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HomeMy WebLinkAbout167 Cherry Ave; ; CBR2017-1815; Recycle(City of Carlsbad 9 ,,:·r· ,.Rf,v~~pmen_t ~er~i_c~s WASTE MANAGEMENT· .L -"-·· J ~ ;: Bu1ldmg D1v1s1on Owner: Job Address: I c.,J: <:Jtttu1 Aw. PLAN B-59 Contractor: AUG O 9 2017 Phone Number: ].C:{)-5aJ· "f02-0 ! '·-, 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov Permit#: ~2..011-l'cl5 Estimated Cost of Project: $~~~'00-~0_00 __________ _ Type of Project: ~ New Construction D Remodel or T.I. lgJ Residential D Commercial (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. D 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 \ '5 I, 'J.)50 Brick/ Masonry Cardboard Drywall Landscape Debris Lumber/ Wood Metals Mixed Waste c;o, ooo Trash I Garbaee Other: TOTAL lbs: 50,oc>O J s-1, 2.s-o Estimated Percentage to be Re-Used or Recycled_~l-'--5" ____ % I certify that the information provided herein, to the best of my knowledge, is true and correct. 1'\'1,-,-lt T "'i\" ...- Contractor or Owner (pnnt name) ~) Date 1cial Use Only D Plan Approved D Plan Denied D Project Valuation Approved Reviewed/ Approved by: _________________ _ Page 1 of 2 REV.01-2017 --------..... ~--~--·---'--------·-· .. ------· ------------------~-- SYCAMORE LANDF[LL S 5 I 4 MAST BLVD SA~~TEE , CA 920 71 000999 -CASH AN D CHECK CUSTOMER d !, l 4 MAS':' BLVD SANTEE , CA 92071 Contr act : COMMERCH\L -04 GROSS S l ,360 TARE 33,960 !~ET Tracking Qty: Qty Unit 23 . 7'.) TN 47 ,500 0.00 Description MSW Origin : CARLSBAD 1. 00 ENV I RONMENT.n.L 1. 00 f liEL RECOVERY Signature : Scale In Tare Out 100 ~ FEE 1 FEE Ti·:-1:e:-ii: 1492 ! 2(J i·Je:ghmaste::-: DO:-IINLO ::1 : August 30, , .... Jl ? 0 ., .. ... ~. August 30 , 2017 Vehicle : 48/66T P.ef : JOB 10194 BOL : JNBOU:m CASH Rate E:-a.ens i or. S83.SO Sl ,983 .13 $16.25 S16.25 5 .40 $107.09 Tax S0 .00 S0.00 S0.00 ':'o::a l Paid Chang<1 CHECK-SCJl.LE l 'l : 5:·· ·,n Tor.a 1 S l. 98 3. l 3 S16. :::5 3107 .09 $2,1%.47 S2 ,H!6 .47 SC .00 I ---·····c~tsetM:r ·cuopy CHECK IN TIME lT-DATE ••• ~01.-9'9 nCKETTIME .-···Hanson Customor No. Paymonl Ty~c Customnr Name l'),-:t,r No HEIDELBERGCEMENT Group 50538 Credj t C"' rd CASH SLS LO:-lG BEACH RMS 191-isc WEIGHMASTER STATION Customer Job. No CustGn>tJr P 0 Map Rel. Zone ',36600() ~B~O Ca l 1forn1a Ave Tn,ek Type Truck IJO. Tra.lc< o, license Pl210 No Tt,a;Jer 01 Lc.o:1$-e F'.110 No l.onq !'\eac h, CA 90806 Semi l.SF. 888-304-22"14 Halllcr/Comor No ["""''o Ncme Today·~ To""3gO LOM No. l Cu"!, Pro'a Oly J . .....J \ I n5,;4 70 11111111111111111111111111111111111111111111111 1111111111111 I \ Product . ' -~-... :·.• -.-... ,.,,; -, ... . ,. .. '_, n.oo SCALE WEIGHT GROSS & TARE C31tage 'Gross __ -------------X Orive,s Atways On ,, :le--Onvor onO D D 0 Salos Te~ I rare ·-------,-----sc.~1b = c~g'e . ~-:\:: ,-I () Not _____ -o ,;"~1y We,ghma~--Total ,. I tlo c,,,e -~ !o ~n. c:ustcmer waMlS rc<:e~ Rece,vo<I By Sfonaturo ?r,nl NaMe tCusromur) °"· ~. Sltmding >lgl\il!U!e (Fr t1(}~tr:lcl'l!!<,yo,.C-;<10r Slgnol\!.e ,..,...., mtr..t b> SJg<>ld ) D fl/Tl9 Start Standing Cut1omor·• In~"'" Unloading Time I WEIGHMASlER STATION ', lt,CO(I 0!18-30.:-: :74 •. IJ:'IPS •:AHSOH Product SO'i :,3 Custome1 Job No. True< Type Seni Hault<ICaffl~r No Credit Caro Custom~, PO Truck No GSE: Orive,·s Na.me CRED,T CARD Oescri Iron • I"\• II , .. f ~:;U)AO~J ~~ CASH SLS GARFIELD Ma~ Rel Vl"'lek' 0: Lw:tnse F-ta!e No T triter O< Lr-e~!· Pli11C ~ l'J ·•El l0~3 iooay's 1onMgo Load No 1Qrd1·No ' l "1754 Cuin. Prod Oty 1. 00 111111111111 lllll lH 1111111111 Ill~ lllll lllll 1111111111111 R32 I DUMP-SEMI I TP (Load) l. 00 27 . co ,~11i•M1IM h~. 00 l SCAU: WEIGHT '31013 __ l\cl_ --- GROSS &. TARE Dnvers Alw&yi: On Drtve,orrO ~ 0 0 Seal$ 1 Salo 2 ~le 3 TUSCd nO, .Tuan ----·-----1 Deruty Wel(;IU'rlasrer 0.00 Caru.ga Sales ln.x Total ( No on, a>liabl: II' 591. ouster".>! w, Vff ~ '~,;:.'Ur>, tf"•.I <IJi>ety-&)'Of,Cmr:cio, S,g,,,1U1e •tit= n-.isl bt ~eel l 0 Rl"«livf,d By S,grature P, n1 Name (Custome·l I' .... ••• • I Start Unloading Hanson HEIOELBERCiCEMENT Group WEIGHMASTER STATION • ', <t>GOO ··, C Che~ry ;,·:e ,nr,J !