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WP0040291
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040291
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Entry Properties
Last modified
5/14/2020 2:11:56 PM
Creation date
5/14/2020 2:05:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040291
PE
4369
STREET_NUMBER
128501
Direction
N
STREET_NAME
MACKVILLE
STREET_TYPE
RD
City
CLEMENTS
Zip
95227-
APN
00909012
ENTERED_DATE
11/8/2019 12:00:00 AM
SITE_LOCATION
128501 N MACKVILLE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SOLD BY/MEASURED AT WEIGHMASTER CERTIFICATE <br /> L.K. LEHMAN TRUCKING, INC. This is to certify that the following described commodity was weighed,measured or counted by TICKET NO. 86132 <br /> ft/a/A & L READY MIX a weighmaster,whose signature is on this certificate,who is a recognized authority of accuracy <br /> as prescribed by Chapter 7 (commencing with Section 12700)of Division 5 of the California <br /> 19333 INDUSTRIAL DRIVE Business and Professions Code,administered by the Division of Measurement Standards of the <br /> SONORA, CALIFORNIA 95370 California Department of Food and Agriculture. <br /> PH: (209) 532-5586 • Ready Mix Concrete • Masonary Materials <br /> MAILING ADDRESS: <br /> STANDARD,BOX <br /> 995373 • Precast Septic Tanks • Drain Field Materials FAX: (209) 532-5038 <br /> CAUTION UNLOADING <br /> May cause eye or skin injury.Contains Portland cement.Freshly mixed cement,mortar,concrete,or grout may Customer is required to provide safe access to job site.Any damage incurred <br /> cause skin injuryto our equipment, including wrecker service, will be the responsibility of the <br /> TAKE THESE PRECAUTIONS: ` <br /> 1.Avoid all contact with eyes. customer. Drivers are not permitted to add water to the mix to exceed the <br /> 2.Wear rubber boots and gloves,and avoid prolonged contact maximum slump nor to go beyond the curb line, except upon the <br /> directly with skinor through porous materials. <br /> 3.In case of contactt with skin or eyes.FLUSH THOROUGHLY acceptance oor any authorization of the customer and his acce tf risk floss or <br /> WITH WATER. damage. <br /> 4.If irritation persists,get medical attention promptly. <br /> 5.Keep children away. Water added: <br /> TERMS:Minimum delivery charge under 3 yards,$80.00.Free unloading <br /> time,5 minutes per yard-additional time at$90.00 per hour.L.K.Lehman Gallons <br /> Trucking, Inc. is not responsible for any color added, color difference, <br /> efflorescence or additive product added to or on concrete. Customer's representative <br /> CUSTOMER ID P.O.NUMBER ZONE JOB NUMBER TIME DATE TICKET <br /> SOLD TO DELIVER TO <br /> A&L READY MIX WEIGHMASTER: <br /> BY DEPUTY <br /> QUANTITY QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED <br /> THIS LOAD ORDERED DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE <br /> TRUCKIEQUIR LIC.# WATER REDUCER SLUMP DUE AT JOB USE OF CONCRETE <br /> SUB TOTAL <br /> ACCELERATOR AIR ENTRAIN HOT WATER <br /> TAX <br /> DRIVER: TOTAL <br /> LOADING TIME ARRIVE TIME START UNLOADING FINISH UNLOADING LEAVE JOB ARRIVE PLANT <br /> DELIVERY INSTRUCTIONS <br /> SPECIAL INSTRUCTIONS <br /> TEAR HERE <br />
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