HomeMy WebLinkAbout2637 Jefferson St; ; CBR2018-1725; Recycle#
(city of
Carlsbad
Development Services
WASTE MANAGEMENIT 1 7 2018 Building Division
Owner:
PLAN CITY OF CARLSBAD
B-59 BUILDING DIVISION
Contractor:
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
Phone Number: (e I '\. 3,. 'l.. '2..-. '\ L.\ '::\ '::\
Permit#: Estimated Cost of Project: $,_.1.\ ___,:tl\'--'-''"''-'"''-"'"'o,__,.J=--------
Type Of Project: Ql New Construction D Remodel or T.I. • Residential • Commercial •Demolition
(check all that apply) D Other --------------------------------
Non-hazardous construction waste generated during the course of this project shall be recycled and/or salvaged for re-use at a
minimum of 65% per CALGreen Sec. 5.408.1. Failure to comply may result in a penalty fee up to $1,000. For projects which
consist of mainly equipment and/or racking, that have a combined weight of new construction disposal that does not exceed 2
lbs per square foot of building area affected by this permit, may be deemed to meet the 65% minimum requirement upon
approval of Building Department.
ALTERNATIVE FORMS OF COMPLIANCE: (If selected, do not complete Tables 1 & 2 below)
D Construction waste shall not exceed 2 lbs. per sf. of area. All receipts shall be provided to the Building Official prior to
final. (This option not applicable for most construction projects.)
Square feet of construction area, _______ X 2 lbs. = ________ lbs. of allowable waste.
(g) I plan on using a WASTE MANAGEMENT roll-off bin. All receipts shall be provided to the Building Official prior to final.
Table 1 -Estimated Waste (To be filled out prior to permit issuance -refer to example on Page 2.)
MATERIALS lbs. of waste to be taken to lbs. of waste to be Waste Hauling Company or Re-Use Method LANDFILL RE-USED or RECYCLED
Asphalt/ Concrete
Brick/ Masonry
Cardboard
Drywall
Landscape Debris
Lumber/ Wood
Metals
Mixed Waste
Trash / Garba•e
Other:
TOTAL lbs:
Estimated Percentage to be Re-Used or Recycled ______ %
I certify that the information provided herein, to the best of my knowledge, is true and correct.
A1.-&F..~ Y\Ji()oi, (t'\'i>\?.. <-0..vy!i-:"O'(\oA/ ,:tv'-)
Contractor or Ow er (print name)
ractor or Owner (signature) Date
Official Use Only
D Plan Approved D Plan Denied D Project Valuation Approved
Reviewed/ Approved by: _________________ _
Page 1of2 REV.01-2017
Table 2 -Actual Waste (To be completed after construction.)
MATERIALS lbs. of waste taken to lbs. of waste Waste Hauling Company or Re-Use Method
LANDFILL RE-USED or RECYCLED (complete only if different than Table 1)
Asphalt/ Concrete
Brick / Masonry
cardboard
Drywall
Landscape Debris
Lumber/ Wood
Metals
Mixed Waste
Trash/ Garbaae
Other:
TOTAL lbs.:
Actual Percentage Re-Used or Recycled, ______ %
Official Use Only
D 65% Goal Achieved D 65% Goal Not Achieved D Alternative Compliance Achieved Penalty Paid $ _______ _
Reviewed/ Approved by: _________________ _
EXAMPLE: Use the following example as a guide to completing this form.
MATERIALS lbs. of waste to be taken to lbs. of waste to be
LANDFILL RE-USED or RECYCLED
Asphalt I Concrete 0 3000
Brick I Masonry 100 950
Cardboard " , C:,;
Drywall 0 50
Landscape Debris 0 120
Lumber/ Wood 500 0
Metals 300 200
Mixed Waste 1500 0
Trash / Garbage 300 0
Other: Pool c;u,c[te 0 900
TOTAL lbs.: 2700 5,370
Percentage to be Re-Used or Recycled 6 7 %
Formula:
Total Re-used or Recycled X 100 = % Re-Used or Recycled
Waste Hauling Company or Re-Use Method
AlsC f-t~ulfvcr, Co.
WM / Re-v\Seol lsrlc!z ovc-slte
•~n •~~ulfvcr. n-_
AlsC f-t~ullvcc. Co.
MulcheJ s Re-useJ QV1,-s[te
w~ste M~vc~c.e""-evct
WM/ ABC f-t~ul[V\,g
WM
WM
v\Seol ~s Crusheol "&~se O,c-slte
(Total Combined Waste)
5370 X 100 = 67% Re-Used or Recycled
(2700 + 5370)
Since 67% exceeds the minimum requirement of 65%, this plan complies.
