED YARD <br />MINUTES ALLOWED <br />GALLONS WATER ADDED <br />CLEANING CHARGE <br />AT RATE OF ADDITIONAL <br />CHARGES <br />MINUTES STANDBY <br />Driver <br />Date <br />Subject to our terms and conditions of sale. Further copies available on request. <br />Customer assumes costs and responsibilities for damages or towing inside <br />curbline or offstreet. <br />Signature <br />Print name <br />
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