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Address: 950 Stewart Road, Lathrop Permit: WP0044686 <br /> 1ALS 1 WEIGHMA87ER CERTIFICATE <br /> yJE1GiHMASTER THIS IS TO CERTIFY NM me following doWbed commooky was mIghe4 maaured.or <br /> a�d.BOX 4770 counted by a waighmaate0 whose algnemro bon Ni°cartlgwte,who lam mmgnlred author <br /> MODESTO CA 95362 Callfamis ,Or secure as Proscdbad by CMpter(cOmmandng WONBaboon 12700)of Dlvl•lon 6 of n" <br /> Buainws antl ProlaselOna Code.sdminlsterod by me EMSION Df Menunmm[ 13D. <br /> (209)9434730 Sfandrtds of the CPleomle Depemnant Or Food and A911culbn. <br /> f <br /> SOLD TO: _ SHIP TO: <br /> Ticket 843909 960 W Stewart Rd, Lathrop IRA , <br /> BRADLEY &SONS WELL <br /> � - OH GS STEWART ON SITE JASON 559-994-5704 <br /> ORDER# 50 <br /> I t. <br /> TIME <br /> 11.OSK 8 24.00 yd 9.00 in 1N <br /> 10:30 LEUN 'I-r <br /> ' RUCK AX TI Ke NUM <br /> — A H IL DABR"L M A UM.0 rprM reP z " DIR 432481 84054 843909 <br /> OSI15123 11:19 3 24.00 yd - <br /> p 0 N YOMTERDSO <br /> - <br /> UAnn d $190. 00 $1r520 . 00 <br /> 8 . 00 11 .6002 AB219ll. OS Slurry Ce Y <br /> 1 00 6002 AB219 - PREVAILING WAGE ea $$50.00 $$50. 00 <br /> 1 -00 ENVI CA CARE & ENVIRO COMP ea $50.00 $50. 00 <br /> c $15. 00 $120. 00 <br /> 8 .00 6012 SURCHARGE— CEMENT Y <br /> r <br /> PREPAID SUBTOTAL <br /> SALES TAX <br /> TOTAL <br /> PREVIOUS <br /> STANDBY ' <br /> 1601 Culpepper Ave, BRANDON LASATER GRAND TOTAL $6,113.67 ;• -„�- _ <br /> Modesto,CA 95351 DEPUTY <br /> HED A7: - - - _ <br /> nnwumw.e JOB SITE CYLINDER TEST ❑ YES ❑ NO _ <br /> OUNT T0.VLK SPOKE DOWN - <br /> RNJOB PRro PI'"T LEFTJOB FIN POUR JOB NOT ftEAOY Q WOfOf <br /> AOW POUR OR PUMP JALCIDCNT Added G01s tO full lOaE ❑ YES <br /> TRUCK ANE'O ON JOB.4lHJr LITPTON Op JOb <br /> CC,,,oCTORUNAva OTHER ma N. At Gals tO?n load ❑ YES — <br /> Fr pbry L PUNT PmvJ a T. �AOOeO'NATEP Cum omersRequest Gals td tl5load ❑ YES _ <br /> � a <br /> NATION � <br /> JOB DELAY EXPLA .I.v m• AUTHORIZED BY: , <br /> IN UP TTLAD NIP LOJO9 UR ME FIVO P)minuba Gor 9<Ilr'tlerlleO unl-O'bAN- <br /> 1,m•°Ilwnd <br /> oGMllonm unlaadmpum°MwNae•1°'mnlnounY l°I°' <br /> ppM Ge,OR PERSONAL INJURY. EKPENSE OF REP <br /> WIrvG MIPEDTRU CRSREOUEs - <br /> N }I E'. aPGNNSTPLL04PIM6 F00. —t w�_ - � <br /> DELNERIES INSIDE CURB LINER PND ON LOTS OR PROPEPT'/+T CUSTOMERS RISK ONLY ANDALLEPT NO RESPONSIBILITY W1UTS02i£R FOR MY OPIMOES RESV EITHE FINIa CO WOR61NR E5. <br /> INDEMNIFY'KOLONARMLETS609FENOT111 F00. CO <br /> PLT'OF pryy COryCRETETO WIUCH"1ATEP OR KNY OTHER MATEPIPL H/S 9EENp00ED ATTNE BUYERBRE0UE3T P a <br /> NSTOMEft SHALL RESPONSIBLE FOR THE STPENGTH.SWMP, <br /> yyEp(tE NOT p BECOMES PROPERTY OFTHE PUPCW3ER UPON LFLYINL rHE P1ANL ANY CNnNGE30R GNLELIATIONO F • <br /> ODLOROFTHE CONCPEYE.1"JE NAPE NO CONT0.0LOVE0.THE PNCINO,FINISHING OPLUPINGOF CONLRETEANOOST�T UAPANTE�SVALLBE BILLED TO f <br /> c <br /> - GCONCPETE ISAPERI511ABLE COMMODffY NI ^ '^ <br /> PHONED TO OFER DEFORE GSTA DB.CUSTOME0.13 RESPONBIBIE fOR PROYIDINGpSNTABIE PIALE.Ox NSTOMFM PROPPATY'FO <br /> ROUIOEO WASHOUT SITE OPfl . <br /> C4FNIUP COSI'OFq _ - <br /> Naseem Ahmed, Registered Environmental Health Specialist <br />