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78-363
EnvironmentalHealth
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JACK TONE
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4935
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4200/4300 - Liquid Waste/Water Well Permits
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78-363
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Last modified
6/10/2019 10:09:32 PM
Creation date
12/2/2017 5:52:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
78-363
STREET_NUMBER
4935
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
SITE_LOCATION
4935 N JACK TONE RD
RECEIVED_DATE
03/14/1978
P_LOCATION
LOUIS CASALE
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\4935\78-363.PDF
QuestysFileName
78-363
QuestysRecordID
1794545
QuestysRecordType
12
Tags
EHD - Public
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FE. F. MITCHLER CO. <br /> Central Mix Concrete & Building Materials <br /> t � 400 S. LINCOLN ST. (209)466-8941 <br /> STOCKTON,CALIF.95203-3398 <br /> DRIVER'S TIME <br /> COUNTER I <br /> START <br /> FINISH LEFT PLANT I <br /> TOTAL ARRIVE JOB t <br /> STARTED JOB_ <br /> C.O.O. I <br /> STANDING LEFT JOB <br /> TIME a <br /> TOTAL ARRIVE PLANT ^ <br /> C.0. <br /> WATER <br /> ADDED AUTHORIZED BY DRIVER ,f <br /> SLUMP PLACED <br /> WEIGHMASTER CERTIFICATE <br /> 01 HE <br /> j ': THIS IS TO CERTIFY that the following described commodity was weighed, measured,or counted by a(commencing,er, <br /> 1 ;whose signature is on this certificate,who is a recognized authority of accuracy,asprescribedhyChapter7(commencing, <br /> with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of <br /> 4 ,e Measurement Standards of the California Department of Food and Agriculture. <br /> 'WEIGHED AT: E.F,MITCHLER COY s 400 S.LINCOLN ST. STOCKTON,CA 95203 <br /> SOLD <br /> TO 4' "Z IANCF DRILLER <br /> JACKTONE R11 <br /> JOBIT0 ,KT13N', <br /> SITE <br /> dams= -- 3AND GROUT 13*# 10 <br /> 0 050r"00 9 SK <br /> 4 ,. . <br /> 00 <br /> F11 <br /> 145 LVA Mlsc. <br /> x.4450 LOS <br /> 4`60 <br /> 0 <br /> WARNING <br /> Freshly mixed cement,mortar,grout or concrete may cause skin promptnAvoid direct contact where possible andwash exposed skin areas promptly <br /> withfreshwater.Ifanycementitiousmaterialgetsintoeyes,rinse4mmedistely <br /> and repeatedly with water and get prompt medical attentionSOME OF THE PRODUCTS THAT WE SELL GOULD CONTAIN ONE OR <br /> MDRE CHEMIGALS KNOWN TO THE STATE OF GALIFORNIATO CAUSE <br /> CANCER,BIRTH DEFECTS OR OTHER REPRODUCTIVE HARM. <br /> 4 9 4 5 Received by X <br /> NOTICE:Our drivers will make every effort to place material where Customer designates,but the Company <br /> assumes no responsibility for damages inside curb or property line.No claims considered unless made when <br /> material is delivered and receipted for. Late charg'�spECmade <br /> on delinquent accounts. Buyer will pay <br /> reasonable costs of collection and attorney fees. TOR <br />
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