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SU0011784
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-1500200
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SU0011784
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Entry Properties
Last modified
5/7/2020 11:35:25 AM
Creation date
9/4/2019 11:04:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011784
PE
2633
FACILITY_NAME
PA-1500200
STREET_NUMBER
30636
Direction
E
STREET_NAME
CARTER
STREET_TYPE
RD
City
ESCALON
Zip
95230-
APN
20708004
ENTERED_DATE
5/1/2018 12:00:00 AM
SITE_LOCATION
30636 E CARTER RD
RECEIVED_DATE
5/1/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\C\CARTER\30636\PA-1500200\SU0011784\APPL.PDF \MIGRATIONS\C\CARTER\30636\PA-1500200\SU0011784\EH PERM.PDF \MIGRATIONS\C\CARTER\30636\PA-1500200\SU0011784\EHD COND.PDF
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EHD - Public
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SOLD BY/MEASURED AT WEIGHMASTER CERTIFICATE <br /> L.K. LEHMAN TRUCKING, INC. This is to certify that the following described commodity was weighed,measured or counted by TICKET NO. 8 <br /> d/b/8/A & L READY MIX a weighmaster,whose signature is on this certificate,who is a recognized authority of accuracy <br /> as prescribed by Chapter 7 (commencing with Section 12700)of Division 5 of the California <br /> 19333 INDUSTRIAL DRIVE Business and Professions Code,administered by the Division of Measurement Standards of the <br /> ONORA, CALIFORNIA 95370 California Department of Food and Agriculture. <br /> PH: (209) 532-5536 • Ready Mix Concrete • Masonary Materials <br /> MAILING ADDRESS: <br /> Po,BOX 9 • Precast Septic Tanks • Drain Field Materials FAX: (209) 532-5038 <br /> STANDARD.CA 95373 <br /> I CAUTION UNLOADING <br /> May rause eye or skin injury.Contains Portland cement.Freshly mixed cement,mortar,concrete,or grout may Customer is required to provide safe access to job site,Any damage incur <br /> reuse skin injury to our equipment„ including wrecker service, will be the responsibility of <br /> TAKE THESE PRECAUTIONS: customer. Drivers are not permitted to add water to the mix to exceed <br /> I Avoid all contact with eyes. <br /> 2.Wear rubber bocts and gloves,and avoid prolonged contact maximum slump nor to go beyond the curb line, except upon <br /> directly with skin or through porous materials. authorization of the customer and his acceptance of risk for any loss <br /> 3 In case of contact with skin or eyes.FLUSH THOROUGHLY <br /> WITH WATER. damage. <br /> 4 If irritation persis's,get medirai attention promptly. <br /> 5.Keep children a%ay. <br /> Water added: <br /> TERMS Minimum delivery charge under 3 yards.$80.00.Free unloading <br /> time,5 minutes per yard-additional time at$90.00 per hour.L.K.Lehman Gallons <br /> Trucking. Inc. is not responsible for any color added, color difference. Customer's representative <br /> efflorescence or additive product added to or on concrete. P <br /> CUSTOMER to PO NUMBER ZONE - JOE NUMBER � TIME DATE TICKET <br /> SOLD TO DELIVER TO <br /> �i-.I i f,;�'•ij '!-F�'F�` + ; ; A& L READY MIX WEIGHMASTER: <br /> s( l <br /> i <br /> GUANTfTY { Ot1AtJTIIY OUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED <br /> THIS LOAD ORDERED DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE <br /> E <br /> I C 0 f � <br /> 1 <br /> NCa:-_010'LIC s � WATER REDUCER SLUMP f. / DUE AT JOB USE OF CONCRETE € <br /> SUBTOTAL <br /> ACCELEI?XT09 Aifl ENTRAIN i HOT WATER j <br /> TAX <br /> DRIVER: TOTAL <br /> LOADING TIME i ARRIVE TIME START UNLOADING FINISH UNLOADING LEAVE JOB ! ARRIVE PLANT <br /> DELIVERY INSTRUCTIONS r - — <br /> t t <br /> SPECIAL INSTRUCTIONS (..,i•'i t"a. } I::.i'+. :•.:..` �l{f=i l.:.l...1::. ) f-•Il..�lrll'.. <br /> TEAR HERE <br /> rlC. !•. ::i1,:a.-t'.t!.?i IIIi77....'I� ai}i.l, .. I _i +!!:. k F�l= .ti_;"+ <br /> i3.+ 1.i.. i::a.t_ .al�IX.j.`; .. <br /> p E 1 G <br /> f.. <br />
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