2562NOTE:`
With proper validation
- ,this form constitutes an
�encroachment. pe�mit
.,r. '
CITY OF LA QUINTA
APPLICATION • FOR.•PERMIT `
PUBLIC WORKS CONSTRUCTION: (ENCROACHMENT)
E` For, the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, ,water mains
and other like public works improvements in connection with MINORIMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit —Class III
DATE: Deeat�ber 12. 1996 Minor Improvement Permit Class IV
LOCATION,OF CONSTRUCTION * nom N. Oide`,af tiles Ave.. 2601' B. at Bridartette -iiav
in on IRA'.
(Street address or, Description of Location)
PURPOSE OF CONSTRUCTION ftbVid4l Came, ir4y '_ � Sketch (attach -construction plans if appropriate)
contiuuit*r us nav trgicx
--DESCRIPTION OF'CONSTRUCTION Roc>�IaatQTM . _
c��er ' prom uedest t ,' ni ddlt R�" - . szs ATTACHED CONDITIONS
DIMENSION OF INSTALLATION.OR REMOVAL
,:. 32" 1 6" R 6901 r'
SIZE OF EXCAVATIQN, IF NEEDED
.APPROXIMATE TIME WHEN WORK WILL BEGIN 12/3/96
+ • i r
APPROXIMATE TIME OF COMPLETION DEC 1.7 1996"
.,
ESTIMATED CO
STRUCTI
COST
$3. .
5'
(Including removal of•all obstruction, materials,'and debris, backfilling, com-, �* CITY OF L
action and lacin '
p p g'permanent•resurfacing and/or replacing improvements).' � A QU►NTA •
.In consideration sof ,thegranting sof this permit, the applicant. hereby agrees to; y.
Indemnify; defend and save'the City,• its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising 'out of any accident, loss or dama a to persons or ro ert
9� P p Y
happening'or occurring as a proximate, result of any work undertaken under the permit granted pursuant to this application.
Notify,the Administrative Authority atleast.twenty-four (24) hours in advance of the time when work will be started.
Comply with all applicable;City Ordi ances,'the terms and conditions of the•.�pe.rmit and all applicable rules and r'regulations of the'City of
La Quinta and to'pay for any additional -replacement necessary as the•resulto4Rthis work. +
Y
Signature of Applica`nt,t,*or Ag nt 1 '
Contittental CaBl.4172.5 Comm St. i?AIM Dairlewt. GA !f 191 nin—I3i-
Name of Applicant (please print) F Business Address Telephone_ No.
r` CiOChV8U 'CO catjOt`Ca 6o6t1:
_ Cathedral • Ci.tri. GA (619) 32R-.6778
i, •
' Name of Contractor and Job Foreman '. Business Address _ Telephone No.:
478543.= s6'
Contractor's License No. ` 'City Business License No.
CNA W 14777360 .. ;
Applicant's Insurance Company Policy Number `
10
FEES: Subdivision Improvement,Permit'—Class 111 `�+•
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs _
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee' $ 100: PERMIT VALIDATION
Permit Fee ' PERMIT'NO. 2562
Penalty'
Cash Deposit -Surety Bond,
if required
TOTAL: $ 100•
Receipt No.
Received by Date
Recorded by
DATE'APPROVED 12/12/96
EXPIRATION DATE 12/31/96
DATE ISSUED /12/96
By G Administrative Authority
Telephone: (619) 777-7075
I DEC -11-96 WED 21:05
NOTt:
w7b) proper v411dauon
Wa (arm coni m^2a an
rnCeaesn+eM oarmrt CITY OF LA QUINTA
APPLICaYION FOR PERMIT
-PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
P.02
For tna aontirucaon of pubtia or otmtte dune. drivaWata, patar»no. tidawatks. puking loll. wwre". watt "j"
arw ou.r rite oualc aonct imtsror.m.nv in conneccon unm MINOR IMPROVEMENn rill APPROVED SUBDIVISIONS
JL J2 �Cv ,a✓
DATE. N , 1 9 9 6 9rEdlritiws imtxe�rraintrs PttmR — GLet 111
Mkwr IM;W0VV?I4m PUMd Cleat IV
LOCATION of CONSTRUCn(W From N, Side o f Miles A v, 2001 C. o f—
8rid ette wy across Miles Av to W. Side of Qridgette lay Then
Ifvew warty e.Oaet►raon a t ocw.nu o .o a a: a
PI o n tE Anuoil rRu oNProvide Cable T V std lemeft aw4j c"A oWti if >lpnropMUl
al LV
OIMENSI NrOVINSTALLATIOH OR REMOVAfw ATT HED ,
LoeJ P ITtVAt_5
SIZE OF EXCAVATION. IF NEEDED
-99
APP.ROXMArx Ty"IRWHOLM^°r t41LL BEGIN 6
APPROXIMATE TIME OF COMPtET10h� � 1 �.'~T5� 6
ESTIMATED CCNSTRU=0N COST t
(Intlrtdirep r.n+n..l.ot au otastruedoer` atsortSlsl, and dbrd. badttiJ{b'e�, ao:te•
cawon teui olaarg pattfeoagtlt,raenfarieg an4/or r.alaeieglenaia..�+.rw
la � o!. efts tdsife�rS.of. reels t;airttaie tM a00timt fartbv sYnat, trx
Irs aawiat. adoad waste. is Caw, on ardwraad sasm� wm% naedmarrt a aid wnew►w rwwfts r mere'wo 0"wert 12. .12 o
mmt" a, t apihht OP NO MOW* **M d comma ar tort own% awe erten ort at eret goaoartL I" ar aamata m craw at CkMW,t
0 10 - IV or awwmw a rptysw mom 40 urn wmt onde— Now we ower pined catsup s aw awkwar&
napN an Aswramrtteea AoppRr at t.O.t ewar•eore 1241 Nan s mawws a l aat awo w om *mM ewY to eanwa
Camvr erat' M asatta M CAW 440 0-0- W4 WM eta aanatf&W M teen p* wmt and M apwtradlo num aid at the Cstt w
U Duma and to otr tat arra' addMlanld fmmm rwt Hamm" w alo mutt of a .well.