\(' 1 ~-i. ~,, 90805 )hJ•-](•4-::1 1 . •J ·:t'S . .. r'-! • I - SCA1.E WE!Glfl ·------------ ra,e ___ -----~----- ~Standing 1 Time -~-----~ Broker Copy I C11Slomor No 5.)~5.~ Cusl()f!1(;r Job. No. Truck Type Semi Hauler/Ccr,i.or N?. GROSS .\TARE Orivc,s A!ways On X Otive:OttO ... ... ~- PaymMll\po C:-e'i1-C<i!C Cs!tomar P.O GSr: I T1uc~ No. I Dr1vc\tt:'.'8'flr CARD ': . '"'' (CHECK IN TIM!:I -'! I "' Tl),1\-r I~ '.•; ~-------]TICKET TIME I ,;, . ' " I TIM;: LO,\nEO : ,- f Cust~met Nt.",o 0.~•r • kl I CASH SLS G/l.RrI~:.D 1 "I 7f,.; -,~,;j------Mep R~I rcllr.:.e 0< ucen:e P,aio No Tratf.!r or Lh..""'an$0 Pf.,,9 No Trti·!OI' 0t L.cens., Pl11te ,..,o %:11083 I TO<loy'• TOM~g,, I Lolld No 1 Cam Pr~1 ?lfo I llllll lllll lllll lllll lllll lllll lllll lllll 111111111111111111 I.SW' (I. J(' D O O S~lcs Tax ~7'., .00 Sca"fu!!.C~~ 2 Ju~nl() 3 • ------Totnl I i,;01 _ ---------!..__,,,__oa_?L_1V_W_111_,hm_._n_s:_·•-'--o-,.----,,--:-::-:;:--------ir.,o""'•--ft-.-~------,'------· l<.oon<! J,a~Ab<l :o sgn. cnlO!T'el w.r,u rectiot 1 Recelvec By Sign•~rr) Print ND'nO (Cus:cmcr) •• ·" •• • •.i.....;..,.i..;. l S•m:di!l\j I s.gnaturo (e,si o,:~,..., bd<tl 8,iyer.'Ccrl1i1Ct<:< Time s,g,.....,, ro!tese :rust be S'g>OC.) D ~ t '~~~ading I l -,_. ---~1~~-'~~_:_d_1n_g~'----13::.·J•-~r~; 11,n!II. ~.,·,·~11,r' ---- ----...--------~--------··------------,,,-------~-- ________ ......___.... _____________________ ......... _ ••• ••11 kaneon Accreoato• 13550 L~ ve 94,}::-All... .. , .... r • "' ' .... ' Hanson 1 ,:;o~nfa~· ;,r CODV •• HEIOELBERCiUMENT Group CuslomerNo Paymenl TYi"' 5J5}~ Credit Ca rd WEIGHMASTER STATION Cus1omer Job No Custome, P 0 ~3!?1'.:,000 ~8::0 C<1!: fornta A•:e Tru:k Type I Truck H:, Ser.u LSt: J.ong f!t',aCh, CA 90606 H~uH)rJCarrie, l to. I 0,1,,.i's Name 869-30~-:2,4 9g,;470 Product Oescri uon R327 DUMP-SF.Mr I 'i'? (Load ) G.,oss _______ _ Taro ------------1 '4ot ____ _ Drivers Alway, On orive,ottO D D Scala 1 sca10 2 Scale 3 S~ort~idge, Steve Deputy We,ghmaster (CHECK IN TIMEj , -JoATE I [ TICKET TIME I , : : , ~ , .-I TIMl:LOAOEOI • :1:,: -I Custom<tr Na:r.e :::ASH s:..s LONG B;::A:::'.H iu-:s l:>r<lerNo 1;.:1Sf, \lap Roi. 'Zone l r·"""" or UC<l'\Se Ptale No Trailit c, Ucen:..: Fta:e No Trato· or lkensc F'.a'.O No cc I T-.day·c Tonn~ga _JLo•d No. Cum. PrOd Oty. . 1.00 ---.. 1111111111111111 ll~l lllll lllll lllll lllll 11111111111111111 1.00 Cartage Satos Tax ,;)O,)I ~v:,ltt,:c la tign. WS!Of:IOJ .. ,t·,u rl•<(<llt Aecer,ea By S,gnaMC 9,111re lF ,ii oe!lvecy lc'..tt 0")"'1Co..:,.x-"' Punt NHMO (Custcm,r) "w,n11i.n .. 1el':A.>l must tie~~ J D Start U:-:toading Hanaon Aggr&gatea l3SSO Liva Oak A.ve lrv.i.nd.a.le CA. 9110, Broker Copy •• ••• •• Hanson I ...u9 ___ ,..,..,, Customer No. Paymcn1 Type Slandir.g Time Custorr.Altr"~ lm: . .Jr [CHECK IN TIMEj ! : r': . -~ JTICKET TIME 11 1·~~V!':J"' .J- f OATE f· ~, .. : ; [ TIME l OAOEDj I ; IC: l,l ,l:r, O;rlorNo HEIOELBERGCEMENT Groop 1Cu:10o1or N11mo 50538 Credj : Card CASH SLS LONG BEACH RMS 91786 WEIGHMASTER STATION Cusiomor Job. No Cusromcr PO Map Ral. IZono ',3'16000 2'3=,:1 C".: fot :ua Ave Ttuct<Typo 11'"°' No ,w~;°' L~ Plllte No Tror.o· or U:ense Plato No Tta,ler or Ucen.se Plil,e No Lor:; !3eacn, Cf\ 90806 Se:rd LSE BliB-30.J • 2.'71 Hi!.ulin/Carne, No I Driver's Nam,:, I Today'i T01111119<! Load No. Cum. Pr~. OIO l ... o :JI.IMPS '.?8•i4 7 J 11111111111111111 lllll lllll lllll lml 111111111 IHI 11111111 1:. ••• f I '"" . . ., . <{,>., I UUl'J t'-S :.,•JJ. I T !' ( LOaO) 1.00 27, .oc , 75. 00 :i.00 A AA _,_ SCA.LC Wl:lGH1' GROSS t. TARE -. - . Ouvars Always On Car1sgo rl {l(l ,ro::is --X DriverOttO ------D D D S:uos Ta~ aro_ -Sc~brt~, .§~k ~ 7<, nn Cl ___ ---Oepu:y We:gt,mi..ier --Total , ..,. :v111h'>l1 lo :i,n. ,•nlOrtllt .,,.,~ r,'Ctiol I Pccelllen Oy S1gna1u1p Pr nt N:~mo (Cu~tcmcr) ~ ~·.......:.u... -S1anr1.~, N!U,C (r•:J c:riv~ry t<:1.el 6.J)"!f/Con:t:ctot I ·)Nil.re re·use ffl'JSI bl 5Ved I 0 J _),Time I _L I Custom~, s rn,:,a)J - J Start I [ Standing I ••,1r~·· .i,: OlJt. Unloading TI me ,~ .