Page 2 of2
PALOMARIRANSFER 'STA
5960 !\, CAMINO REAL
CARLSBAD, CA 92008
0/25/2018 09:50:28
ard #
h~ Card:
ID:
TC:
RQC:
:Q It:
CREDIT CARD
AMEX COMPLETED SALE
xxxxxxxxxxx 1001
AMERICAN EXPRESS
A000000025010801
0006
91D1EAEOA7CCB407
28
RIG PRE·AUTH SEQ ;;: 2783
636
18
It.ch It:
NOICE
,proval Code:
1try Method:
)de:
\lE AMOUNT
CUSTOMER COPY
889407
Chp Read
Issuer
$247.51
ECK CUSTOMER
L-Yr. 2
16,260 Scale In
9,120 Scale Out
7 ,140
0.00
ription
100%
54 Ticket #: 1833281
Weighmaster: IN -reyesma3 OUT -gomezd
In: October 25, 2018 8 : 42 am
Out: October 25 , 2018
Vehicle : CD
Ref: 16260/180CC
B01:
INBOUN D
CASH
Rate Extension
$69 .33 $247.51
Tax
$0 .00
Total
Paid
Change
.EDIT CARD-SCALE
9 :49 am
Total
$247 .51
$247 .51
$247.51
$0.00
AMEX
PALOMAR TRANSfER STA
5960 EL CAMINO REAL
CARLSBAD, CA 92008
10/25;2018 13:44:33
Card #
Ch~ Card:
AID:
ATC:
ARQC:
SEQ #:
Batch #:
INVOICE
Approval Code:
Entry Melhod:
Mode:
CREDIT CARD
AMEX SALE
XXXXXXXXXXX 1001
AMERICAN EXPRESS
A000000025010801
0007
164 71 B58508F9248
71
636
73
826486
Ch~ Read
Issuer
SAlE AMOUNT $169.17
w;TOMER COPY
1, t.UrE:;
Ticket i1: 1833473
WeighmA~ter: reyesma 3
:K CUS TOMER
I -Yr. 2
4,00 0
9, 12 :)
4,880
0.00
.pti0n
Scale In
Tare OL,t
100%
[:~: October 25, 2018
U.,c: Oct ober 25, 2018
Vehic i_e: a666
I N3OUND
Rat~ Extension
$69 13 $169.17
Tax
$0.00
Total
Paid
Change
.EDIT CARD-SCALE
1 :44 pm
1:44 pm
Total
$169 .17
$169.17
$169 .17
$0.00
AMEX
PAL OMAR TRANSf-tK SI A
5960 EL CAMINO REAL
CARLSBAD, CA 92008
10/26/2018 10:14:46
Card #
Ch~ Card:
AID:
ATC:
ARQC:
SEQ #:
Batdl #:
INVOICE
~oval Code
Entry Method:
·¥:
CREDIT CARD
~MEX SALE
XXXXXXXXXXX! oo 1
AMERICAN EXPRESS
A000000025010801
0008
BA832DFB88506 7 AC
33
637
34
802698
Ch~ Read
Issuer
SALE AMOUNT
CUSTOMER COPY
---,. . -'
Tic/2:: J : 1833785
weighm2 '-' .-e:.c: c .'." .-·' adl
CK CUSTOMER
-Yr . '.2
.3 , 7 60
9,120
4 , 64 II
0.00
ipt.ion
Scale In
Tare Out
100%
Out. Oc,_, "')"'r 26, 2018
Vehiclr,. c1.6(:
F.81;
i301 :
HIJ·K 'JND
rr c:• • ........ 1 i...' •
$69.0> SH> .30
·:r·1:T
Tax
$0.00
Total
Paid
Change
CARD-SCALE
10 :1 4 am
1 0 :14 am
Total
$160 .85
$160 .8 5
$160.85
$0.00
V
PALOMAR TRANSFER ST A
5960 fl CAMINO REAL
CAf!L'SBAD, CA 92008
10/26i2013 15: 11:45
CREDIT CARD
AMEX SALE
Card # xxxxxxxxxxx too 1 ::h~ Card: AMERICAN EXPRESS UD: A000000025010801
1TC: 0009 RQC: 282E44CC790834CF
EQ #: 89 3tch #: 637 NOICE 98 ,prova/ Code: 866012 1try Method: Ch~ Read >de: Issuer
tlEAMOUNT $132.42
m;TOMER COPY
OJJci.1 lJ,_1
Weig'y
ECK ct·sr1'0i'1.ER
Ve h'. ·
'[, Yr. ,-:
12,94C1 Scale In
9., 12;1 Tare Out
3, 8? :j
C . 1;J
::-; r irJti-·--:·'t. R,i·
$6(.
