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Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0508238
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Last modified
1/30/2020 2:38:00 PM
Creation date
1/30/2020 1:21:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0508238
PE
2950
FACILITY_ID
FA0008010
FACILITY_NAME
GRANITE CONSTRUCTION CO
STREET_NUMBER
10500
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
CURRENT_STATUS
01
SITE_LOCATION
10500 S HARLAN RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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i Calaveras Materials Inc. Delister Cert <br /> CALAVERAS `-� 3451 West Shaw Avenue Weighmaster Certificate <br /> HEIDELBERGCEMENTGroup <br /> Fresno, California 93711-3204 CUSTOMER COPY 1 <br /> Telephone 559-277-7060 <br /> Fax 559-277-7134 <br /> 1 • <br /> Toll Free 800-726-5615 <br /> i <br /> Manteca Ready Mix Plant Tracy Ready Mix Plant Thorne Ave,Ready Mix Plant #61 Thorne0 Nhorn Avenue z Plant #62 River000 W. Plant #63 15475 Whitson lma Ready xPlant <br /> #54 1945 E.Lathrop Road #63 26963 S. Arthur #60 410 N.Thorne Avenue Fresno.CA 93706 Pinedale,CA 93650 Selma,CA 93662 <br /> Lathrop,CA 95330 Tracy,GA 95376 Fresno,CA 93706 <br /> Load Leave Plant Arrive Job Start Pour End Pour Leave Job Arrive Plant <br /> Water Added on Job at ,. Customer ,, . •� / .i1� <br /> : "� <br /> Customer's Request Gallons Signature x � <br /> WEIGHMASTER CERTIFICATE: THIS IS TO CERTIFY that the following described commodity was weighed,measured,or counted by a weightmaster,whose <br /> signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the <br /> California Business and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> Date <br /> Plant Ticket No. Order No. Customer No. Sold To: <br /> umber <br /> Delivery Address Zone Drive r <br /> jJ <br /> I_t,• ::,1 f Project No. <br /> I Special Instructions • �•• <br /> -- - - v Job Number <br /> Special Instructions 1 ��-� <br /> I <br /> I Truck No. Load Size Miz Code Slump %Air I Call. Project Name: <br /> Load Cumulative Ordered Unit of Product Product Unit a ' " <br /> Description <br /> PtIGA1°h "t� Urlt <br /> Quantity Quantity Quantity Measure Code p <br /> I v <br /> I r <br /> I #, <br /> I ' <br /> I <br /> IF <br /> 1g h <br /> t <br /> M <br /> CALAVERAS MATERIALS INC.ASSUMES NO CERTIFICATE OF COMPLIANCE: WE CERTIFY that the > ,' <br /> I RESPONSIBILITY FOR DAMAGE INCURRED IN <br /> 4 Portland cement,chemical and mineral admixtures contained in <br /> [DELIVERING MATERIALS INSIDE THE CURB LINE. the material described below are brands stated and comply with <br /> specifications: <br /> CALAVERAS MATERIALS INC. CEMENT BRAND: Sub total <br /> TYPE: II MILL LOCATION: — ri <br /> Tax <br /> CHEMICAL ADMIX BRAND: TYPE: <br /> MANUFACTURER: � f. <br /> 1 BY ___ —— -- — -. --- MINERAL ADMIX MANUFACTURER._-_. <br /> I CLASS: Total ? <br /> I CONTROL ((''����'^^ '78 0('� <br /> NT 0 6 t : 4 DO NOT USE FOR TICKET NO. _ — -2 <br /> ii.. . . ��.n , rlt UItEI1 ri}IReF.(}?4oA <br /> a.1't'a ?o r o <br /> • <br /> 1 ter• t. Aci;a tZ St It 1 <: <br /> l(t ♦I'IC.;i , , i. ,,'l i F,.� I n i n i <br />
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