••. 1• I j I ! .I I l i l I ,, ' Customer Copy --••• [CHECK IN TIMEf : •: r-:,: <•'• 'T IoATE I ., ••• 1fl 602't'a-3'6-... Hanson I !TICKET TIME I ,, .~ '• ""' J TIVE LOADEDj • • ,, Cuslomc, tl:l Pa(111eot T'fl"l icust01Tier Namo 10,<1.>·No. HE:JDELBERGCEMENT Gioup !:,(1!;53 Cr~dit Card CASH SLS GARFtELC . :91784 ...... WEIGHMASTER STATION Cus101T1<1r Jcl>. •:o Cualo!l1<lr P.O. Map Rel !70AO S~ H OOt; >-----....... . .,').,,· Cnr r, ·,, Ave Tr.ic~ Typ,; ITruek l«. I V~hoc:!e o, Lr.ense Plate No T1a(a1 o, i..conse Pia,, No Tr~a,, °' U.:on:., ?>.a<>' lo : onq ~,(!:i=r'\, Cl\ <-,1AO~ t:(::mi GSF. 9Ell093 ~qA-·,n4 -: ""I ~ &.;aulcrJCt..rn:..: N¢ IOIIV~~'i'~· CARD I Toda{s Tonnage I Load N, Cum-f:'floC•y l -·v"'iP!) c;..P::;oi. 1111111111111111111111111111111111111 1111111111 111111m 1111 ,.-:,.,,r, ·~~it~·lu,111111111111111111111111111111111 ~.:,.;. I SCALI: VIEllilfT Gross_ ------ Ta,c. Ul,Ml';,..5r.'Vil . l ,P--n;oill.11 OAOSS&TAAI= )( Om,c,s Alwots On On•,e,OUO D D LJ Sc.11111isc.~~ 2 J u&Aa@ 3 I.OU Z7fj ;uu ,:, . uu 0 . Q,) ..-----+-----!--0.....0!).____. Cilrtaqe l ~--l..!.JJl. Sa es Ta>< ---1 r-----...1:-~ __ , i.et __ . ---·---1 Oopury \•1~1:ihn1a:;101 -Tota l Ho-av.,t.ablo ID '9\ QJS'Omt1 "~~ rteo;J4 Rece,,cd Sy S11r'<'luro Pnnt NMne (Cus:otMI) St:>no no sogn;tu,c. (Fn tdeM>r)'IJQal~~ • iirno s,g,,a:.,,c "1io.ise muss be s,onod l O " ); -' Start Standing Custo"ll~l's lniti.>1$ Unloading • i li . .!!,m~e _ _J ____ J_ _______ ,-'illliilliiliiilL _____ J I I ..... ••• 11,nson Ai;i;rcµ1cs l'ac,r,r !\outhwo:>t. In.: l'O llo, 6J'l()(rl. s.in 1)1 ... co. C:a 92 lbJ..Y06911-8{)(>-.S00.74M c,..x_l ~-----.---------,,------.-----------, Customer Copy (cHECKINTIIAEI i :1:1)·,)u ~,. XnATE ! •'.,. ) ···H anson Cu:1w~~ PaYl!)ont lype Credit Card TICKET TIME Cuslomer Name ll:;~:04 a.-l i-;T:;f•.i ):t. Ordor No 153447-5 .c HEIOEl.BERG(EMENT ~'? WEIGHMASTER STATION ,O-:.,fOO ~·29 Harris Plane Road ~rln DJeg~. CA 9214S CuSlomor Job. No DUt-:PS CRE Truc'T~ns t e r Hauror/Cam~r No. ::rinu--uu,·,P f f,1:.:, 2016-701 1 DUMPS CRED IT CARD CREDIT CREDIT Environmental Fae CASH SALES -MIRAMAR RMS CREUlT CARD CREDIT D103F Today's Tonnage Map Ref I Zone Truer N utense P1,110 tlo I Tra.le< 01 Ls:<mso Pla•e No LOAd No. l Cum Prod. Oly 2 -00 1,\\Jd 11111111111111111 IIIIJ QIII ~Ill lllll 111111111111111111 / ,, UOM ~-SCAI.F. WEIGHT GROSS & TARE ,-D<ovcro Always 011 WF.ICIIMASTf.R <..T.RTIFICATE Corlage I G-osc _ __ ___ __ D Dr,vt:3tt D D llllS IS TO Cl"ll n~Y tl..r 1hc follo"•nµ dG.:nh..t comonodtt) "'"' '-' f¥hcJ mauurcd. ot '1'NM'llcd by A .. ctshm-a,,ICI', • ltC;nC ~lpl31Uf(' ~ '-'" 1ln ,cn1ftc:KC', ¥i.ho 11 a fct~m~d au.d,ont,· or a:ouac,. ~ l»C".;;n~-J b)• OiapU't 7 kOn"lntllC.lllJJ. "'''" SC'1tUn 12700) o( Ot,·t~K)O S "'""' c,1,r.,,, •• u.. ....... anJ ...... f..-.s-• l"od<. od .... ,,. .. .., by the: ~Ne ·---·-Scl:let.Jav1~~f, rnfP.:3?d ~ ·-----------DeputyWooghm!ISlor--. L~),u.uot1 of \1n .run.·mau SunJ.ud.s o( thC' C'"ali("·rm~ Oq,:1nmm1 ol I \lod lltJ AwrK11lru,c- Sales Tax o.oo Toto I I Ila~.~ to ,,gn, cu.lC!'1e, ..... ,~ f!Cl!<Ol Received Sy S1gna1ure Print Name (C.,stomer) • Sland,ng 1 t.;ira:"" 1i:.:1 ~""Y = a i...,IComae:~ " Tune ~e ro:Ca>e must~ :,v...i) D "' ~~-~l~a~rt;---i..__~--~-~-y--~-~.,-__..i._~~~y;S~tan:=d;i:n:g-r~~~~-1cc~U!~.~~;m;er~~~1nintlill~·~.~~~~~l!l!l!ll"'---~~~~- U11IQading Time " .• ~· • ., .... , _ .... .,.,.,, .... .,,. we ,. u 110~ t,JYU<>'I. :.an 01ci;o. Ca <I~ ll,J.906<1 I 1-800.SOO. 74(,S "'' ~ ••• 11•• Customer Copy r'"c_H_E_CK_I_N_T_IM-.-El,-.....,.,1:=--,-,:-:,,:-,-=n-(J-~-1!\--,T-·--I ., , . ' .. 1 ··""Hanson HEIDELBERGC!:"MCNf G,oup Cus1~r~fl TICKET TIME • ""..!): ~·9 ,'1"'11, • , d:l'I Pa~f61IT"t Card Cus1omcr Name CASH SA~ES -MIRAMAR RMS Cu,:1ome, Job. No. re r-WEIGHMASTER STATION I -1 ;;·1 ~or:o Customer PO MapAer. DUMPS CREl.j !T DUMPS CREDIT CARD CREDI T ,-::;:9 ffa1ris Plant Road Sn,, flJ..:-go , Cl\ 9214!