Axe
$i0latsen of A okm or
X Continental Cablevision 41725 Cook St 340-1312
Name at Apoucant (ola&w cried BY*" Tei"h tw Na
xCochran•Communications Const. 36630 Cathedral Cyn Or 328-6778
Hama at Contactor and job Faremn Supium Addren Taleotmm No.
X478-543 rC 865
Convtciort l,anu No. CZW 8us�tww Liam No.
Apgtiranr'r Ineutatla Wme'inr CY$N. VldBrtl�".( Pufty MIJ Cow
FEES:
Suoctenvon imorovsnant Pennrt — CIJa III
Publie imorevarranim, 2% of attimated emm4 tion eons
PrIvale im1waviff4mr. 3% of tttlmltad awwuvedon an
`finer imoro'vement Permn — Clan IV: Sea nuchae rC *ftj#
innooeuan Fee IUV I
permit Fta
Penalty
CA&A 0400811 -Surety Bond
} reauued
TOTAL: S -- -
Avotot No.
Qecanrap ov Dats.,r�
1308 6
PERMIT VALIDATION
PERMIT NO.
4
DATE APPROVED
EXPIRATION OATS
DATE I=9D/ _
`Adnurlismra" AutflorrtV
777.7075
�LE?MON>:: 18181'SBd� .
�Rll J COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or City of
�/ La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La
Quinta forces to preclude delay or interference with State of City, of La Quinta projects.
R12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property lines when involved shall be completely tied out so they may readily and correctly be
replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties to
these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall be notified
upon completion or replacement of all survey monuments for proper project clearance.
R13 PAVE 1ENT CUTTING: Pavement will be mechanically saw cut to a straight to a straight edge prior to excavation. Method
of pavement cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating
equipment be used to excavate prior to cutting of pavement.) Excavation material shall be placed in such a position as to best
facilitate the general flow traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected.
R14 IZW OF EXCAVATIONS: Excavations shall be limited to 1000 linear feet of open trench before backfill operations must
begin. All excavations shall. be properly barricaded with lights overnight, on weekends and holidays for the protection of the
traveling public. The Public Works Inspector shall determine the suitability of excavation barricading in each case. No
excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction
material is actually on the work site.
�5) BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes
of producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable (spongy or
saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or replaced
by an approved sand or gravel.
R16 BACK ILL SAND: Backfill shall be approved. transit -mix sand or equivalent and shall he'placed in lifts of not greater than
three feet (3') and vibrated using vibrotamper or equivalent equipment. Alternate methods may be substituted, but in any case,
a relative compaction of 95 percent shall be attained with the structural section of the :.way.
R17 BACKFILL PLACEMENT: Backfill shall be applied'in layers of not more than 50 percent of the total depth of the ::.:uc.a
before flooding or a maximum of five-foot (5') lifts where trenches are of excessive depths. Care is to be exercised that the
backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting
compaction shall be not less than 90 percent or equivalent to the surrounding ground, whichever is the greater compaction.
Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain the water. Where
jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water supply shall be continuous.
COMPACTION TESTS: If so required by the inspector, compaction tests shall be made at intervals of not more than 1000
feet and a minimum of one (1) test on each road. One (1) copy of each test shall be forwarded to the City Engineer for
approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the
Standard Specifications, Division of Highways, State of California, dated January 1973.
DR1
COMPACTION TESTS: - If so required by the inspector, compaction tests shall be made for each crossing or service line.
One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs.
Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of
California, dated January 1973.
R20 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch
consisting of 2 inches of SC -800 shall be placed on a prepared subgrade. The SC -800 temporary paving shall be placed after a
maximum of 3000 linear feet of trench has been excavated and backfill operations completed, but in no case shall the
placement of the temporary pavement exceed a five (5) day limit.
R21 PERMANENT PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of
two inches (2") of SC -800 shall be placed immediately. A permanent patch of inches A.C. surfacing placed on a
inch class base shall be placed no later than days after completion of temporary road repair.
_X)G'SOkL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as
determined by the City Engineer.
STREET RFSTRIPING: Where street striping is still visible on streets to be excavated, such striping shall be replaced upon
completion of permanent repairs.
R24 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right of way shall be
accomplished by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling
public. It shall be the responsibility of the permittee to maintain the tree in a vigorous growing condition at its new location.
Trees to be removed shall be in sections which can be handled safely without interference or hazard to highway traffic. The
entire width of the tree stump shall be removed pnd disposed of so that no debris remains in view of the highway. The stump
hole shall be backfilled and- thoroughly compacted as specified in the following paragraph. Where is becomes'hecessary to
restrict traffic, the work shall be restricted to a maximum of 500 feet at any one time. Adequate signs, flagmen and or
barricades shall be provided to protect the traveling public at all times.
Large holes resulting from tree removal shall be backfilled and compacted to not less than 90 percent or equivalent to the
surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction tests shall
comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973.
The following General and Special Provisions are attached to and made a part of Permit No. 2;2,5&'2_-
GENERAL
,5&Z
GENERAL PROVISIONS
The following shall always apply:
ENROACHINIENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quinta right of
way ONLY. Whenever construction extends within private property, it is the responsibility of the permittee for his contractors to
secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work.
TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracklaying construction equipment shall not be permitted to operate on
any paved surface unless fitted with smooth -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to
protect the paving during excavations. Rubber -tired equipment only shall be used in backfill operations in paved areas. If the existing
pavement is scarred, spalled, or broken during the term of this contract, or if the pavement is marred, City of La Quinta shall request
that these portions of road be resurfaced over their entire width. Resurfacing'shall consist of one coat of two inches (2") of A.C.
surfacing plus appropriate seal cost as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the
City Engineer or La Quints City Public Works inspectors. Suitable detours and detour signs shall be placed and maintained for the
duration of the project. The City shall be notified.24 hours in advance of any traffic detours or delineations.
CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete pipe, steel culvert and
concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event it becomes
necessary to remove or cut existing drainage structures, City of La Quinta shall be notified prior to commencement of this work.
Drainage structures and open drains shall be kept free of debris at all times for proper drainage.
RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right
of way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compaction.
Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed
prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used
immediately after backfill.
DE -WATER OPERATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta roads, it shall
be the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary.
CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited
access for the adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he must close a street for
any length of time, permittee shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
The following shall apply when indicated:
Rl NOTIFICATION: Permittee shall notify the City at (619)777-7075 at least 48 hours in advance of starting construction.
UTILITY CLEARANCE: (Substructures) Prior to making any excavation within the City of La Quinta right of way
authorized by permit, the permittee shall contact all concerned utility companies relative to the location of existing
substructures. Damage to existing substructures resulting from operations conducted under this permit shall be the sole
responsibility of the permittee.
®RK UTILITY CLEARANCE: (Surface Structures) No work shall be done under this permit until all utilities are clear of the
proposed work site. The permittee shall notify all concerned utility companies of the proposed work.
R4 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced
with inches of A.C. paving placed on inches of class aggregate subbase course having an "R"
value of not less than and in conformance with City of La Quinta Road Improvement Standards and
Specifications, Ordinance #461.
®R�PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to,a slope of
1/4 inch to one foot (1').
R6 GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by
a licensed engineer.
R7 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter (_feet) shall be
removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and
concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207.
R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property
line and the existing road paving shall be 2;1/,2 inches of A.C. paving placed on �� of class aggregate base.
Driveway construction shall conform to attached drawing.
( R9) SIGHT CLEARANCE: Sight clearance of 600 feet in all directions shall be assured and maintained at all times.
RIO SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall commply with the
manufacturer's specifications.
1
2
3
4
SPECIAL CONDITIONS --PERMIT NO. 2562
--- COCHRAN COMMUNICATIONS ---
In addition to the standard permit conditions, the following shall apply:
All work shall be performed in accordance with the latest edition of the Standard Specifications
For Public Works Construction.
Permittee shall be responsible for providing continuous dust and erosion control.
Streets shall be kept clean. They shall be completely cleaned at the end of each working day and
more frequently if required.
Contractor shall comply with the local .noise ordinance. Operation and maintenance of equipment
within one half mile of human occupancy shall be performed only during the following time
periods:
October 1st to April 30: Monday -Friday 7:00 a.m. to 5:30p.m.
Saturday 8:00 a.m. to 5:OOp.m.
May 1st to September 30: Monday -Friday 6:00 a.m. to 7:OOp.m.
Saturday 8:00 a.m. to 5:00p.m.
Work shall be prohibited on legal holidays including Sundays:
5. Permittee/contractor shall assume responsibility for repair of any pavemerit.damage to any public .
or private street and for any damage to other City streets . or facilities as a result of work
performed under this permit.
6. Advance warning signs and traffic control shall .be installed and maintained in accordance with
Cal Trans Standards or the Work Area Traffic Control Handbook (WATCH Manual). It shall be
the permittee's responsibility to detour and barricade this site.
7. Street closures shall not be permitted. A minimum of one travel lane on paved surface shall be
maintained with flagmen at all times.
8. Prior to excavating, the permittee shall contact Underground Service Alert at 1(800) 422-4133.
9. Should additional work, materials, or modifications of the work be required in order to meet city
standards, safety requirements, signage requirements, or to fit actual field conditions, the work
shall be performed by the permittee as directed by and to the satisfaction of the City Engineer at
no cost to the City of La Quinta�.
Special Conditions - Permit No. 2562 Page 1 of 2
SPECIAL CONDITIONS ---PERMIT NO. 2562
continued
10. All backfill and subgrad& soil shall be compacted to 90% relative, dry density, all backfill soil
within the top 2' of finish pavement surface shall be compacted to 95 % relative dry density, all
base material shall be compacted to 95 % relative dry density.
11. All excavations at or near the travel way shall be backfilled and paved at. the end of every
workday as directed by and to the satisfaction of the City Engineer for the protection of the
traveling public.
12. All landscaping, irrigation, decorative rock, decorative concrete, lighting etc. shall be replaced
to its original condition.
13. Access and egress to all local properties shall be maintained at all times.
14. Permanent pavement replacement section shall be one inch greater than existing.
15. Permittee shall notify the City'Engineering Department a minimum of 48 hours prior to any work
in the street (i.e.. paved areas)- at (619) 777-7075 when the work involves. lane closure(s) in a
signalized intersection or within 500 feet of a signalized intersection. Permittee may be required
to submit a site-specific traffic control plan for review and approval prior to commencing work
at or near a signalized intersection.
16. Work hours at signalized intersections or within 500 feet of a signalized intersection are typically
from 9am - 3pm to avoid peak traffic periods but may vary depending on'the location of the
intersection. The permittee will`be'notified by the City of specific work hours (if different) during
the 48 hour notice period.
17. All backfill shall be mechanically -compacted in lifts of eight (8) inches or less. Jetting or flooding
of backfill material will not be allowed unless otherwise specified by the City.
18. Contractor/permittee shall stabilize any soil that was disturbed (shoulder areas Etc.) as a result
of work performed under this'�ermit.
19. Trenches in the street section shall be permanently paved within five days after completion of the
work unless otherwise approved by -the City.
20. Traffic signal facilities shall be protected in place. The permittee shall be responsible for any
damage caused as a result of this work.
21. Trenches shall be backfilled with Controlled Density Fill (CDF) unless otherwise specified by the
City.
22. Due to the fact that the City recently slurry sealed the Miles Ave. the contractor/permittee shall
be responsible for slurry sealingany areas where the seal was damaged or removed.
Special Conditions - Permit No. 2562 Page 2 of 2
m
EX ISTINC •PEV =-
= ego
MILES
-AY
�
i
CURB L /NE-
ffA RA C T
j
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3
EXISTING PED
�
m
.�.
A1tn:
'feeds A roval for
QP
Colony Contact:
•
Colony Cabfev}ssor, of Cafltornls.
i
INTERNAL USE ONLY
,
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a�
4
Proposed Power Meter
}
Authortzect slgnoWre
�
Dctt® r a''hone:
(6'19) 3�f4— 1312
CENTURY HOMES
Century -Crowell Communities
- 2 Vii®
November 18, 1996
Hector Guzman
Engineering Department
CITY OF LA QUINTA
78105 Calle Estado
La Quinta, CA 92253
Ref: Cochran Construction
Permission to Install Cable
Tract 26188, City of La Quinta
Dear Mr. Guzman:
2_512
Topaz Associates, L.P., a California limited partnership, By:
Century Crowell Communities, a California limited partnership,
G.P., By: Century Homes Communities, a California Corporation, its
General Managing Partner hereby grants permission to Cochran
Construction to perform necessary work for Continental Cablevision
to be able to expand their cable capacity across.Miles Avenue and
to be able to enter into Bridgette Avenue and proceed south
approximately 200' into Topaz Associates, Tract 26188.
