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SU0010586
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MACKVILLE
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28539
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2600 - Land Use Program
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PA-1500141
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SU0010586
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Entry Properties
Last modified
5/7/2020 11:34:39 AM
Creation date
9/6/2019 9:57:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0010586
PE
2690
FACILITY_NAME
PA-1500141
STREET_NUMBER
28539
Direction
N
STREET_NAME
MACKVILLE
STREET_TYPE
RD
City
CLEMENTS
APN
00909004 00912003 04 05 18009005
ENTERED_DATE
8/10/2015 12:00:00 AM
SITE_LOCATION
28539 N MACKVILLE RD
RECEIVED_DATE
8/10/2015 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MACKVILLE\28539\PA-1500141\SU0010586\APPL.PDF \MIGRATIONS\M\MACKVILLE\28539\PA-1500141\SU0010586\CDD OK.PDF \MIGRATIONS\M\MACKVILLE\28539\PA-1500141\SU0010586\EH COND.PDF \MIGRATIONS\M\MACKVILLE\28539\PA-1500141\SU0010586\EH PERM.PDF
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EHD - Public
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WEIGHMASTER CERTIFICATE <br /> o THIS IS T0,CEQZ FY that the following described commodity was weighed,measured,or 5948 <br /> � counted by a weignmaster,whose signature is on this certificate,who is erecognized authority <br /> of accuracy.as prescribed by Chapter 7(commencing with Section 12700)of Division S of the + <br /> California Business and Professions Code, administered by the Division of Measurement <br /> Standards of the California Department of Food and Agriculture. <br /> . c PEARSONS CONCRETE <br /> CAUTION 10284 UNDERWOOD RD., ACAMPO, CA 95220 <br /> Y TELEPHONE (209) 334-9234 <br /> Freshly mixed cement, mortar, <br /> concrete or grout may cause skin ORDER NO. DATE - , 19 :( <br /> injury. Avoid contact with skin where CUSTOMER NAME �� <br /> possible and wash exposed skin ADDRESS ���� -G ,rte - <br /> areas promptly with water. If any JOB LOCATIOttl� <br /> � ' - LOAD NO. <br /> cement mixtures get into eyes, rinse c DRIVER f0Y_1-1±f Ill TRUCK NO. ZI CU <br /> immediately and repeatedly with t <br /> 19water and get prompt medical t CONCRETE MIX START TIME to it t <br /> attention. CEMENT ARRIVE JOB <br /> ADMI■t loy <br /> KEEP OUT OF REACH OF CHILDREN. A-1 LEAVE JOB <br /> A-2 END TIME <br /> A-3 ' Mf><a TOTAL <br /> Dear Customer: �r WATER NET <br /> I:. THIS LOAD SACK WEIGHED AT <br /> i, GUARANTEED %/� CUBIC CON- MIX g01 SIMMERHORN <br /> NOTICE: WE MAKE DELIVERIES INSIDE THE CURB LINE TO YIELD Z YARDS CRETE NO. GALT,CA. <br /> AT CUSTOMER'S RISK ONL,Y,,4ND_At-tEPT NO f PEARSO. ET EIGHMASTER <br /> RESPONSIBILITY WHATSOEVER FOR DAMAGES �Y <br /> RESULTING FROM SUCH DELIVERIES. <br /> ,, QUANTITY UNITS DESCRIPTION UNIT PRICE AMOUNT <br /> The driver of this truck,in requesting the additional signature below,is of the opinion CU YDS CONCRETE <br /> that the size and weight of the truck may possibly cause damages to the premises <br /> and/or adjacent property if the driver places the material in this load where you desire <br /> it.tt is our wish to help you in every way that we can,but in order to do this,the driver <br /> is requesting that you or your representative sign below indicating you have released <br /> the driver and PEARSONS CONCRETE from all responsibilty for any damage that X <br /> may occur to the premises and/or adjacent property,buildings,sidewalks,driveways, <br /> curbs, etc. by the delivery of this material. Further, as additional consideration, you 's <br /> agree to help the driver remove mud from the wheels of the driver's vehicle so that <br /> the dtiver,will not litter the public street, and you agree to indemnity and hold -- <br /> harmless the driver of this truck and PEARSONS CONCRETE for any and all liabilities ti MIN. STAND BY TIME <br /> and damdges to the premises and/or adjacent property which may be claimed by <br /> anyone to have arisen out of delivery of this order. HOURS RENTAL <br /> S MINUTES PER YARD FREE CHARGE C.O.D. <br /> r Signature: UNLOADING TIME ALLOWED TOTAL <br /> t <br /> TERMS: Nal 30 Days. one and one-haft 01h'F.)percent charged on past due accounts.Any reasonable lead teee <br /> incurred in collection of,bore will be added to thin charge_ <br />
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