> Truc'rlt'ffl I.ER Tr~, -, SDGll~Olf Trru'er or uc,nse P1,ic No. Trailer or LJconsa PL,10 N~. ~~"u:wc10Hr_ I G1t'$S __ -- I la:e ___ _ H:luler/Camer No Environmental fee GROSS & TAAi: 0,1vor"s N£11T1e /1 t/ Today's Tonnage Lo3d No. UOM \I EK: IIMASTt;K Ct.R rlflC ,\Tl: l)11vers AINays On 011V,1:0r:Q D D D Scal"lJa v 1~1H, oWI~ ~d 1111:, IS 10 r r.1111~ \' rlw oh< foll,,...,,~ dc.cnbnl couw,__,,.-,.-a, ""r1ghed. 1t1C"aSutc4. o, .. ourucd h>· a "-Cfl?.htn:i.~,~. "'''~ ,,p,.,,u,~ n, At, 1t." "-T11h;»c". "'ho u • ~ot;,u;.;~J auhunl)• o( x.,,.,c:,·. ;ig pr«.:nl><d hy C1up1<t 7 Cco11vncncmp '"lh ~«hop 117001 oro,. """' } .,,~., t·.1or,.,,,,,. lluQtoCS> •Kl Plorcss.,... Code. ~d1nmu1<t<d hy doc i,~•---·-----------1 --i5opuiy We,gt,.'Mslor L nt\llil<.'1111 of Musurauffll Suncbnh of lhc Cal1f.,nn.~ Oq,..,n,,w:sn ut h,uJ :n1 Ain:-uhurc. "-o ono ;v,olable IO s:g., ::>JS!omlr .,-a,,'0$ racc,pl Rec01ved By Sognature Pnnl Namo (Cos1ome<I :.q'IM~e :~lt"'JO!:h-~~1~~'91~ s,g v:..: ·ot<.'\t.1 ,,..,.: 1>e "9"(d : D Start Standing Unloading ,,.c1. . Time 2 Cum Prod. 01y 4 .00 0 .00 Sal'lS Tax o.oo Toi al -· .................... -•v .r-;,1v1, 1-0," .. ·'°'"~,.,.0JC'XI .! ••• Customer Copy CHECK ~'I Tl.I.IE , , : ·~·t: or. dm DATE ... , ~ t ••• , :{ I :42 prt F ' ···Hanson TICKET TIMc TIME LOADE Cusl°.f&·tcf'I Pa~nlTlJ'f Customer Namo nEIOElOERCiCEMENT Gro\1p Cre i t Ca rd CAS II SALES -MIRAMAR RMS I I WEIGHMASTER STATION Cuslomer Job No Cu$lomor P.0 Mop Rel. Zon. 4015(,00 DUl':PS CRE lT CRED IT CARD CREDIT 92:'.:9 Ha r ns Plant RO<td Truel<,t'Y-Oi; t l,ER Vchde or Lieenso Plate tlo. r,a,1a1 or Lice<,se PID!e No Trni:<>r or ~-Plole No I S,m !'1 ego, CA 92145 H:)uk!r/Car,ier No Driver·s Name Today"s Tonnage Load No Cum. Prod. Ory. 4 6.00 I !I(,. D--DUM? FEE.S 2U l b-)OI I ~U~PS CRE DIT CARD CREDJT CREO[T 11111111111111111 IIH 1111111111 IIH 1111111111 IIHI II~ 1111 :}>v,\~ \D\ C\l.4 UOM Produd . < . .. ..., .. t -.""\' t.L X ''"" J_. )\.. • ( I ' -, ~' • t I I ,i .oo SCALE \'c:mrr GROSS 6 l'AAE: \I t:K; IIMASTt:K Cf:KTIFICATE 0 .00 TIIIS IS IU CfRTIFY 1h• 1hc lollrn-,n, dc,..-nb<d conun,>d~y w.,. Garttge Onvers Always On '4tJJ;btd. mcasun:d or a xantcd ~ ~ "c1_.:lt1fllbtn. '4f,o..., ,it;tialurt IJ G11.:is .. ·--____ ------Onve~IIO on 110 \.·au(h!.-c.. ""'t<' 1c a ''-'·0&.:mrcd ,uthont) or ar:cl8~")·. a, Sales Tax 0 .00 D 0 p,C'Sl..,.11-.-J b) Ch:apk.,. 7 fc"'1S11icncm~ """h Sa.1tOll I ?XKJ) of UiusN)f, T ·ttJ ·-------· .. ----·-·-Scale Dav ~!.814\ ~ , &,!'lil .S o(lhc C:1b('11"ntl 1·t..!IU'ICl,.) .znJ "of<".!~ (·ode. aJanmutCTcd b)· 1hc: Ln1\ i.snm of Mc:tsurancnl !'iiun.d..uJJ <'f 1ht C-nJi(o,nia 0\.1),.'Vltnml ol Food ald Aguc.uln•(' Tota l Not_ ·-------_ Deputy We11hmasie, hoo,,er,~"~aislltl\Or.,.-~ver~ J Rcceove<! By 8'9naMo Pnnt Nam~ (CU$10nierl -,;,,;..• Stand,r.g >'9"2'"'' t••S1 ~ 1e1ce1 r..vyo,°Co'lttad<l< nmo ~.:uoeroleau m.,•U>er,;gn...!.I D , I I I I I l l I Start Standing Customt-t o; lnrtto•:i Unloading .-:;,f• q Time 11,111,011 A;,;~1e·g.11c, t•,,c,ti.· .'-0111l11H·,1. In,· I'll lkl, t\JCXJl,<J San ll1~i,o Ca '12 J(,.,.Qoc,Q , 1-8()0.SOO-7465 ,·xi ' ••• customer Copy CHECK IN TIME \ •I: Ii ,r, DATE ~~,. ••• ···Hanson 1~6'0·22 TICKcTTIME •. o : t J ..J:'"\ TIMELOAOEO Cuslomor No Pn(·~~~rr~e Cn rd c.is1oma, Name Order No. HE!OElBERGCEM(NT c~oup 4 0507 CASH SALES -Ml R.AMAR RMS I l;J.;47-c, ., ,. WEIGHMASTER STATION Custo'llor Job. ~ Cuslorr.&r PO Map Roi Zone I ;t(,"7!)c,)C1 [JUMt S ,-RrD 1 :,~,:1p~; :.:=tEPfT ~A~;-> rHF.lJ!T ,,~ " t :id r r J..,. ~! .. uir µ,.,:'ld -, ... r Trailer or Ll:cnso PL,10 No T rn.ior or Ltten"" Pla10 No Tru~~ Type h c.· . Vohide o< Ltcanso Pl.Ito No. I \',11 -., ,.,,"', -.,. 0 :14~ , R.-.1 L.EP !"C)(:Ltr O! F Houler/Carne, No Orrvor's Name Tooav·s ToMage Lead No Cum Prod Qty l 1. 00 ( c:: • .1'--l>(1H -L ,J I tHJI·., S :R~D:T CARD CREUIT CREDIT 111111111111 Hll lllll lllll lllll lllll lllll lllll lllll llll llll r \ l\'-\ .::P~ \ ... UOM PrOdUCI ... l d C ::nviconmental r~e.::i. .; .00 SCALE l\'EtGHT OROSStTAAE \\ 1:1<:tl\lAS rt11 n :ttl'lt'K., n. Cartage 0 .00 1111, 1, 10 ('I Kl ll , ••~• lhc I\JlluYtmlf ,lt",.crtbnt t't~••nOlht} ,,.ru Duvets Always On ~et!!fi,cJ. tnC,)\wc,l 1M .;111m1<J ~ ii '°'"f:IUt1.t.