It is also requested that an encroachment permit be issued to
Cochran Construction, requiring them to perform work within the
City of La Quinta's standards and under inspection criteria.
Sincerely,
a
CENTURY CROWELL COMMUNITI
M.;.chaca iRreed^-
Project Superintendent
U;\P\D\LAQ962.WK3
1535 South "D" Street, Suite 200 • San Bernardino, CA 92408
(909) 381-6007 • FAX (909) 381-0041
a
SUPERIOR READY MIX CONCRETE, L.P.
`1508 W. MISSION ROAD'• ESCONDIDO,- CA 92029
PHONE:'(619) 775-8272_• (619) 745-0556
Weighed at
38-155, Monroe Street
Indio, CA 92201
DELIVERY TICKET
. 1,92445
WEIGHMASTER CERTIFICATE
THIS IS TO CERTIFY that the following described commodity was
weighed, measured, or counted by a weighmaster, whose signature
is on this certificate, who is a recognized authority of accuracy, as
prescribed by Chapter 7 (commencing with section 12700) of
Division 5 of the California Business and Professions Code,
administered by the Division of Measurement Standards of the
California Department of Food and Agriculture..
DATEU�STQI
E(R
a,— -
ORDER NO.
ERP. OR JOB fJO,
PLANT-N_Q_
RYTICKE('-T_(N'j.O. Y,"�
DELIIVVEi/�
71
6/97
NO.
(
CUSTOMER NAME
SPECIAL INSTRUCTIONS I
[:0CHR(-) V COillylON I CAT I ON
wAsi-I T NGTON S. 'TO M 1 t..ES
AVENUE i_" TO l; RIDGE -t E
JOB ADDRESS
MIL -ES & BRTDGETTf=' IJ4 QUINTA
DESIGN _ _ —
�?•'e" ROCK (LBS.)_
_.3:" ROCK (LBS.)
LBS. SAND
LBS. CEMENT _J_SACK
_
_WATER
ADD MIX (LBS.)
CS- 21
I
WEIGHMASTER
-
TRUCK
DRIVER
- DEPUTY.
. 472'
DON NULL_ r t
CUBIC YARDS TOTAL
C}�/Y
DESCRIPTION
PRODUCTCODE
UNIT TAX
AMOUNT
�
10
S.
� y T�
{PRICE
.33
YARDS TO_GO
0,0Q)
In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines,
meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The
purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials
shall be refused by the purchaser and returned to the seller with a written statement of the.reason for the refusal' thereof. No
cancellation accepted after concrete has been loaded in carrier's.trucks at our plant. Customer is to provide for and assume
TOTAL THIS ORDER
406 • ` 3'
STAND-BY TIME THIS TICKET
PR EVJOUSJS1ANDjBYI'1 (aj
�� ," ?
will •
responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses; street gutters or
stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some
imperfections and popouts may occur for which supplier is not responsible. l w
OUT I �U
12 " E-2
PLANT
71
UNUSUAL INCIDENT OF NOTE ON.THIS DELIVERY
/RECEIVE!D.IIN GOO •CONDITION BY: ' i
X ���� //� / .°
es '" CUSTOMER SIGNATURE
CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid
'MAXIMUM,
SLUMP (r" D
IN
• WATER'ADDED AT CUSTOMER'S
REOUEST �•�' - GALLONS
ON JOB
UNLOADING/,/o
contact with skin and•wash exposed skin areas promptly with water. If any cement powder or mixture
gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention.
Keep children away from cement powder and all freshly mixed cement products.. -
ANY WATER ADDED TO MIX ON THE JOB WILL BE ATTl1E PURCHASER'S RISK
NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE,IF•ANYINGREDIENTS ARE ADDED
AFTER LEAVING PLANT. I
• ESTIMATED SLUMPA7lJNLOADING
— -
/�I//'
INCHES
•WAITING AND/OR UNLOADING
DEPART
ARRIVAL
'
READY
START
/
FINISH / �✓
`+
Stand-by and/or dumping time in excess of 4 minutes per yard will be charged.
TIME HOUR
TO UNLOAD
A ' DELIVERY
5`
cli
J
DAILY CONSTRUCTION REPORT
DATE
S M T W $
� Z � DAY
PROJECT
JOB NO. S-51 WEATHER Sr^e CIL'ar Overcasn Ram Snow
T 3 3250 7085 85 up
CLIENT � �- TEMP.
ShlDoer Hign Repos No.
CONTRACTOR WIND
PROJECT MANAGER HUMIDITY Ory novae. Humo
AVERAGE FIELD FORCE
Name of Contractor
Non -manual
Manual
Remarks
VISITORS
Time
Representing
Representing
Remarks
EQUIPMENT AT THE SITE / rvA4
CSA-R/bb
12�
L C. g
CONSTRUCTION ACTIVITIES
09A,*laf7 Pi c,9 &L—r
vgT-
7 �N
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LC e M t_
DISTRIBUTION: 1. Proj. Mgr.
2. Field Office
3. File
4. Client
PAGE 1 OF PAGES
BY TITLE ��� I
,r.
u .
W - TY i
1
r..; SUPERIOR READY MIX GO.NCRETE, L.P. DELIVERY TICKET
1508 W. _MISSION ROAD • ESCONDIDO SCA 92029 - 102469
PHONE: (619_ )775-8272,•-(619),'7.45_-0556 WEIGHMASTER CERTIFICATE
• ••m•i�e'� - THIS IS TO CERTIFY that the following described commodity was
rY'.y'R
weighed, awei hmaster,whosesignature'
• '.k' ��• 9 Y 9
dhat
Weia„i - • . - is on, this certificate, who is a recognized authority of accuracy, as
9 prescribed by Chapter 7 (commencing with section 12700) of '
38-155 Monroe Street Division 5 of the California Business and Professions Code,
Indio, CA 92201 administered by the Division of Measurement Standards of the
t t California Department of Food and Agriculture.
