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SITE INFORMATION AND CORRESPONDENCE
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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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/13/2020 12:01:26 PM
Creation date
3/13/2020 11:27:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
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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--------------------- <br /> TAG P & L CONCRETE PRODUCTS, INC. INVOICE <br /> &1.- 1900 ROOSEVELT AVE. • ESCALON,CA 95320 <br /> WEIGHMASTER CERTIFICATE (209) 838-1448/1-800-359-1448 <br /> FAX(209) 838-1455 N- 5846 <br /> THIS IS TO CERTIFY that the following described commodity was weighed,measured or counted by <br /> a weighmaster,whose signature Is on this certificate,who is a recognized authority of accuracy,as P 8 <br /> S L CONCRETE PRODUCTS, INC. <br /> prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business IGHMAS ER <br /> and Professions Code, Administered by the Division of Measurement Standards of the California - <br /> Department of Food and Agriculture. , <br /> C.O.D. I ACCT. RESA BY: <br /> DATE:Zzf; P.O.0 .�_ DEPUTY <br /> SOLD TO: DESTINATION: <br /> WEIGHED AT: <br /> / 1900 ROOSEVELT AVE. <br /> �- C_:J ✓tom L _ /� ESCALON,CA 95320 <br /> VEHICLE LICENSE OR <br /> EQUIPMENT NUMBER <br /> PHONE: <br /> PICKED UP DELIVERED <br /> ��.— ❑ <br /> READY MIX CONCRETE •Customer agrees to return trailer In two hours fromN ElOFF�O <br /> btii3 <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 /> ARRIVE •Customer agrees to return trailer clean and free of TRAILER: <br /> SAND YARDS ON JOB concrete. If trailer Is not properly cleaned after use, <br /> customer agrees to pay an additional cleaning charge. <br /> NUMBER START TRAILER: <br /> •Customer further agrees to assume all responsibility <br /> ROCK OF LOADS POUR for damage to trailer, r 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 /> received while using the trailer. VEH.LIC.0 <br /> WATER ADD MIX DESIGN ARRIVE •No trailers out overnight.ON JOB NUMBER PLANT ht. INITIALS 9 <br /> — COMMODITY QUANTITY "Ci NIA10DITY - -UNIT PRICE AMOUNT J <br /> GROSS LBS. <br /> / s <br /> TARELBS. 1 <br /> NET LBS. 4 <br /> TONS A -� <br /> 6f. GG7i yd <br /> 42 <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 /> ❑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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