100%
--······--···----------
Ti,. ·: 183403;:
,:r: · .-:idl
C ?.6 , 2CJ :1
(, ~ 26 , 20 ] 1
2
Ext. Tel:,
$ i. 00
-:03.id
.·_ T 2ARD-S,;ALE
3 :10 pm
3 :10 pm
Total
$132 .42
$132 .42
$132 .42
$0 .00
V
PALOMAR TRANSFER ST A
5960 EL CAMINO REAL
CARLSBAD, CA 92008
10/29/2018 08:48:39
CREDIT CARD
AMEX SALE
Card # XXXXXXXXXXX1001
Chp Card: AMERICAN EXPRESS
AID: A000000025010801
ATC: 000A
ARQC: 2B88D7582A401F31
SEQ #: 11
Batch #: 637
INVOICE 11
Approval Code: 820501
Entry Melhod: Ch~ Read
Mode: Issuer
SALE AMOUNT $193.43
CUSTOMER COPY
Signature:
l CUSTOMER
rr . 2
,700 Scale In
,120 Tare Ou t
, , 580
0 .00
ption
100%
54 Ticket #: 1834902
We ighmaster : reyesma3
In : October 29, 2018
Out : October 29, 2018
Vehicl e : a 47462
Ref :
BOL :
I NBOUND
CASH
Rate Ex tension
$69 .33 $193.43
Tax
$0 .00
Total
Pai d
Change
.EDIT CARD-SCALE
8 :48 am
8 :48 am
Total
$193 .43
$193 .43
$193 .43
$0 .00
AMEX
PALOMAR Tltrlf4!FER Sf.A
5960 EL CAMINO REAL
CARLSBAD, CA 92008
10/29/2018 11 :40:26
Card#
Ch~ Card:
AID:
ATC:
ARQC:
SEQ #:
Batch #:
INVOICE
Approval Code:
Entry Method:
Mode:
CREDIT CARD
AMEX SALE
XXXXXXXXXXX1001
AMERICAN EXPRESS
A000000025010801
OOOB
D5956CC1403DA40B
24
637
26
862859
Ch~ Read
Issuer
SAlE AMOUNT $201.75
CUSTOMER COPY
Signature:
~
54 Ticket #: 1835029
Weighmaster : r eyesma3
< CUSTOMER
{r . 2
, 9 40
,120
,820
0 .00
)tion
Scale I n
Tare Out
100%
In : Octobe r 29, 2018
Out : October 29, 2018
Vehicle : a47462
Ref :
BOL :
I NBOUND
CASH
Rate Ex tension
$69 .33 $201.75
Tax
$0 .00
Total
Paid
Change
.EDIT CARD-SCALE
11 : 39 am
11 : 39 am
Tot al
$201.75
$201 .75
$201 .75
$0 .00
AMEX
~I
Pl 5 1
Ci
('
0
A
C
· ~ P.ATUMAR TRA~SFER ST A
5960 f:L CAMINO REAL
CARLSBAD, CA 92008
10/30/2018 10:03:13
CREDIT CARD
AMEX SALE
Card # XXXXXXXXXXX1001 a,~ Card: AMERICAN EXPRESS
AID: A000000025010801
ATC: oooc ARQC: 39BA9CC772C650AC SEQ#: 28 Batch #: 641 INVOICE 35 Approval Code: 889957 Enlry Mett1od: Chp Read Moor Issuer
SAlE AMOUNT $149.06
CUSTOMER COPY
STOMER
2
p
0
0
00
)n
Scale In
Tare Out
100%
::,4 Ticket #: 1835459
Weighmaster : reyesma3
In: October 30 , 2018
Out: October 30, 2018
Vehicle: a47462
Ref:
B01:
INBOUND
CASH
Rate Extension
$69 .33 $149.06
Tax
$0.00
Total
Paid
Change
.EDIT CARD-SCALE
10:02 am
10:02 am
Total
$149.06
$149.06
$149.06
$0.00
AMEX
PAlOMAR I RANsm ST A
PALC 5960 EL CAMINO REAL 596( CARLSBAD, CA 92008 CARI
10/30/2013 12:57:46
( 76C CREDIT CARD
0009 AMEX SALE
ADDR Card # xxxxxxxxxxx 1001
earl Ch~ Card: AMERICAN EXPRESS
AID: A000000025010801
Cont ATC: 000D
ARQC: 5324~85A1EC58887
SEQ #: 65
Baoch #: 641
INVOICE 73 Tr, Approval Code &!6085
Entry Mett1od: Ch~ Read
Mode: Issuer
1
Ori SALE AMOUNT $123.41
W,TOMER COPY
Signature :
5 '1 Ticket #: 1835606
Weighmaster : reyesma3
)MER
Scale In
Tare Out
100%
In: October 30 , 2018
Out: October 30 , 2018
Vehicle : a47462
Ref :
BOL:
INBOUND
