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WP0038801
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038801
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Entry Properties
Last modified
12/26/2018 4:23:15 PM
Creation date
12/26/2018 4:07:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038801
PE
4369
STREET_NUMBER
9501
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00731031
ENTERED_DATE
9/21/2018 12:00:00 AM
SITE_LOCATION
9501 JAHANT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
DAfonskaia
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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CALAVERAS TRANSIT MIX TUOLUMNE TRANSIT MIX LV PLNT I ARIV JOB I ST. POUR <br /> SAN ANDREAS, CA 95249 SONORA, CA 95370 <br /> (209) 754-4291 (209) 984-5370 <br /> WEIGHED/MEASURED AT WEIGHED/MEASURED AT: <br /> #1 270 George Reed Dr. #3 6000 O'Byrnes Ferry Road <br /> San Andreas, CA Jamestown, CA FIN POUR LV JOB ARIV PLN: <br /> #2 1470 Linebaugh Road <br /> Arnold, CA GEORGE REED, INC. <br /> State Contractor's License No.21137 A WEIGHMASTER <br /> A DIVISION OF GEORGE REED,INC. P.O. BOX 4760 <br /> TRUCK # LOAD # <br /> MODESTO, CA 95352 <br /> DATE: (209) 523-0734 <br /> SOLD TO: DRI ICUMULATIVE TOTAL <br /> PROJECT: SCHEDULED ON JOB CU YD ORDERED <br /> DELIVERY INSTRUCTIONS: <br /> r <br /> JOB ADDED WATER HARD HATS,SAFETY GLASSES AND VESTS REQUIRED ON JOB SITE <br /> SLUMP FULL 213 113 P.O. # ZOh:;[: LCI" <br /> QUANTITY U/M MIX DESCRIPTION PR IT AMOUNT <br /> NO. SUBTOTAL <br /> DEPUTY PLANT NO. <br /> WEIGHMASTER CERTIFICATE SALES TAX <br /> THIS IS TO CERTIFY that the following described commodity was weighed,measured,or counted by a <br /> weighmaster,whose signature is on this certificate,who is a recognized authority of accuracy,as prescribed by <br /> Chapter 7(commencing with Section 12700)of Division 5 of the California Business and Professions Code, <br /> administered by the Division of Measurement Standards of the California Department of Food and Agriculture. STAND BY <br /> WARNING <br /> Ready mixed concrete or cement may be harmful to the skin,eyes or mucus membranes.Avoid direct contact <br /> where possible and wash exposed areas promptly with water.If Irritation persists,seek prompt medical attention. TOTAL <br /> NOTICE:We make deliveries Inside the curb line at customer's risk only,and accept no responsibility whatsoever for damages resulting from <br /> such deliveries.The driver of this truck,in requesting the additional signature below,is of the o inion that the size and weight of the truck may possibly <br /> cause damages to the premises and/or adjacent property if the Driver places the material in Iha ide where yyou desire it.It is our wish to help you h every <br /> way we can,but in order to d.t . <br /> ths,the driver is requesting that you or your representative sign below intlicating you have releasetl the tlnver antl this ACCUMULATED <br /> company from all responsibllily for any damage that mayy occur to the premises and/or adjacent property,buiMings,sidewalks,driveways.curbs.etc.by <br /> the delivery of this matenal.Funher.as atltleional consitleration,you agree to help the driver <br /> remove mud from the wheels of the tlriver's vehicle so that TOTAL <br /> the driver will not litter the public street,and you agree to intlemmty and hold harmless the driver of this truck and this company for any and all liabilities <br /> and damages to the premises and/or adjacent property which may be claimed by anyone to have arisen out of tleiivery of this ober. <br /> :No responsible for concrete tamp rtures <br /> 'Not res... <br /> risible for pu pabtlity.Check with You,P mping company <br /> 'Not responslble for colored concrete If water isatldetl on site <br /> Not <br /> responsible for concrete slumps over 5'.Unless specified on mix design. <br /> Signature: <br /> RECEIVED BY CONTROL NO. 0&?x-71 " <br /> _ _...____. .......... ------------- _ <br />
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