\.k'r. "ho< ,l~hJlt•<" ,~ O,ot, ----------o,~nD OU ll•J \.'tll1f~;ak" \\hO h 1,1 ft\:<'l;f\1.tl.d :IUl!h()nl) ttf ~OC.ll') :b S;iles Tax 0 .00 D D pTC'\4'11h...,l l1) C"h.11\(1,, 7 h:OHWntO~t"lf. "'•th ~\"\,;tl011 J]700tof01\t~wn ':'are ------sca5, /., issc,iy ~ Do~f~'f J 1 l-,fll,, t":1•fo11ua lk•~nc·o w1d f'h"ft.."\')IOO, ("od..: .uhmn1cu,a.J b)' It~ 354 .00 '-->n ~u•n of \.ka"tlll'cnu,,-u ~t.vwluJc of lh.: C;sft"-."\f1N!I Oq>:ir1mr..,u ut I uud .nJ \frt.:1..hu,-t" Totul Net --·-Deputy We,g~maste, ·· No enc o,-""1ltle !D s-sn. WSICllffi' l\lllfi 1eu,;,t Rccorved By Sl(Jncture Pnnt Nornc 1Cus1omcr) • Sumd1ng "'!lna:..rt tFIISl dal-R<Y llci<el iluycr.'Conoactor X Tomo ~"'•~"'->IDe>qtedl 0 I Start . I Standing Customer's lnobols '~ Unloading .l! nmo X ______ ,..... __ _ SYCAMORE LANDrI LL SSJ4 MAST BLVD SA:!TEE , CA ~2071 : ) - 000999 -CAS H AND CHECK CUS~O~ER d~1 4 MAST BLVD SANTEE, CA 92071 Co ntract : COMMERCIAL -04 GROSS 81,360 TARE 33,gGQ NET 47,500 Tracking Qty : 0 .00 Qty Unit Description 23 . 7':) TN MSi<i Origin : CARLSBAD 1. 00 E iV IRONMENTAL l. 00 f i.iEL RSCOVERY Signa:ure : Scale In Tare Out lOO'f. FEE l FEE 7i-:-ke: ii : 1492'!20 W~!ghmaster : DOMI ~LO ::1 : August 3C , ::~11 . Ou~: Augus t 30, 2017 Ve hicle : 48 /66T P.ef : J03 10194 so:.: J NBOU ·lC' CA.S:! Ra te ::::,tensior: S8 3 .SO Si.983.13 $16.25 S1 6 .25 5 .40 $107 .09 Tax S0 .00 S0 .00 S0 .00 '!'otal !.'a id Ch a nge CH ECK-SCA:.E To i:al Sl.983 .13 S1 6. 25 ~1 07 .09 $2 ,1;6 .47 $2 ,10(-,,47 $( .GO ---.... ..,, • ...-... tt '-" ,,. IUD Customer Copy CHECK IN TIME DATE ••• ~~M~ TICKET TIME ,· ···Hanson Cus1omo, No. Pnyrronl T ypc Cuslom<?r Namo /)rder No. HEIDELDERGCEMENT GIQup 50538 Credit C..trd CASH SLS LONG BEACH RMS 19 l?So WEIGHMASTER STATION Cuslomer Jllb. No. CuS1cnl()1 PO MapRa1. Zone s·1s6000 :s~o ~al1fo rn13 Ave T111ck Typ11 i ruc:k No. r,aae.-"' ucenso P:.10 No Tr.i,ter OI Lc.ar,se F'ato No Long 9eac h, CA 90806 Berni l.!:iF 888-30 4-2'.?74 HauleffCom<tr ~lo Onvo:·~ Nnmo Today·, Tonrogo Loll<! No 1 Co'j-~'B'o DI}•. ..._J ·1644 iD 1111111111111111111111 111~ 111111111111111 m1111m 11111111 l Product ,, . Unit Price Amount i-"· .·.: -.,r.:,<. ' L-Cki :; ,{,' J I 0 .00 n • f.'-G- SCAlE WEIGHT GROSS a TAA.C I Gross __________ ~-:-- Orovern AJwovs On C:i.rtage ~ X DnvoronO D D D S.>l~s Tax Tc,e _ .-------Sc.."\'lhb::t~<i'e. ~-:\JI Nnl _____ -00;;;;1y We,ghma;--Totnl ' --< tlo or,e ;:va-1.Jblo I<> ~. ar.;1cme, '#.11Wl5 reco.pl Roce1Yod By SfSnatU<o Pr.nt Name \Customer) "9"allm! [l"m ti*.-e,v !i:J<!ol B<lyo,Or.tr:'10r SI anding ~v.o relmc ....,-,1 oo s,g,>ed) D nm'J " Start I I~:~ding I Unloadir.g I I I I I \ I I l I I \ 11 e 11 41 G Han•on Aooroo&t.es .,. Hanson ;mo aBER<iCEMENT C.-oup WEIGHMASTER STATION ,, ;. coo 50:iSJ Cus;omu, Job "lo. Tl\le<Type Seni Haui<!tlCarri~r No Credit Card Customor PO Trvck No cs:: CASH SLS GA~FlELD Map Rel ~~d~ o: l.ictn~ Plate N::. Tr,uer c.t L,~nte FWc th '1E110~3 Today's lonlli!go Load Mo ' .. ~-'- : I J ~T Ordl· No JOl7S4 CRED7T CARD Cu.n. Protl Oty. l. 00 • IJ~IPS t.'l,KSO!. ... R32 I Desert bon DUMP-SEMI I TP (Load) I llllll lllll lllll llll lllll l~ll lllll lllll 111111111111111111 1.00 27 .co Mui·i'l,iM k1~.oo I I C. 00 ~-~~~~~~~~~~--'~~~~....-~~~~~~~~~~ ..... ~~~~~~~~~~~~~~~~--'-~~~~~..;..~~~--,;-- SCALE WEIGHT GROSS & TARE! OlfV&rS Alwnys On DriYerOrt 0 ~ D 0 Scots 1 Suto 2 Scale 3 Tt.:scano, ,luan Cartage Sales Tax Totnl I ~01_ ------~ve-,gtunas1a, [."'1on,1>1U!)tc1e591.~1·nVflll'Cttpl Rocorw.d l!y S<gr~lure "9""-'IP.. iF•.I 6,t,,e,y IICMI 8'1)..-,Contr::clOI PrfflName(((C~u~~1aommcci·l~~~~~~~G:~1'1:~!:!~iiCIIE~s~t:n:nd~i~n~g~j""....,_._......_~- s,11nal'-"• rclc!= roost be c.r«1 l D , I Start Unloading Standing Time ,T:111e illi •• ••• Hanacn Aqqreoa1..e• 13S5'0 t.1ve Oak Ave. rrv1.nd.al • CA 91706 Broker Copy CHECK IN TIM!: .-, -, ~ 0,\-;-r ~-~~-~T-I-C-KE_T_TI_M_E~-~--,~-,.-,~~11,,neu ·· Hanson HEIOELBERCiCEMEI\ T V01JP r---~-~-~~-~~~~~-.. WEIGHMASTEA STATION · • ~ .. c;oo ··he Che:.ry ;.,:e ·,,11·J RC',·'":, •~,\ 90!!05 >--~~...._·~-~~~~--~--~-~-C,•Sl0ffl()f No Payment Tiro I Cust~r,wr N~"'° 50~53 C,ed1 -C~CASH SLS Gl\Rr!E'...D 'C~U!l-tO<OO-.