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WP0037717
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037717
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Last modified
8/23/2018 4:40:45 PM
Creation date
8/23/2018 1:12:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037717
PE
4374
STREET_NAME
WOODWARD
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
24132059
ENTERED_DATE
12/20/2017 12:00:00 AM
SITE_LOCATION
WOODWARD AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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AMeuangkhoth
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EHD - Public
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meow <br />�oUNR, SE <br />_I®L. REDI-MIX <br />BUILDING MATERIALS <br />Wct.F+.,n✓.rat>.<.C) r) <br />Invoice Address <br />CALWATER DRILLING <br />300 SOUTH KILROY <br />TURLOCK, CA, 95380 <br />Modesto <br />4518 Oakdale Road <br />Modesto 95357 <br />209-551-5450 Tel <br />209-551-3736 Fax <br />Delivery Address <br />CALWATER DRILLING <br />Woodward <br />Manteca <br />Delivery Ticket <br />Order No <br />Order Date <br />Customer <br />Your Ref <br />Delivery <br />Taken By <br />12096850 <br />06/15/2018 <br />CD300 <br />On 06/15/2018 <br />DG <br />This is a reprint <br />Page 1 of 1 <br />Special Instructions <br />Notes <br />LEFT JOB <br />S <br />6/15 1.30 <br />Item <br />Product Code: <br />Description <br />Qty Delivered <br />Qty BackOrdered <br />Qty Received <br />1 <br />TM -10.3 -WD <br />10.3 SACK SAND SLURRY WEEKDAY <br />3.00 YD' <br />2 <br />TM -10.3 -WD <br />10.3 SACK SAND SLURRY WEEKDAY <br />1.00 YD' <br />3 <br />TM -SHO -LOA -3 <br />SHORT LOAD FEE, 3 - 3.75 YDS <br />1.00 EA <br />4 <br />TM -ENV <br />TRANSIT Mix Environmental Fee <br />1.00 EA <br />5 <br />HAD TO ADD 1 YARD PER CALWATER <br />4 YARDS TOTAL <br />WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this <br />certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions <br />Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br />LEFT YARD <br />START POUR/JOB <br />LEFT JOB <br />MINUTES/HOURS USED <br />ARRIVED JOB <br />FINISH POUR/JOB <br />ARRIVED YARD <br />MINUTES ALLOWED <br />GALLONS WATER ADDED <br />CLEANING CHARGE <br />AT RATE OF ADDITIONAL <br />CHARGES <br />MINUTES STANDBY <br />Customer assumes costs and responsibilities for damages or towing inside <br />curbline or offstreet. <br />Driver Signature <br />Date Print name <br />Subject to our terms and conditions of sale. Further copies available on request. I IIIIII II IIII IIII I I I 111111111111111111 <br />1111� <br />11111111 <br />
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