HomeMy WebLinkAboutHistoric Correspondence 701523
DIAf-AC—D !1 SERVICE
620 Dclen Drive
Paso Rcb! s, CA 9wA46 (805) 238-30Q0
er'4DC� 1� CA
Customer's � Date �, ���, 19'V.
Order No ��. \\
Name
AAA—ee
ALL claims and returned goods MUST be accompanied by Pus bill
8 y Rec' b
ALL PUR/ [ [AL[[ IOR A7
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SEE BACKFOR KA/SER
PLANT SA/VO K GRAVEL COMPANY
LOCATIONS A Subsidiary of Koppers Company, Inc.
AND
TELEPHONE N's POST OFFICE BOX 580, PLEASANTON, CALIFORNIA 94566 a 415 / 646.8800
WARNING
IRRITATING TO THE SKIN AND EYES.
Contains Portland Cement.
Avoid Contact With Eyes and Prolonged Contact With Skin.
Prolonged Contact with Wet Concrete May Cause Burns.
Wear Rubber Boots and Gloves.
In Case of Contact with Skin or Eyes, Flush Thoroughly
With Water. If Irritation Persists, Get Medical Attention. .
Keep Children Away.
J Terms and Disclosure Statement:
1 Seller reserves and may exercise Its statutory rights as provided for
1 in the Mechanics Lion and Bond statutes. Customer agrees to pay a
1 reasonable attorney's fee and other costs of collection after default
1 and referral to an attorney. Not -No discount. Payable at our general
1 office.
WEIOMMASTER'6 CERTIFICATE OF WEIGHT AND MEASURE
This Is,te'oeApy that tM following described merchandise was weighed, measured
>� W. aeuiMed t a palpe master. and his signature is a Mcognlzed authority
,y ".0d kwracy as'prescri *0.0y Chaptar 7.3 (cormtencing with Section 12740)
.of Dlvlslon 5 01 the California Business and Prolesalons Code, adnYnlstered by
the Division of Messurnnem Standards of the Deparintent of Food and AgrigAturs
o1 the State of California.
KAISER SAND i GRAVEL CO. — PRIVATE WEIGHMASTER
BY 1— Lf-Mmy OI.,SF= N DEPUTY
nl �.I •I , t .1. lJla (.LJ
DELIVERY ADDRESS & INSTRUCTIONS
f7l'A(1i_£3 DRY C LE:ANINO H;[G.—E)T.
MIX a SLUMP PSI REMARKS
'P 1'ei8t•bF fir. t 1
LOAD ' WAD TMF ORDERED
QUANTAY' NWWR ` QUANTITY
I
II ___ __1._ .__ .1 -- -
REVOLUTIONS ►
DELIVERY P T
TIMES
1 364305
NOTICE -DELIVERY UABIUTY DISCLOSURE
The driver will make every possible ellorl consistent with sale practices to deliver concrete or other
materials to place customer designates. However. neither driver nor company assumes responsibility
for damages inside curb or properly line.
RECEIVER AGREES TO ACCEPT RESPONSIBILITY FOR REDUCED STRENGTH DIE TQ ADDED WATER
ABOVE DESIGN REQUIREMENTS.* /// 6
WATER ADDED ON JOB AT CUSTOMER'S REQUEST GAL. C
OTHER Tu:M-7/ � --- --
Received ay
I
DRIVER NAME TRUCK I PLANT DATE
ARVIN TFf)PY ?I. , 88 , z"6 6",
PROJECT . 10FIDERI TICKET
C72 04��O86
PRODUCT[ RRODUCT DMWNF 110N
cot
BATCH QUANTITIES:
' Z 0
364305
UNIT AMOUNT
PRICE
AL TAX TOTAL
:a I
"- ' .0 RECEIVED SEP 2 3
1986
SAN LUIS OBISPO CITY
APPLICATION FOR PERMIT TO ABANDON/CLOSE
UNDERGROUND HAZARDOUS MATERIALS STORAGE TANK,
Application is hereby de y.the and rsigned for permit jo abandon t nk(s) in
or on premises at:(�;�� �,.� �Lt'4n�,�5 �lY /`��5yr
OWNER: Name of Company:
Mailing Address:
PART I
Cta `s �,)rr/ a
Contact • /�/Ory� Q
2--17 /Y c4 uelvrG S X, S Lei. /.3 1/0
v
Telephone: (961 J'(13`d-A 0
OPERATOR: Company: Contact:
Mailing Address:
Telephone: ( )
;)
List previous owners and operators of the tank(s), if applicable:
DATE
Attach a plot plan showing:
rnp 9#;o
OWNER/OPERATOR
Location of all tank(s) and piping and their secondary containment
Leak detection system
Overfill protectionScale
�itu Copy fn
North arrow R9{! a
� iiul V,.Ipis OX, Fire Daml,
Property line
Nearest intersection or road
Equipment summary
Existing equipment and equipment to be removed
)pkc�anit *Signa ure Date
1 of 2
PART II
Date Tank Installed: N52, Volume of Tank (Gallons)
I!
Materials stored in tank:
DATE MATERIAL
4
Type of Primary Containment: Q Concrete Q Fiberglass [ ' Steel
Q Fiberglass Coated Steel Q Other
Piping/Materials of Construction: R' Steel Q Fiberglass Q Other
Type of Secondary Containment: Q Concrete Q Fiberglass [] Steel
Q Fiberglass Coated Steel [] Other
Was any part of system cathodically protected?—
If yes, which part(s)?
Describe leak detection system used, if any: No-L
Describe overfill protection system used: d1cV-n-C
What is approximate depth to groundwater?
Basis of determination:
What is the final destination of the tank(s) for disposal?,
:� FDP 269 2 of 2
TELEPHONE S43-22SO
PALES DRY CLEANERS AND LAUNDRY
Our Motto: "Quality and Prompt Service"
214 HIGUERA STREET - SAN LUIS OBISPO,- CALIF.
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