DATEi
�CUt8TOMErR_N/�O.
ORDER NO
CUSTOMER P.O. OR JOB NO.
PLANT NO.�^
DELII ERY
�+ ry
7/97
71
10232,3
�CUSTOMEFi NAME
SPECIAL INSTRUCTIONS ,j �. s+�f f�G�u I
COCHRAN Cili+llti UN I C]AT I ONS
WASHINGTON G. TO MILES L.
TO S R I I)GE TE R.
JOB ADDRESS
titILES BRIDGET"!E LA 6UINTA:.
DESIGN
,%"ROCK (LBS.)
�iL"ROCK (LBS_)
LBS. SAND_
LBS. CEMENT__
_SACK
_WATER_
_ ADD MIX (LBS.)-_
WEIGHMASTER - - _TRUCK_ DRIVER
DEPUTY
410 -
RICK'S . ERRATO ,
CUBIC YARDS TOTAL C/Y
DESCRIPTION V
PRODUCT CODE
UNIT PRICE
TAX
AMOUNT r-
`�, ;,a(1,I
13K, SHNI
—�
41.90
3V".t. 855
4;-.:8
YARDS O_GO
0. 00
}'
In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility, lines,
meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The
purchaser shall in no event accept deliveries of materials not in accord with the agreement of they parties, but such materials
TOTAL THIS ORDER
'W'i»+6. `r'VJ
STAND-BY TIME THIS TICKET-
ICKET
shall be refused by the purchaser and returned to the seller with a written statement of the.reason for the refusal thereof. No
shall
cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume
responsibility for. area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or
stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards.'Some
pAEQUS�k;ANDIW 1 HL.'
/d e� `t3. 90
TOTAL AMOUNT
imperfections and popouts may occur for which supplier is not responsible. '
PLANT
1
OUT ss�
�i
UNUSUAL' INCIDENT OF NOTE ON THIS DELIVERY .�
/ RECEIVED IOD CONDITION BY:
X /.=✓� ��
MAXIMUM
SLUMP a~' ���
-
IN
• WATER ADDED AT CUSTOMER'S
- CUSTOMER SIGNATURE'
.,.. -
ON JOB
DEPART, —
J %
y
UNLOADINrG// -
START ! %"
CAUTIONI Cement powder or freshly mixed concrete, grout or.mortar may cause skin injury. Avoid
confect with skin and wash exposed skin areas promptly with water. If any cement powder or mixture
gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention.
Keep children away from cement powder and'all freshly mixed cement products.,
REQUEST GALLONS
- ESTIMATED SLUMP ATUNLOADING
'4 '
• ANY WATER,ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK
NOT RESPONSIBLE FOR ULTIMATE DUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED
AFTER LEAVING PLANT. -
� � INCHES
• WAITING AND/OR NLOADING
ARRIVAL• r_
READY •^v'� ._
FINISH! JJ
Stand-by and/or dumping time in excess of 4 minutes per yard will be charged.-
TIME* HOUR
TO UNLOAD
DELIVERY r �;^• ` '
:.
Cr)
DAILY CONSTRUCTION REPORT
PROJECT
JOB N0. I� Z
CLIENT
CONTRACTOR V
PROJECT MANAGER
DATE ' ^ -q -7
AVERAGE FIELD FORCE
S M
T
S
Non -manual
DAY
Remarks
VISITORS
clwcatu Ram Snow
WEATHERE3232-50
Time
Representing
Representing
Remarks
50.70 85 uo14
TEMP.
WIND •
EQUIPMENT AT THE SITE
H.gn Reoorl No.
b l�
Ado
HUMIDITYHumid
'CONSTRUCTION ACTIVITIES
AVERAGE FIELD FORCE
Name of Contractor
Non -manual
Manual
Remarks
VISITORS
Time
Representing
Representing
Remarks
EQUIPMENT AT THE SITE
1,A)
b l�
Ado
'CONSTRUCTION ACTIVITIES
�n i
Lot -,ram
1 r
V�TILfk
,~sit
S
t uc
e -,j
DISTRIBUTION: 1. Proi. Mgr. PAGE 1 OF�PAGES
2. Field Office
3. File
4. Client
BY TITLE
,7,
SUPERIOR READY MIX CONCRETE, L.P.. DELIVEitY TICKET
1508 W. MISSION ROAD • ESCONDIDO, CA 92029
102502
PHONE: (619) 775-8272 (61 9) 745-0556 WEIGHMASTER CERTIFICATE
;i THIS IS TO -CERTIFY ,thatthe;followingdescribedcommoditywas
r weighed. measured, orcountedbyaweigh master. whose signature
is on this certificate, who is a recognized authority of accuracy, as
Wei9 hed at
prescribed, by Chapter Z;(commencing with section 12700) 'of
38-155 Monroe Street Division 5 of the California Business and Professions Code,
Indio, CA 92201administered by the Division of Measurement Standards of the
California Department of Food and Agriculture.
DELIVERY w,;_
CUSTOMER NO.
ORDER NO.
CUSP.O. TOMER OR JOB NO.
PLANT NO.=,.DELIVERY
TIQKET
.. - y •
99 9999
9
— ti
71
' 1 / 8/97
7102356
2356
CUSTOMER NAME -
SPECIAL INSTRUCTIONS
+x�_•�_c��,-�`
C,OC;HRAN COMM.
JOB ADDRESS
r.MIL.ES BRTbCiIiTTr. LA QUINTA .,
DESIGN
I' ROCK (LBS.),
14 ROCK (LBS.)
_ LBS. SAND_
LBS. CEMENT
_SACK
WATER
_ ADD MIX
WEIGHMASTER
_TRUCK
_ _ _ _..a.
DRIVER
l
DEPUTY
\
} � � `\
v�.�
PA�DOMERO L�£.'A1 'J _
�aCUBIG YARDS
TO�C/YDESCRIPTION
PRODUCT CODE
UNIT PRICE
TAX
AMOUNT
9. O0
9. 1710 ;, SK SAND
•
CS•_2
41. 940
29.23
406-.33
YARDS TOGO r
h .00..