CASH
Rate Extension Tax
$69.33 $123 .41 $0 .00
Total
Paid
Change
.EDIT CARD-SCALE
12:57 pm
12:57 pm
Total
$123.41
$123.41
$123.41
$0 .00
AMEX
PALOl~AR t~ISf[R STA PALO
5960 5960 EL CAMINO REAL
CARL CARLSBAD, CA 92008
10/30/201:3 15:05:14
(760 CREDIT CARD
0009 1 AMEX SALE
ADDRI card# XXXXXXXXXXX 1001 carli Ch~ Card· AMERICAN EXPRESS
AID: A000000025010801
Cont1 ATC: 000E
ARQC: 5BA24ACCB952FABF
SEQ #: 91
Batch #: 641
Tra INVOICE 99
Awfoval Code: 845107
C Entry Method: Ch~ Read
3 . Mode: Issuer
Orie
SALE AMOUNT $235.72
CU:,TOMER COPY
Signature :
54 Ticket #: 18 35714
Weighmaster: reyesma3
!MER
Scale In
Tare Out
10 0%
In : October 30 , 2018
Out : October 30 , 2018
Vehicle : a47462
Ref:
BOL:
INBOUND
CASH
Rate Extension Tax
$69.33 $235.72 $0 .00
Total
Paid
Change
.EDIT CARD-SCALE
3 :04 pm
3 :04 pm
Total
$235.72
$235 .72
$235.72
$0.00
AMEX
PALO•WI TAA~ll1iER ST A_
5960 EL CAMINO REAL
CARLSBAD, CA 92008
10/31/2018 09:49:55
Card #
Chip Card:
AID:
ATC:
ARQC:
SEQ#:
Batch #:
INVOICE
Approval Code:
Entry Mett1od:
Mode:
CREDIT CARD
AMEX SALE
XXXXXXXXXXX1 oo 1
AMERICAN EXPRESS
A000000025010801
OOOF
35D4 24DF3D8A46B5
9
639
9
880230
Chip Read
Issuer
SAlE AMOUNT ~198,28
CUSTOMER COPY
Signature:
54 Ticket #: 1835933
Weighmaster : cisneadl
::CK CUSTOMER
E: Yr. 2
14,840 Scale In
9,120 Tare Out
5,720
0.00
/ription
100%
In: October 31, 2018
Out: October 31 , 2018
Vehicle: a47462
Ref :
BOL:
INBOUND
CASH
Rate Extension Tax
$69.33 $198.28 $0.00
Total
Paid
Change
.EDIT CARD-SCALE
Total
$198 .28
$1 98.2 8
$198.28
$0.00
V
PALOi'l,~11. fll:t(fmCR STA
5966 EL CAMINO REAL
CARLSBAD, CA 92008
10/31/2018 13:42:49
CREDIT CARD
AMEX SALE
Card # XXXXXXXXXXX1001
Chip Card: AMERICAN EXPRESS
AID: A000000025010801
ATC: 0010
ARQC: ~0ECBD6801EFA93
SEQ #: 77
Batch #: 642
INVOICE 79
~roval Code: 885411
Entry Method: Ch~ Read
Mode: Issuer
SALE AMOUNT $227.40
CUSTOMER COPY
Signature:
K CUSTOMER
Yr. 2
, , 680 Scale In
I I 120 Tare Out
;, 560
0.00
?tion
100%
54 Ticket #: 1836116
Weighmaster : RAMOSAL
In: October 31 , 2018
Out : October 31 , 2018
Vehicle : a47462
Ref :
BO1 :
INBOUND
CASH
Rate
$69.33
Extension Tax
$227.40 $0.00
Tot al
Paid
Change
.EDIT CARD-SCALE
1:42 pm
Total
$227 .40
$227 .40
$227.40
$0 .00
V
~
ALL MASONRY & UH~SCAPE SUPPLY
'6bt
CUST NO: •1 JOB NO: 000
BILL TO: •••• CASH ****
760-908-8945
SHIP TO: LILLY
2637 .JEFFERSON STREET
CARLSBAD CA
1 DEMO HO CONCRETE DEMO PICKUP $65/HR
HO CONCRETE DEMO PICKUP $65/H R
HO CONCRETE DEMO PICKUP $65/HR
HO CONCRETE DEMO PICKUP $65/HR
HO CONCRETE DEMO PICKUP $65/HR
HO CONCRETE DEMO PICKUP $65/HR
2 DEMO
3 DEMO
4 DEMO
5 DEMO
6 DEMO
7
8
9
CREDIT CARD
*"* CONCRETE ***
••• RECYCLING •tt
*** PICK-UP ***
fQ > s:_ > ::0 L X •'V>-'-
G">~OS. ~[;~S:~t:-" i;••;_=r~mx~:---i~ D ::, -to •:"!'-cc,r~o~--;:: -0 = CO *o:,W • • N -::, ;:co tN----';:::cX -• "' ro w·· mo *-....io-mXZs:;:_,.