-r-Jo-h-.-N-o.~-+C~u-!t-om~o-,P-.0~-T-M-ap-R-.-,,- Truck Type Semi True~ No. G:'E Vct'lft'i6"' L,ce..n:.e P.Q{o r,:o Trattt, ()( ~ r:>t:11a No 9Ell083 LON ..,_.: 111r•-~P4-.:, I !iaJIOr/Carr;,,r N?. Todcy's TOMtg<, load No C~m Pr"'j ?(JO r . )· !, :,:.RSO!~ t':J,' I ':... tllll IIV!"Jt'-;:,r,,'ll , 11· 11.,oao1 I llllll lllll lllll lllll lllll llll lllll lllll lllll 1111111111111 •• VV ~ I , VV . '°"· U..i o.oc ,1--sc-..... -E-.-,Y-E_IG_!i'T _____ _._ ___ ~~---G-FO_S_f;_A_T_A_;:J_E _______ ---------------·-----·----+--"0__....o .... c __ _ Carta gs >----+-~r1~-~~..,_r. __ "'""~-- ra,e __ _ ,..i:_·o_,_-_-_-..,...._-_-_-_-__ -..:_-_-__ -_-_-_-_-...,r=---! Orlw:,s A!ways On X DtlverOHO D D 0 Stai, u g c Jititl~ 2 ..; uJ'fiale 3 Prmt Mn.,,• (Cusiomor) >75 .oc Total --,Jt~.:...i.:E~-rrm!!!n:: ,-'"fs,s, ;;r.dil'\j I Time I I M>onel<aiabc,:os-gn,1:.i>ton,e1w.r1U'l'C~ l Recelveo By Sign~MJ s~natl:!e 1=-,s: ec~,'<>'Y bd<118uyer'Ccrtri1Ct01 59,>·1.tt ttltllH t!'l:11 be S9',fO.) 0 ' r Start ' T Unloading ----r~--~~~1~~-!-~_ln_g_,,__~~~1~-u-0:-0,_,c-r-s=ln-t,J-'•~~-·•·•:•~•¥•·'1_ 1 ~~~- -----·-·---...,., ..... ~ ..,..~----___ ..... ..,,.......,.,.... ____ __,........._ ~----· -~-~?":,.,.... ..... ---....- ------~-·--------·--·------'-------· ------ WEIGHMASTER STATION !JJ£>c-O:>O ~9:0 ~al :forn1a Ave I.Ong Be,,ch. CA 90806 888-304-:274 DUMPS 984<1 70 Proelucl R32' SCALE WEIGHT ::;,oss ___ ---------- Taro 'lot ___ _ 5J5)!.l Cus1omcr Job. No Tru::11 Type Semi <:ard Truck N:, LSC: H~uler1Carri9f No. Drfvl!r's Name Oescn on DUMP-S~Ml I T? (Load) D<lvers Always On Orive,Ott0 D D Scalo 1 Scalo 2 Scalo 3 S~o rcr1dge, Steve Oepu1y We,gnmas1tr Hanaon -'99ro0ai:..1 1)~50 L1vo Oak Ave lnt•ndaie CA 91706 Broker Copy • • • ···Hanson I .LU;:, ______ HEIDELBERGCEMENT Group Customer No. l'aymcn1 Type 50538 Cred i t card WEIGHMASTER STATION C11s1C>mOr Job. No Customer P.O '3~\)~00 ::'JS•) C.i .: fot:u a ;,:.;e Truck Type r ruci<No Lor~, Bed:::'\, CA 9080( Se:rd LSE. 889-30~ -.!.'71 H.Wlllf/Camer No I Orrver's Name :>UMPS <?S•l.J7 J ,.,,, '. ..... ,'.)._ / DUMP-SE:-11 I T:' 1Loaa1 --GCALC wt:IGH1 GROSS &. TARE . Drivers Always On ,ro:;s X Or,verOff 0 ----D D D 3rp Sc~brc~Wif'e, §t8il!\,~ Cl ___ ---. Deputy We:gt,maste-, -- :".:\SH s:..s LONG S:=::ACH R~:c; !9:78(; ~~,.-~-?~.-,----------,,~Z-on-.---'----------- Vti.c:e or Locense Pl.lie No Trailar or Ucen.-, F1•ic llo cc foday'£ Tonn:,ga Lond No. Cum Prod Oty. 1.00 I llllll lllll lllll lllll lllll lllll lllll lllll 111111111111111111 1.00 (CHECK IN TIME! : : r . : ·' '"' JTICKETTIME j '' · ;u:,• .- 'Cu:!O'llor Namo CASH SLS LOKG BEAC!i RMS Map Rel. Cartage Sal,:is Tax JOATE t· 75.00 0 .00 ~/ •: I l TII.IE lOACEDl 11 : 1~: '•' ·"· 0:dar No 91796 ,Z~• 'Vellicle e< LICOIISO ~le No Trolo· or U.."enW ?late N~. T,allt< or l.icer.ff P13,e No cc I Tod.ly's Tcnn;:ge Load No. I Cum.Prod.~ :.o I llllll lllll lllll lllll lllll 111111111111111 ~Ill IHI 11111111 .. . ' . l. 00 275 .oe , 75 . 00 0.00 -----· ,. --Y •V\.· Cart.190 f' "" Sato~ Tu ~ '7", (1(l Total , M> ~v3'!-Jlli :o ">"· ,,,,:om3r .,.,<t$1,«:ee>1 I Po.::~iven By S,gna1Ur!' Pr·~ N:,mc (C:ittomcr) J;: t m .i..±l'S:: s;;;;:-,, )Mlurc (rw:i c:eiv•ry Wtl &ly,Jf/Con!T.:aor I .....,11.1, re:tase mil Ile~> 0 1,. Tirre j Start I I I I Standing I I Cus1ommiii.:,a1s . ,. Unloading TI me rH";:lff,•t'1lF.1• I ·l l l t I t ~ ••• ••• ff•noc n Agg;ogat.tt.a ll~,o Ll.ve Oak Avv. 1rv1nd~le CA 91706 Custome r Copy -(RO 7--2-S~o DATE ···Hanson -----'1ii'960?dR~6 Cus.on-.cr II<> Po1m•n1 Tyro Cr~dit Card TICKET TIME Customer Name I 0<<1.>• No. H~IOELBERGCEMENT Group WEIGHMASTER STATION 55 l< OOG ·,·).,, Ch('l'r 1 ·,· A~·~ :tJI):} ~H.',i .:.'1, C:.,'\ '-n)ijQ~ ,JA~-·,n~--'/4 ~s I 0 ,. !)(1!)~3 Cu.st:>mer Jc!) t-!o ICuJlomer r.o T1uc~ T'(l)IJ-----~-, Truck l~c, ::;1::1li GSF. HaulcrFCc,r~: No 011vfitffl'r°r CARD CASH SLS GARFIELD l9J784 Map Ref 17onc Voi.c:.t or L..:en~ Plare Ne ITrao:er or L.co<L"" ,,,,.,, No I Traill!