In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines,
TOTAL THIS ORDER
406.33
meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The
STAND-BY TIME THIS TICKET
purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such' materials
T • i'(L,
•�iL'. 33
shall -be refused by the purchaser and returned to the seller with a%w,ritten statement of the reason for the refusal thereof. No
v:RE1%IOUSCSTAND.BGI
cancellation accepted after concrete has been loaded in carrier's trucks at our plant: Customer is to provide for and assume
•
•
responsibility for area or container for clean out of concrete truck chute: Any discharge^to watercourses, street gutters or
stormdrains is a violation of law. Concrete is a structural building material warranteedd-only to meet ASTM standards. Some
imperfections and popouts may occur for which supplier is not responsible.
PLANT
OUT
UNUSUAL INCIDENT OF NOTE ON THIS DELIVERY
'MAXIMUM
.'+ , 'at ,RECEIVED IN GOOD CONDITION BY:
3 n L7710
SLUMP.
71
1 w^ A �a9
,.
w , / �� ; r /,� / �r(�'f/,•'j
_
I N
• WATER ADDED AT CUSTOMER'S
(d/-- CUSTOMER SIGNATURE
Cement freshly mixed concrete, or mortar may cause'skin injury. Avoid
GALLONS
ON JOB 1'`j`.i'
UNLOADING
CAUTIONI powder or grout
contact with skin and wash exposed skin areas'promptly with water. If any cement'powder or mixture
prompt medical attention.
gets into the eyes, rinse immediately and repeatedly with water and get p
REQUEST
• ESTIMATED SLUMP AT UNLOADING
;s.
DEPART
START ���
•Keep children away from cement powder and all freshly mixed cement products.
INCHES
ANY WATER ADDED TO MIX ONTNEJOBWILLBEATTHEPURCNASER'BRISK
ARRIVAL
FINISH
NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED
• WAITING AND/OR UNLOADING
-AFTER LEAVING PLANT.
READY
"
Stand-by and/or dumpipg time in excess of 4 minutes per yard will be charged.
•
TIME HOUR
TO UNLOAD..,'
DELIVERY w,;_
Ln
PROJECT MANAGER
CONSTRUCTION REPORT
DATE Pa q 7
AVERAGE FIELD FORCE
S ^^
T
Non -manual
2
I
S67
Remarks
DAY
I I
I R1IT1I
Time
Representing
I I
Remarks
Gear Overcast Ram Snow
WEATHER
Sun
32
3250
5070
085 85 uV
TEMP.
WIND
Suu
oder
7_97—
ReportNo.
°ry
Moeer
Humia
HUMIDITY
AVERAGE FIELD FORCE
Name of Contractor
Non -manual
2
Manual
L
Remarks
VISITORS
Time
Representing
Representing
Remarks
EQUIPMENT AT THE SITE
CONSTRUCTION ACTIVITIES
VV I � r ✓ �P
I
DISTRIBUTION: 1, Proj. Mgr. PAGE 1 OF__LPAGES
2. Field Office
3. File
4. Client f r�
BY TITLE
Fisk Form 8-1
SUPERIOR READY MMCONCRETE, L.P.
1508 W. MISSION ROAD • ESCONDIDO, CA 92029
PHONE: (619) 775-8272! (619) 745-0556
Weighed at
38-155 Monroe Street
` Indio, CA 922012.
r
DELIVERY TICKET
1r?2505;
WEIGHMASTER CERTIFICATE
THIS IS TO CERTIFY that the following described commodity was
weighed, measured, or counted by a weighmaster, whose signature
is on this certificate, who is a recogniied authority of accuracy, as
prescribed by Chaptei 7 (commencing with section 12700) of
Division 5 of the California Business and Professions Code, .
administered by the Division of Measurement Standards of the
California Department of Food and Agriculture. '
DATE
CUSTOMER NO. L –
ORDER NO_._
CUSTOM_ ER P.O. OR JOB NO,.
PLANT NO,: pD.ELIVER-[IC
KET NO, .
,�c�9 .,
71
; .i i �iL� 7
999999
'7111"112359'
CUSTOMER NAME
SPECIAL INSTRUCTIONS
C.(.),C ARAN COMM,
1
JOB ADDRESS r
I!I }. L .EG &L BR Y DGE:TTE L._A Q II I}ITIS i' � . j
i:.' •y,
DESIGN -
" ROCK (LBS. F�
LBS. SAND
LBS. CEMENT
SACK .
? WATER_
ADD MIX (LBS.)
ff
WEIGHMASTER _� f
— %�/��7� ✓�Jr ....e.✓� . DEPUTY
TRUCK_
DRIVER
r . /
ry
ED BAL..bt-.Rf.) 'S
CUBIC YARDS
TOTAL C/Y-- ' DESCRIPTION ...-
PRODUCT CODE
UNIT PRICE
TAX
AMOUNT
YARDS TOGO_
t%l ., CA IA'
..
In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines,
TOTAL THIS ORDER r
9 ir1). 29
meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The
purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials
STAND-BY TIME THIS TICKET,
pREMB USISTAN151RI I AL.
496. 62
shall be refused by the purchaser and returned to the seller with a written statement of•theseasonJor the refusal thereof. No
cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume
' ,
responsibility for area or container for clean out of concrete truck chute. Any discharge to, watercourses, street gutters or
stormdrains is<a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some
imperfections and popouts may occur for which supplier is not responsible.
PLANT OUT <
'`�JNUSUAL INCIDENT OF NOTE ON THIS DELIVERY
MAXIMUM 00
RECEIVED IN GOOD CONDITION BY:
3.
SLUMP
71 14:11
- !
IN '
• WATER ADDED AT CUSTOMER'S
X --�"✓`"•�,
y
CUSTOMER SIGNATURE
ON JOB
UNLOADING
CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury: Avoid
' REQUEST - GALLONS
contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture
• ESTIMATED SLUMP AT UNLOADING
DEPART
START
gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention.
Keep children away from cement powder and all freshly mixed cement products.