N =r <g :;:-.ogr~mm_co N-mo *~c..r,~x~::::-~ ,o-S ""~ 22~ t ~z~;:::cg_~ .,, .. ::!Jo_,_ ~o 0 m--.. o"" m ..... -o cnmo :a: Q_ oo~ ..... ~ens:~ .,. ~ _g < ,:: !!; )> •
N 8
~
557.49 •• PAID IN FULL••
ALL MASONRY & LANDSCAPE SUPPLY
845 W. Vista Way
Vista, Ca. 92083
M-F: 6am-5pm, Sat: 7am-2pm
(760) 9,41-7263
DOCUMENT NUMBER
A97891/1
PAGE NO
1
LUCIO LUCIO 11/12/18 2 36
553 ORDR # 97891
INVOICE
97891
12/12/18 NET 30 DAYS
CA VISTA TAX
2
•o ;;' -;
,:: :a:, -a: r,m !!. ::, x~ ~ _-; "' "" on
0 )> o· -,, ::,
0 ..,
u, 0
)> 0
r "' m ..., ....
-<n, = "' = "' ---J ... :,,. :.. = ..,
n "' ~ =r
~-
,:: 1,· =r ro ro
1 65.00 /HO
2 95.00 /HO
65.00 /HO
65.00 /HO
65.00 /HO
65.00 /HO
co ,..
<.;.>r--iu5~ r-g~_ z3:: ~n<c> ----')>cr.i(l)CI)
;:j "° ;! n. 0 "'""' ,.. z wo:a;;,:i,0 ~~m< ..
557.49 TAXABLE
X
NON-TAXABLE
SUBTOTAL
TAX AMOUNT
TOTAL AMOUNT
65.00
190.00
65.00
65.00
65.00
65.00
515.00
0.00
515.00
42.49
557.49
WWW.ALLMASONRYLAMDSCAPE.COM •••• SAN DIEGO'S ONE STOP SHOP
277337
0 money I()) credit Q check 'ft-----order 'f< card
amount due from _______ to _____ _
amount paid
signature _;l~~•--'A---'-.,,b"--','----~~=== atsC1152WS
-------·------------··---·
f-c.. -Lu u
Lu
~
\l I q 1 \B No. 277338
received from \ ~ \ \ ~ 'j
amount due
ram_o_u_n_t_p_ai_d+-----...l.-__J "om _______ to _____ _
signaru~ l. A .fo •
~SC1152WS
dat•-'~' 1 ct I l ~ No. 277339
received from .:ch,..\'-'-\--J'J'---,,---------£..5
;mount • lo~ U--2-'------"'c.._ __ J
' .. -' • amount due
0 money
order ,,. .-: . -
amount paid from -------to _____ _
1-ba-la_n_c_e_-+-----'--_j l ,4 j '''"""'" , b , $,SC1152WS
a 3
s
RECE
i m m o~ 3 3 , 0 0 £ -g
~ C C . ~ a a ~ 3
" ~ • m C a a: • Sl.
0 ~ ~ 03 il.o } ., ----· -----------".!!
cE· a ~ ~ 3
a 00 f ~@ ~~ c-~
~ ~ ~ oi cr-,.
