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SU0012580 (2)
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QX-91-0006
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SU0012580 (2)
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Entry Properties
Last modified
12/20/2019 9:18:14 AM
Creation date
12/20/2019 9:12:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012580
PE
2656
FACILITY_NAME
QX-91-0006
STREET_NUMBER
8500
Direction
N
STREET_NAME
WAVERLY
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
09345001, 09345005
ENTERED_DATE
10/2/2019 12:00:00 AM
SITE_LOCATION
8500 N WAVERLY RD
RECEIVED_DATE
9/30/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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TSok
Tags
EHD - Public
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CALAVERAS TRANSIT MIX TUOLUMNE TRANSIT MIX I LV PLNT I ARIV JOB I 5 i. 1-UUH <br /> SAN ANDREAS, CA 95249 SONORA, CA 95370 <br /> (209)754-4291 (209) 984-5370 <br /> WEIGHED/MEASURED AT: WEIGHED/MEASURED AT: <br /> #1270 George Reed Dr. #3 6000 O'Byrnes Ferry Road FIN POUR LV JOB ARIV PLNT <br /> 'San Andreas, CA Jamestown, CA <br /> #21470 Linebaugh Road GEORGE REED, INC. <br /> Arnold, CA WEIGHMASTER <br /> State Contractor's License No.21137 A P,O. BOX 4760 <br /> A DIVISION OF GEORGE REED.INC. TRUCK# LOAD 4 <br /> MODESTO, CA 95352 <br /> (209) 523-0734 <br /> DATE: <br /> SOLD TO: DRIVER CUMULATIVE TOTAL <br /> PROJECT: SCHEDULED ON JOB FCU YD ORDERED <br /> DELIVERY INSTRUCTIONS: <br /> JOB ADDED WATER HARD HATS,SAFETY GLASSES AND VESTS REQUIRED ON JOB SITE <br /> LL 3 13 - <br /> MIX DESCRIPTION UNIT AMOUNT <br /> QUANTITY U/M N0 PRICE <br /> 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 e <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, STAND BY <br /> administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> WARNING <br /> Ready mixed concrete or cement may be harmful to the skin.eyes or mucus membranes.Avoid tlirect contact TOTAL <br /> where possible and wash exposed areas promptly with water.II Irritation persists.seek prompt medical attention. <br /> NOTiC£We make deilxenas Inside the curb Ilro at customer s risk only and accept no responsibility whatsoever for damages resuming from <br /> such detNerMa.The drrve� v IrUVI.n r� r,dd�Ignal s,gg�l,lra r»q.•..,sol,na op,n�«,Irut Ina awe and amt ci mD truck m,Y pis , ACCUMULATE <br /> ceche damages to: promises anNor ad,arRnl propelry d Ino diner pFxos ilk macdWl Mia k-d where you dame 4 tt m ar' 1h to hep you 9—way wo can,bUI in order to di INs,dte diner a requesting Ina'you or your raprasentaMe sgn below rwicn!mg yw t rAs eleased I,O,ccuuros.ems TOTAL <br /> dcnipanv Irom all respdnegdlry,lor any damage Vta may o Io 1 P ito Sao me em�arcerelnweevrCO recd I�olfail e e' ofu,owarvors vicehiue so Ihlat <br /> CIe W wary of m,s materielpp gunner.as addilmel consitle You 9 for <br /> a�,y Wl, s to eeDrem(se ander odjacenp ro0 nY witch hma�t�Mclamed by elryona Io naveoarsen out o<delve tr orWr.m and all Badings <br /> 'NOI rospalS�Db te!CGntrele IMnDBnVre5 <br /> •Not rosponstq ler Darrry,ahMly Chath with YVur D��r��rrpanY <br /> •Net resDonsOla for rugrad conrlele�water 4 e 9ne�on nna des <br /> •NOI respen ible IW caMrete surtps ever$'Ungbs SpaCAi. 9n <br /> si n.nu,o <br /> CONTROL NO. <br /> RECEIVED BY — --- - - - <br />
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