•'/
'
ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK
INCHES
ARRIVAL/
FINISH/
NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED
• WAITING AND/OR UNLOADING
a= '
/ '
AFTER LEAVING PLANT.
•k,�':.''
READY
Stand-by and/or dumping time in excess of 4 minutes per yard will be charged.
TIME HOUR
•'
TO UNLOADr
CZ1
SUPERIOR READY MIX,CONCRETE, L.P.
1508.W. MISSION ROAD • ESCONDIDO, CA 92029
( PHONE: (619) 775-8272 • (619)745-0556
�L r
, Weighed atrb
38-155 Monroe Street'
Indio, CA, 92201
DELIVERY TICKET
102531
WEIGHMASTER CERTIFICATE ,t
THIS IS TO CERTIFY that the following described commodity was
weighed, measured, or counted by aweigh master, whose signature
is on this certificate, who is a recognized authority of accuracy, as .
prescribed by Chapter 7 (commencing with section' 1270-0)
Division 5 of the California Business and Professions Code, •
administered by the Division of Measurement Standards of the
California Department of Food and Agriculture.
DATE
CUSTOMER NO.,
ORDER NO.
CUSTOMER P.O. OR JOB NO.
_--
FIANT.NO.�.
DELIVERY
__�_
C) 9 fa . IO C.)
,r
r '
71
:t / C31 f'.� %
CUSTOMER -NAME i
SPECIAL INSTRUCTIONS_�����_
COC`.I-If2AN r:nMMU.tN T.C'A T T CWniS st .
` `
sJ08 ADDRESS _
M11 -ES & BRIDGF.=T<T•E= L.A . t:MINTi~1
DEIGN .
A' ROCK (LBS.)
N." ROCK (LBS.)
IBS. SAND
LBS. CEMENT_
SACK
WATER
MIX (LBS )
CS -2
IL
J��DD
.' .t
WEIGHMASTER *j
TRUCK
DRIVER _ - „�,T �T.
'
DEPUTY
•!47;_?
T)fNMI. #
CUBIC YARDS TOTAL DESCRIPTION r_, a
PRODUCT CODE
UNIT PRICE
TA/X{
A�MOUNTq
�C,1/Y�
(
1'i7'1'iV "'le��..,•-. 3:.�r- 5•.+•-,iy��Yil.µe.,..,., .. ly .. -
l
r 47* L.•-. �,
f
,.,� x -i"L.r ;
1'�...t -J
(y
3!:9 x !. (.�.
F C •`-y n... IJ
\, :1 f �L�
il''
•� jd
•
1
0.
In the event of delivery beyond curb line, this company will'not assume liability for damage to sidewalk, driveway, utility lines,
TOTAL THIS ORDER
meters, septic.systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The
purchaser shall in no event accept'deliveries of materials not in accord with the agreement of the parties, but such materials
STAND-BY TIME THIS TICKET
�RE1litf{OUSySTANDjeYt r It
f� Z
,shall be refused by the purchaser and returned to the seller with a written statement of the.reason for the refusal thereof. No
.bcancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume
"
responsibility for area or container for clean out of concrete truck chute. Any disoi� , to watercourses, street gutters or
stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some
j
imperfections and popouts may occur for which supplier is not responsible.' a' —*—
PLANT
OUT / r
UNUSUAL INCIDENT OF NOTE ON THIS DELIVER.Y1'.. s.
MAXIMUM
RECEI,V.ED IN GOOD CONDI. rION'B'Y:• �`
��r
SLUMP 4x 0C(I %
1 :F;'
12:27.
IN
X� "6/*p ��
• WATER ADDED A C,USTOMER'S
CUSTOMER SIGNATURE
ON JOB
UNLOADINO
CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid
- REOUEST GALLONS
contact with skin and wash exposed skin areas promptly with water. If any cement powder or'mixture
ESTIMATEDSLUMP AT UNLOADING
DEPART
START
gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention.
Keep children away from cement powder end ell freshly miiced cement products.
- �
9
ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK
INCHES
.'
'FINISH
NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IFANY INGREDIENTS ARE ADDED
• WAITING AND/OR UNLOADING
ARRIVAL
!
r'
AFTER LEAVING PLANT.
..
READY
t
Stand-by and/or dumping time in excess of 4 -minutes per yard will be charged.
TIME HOUR
TO UNLOAD
DELIVERY `
' GRRnrr :-
consimucnon
comPRm iy
O01�INDIO PLANT
� INDIO, CALIFORNIAONROESTREET
INDIO, ALIFOR
(619)775-8270
❑ 02 GARNET PLANT
21500 INDIAN AVE, N.
PALM SPRINGS, CALIFORNIA
(619)325.5220
04
ORTEGA PLANT
TRUCK
33523 LUCAS CANYON
DESCRIPTION
SAN JUAN CAPSTRANO
DATE
CALIFORNIA
��.
(714)728-3434
❑ DS
29 PALMS
7451 MOJAVE RD.
r�.kf;:y �r
29 PALMS, CALIFORNIA
(619)367.9536
CONTROL NO. 1 330821
❑ 07 EL CENTRO PLANT
2095 HWY 111
EL CENTRO, CALIFORNIA
(619)337-3050
❑ 08 FRINK PLANT
E. FRINK ROAD
IMPERIAL COUNTY, CALIFORNIA
(619)337-3050
ASPHALT/AGGREGATE ,
03 WHITEWATER PLANT{ 06 SHELL CANYON 09 EHRENBERG PLANT
WEIGHMASTER CERTIFICATE 13250 WHITEWATER O N/O SLATE RT. 2 O MOJAVE ROAD
CANYON ROAD t OCOTILLO, CALIFORNIA EHRENBERG, ARIZONA,
o, WHITEWATER, CALIFORNIA (619) 337.3050 (602)923-7933--
(619) 775-8270
602)923-7933 (619)775-8270
CONTRACTOR'S LICENSE NO.: 89
WEIGHMASTER CERTIFICATE + �`
THIS IS TO CERTIFY that the followingdescribed commodity was wei hed. measured or counted b +a wei hmaster, whose signature on this certificate, who is a recognized authorit of.aurac , as
Y 9 Y- 9 9 9 Y Y
prescribed by chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professional Code, administered by the Division of Measurement Standards of the California +
Department of Food and Agriculture.';a-"
PLANT.