• • ~ s Ii-\
"'
' ~ a;
~I I
m 3 0 C a
I
• 0 • a· ii. a 3
-
~ • ,; ---1~ -
/;o
z
0
PT
i ~ i
·a -3 -\ -::::::-
I.... ~· ~ l1
' --c:R>
z
0 .
-
°' l"v
V\ -.J
-.J
\.J,J
\.J,J
C"\
~
i I
I f I
I f I
I
I I
·-
277330
q5 ,,
No . _I\_ /_l_ I \8
received from L~-~,...,-1..,\-:-Jr,.--------
for payment of _,("'O)~(\.__,(,:,_:_I-C._::_-\Q~~r:~:.s;~'::'.)=µc,2.1/~~~'------
0 money ~ credit 'v Q
,----r--=--o::.m::•::_r •,•,--r card . check 41'
amount due
amount paid from---~--to ____ _
/-b-a-la-nce--f----'---l,lgaawre l,A, (,.
&SC1152WS
f-
0. -
\I '2. f; date __ / I l No.
received from _\,_,;~\'-\','11---------
277331
GS:: I
Li.J
I •• • I u •
amount ___ -=---=---==-----:----------60::.; ~;Jc~ry
I •I -•
Li.J amount due
ct. r.::am;:o-:-u~nt_p_a_ldt-----L_j from ______ to ____ _
balance / 4 / signature L ~ ~ '!s;:;,,
i &SC1152WS
1------.-----···½,
I
' ' ' '
_I j / ('6 No. 277332
__,,L=:.!..',\\'Jl----'--1 :s.!..b""'-S _ _j
for payment of C oV'(. ,e -k \e..e vy C, L;-y
Qcash Q money d credit V, .... ~-;.,_ ___ _
. order ~ card ~ 1_ / check .ff. ____ _
amount due
amount paid from----.-~
rba-lan_c_a_+----'---< signature_{.,, __ ,_4.:_f,"-"...:.~o--,=~-
&SC1152WS
I IIIIIIII IIIII Ill lllll lllll 111111111111111111
Customer Copy # 1
@ Lee's Metal Recycl Ing
___ .. ffi..,;;;;;;,,111TP:J•en1r I !R•ffl
1315 Lee Dr. Vista CA92083 760-724-1330 RC257442.001
Ticket# 95559
Gross Tare
DIRTY ALUMINUM
6720 6440
Gross Weighmaster: Cashier
Tare Weighmaster: Cashier
Printed On Monday
11/06/2018
08:68:48AM
WEIGHT IN : 8:46:42 am
WEIGHT OUT: 8:66:18 am
Started By Cashier
Net Price Amount
280 $0.1 Olb $28.00
Total---> $ 2aoo
Pay by ATM: $20.00
Delay pay: 11/8/2018 $8.00
887676 LIiia Arango
Contreras
customer Name ID/License Veh/Plate
Make Model
1312 Missouri St Oceanside CA 92054
Address
Ownership: I hereby state that I am the lawful owner of the mafena!
described heron, that I have a right to sell same, that all State
redemption material listed is in fact valid State redemption material
and that for payment received in full, hereby acknowledged, I sell
and convey title of same to LEE'S METAL RECYCLING.
X
signature fingerprint
ScrapRight.
R1cydlng SC!ftware OOnt Rlghl
. ----------·--
1111i~ ~ 111111111111111
Store copy-PAID
@ Lee's Metal Recycling ll -~•~llll:~m __
1315 Lee Dr. Vista CA 92083 760-724-1330 RC257442.001
Ticket# 95530 Printed On Saturday
11/03/2018
12:39:48PM
WEIGHT IN : 12:38:43 pm
WEIGHT OUT :12:39:39pm
Started By Cashier
Paid by Cashier
Gross
LIGHT IRON
7450
Tare
6320
Gross Weighmaster: Cashier
Tare Weighmaster: Cashier
Net Price Amount
1130 $100 Ooton $56.50
Total--> $ 66.60
Pay by Cash: $0.50
Pay by ATM: $56.00
Tomas Cruz
Resendiz
customer Hame l :ID/License
Make Model
534 Gren brier Dr Apt 5 Oceanside CA 92054
Address
Veh/Flate
ownership: I hereby state that I am the lawful owner of the matenal
described heron, that I have a right to sell same, that all State
redemption material listed is in fact valid State redemption material
and that for payment received in full, hereby acknowledged, I sell
and convey title of same to LEE'S METAL RECYCLING.
X
signature fingerprint
ScrapRight.
R~dlng ~re Pone Right.