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SU0014021
Environmental Health - Public
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2600 - Land Use Program
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SU0014021
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Last modified
4/13/2021 3:18:33 PM
Creation date
3/19/2021 2:03:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0014021
PE
2622
FACILITY_NAME
PA-2100030
STREET_NUMBER
8450
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00705013, -46, -47
ENTERED_DATE
3/19/2021 12:00:00 AM
SITE_LOCATION
8450 E JAHANT RD
RECEIVED_DATE
3/17/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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PO BOX 113 <br />LOCK EFORD <br />PROJECTBASE PRI CI NG <br />GUST 41-t--41249.1.00 <br />SOLDTO:GOEHRING PUMP & IRRIGATIO <br />CA95237 ROBERT BURKHARDT <br />6. 00 <br />WARNING <br />Ready mixed concrete or cement may be narmful to the skin, eyes or mucus membranes. Avoid direct contact where <br />possible and wash exposed areas promptly with water. If irritation persists. seek prompt medicai Mee-anon.- <br />1 <br />1 <br />DEPUTYBrian <br />WEIGH MASTER CERTIFICATE <br />THIS IS Ti) CERTIFY that the following described commodity was weighed:lneasured, or counted by a welghmaster, <br />whose signature is on Ins certificate. who is a recognized authority Of aCCurSey, as prescribed by Chapter 7 -(com- <br />mencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the <br />Division of Measurement Standards of the California Department of Food and Agriculture. <br />, , <br />3' , PLANT NO. Mathe <br />QUANTITY UIM MIX <br />NO. SCRIPTION UNIT <br />PRICE AMOUNT. <br />1.1601 CULPEPPER AVE. <br />PAODESTO, CA 95351 <br />2. 1375 POST ROAD <br />OAKDALE, CA 95361 <br />3. 17300 JAHANT ROAD 1 <br />CLEMENTS, CA 95227 <br />• <br />5.2714 STAGECOACH DR. <br />STOCKTON, CA 95215 <br />IV PLNT <br />CF:310, <br />AFIIV ST. POUR <br />9)4 <br />FIN POUR j LV JOB ARIV PLNI <br />iDATE: 05-19-08 ORDER #t 29 <br />WEIGHMASTER <br />P.O. BOX 4770 <br />MODESTO, CA 95352 <br />(209) 529-4050 <br />6.00 <br />DELIVERY INSTRUCTIONS: W. JAHANT RD., TO ADDRESS BETWEEN DUSTIN AND BRUELLA <br />SLUMP JOB ADDED WATER •-• P.O. 4# ZONE LOT BLOCK <br />4.00 , 727-5458 SJI.01 <br />8450 E, JAHANT RD., ACAMPO <br />C. <br />or his agent shalt pay ory towing feee incurred inside curb line. <br /> <br /> <br />D. Buyer to provdesqtable access to jobsite horn curb line, <br />CA. Civil Cade Chapter 522. Section 171a - if your check is returred you could be liable for,three times the <br />Deliveries to iobsrles not accessible due to ground or weather conditions shall be the buyer's resporsibility. <br />Seller will nor he responeiblelorarnage inside curb line. <br />Purchaser shall pay 1,4% monthly service charge do-uppatd-balance. <br />E. <br />Purchaser shal pay all costs Di (4rec.pn including reasonable attorney tees. <br />TERMS'. <br />A. <br />, • <br />RECEIVED BY sy50 6-. d5E3338e <br />amount of the check or $100, whIchave" is more plus the face value of the check and court costs <br />-rjG NO <br />. <br />2 5 <br /> <br />4110"L'IfIC'7 <br />CONTROL NO. <br />— c'y 99- <br />6001 <br />10. 3sk S4idBlurry -- <br />SHORT LOAD DELIVERY <br />SUBTOTAL <br />SALES TAX <br />STAND BY <br />, TOTAL ,7 <br />ACCUMULATED <br />TOTAL <br />TRUCK # LOAD # <br />20 1 <br />DRIVER TOTAL ON JOB
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