,TICKEttT, NO.
TRUCK
PROD.0PRODUCT
DESCRIPTION
OPERATOR
DATE
1 3',,4
��.
;C.ii"}iArl}.}
r�.:'..(�
Q'i'rl}'{
r
t.1.�t;:►G 'f
r�.kf;:y �r
4
CUSTOMER NO.> �
SOLD TO
TX;CD
DRIVER .. `
�a
.�rti�. , ' •
r.;r r;W . l�� r.,tJ�11MIJ1'411—�3•r-) 014 r»
a.
1,11 11PI1}•} r�r„I�i}l -
DELIVERY ADDRESS
P.O.W.
ORDER NO.
GRANITE JOB NUMBER
`(ifr!•iiif�i�i; t",+]C4}'�Ll}al'C':I`i'►'a,�i:t}•44."a
;}`f��rd71d r:,a
ttlt,){3`:!
INSTRUCTIONS
1141
DRIVER ON BOARD
PREDETERMINED TARE
DATE OF TARE
TIME OF WSGH
CTCHIWIVI
(11,/R4/97
CAL TP5114S, j 12 MAX MID)l PR/fs
MAXIMUM ASPHALT. 15 MINUTES 3 AXLE) AGGREGATES: 10 MINUTES (3 AXLE)
UNLOADING TIMES: 30 MINUTES TIT) 20 MINUTES (T/T)
�. ADDITIONAL UNLOADING TIME WILL BE CHARGED AT CURRENT PREVAILING RATES.
WEIGHT IN TONS
GROSS GRANITE CONSTRUCTION CO.
I 1 A � 1 WEIGHMASTER
TARE r; A-, '
c
NET �. r:J1 t r r►tiit.
CHECK INFORMATION: • . BY:
NAME:
ADDRESS:
PHONE: `
D/L #:
TAX:
SUBTOTAL:
STANDBY TIME
RELEASE:*.. I hereby agree not to hold
GRANITE CONSTRUCTION CO. or any of its
employees liable for damages inside curb or
property line caused by any of their
equipment, as I have requested delivery on
the property. for the material listed and hereby
acknowledge receipt of same.
RECEIVED/RELEASED BY::I/.
.,, (,>— 4-:.�
f FORM p1,0_027,•$ -I
"400 `^
URRnrm
//'J�
TRUCK
PROD.CDJ
PRODUCT DESCRIPTION
consrRumon
0" 1 IN PLANT
❑ 04
ORTEGA PLANT
i
STREET33523
DIO, CALIFORNIAAN
(619)75-8270
1,00M. ' 0.1
LUCAS CANYON
JUAN CAPSTRANO
CALIFORNIAcompnnu
SOLD TO
TX'CD
DRIVER
C`ttif;l(lil=itkl !'il`1
(714)728-3434
"
❑ 02 GARNETPLANTLl05
29PALMS
r
21500 INDIAN AVE, N.
P.O.NO.
J(11:1014
7451 MOJAVE RD.
1
PALM SPRINGS, CALIFORNIA
29 PALMS, CALIFORNIA
(619)325.5220
INSTRUCTIONS
(619)367-9536
CONTROL NO. I 33082
2
07' . EL CENTRO PLANT
2095 HWY 111
EL CENTRO, CALIFORNIA
(619)337-3050
❑ 08 FRINK PLANT
E. FRINK ROAD
IMPERIAL COUNTY, CALIFORNIA
(619)337.3050
ASPHALTIAGGREGATE
WEIGHMASTER CERTIFICATE 03 WHITEWATER PLANT ❑ os SHELL CANYON O 09 EHRENBERG PLANT
13250 WHITEWATER NIC, SLATE RT. 2 MOJAVE ROAD
z CANYON ROAD OCOTILLO, CALIFORNIA EHRENBERG, ARIZONA ,
iS "� '11• f.. WHITEWATER, CALIFORNIA (619) 337.3050 (602) 923-7933 .h
CONTRACTOR'S LICENSE NO.: 89 1 (619)775.6270
WEIGHMASTER CERTIFICATE
THIS IS TO CERTIFY that the following described commodity was weighed, measured or counted by a w6ighmaster, whose signature on this certificate, who is a recognized authority of accuracy; as
prescribed by chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professional Code, administered by the Division of Measurement Standards of the California
Department of Food and Agriculture. 141,
)
I
PLANT •
TICKET NO.
TRUCK
PROD.CDJ
PRODUCT DESCRIPTION
OPERATOR I DATE
1,00M. ' 0.1
CUSTOMER NO.
SOLD TO
TX'CD
DRIVER
C`ttif;l(lil=itkl !'il`1
ry f
DELIVERY ADDRESS
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P.O.NO.
J(11:1014
I ORDER NO.1
GRANITE JOB NUMBER
INSTRUCTIONS
-
t
DRIVER ON BOARD
PREDETERMINED TARE
DATE OF TARE
TIME OF WEIGH
t�.i Icy i�l�l 0.301- 1-
1 /r 7,,<.,
PRODUCT DESCRIPTION
i wrw Gltt1 i ..3R1
MAXIMUM ASPHALT: 15 MINUTESAXLE) TAX:
UNLOADING TIMES: 30 MINUTES (T/T) 20 MINUTES `iT/T)
SUBTOTAL: j
ADDITIONAL UNLOADING TIME WILL BE CHARGED AT CURRENT PREVAILING RATES.
.� • STANDBY TIME
&
MISSING TONS
r 4
WEIGHT IN •
RELEASE: . 1 hereb ree not to hold
GRANITE CONSTRUCTIOa g
GROSS
'WEIGHMASTER GRANITE CONSTRUCTION CO. or any of its-,
TARE
employees liable for damages inside curb or
]CO,_' property line caused by 'any of their
NET
equipment, as I have requested delivery on
CHECK INFORMATION: ' . "�
the property for the materiai listed and hereby
BY: t"l>�w/edge receipt of same.
l �`
NAME:
ADDRESS: '(
/
I
PHONE:
RECEIVED/RELEASED BY: 'f/1-1, 1 .�....:"IZ-
� 4� ..
D/L #:
FI • FORM #100