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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MCHENRY
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1905
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3500 - Local Oversight Program
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PR0545542
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Last modified
3/13/2020 11:52:19 AM
Creation date
3/13/2020 11:26:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545542
PE
3528
FACILITY_ID
FA0004254
FACILITY_NAME
ESCALON PREMIER BRANDS
STREET_NUMBER
1905
Direction
S
STREET_NAME
MCHENRY
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
22514059
CURRENT_STATUS
02
SITE_LOCATION
1905 S MCHENRY AVE
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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DELIVERY TAG P & L CONCRETE PRODUCTS, INC. INVOICE <br /> 1—/0 ROOSEVELT AVE. • ESCALON,CA 953 <br /> WEIGHMASTER CERTIFICATE (209) FAX(09)838-014550-359-1448 80114591448 J <br /> THIS IS TO CERTIFY that the following described commodity was weighed,measured or counted by p & L CONCRETE PRODUCTS, INC. <br /> a weighmaster,whose signature Is on this certificate,who Is a recognized authority of accuracy,as <br /> prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business WEIGHMASTER <br /> and Professions Code, Administered by the Division of Measurement Standards of the California <br /> Department of Food and Agriculture. <br /> C.O.D. ACCT. RESALE" BY: ~ S- <br /> DATE: P.O.A� DEPUTY <br /> SOLD TO: DESTINATION: <br /> J ; WEIGHED AT: <br /> 1900 ROOSEVELT AVE. <br /> --.rte.. J`0 f � J! !. /� �— J1.•,�'J� - r .. - ESCALON,CA 95320 <br /> VEHICLE LICENSE OR <br /> EQUIPMENT NUMBER <br /> PICKED UP –DELIVERED_ <br /> PHONE: --- --- - -- — — �� -3-� — -. -�. _ L1 LI <br /> READY MIX CONCRETE •Customer agrees to return trailer in two hours from DRIVER: ON � OFF= <br /> time out or pay$2.00 for each additional ten minutes <br /> over two hours. –-- <br /> LEAVE TRUCK NO: <br /> CEMENT ADMIX PLANT •Customer acknowledges he has liability insurance <br /> on vehicle to be used In tow trailer. <br /> r ARRIVE •Customer agrees to return trailer clean and free of TRAILER: <br /> SAND I YARDS `–f ON JOB concrete. If trailer is not properly cleaned after use, <br /> customer agrees to pay an additional cleaning charge. - –– -- <br /> ROCK �'I OF LOADS r NUMBER START POUR TRAILER: <br /> •Customer further agrees assume all responsibility <br /> -- t for damage to trailer,or damage resulting from trailer, <br /> TOTAL YARDS -END including attorney fees,for said trailer while It is in his C.D.L.N <br /> custody.Customer also agrees to obey all California <br /> WATER GAL.I LBS. ON JOB POUR State Traffic laws and Is responsible for any citations <br /> WATER ADD MIX DESIGN ARRIVE <br /> received while using the trailer. VEH.LIC.K <br /> � <br /> ON JOB i NUMBER i PLANT • No trailers out overnight. INITIALS <br /> COMMODITY QUANTITY COMMODITY UNIT PRICE AMOUNT <br /> GROSS LBS. i <br /> TARE LBS. 411 <br /> NET LBS. <br /> TONS <br /> I hereby acknowledge the satisfactory P & L CONCRETE PRODUCTS, INC. SUBTOTAL <br /> completion of the above described work. ASSUMES NO RESPONSIBILITY FOR SALES TAX <br /> RECEIVED BY: DAMAGE INCURRED IN DELIVERING AMOUNT <br /> MATERIALS INSIDE THE CURB LINE. <br /> U No one on job site Permit No. STAND BY <br /> CAUTION: CONCRETE IS CAUSTIC. AVOID CONTACT WITH SKIN TOTAL SALE <br /> TERMS: All invoices are due and payable by the 10th of the following month. <br /> After due date 11/2 per month (18% per year) Finance Charge on past due accounts. <br />
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