Laserfiche WebLink
J. T. G. CONSTRUCTIOM MATERIALS, INC. <br /> 5112 W HWY 12 <br /> "` - �• LODI,CA 95242 <br /> (209)334-4038 <br /> DUMP TICKET NQ, 2410 0 <br /> DATE O C' TIME <br /> ORIGIN <br /> DESTINATION <br /> CONT,iACTOR S <br /> NAIWI3111-1-TO <br /> I PHONE NUMBER (° a)) 7 6 7.. <br /> TRUCK TYPE MATERIAL TYPE <br /> Minimum ❑ Clean Asphalt ❑ <br /> 2 Axle ❑ Clean Concrete J— /�—,' <br /> 3 Axle Clean Fill Dirt ❑ <br />' 5 Axle Cl Concrete&Asphalt(Mixed OR <br /> Concrete&Dirt OR Asphalt&Dirt) ❑ <br /> Concrete&Wire or Rebar(rebar& <br />' TRUCK NO Wire not to exceed 8`beyond concrete) ❑ <br /> 'Contaminated Load(Material <br /> w/plasbc,wood,paper,debris pipe,etc) ❑ <br /> LICENSE NO -Oversized Loads(over 24"x 24"x 8") ❑ <br /> Q *Excessive Rebar <br /> Y (Rebar beyond 6'of concrete) ❑ <br /> OTHER ❑ <br /> *Loads considered undesirable maximum rates will be charged <br /> The following slgnatu Is venflcatlon that the material which has been <br /> dumped is n4ATI/ <br /> tha the "material type box"that is marked <br /> Is correc> , <br /> TOTAL DUE <br /> DF E(I7'SSf �� <br /> OFFICE COPY <br />