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WP0036531
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PALM TREE
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1845
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036531
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Entry Properties
Last modified
8/16/2018 1:46:13 PM
Creation date
8/14/2018 10:23:48 AM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036531
PE
4366
STREET_NUMBER
1845
Direction
E
STREET_NAME
PALM TREE
STREET_TYPE
LN
City
MANTECA
Zip
95336
APN
17747012
ENTERED_DATE
1/30/2017 12:00:00 AM
SITE_LOCATION
1845 E PALM TREE LN
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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WEIGHTMASTER CERTIFICATE <br />THIS IS IS TO CIFRT — (209) 838-1448 1-800-359-1448 Fax (209) 838-1455 D <br />that the fouowm /INVOICE <br />commodity was wei hed g described <br />9 measured, or counted b <br />weighmaster whose signature is m this certificate. who is P 8' L CONCRETE PRODUCTS INC. <br />a recognized authority of accuracy, as prescribed by Invoice No.: 177396 <br />Lchapter 7 (commencing with Section 12700) of Division 5 wEIGHMASTER <br />California Business and Professions codeCust No.: CLE3324stered by the Division of Measurement Standardsalifornia Department of Food and Agriculture. Inv. Date : 12/03/16 <br />BY: Guillermo Murillo_ Page No.: 1 <br />SOLD TO: DEPUTY <br />CLEARWATER DRILLING DESTINATION: <br />TOBY VON ALVENSLEBEN �/ 1485 PALM TREE RD <br />2308 YOSEMITE AVE �f` A SMALL RD <br />ESCALON, CA 95320 <br />`S eC 40- WEIGHED AT. <br />209 603-3324 1900 ROOSEVELT AVE <br />ESCALON.CA 95320 <br />READY CONCRETE ' Customer agrees to return trailer in two hours from time out or <br />pay $1.25 for each additional minute over two hours. VEHICLE LICENSE OR <br />y LEAVE ' Customer acknowledges he has liabiI' rano. on vehicle to EQUIPMENT NUMBER <br />YARDS / PLANT % l% ' 3� be used in tow trailer. g <br />NUMBER '// ARRIVE 704 Customer agrre return trailer Clea free of concrete. If TRUCK tj�' <br />F LOADS /, ON JOB o trailer is n operly cleaned after , customer agrees to pay an <br />OTAL YARDS // START additional c aning charge. TRAILER <br />ON JOB ' Customer further agree assume all resaonsibility for damage <br />_ , POUR to trailer, or damage r ulting from trailer, including attorney fees. <br />MIX DESIGN G <br />L% <br />NUMBER END for said trailer while i is in his custody. Customer also agrees to C.D-L # <br />POUR obey all California S to Traffic Laws and is responsible for any <br />ATER ADD RRIVE citations received while u t e ral er. VEH. LIC # <br />N JOB PLANT ' No trailers out overnight. INITIALS <br />Ship Date PO # ❑ PICKED UP ELIVERED <br />Due DateDriver <br />12/03/16 SLURRY / PALM TREE R C.O.D- <br />Qty Shipped Item Number Description <br />Unit Price Amount <br />3.250 YD SAND00103 SAND SLURRY 10.3 141 5000 459.88 <br />10.3 SK SAND SLURRY <br />1 000 EA SHORT SHORT LOAD (CONCRETE) 700000 70.00 <br />Subtotal 529.88 <br />Misc. Charge 0.00 <br />P & L CONCRETE PRODUCTS, INC. ASSUMES NO RESPONSIBILITY FOR <br />Freight Charge 0.00 <br />DAMAGE INCURRED IN DELIVERING MATERIALS INSIDE THE CURB LINE. <br />Discount 0.00 <br />Sales Tax 36.79 <br />1 hereby acknowledge the satisfactory completion of the above described work. <br />Total 56667 <br />RECEIVED BY <br />Payments 000 <br />( J No one on fob site <br />Deposits 000 <br />Net Balance Due $ 56667 <br />CAUTION CONCRETE IS CAUSTIC. AVOID CONTACT WITH SKIN. <br />TERMS: All invoices are due and payable by the 10th of the following month. <br />After due date 2% per month (24% per year) Finance Charge on past due accounts. <br />
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