<.,. u.:ens, P.oto 'IQ 9E:ll083 Today's Tonnaoe Load N, 1 Curr.f :"floO<y I IIIUI 111111111111111 lml lllll lllll lllll 11111 1111111111111 l. Product •NM1M1 ~ l "· I ~MP-S•,"' , • , , ~a, v i=:~ 1 1 SCAI.E WE1Gl1T GROSS I TARI:' l Cortaqe X O•M:Js Alw8'(5 On n Gro,s_ -· ---.. -----D Oro•,e~U D D Sales Tax ., ] Tare_ __ Sc;.:,1~~sc~r..1.lo,2 JJ.$t;ao3 ,!).00 __ , --· -TotBI Net ------· -Oopu1y \Vol9hn11>n.lcr ~ !Fnl~tcl01~~,:tct ·' • lHocnva•d.a!lle!Dslgn.CU.'Omel ,,a-ve,re<QIII Rece,,ed Uy S,;;'1llluro Print Name (Cusuimer) • Sl2no ng ~!\JlcrrlG:istMllSlbes,gr,odl O , limo Start Standino CuS1o-n~r·s lnitt.'lls Unloading ·. I ~ Tlr~m~e_-_l ____ L ______ --'iiilllliiliilL ____ _J llanson J\i;i;"·!'-atc, l'Jc.1foc Soutlm,-.1. Inc I'() llo, 63'10ttl. S..n 1)1.-go. C:a 9~ lbJ..9069 / l-800.S00-74M (XI 2 •• ••• Customer Copy ~--C-H_E_C_K_IN_TI_M_e-rl--,-. -,r.-.,,-.-,),-,-.-.,,--..ToATE I '" " ·' ) TICKETllME lf:1,: O• _,., I TIIAE l.OAOEO j I, :.J.: :•' I t1 . ... Hanson HEtDaBERGCEMENi Gtt>vp Cu~1w~~°t Card Cus1omer Name CASH SALES -M TRAMJ\R RMS Orc!or No 153447-5 WEIGHMASTER STATION 40,~f'QO Customer Job. No CREDIT CARD CREDIT C Map Rel. I Zone ~~29 Harris Plane Road !".rn o, e'}O, CA 9214 ~ Tr~?fi"ns ter D103f T1a,ic,r rr u,;ens,, Ploto No I Ttade< or Uccnso Pla!e No Ha,~or/Camo1 No. Ort\'Oi'S N-ame rooay·s Tonnage JUJU--uu~,P ff.£5 20f h- LOAd No. l Cum Prod. Oty 2.00 DUMPS CR~DIT CARD CRED IT CREDIT 11111111111111111 IIIIUIDI QIII fflll lllll 1111111111 11111111 / UOM ' -. I Envtronmcntal Fee I SCN.F. V./1:IGHT GROSS & TAR[ \\'f.lGm usrrn o :RTIFIC:ATI: . - ---IIIIS IS TO Cl'IHl~Y ,1,... ohc: folio"'"~ dc:ocr1hcJ rnrumodol) "'"' Otivcr:;Always On \llot'\•hcd mc-.uu,cd. or 1.."IMJnfcd hy a •tlfthm~tcr. 1'hooc )1~.a1urc t> I Gt'OS~ -----• ----... Orr\~tf D \.1U 11n \.CfllrK:ct. \\ho II • rNflll,nttcd kllhottt) or xa .. -..q. :u. D D D 1J10. .. ,,ll\.'\I b)'Cl1.11p1a 7 h:ommc:1mntt ~t1h S«w.m 11700)0( Owt'IIIOU ~~.. Scalei.Ja ~r f .Sca:e 3 ~ o(d.., ''"'"""· Uuvnc:<< anJ 1\-i>r..-., ...... l'ode. •d•1Mt1l1a<d l,y lhc ------rood arK.f A;ncuh,vc --· -----·---Deputy Wel!Jhm!1$IOI cartage Sales True Total TUv.UU 8 .00 0 .00 o.oo ~ -VJ , OOnu [d Ln,u~ou nf \1n!Uf"1..,ntm Su1nJ.ud.t of thf' Catifonu:1 Oqt..unm1 ot I 110 c;n: .,,;~ IO >91, cu.lClf'>e< ,.._ rN:l!ICJI Received By S,gnaiure Punt Name (Customer) . 1 l~~-Cci~~~-&~~ :,,_,..,_ •Ma.<c muot ~ :,v«) D X -i--S!;rt Standing CU!.tomer's lnitlnls Unloading lime ( 1 I \ I I l I 1 l t \ 1 -~ ... ··e-.. •-' •......... , .>uuo1\,..:-=-1. in...-J#U uo~ <d~J. ~n r>1cgo. Ca '1~ 16J..9()6Q / 1-800.S00.7.a<tS c...,t :! ••• ••• Custome r Copy f""c_H_E_CK-,N-TI_M_ETl--;-1_~,:-;l:-:::IO:-,-;;:n:;:-()-~-=,,,:-. -,ToATE I '" ' l bbVbbbl:J TICKET TIME '39: _,9 -~~ ··Hanson HEJOELBERGCfW.ENTC,oup Cus'~•~ijo1 P3~f6~t Ci.lrd Customer Namo CASH SALES -MIRAMAR RMS r--WEIGHP.1ASTER STATION I .irn:,ono Cu::tOMCr Joo. No. I Cus1omer PO Map Ret Zooo ,-;:29 Ila, ris Pl.int Ro.id S;,1, 01•.'<J", CTI 92 145 Product DUMPS CRE Tructrl"ffli J.ER "14ulor/Camer No J tnviro nmental Fee r~WEIOHT I GROSSt.TAA!! 1 1J11vers Al Nays On Ouv,1::011Q I Gr~ss __ - 11lle_ --- t\t;;l __ _ ---------- !>Cf Received 1'0 one ;~,J.able to ~,. ~.,a, 11~m recc :,g,,oltn~ :"ir•.J <'t:ner, to<tl r.t,'11~ s,g-..:ur~ ·•=• mus:"" Slg!Kd : D Start Unloading D D D ~d\'l~81H, diffi~?d Ooputy W&rghlMSlor 1(1-,l CREDIT CARD CREDIT l>SO l F Vcl\.c!c or LJcense Plale No IT,a,:or or uc,nse Pl:ltc N:> Trailor or l.loons• Plate No. Today's TOMage Load No 2 Cum Prod. Oty 4.00 I llllll lllll lllll lllll lllll lllll lllll lllll l~ll lrul Im Ill ~ I ,, f.lG musn :.K n.K r1r1c A'ff. I IIIS I~ 10 rn< 111 Y 1h.11 1h.: folio..,,.~ clc,;cnbnl cot1"'lndll1"'"'0> "t'tg.htJ. tnC';ajutctl. Of 1.(H.ink:d hy a "-C'5!hma.~t~ ...... ~ ctptaiu,e ,,. M d•~ U.THfit.11~ -...·tM"t ,s • ruot .. tv.cJ 1111hon()' of ac1..~q·. u p1~.:nl"11 t') Clupta 7 tcomnKocu11,1 "1rb ~f\l lOO 12100} or 0,\ 1S100 5 "'""' l'ohfrm1> IJuQIICS> ISKf P\of .. Sl"'15 C'odt. •J11W119 .. cd by Ii>< Lon m(lft nf Mc:~swcmm1 StM:ltbnls o( \he CJJ,fonn~ tx,,.,mau ut .. ouJ and A a,n.;;:uhucc Pnnl Namo (C:islome<I Standing nme ·-·~. JI. Cus1omor's 1n11'il•s ,< Sal~s Tax Tolttl Stand111g lime 0 .00 0 .00 -· ... •r.