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WP0037923
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037923
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Entry Properties
Last modified
8/24/2018 2:35:24 PM
Creation date
8/24/2018 1:15:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037923
PE
4366
STREET_NUMBER
1212
Direction
W
STREET_NAME
LINNE
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25527023
ENTERED_DATE
2/6/2018 12:00:00 AM
SITE_LOCATION
1212 W LINNE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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AMeuangkhoth
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EHD - Public
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J <br />Iday cause eye or Skin irritation. Contains Portland cement. Freshly mixed cement. mortal <br />ATTENTION: Signature below <br />indicates that i have read all <br />notices and disclaimers and <br />agree to all terms. <br />LOAD RECEIVED BY: <br />x <br />Property Damage Release Authorized <br />x <br />ISubTotal <br />concrete, or grout may cause skin injury. <br />Taxes <br />By accapting delivery buyer agrees to the following tem„ <br />1. Avoid all contact with eyes. <br />1. We make all deliveries inside street side curb only and accept no rasG°nrsab;hty <br />2. Avoid prolonged contact with skin. War rubber <br />Other Services <br />for damage made inside lot. <br />gloves and boots. <br />3. Flush throughly with clen water if direct contact to skin or eyes. <br />GRAND <br />TOTAL <br />2. A confined washout area must be provided and buyer assumes all respm abalty <br />d. Seek medical attention ifirritation- <br />persists. <br />and liability for cleaning the washout area. <br />5. KEEP CHILDREN AWAY. <br />3. All orders COD are to paid by Cash, VISA or MasterCard, unless otheMse auftu�), <br />6. WARNING THIS PRODUCT CONTAINS ONE OR <br />4. There vAU be a $25.00 charge on all returned checks. <br />MORE CHEMICALS KNOW TO <br />THE STATE OF CALIFORNIA TO CAUSE CANCER. BITH <br />Charge account balances are to be paid within 30 days of the original delivery date, <br />DEFECTS OR OTHER <br />REPP.ODUCTiV, HARMS <br />at past due balances will result in all loss of discount, and subject to finance charges <br />equat to 1.112% per mont (18% APR). SEE NOTES AND NOTICES BELOW <br />NOTICE TO PROPERTY OWNERS: Do Not rely upon this mvolce as proof of paymont: property owners should bo aware of al meUumc <br />including court S attorneys fee In xnnection lien --Fxvt;.as <br />with the coliaction of account. <br />4+ws. Customer further agreos to pay rptarid costs <br />Arrive Job Start Pear <br />Finish P<xu <br />total titin. <br />g <br />ga <br />Chable Min. <br />Arrive Plant <br />I / <br />1 t, <br />$1.50lmin M -F <br />$2.00/min Sat)) <br />i ,10 (Ye"NOt Batch Time <br />Ac -,w <br />A,Ilowable <br />Driver <br />N" <br />Min <br />Truck <br />Date Ticket No <br />No. <br />.7 1 "017 <br />,old To <br />Delivery Address: <br />1212 West 1. nnie Rd. <br />Tracv. Cry <br />LOAD NO. JOB INFO W. ate Added iiDJob By whrm Slump: <br />I <br />r!.-��xu-1 Description <br />t rGo,c Quantity Cuanlity Pnce ljr Prxs D_ <br />._ Ordered Del—red Limt 'livered <br />I <br />Des-pbcn <br />Fnce <br />WEIGHMASTER CERTIFICATE: <br />THIS IS TO CERTIFY that the following described commodity was weighed, measured <br />or counted by weighmaster, whose signature is on this certificate, who is a recognized <br />authorityof acture as prescribed by chapter 7, (commencing with Section 12700 of <br />accuracy, P ( ) <br />Division 5 of the California Business and Professional Code, administered by the <br />Division of Measurement Standards of the Califomia Department of Food and Agriculture <br />BY: -- <br />ATTENTION: Signature below <br />indicates that i have read all <br />notices and disclaimers and <br />agree to all terms. <br />LOAD RECEIVED BY: <br />x <br />Property Damage Release Authorized <br />x <br />ISubTotal <br />Taxes <br />—.— <br />Total Ticket <br />Other Chgs. <br />Other Services <br />Deputy Weightmaster <br />Measure7Weighed at _—_ — <br />GRAND <br />TOTAL <br />PAYMENT METHOD: CASH El CHECK Driver License #_ _______ _ ❑CREDIT CARD (Please fill out Credit Card Information Form) <br />1. All traffic controls, flagmen, etc. are the responsibility and liability of the purchaser, and must conform to all applicable laws. <br />NOTES. l D&D Ready Mix Inc. makes NO guarantees or warranties with respect to product's finished appearence, color uniformity or cracks. <br />3 Any additional water added to this concrete will alter the water to cement ratio, and therefore reduce the strength, <br />4 This concrete is designed in accordance with ACI standards, any additional water added is at purchaser's risk. <br />5. D&0 Ready Mix Inc provides 5 minutes free yard, excess time will be charged at the standby rate. <br />"Our Service is Concrete" <br />
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