-"'• ~-·-•••..r1,~•1, 1-o\." .. ·"',v,,-, .. 11,.:.\.I i ••• Customer Copy CHECKl~TI~ I ;·"\1t:OO Jm DATE 1)1,1_; ••• .:,,:42 p,r ,:·, r-~ ···Hanson TICKET TIME CU$11'.f8.5"'8, Pa~nl Tl.fI Customer Name Ordof, HEIDElOERCiCEMENT Grotlp Cre J.t Ca rd CASH ~ALES -MlRAMAR RMS 15 447-:, WEIGHMASTER STATION Customer Job No Cuslomor P.O Mop Rel Zone 407~(,00 CRP.DIT CARD CREDIT 92:9 Harris Plant ko;ict Trucl<,{tfflr LER Vohotle or Lic= Plato llo. !railer cw License Plate No Trni:M or ~nse Plaie No I S<1n n1ego, ':A 9214 5 Hau~rfCariM!r No 0,1ver's Name TQday·s TOflflage Load No Cum. Prod. Qty, 4 6.00 !'U!".PS CI-\El)IT cr.rw C~EDIT CREUIT 11111111111111111 IIH 1111111111 IIH 111111111111111 IH 1111 _j.)':,l\~ \l)\ r,\.L-i UOM Product . . . . -L,1 ,.,\,0 -.•t. .I.I,,. ,· . '-I i. I.: .,_. ,IJ\ ; -,'-1: • i (I 4.00 SCA!.E \\'E:."ll CT GROSS 6 TAflE II t.l(; ll~IA~"fl:K CF.KTIFICATE 0 .00 nllS IS 10 CFR11FY ohar rhc lollm"n~ dombro ro11om,>d11y w» Can age Dnvets 1\lwoy& On vi.<t~hrd.. mtasun:d or counted ~ iii •c•fl11n~tC'J, v. 1,o!t.: ,.i~tatulC' 1~ U.r,;:;s ___ ---· ------· DllY&~IIQ on 111> \.'\:111r..:•. "ho 1s: a r«opnrc:d IUlhonf) 1>( uccus·•q. ti 0 .00 D D prcscnl,-d b) CluJlllT 7 (C'0t1n11ent&f1~ """" s~uon IZiOU)ofUl\·ttw)n Sale~ True "t.lltJ ----·-~----·-----Scale ba v f"d'°'\ ~ , a&'IM S offfil: Cahf""1ta ft.u,nn., ~ f'wfr,,t-0cK ("odo. ~deninutnN b)' 1hc Lo" i1,,on of r-.k:uorancnl St.vuLmfs or 1hc Cahfotn,a Dc.1).lfttnml ol ., Net_ ------_ Deputy Wtt'ghmasler Food ....i Ag11culruo< Total hocne av~ IC~ M".<llll('f ··~w,;r~ Rcceov<>J By $'1jnaturo Pnnl Name (CuslO"l\erJ Standtr.g >~Ima lF•si ,WO,f!\l liel'•l r.iy.,,-cc,.,i,oe1o< nmc SogM:u,e 1deu1 ,,,..istll.,.ign,,11 0 ;,: Start Standing Customc~ ~ ln;uot, Unloading Time ... l I 1 I i I I I I 1 1 1 t l 1 ~ J I J ! 11.111 ... 111 \f~1cga1,, 1•,,..-,11, ,ou1h1H-st. In~ I' fl llo, <,J<liN~I San l>tt'\!•> Ca •>:? I !\><I!)(,<! ' 1-SO(J.5()(). H 6S <'t:,. :.~-----.-------~,,------,,-------, • • S' Customer Copy CHECK IN TIME l : " : •, ,n DAfE ::: n,6'~.0-6b·gz2 TICKET11ME ,,o :'J ·" Hanson Customo, No Payment fyPe Customer Name Orce, No l HEJDELBERGCEMENTGroup 4C~')1 (:.::"'Ott Cr1 r d CASH SALES -MlRJ\Ml\R RMS 153.;,17_-~ ,,-,r.- WEIGHMASTER STATION ~ .:,-: !:>t fJ(1 , iidt 1 ,~ f..: !.;r,t !,, ... .,o CusiO'ncr Job. No. j Cuslom6t PO. Map Roi Zone I ["''·!' <: ,-r.-o "' T,',"'' :·:>::-[)r-,---.-. "'"""lJIT .rvl t., .r t'~ l Ll,,dLa:, ... ,_.l ! .1\C,1./, f'\~ l Tru~Typo -, rrJtiiiilb! rO/llcie Of LJecnso Pl:llo No. Trl>lcr er Liocnso PL,10 No Trao!,."1 or teens, PL110 No \ i:.,,. ['1 (""''1"•, ::-.r, Cl:" i .~:-·:·t<A 1 LE R Sl)Gti~,(JI F \ Hau~,e, No I Ore,cr"s Name ~ •,,'--PCIM ,~ fEt,S ..:1116-L'JT1 I Todav·s Tonnage lead No 1 Cum Prod Qty l. 00 lK~,S ~R~Di T CARD CREU IT CREDIT 1111111111111m11111111111 111111111111111111111111111111111 ,c' f\'-' .:::P~ UOM .. ,-:..:. lm;mii{!, T.lm' Dulflp-.,,;lr,I-.... vricfet..:-A~pnd t t ;'1'1x ~tvi r o nmen tal Fee t;ac:n SCALE WE•GHT OROSSt-TAAE Gt«.S Tare -------- 011ve1s Always On Ou~onO D TJ D Sca1'J,, 1lcff ~ o.,~f:l1f J Net __ _ ------1 ·0epu1yWe,gnm~ NI:> o:,e ovailabll! 1" ~cg,. CVSIOme ,,-.;-,es rec.t,QIT RocolVed By Signctur& s,goatx1 1F•st dal.,a,y IICM>l o<l)'Cl~adxlt ~t,,__""'11bo"9ft<dl -~c::;:J · I 1 ~~~ading I I .,,: 1 \\ l:IGtl\lAlfrt:H < f.llTll'IC',HE 1111'\ 1, ltl Cl k l ll'' 1h:w tlte" flllfrn,ma; \l~t.·nh-cd C't)na11oJuJ \\~\ Wt1)'1kJ. 1n~1.mc1l IN V .. r.tlll".d b) a \frt.('l~)Ult/l)k,, "ho-< 1"11!t1.lhMC ,, '"' tlo 1."ftl1f~;ak," \\1 ... , h :I r«C\t;nucd )Ullh<"1f) or X'C'W;I'). a.~ ~,hcd ll) ciu,'t(c., 7 t(OW•ntnc1ni=, "tth Si."\JtOfl l.!700)o( 01\t\Jttfl '\ u(d1i: Cd form.a Bu ... nc1o, and f'lvft:'i')h.'lll" \oJc Jllflltnt9:tu:J In· d~ 1 ... •)" ~,on o( \lr.a~ur4.,111..,11 S1.1nd.1,J, of th.: (al1K.,ntu l)q,:ir111'h..._;I ul I ,,,.J .sttJ •\tt£uht•(' .,,.n, Na,no ICusromcr) Standing nme X Cus1omo1'$ lniuels X rso:oo Ca nay~ Sales Tax Tolol S1.ind1n9 TI mo - .>~0 .00 .; .00 0 .00 C.00 354 .00