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2021-03-16_REVISION - M1977300 (13)
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2021-03-16_REVISION - M1977300 (13)
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Entry Properties
Last modified
1/10/2025 2:50:54 AM
Creation date
3/17/2021 7:38:43 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977300
IBM Index Class Name
Revision
Doc Date
3/16/2021
Doc Name Note
Pt. 2 of 2
Doc Name
Record of Construction
From
Colorado Legacy Land, LLC
To
DRMS
Type & Sequence
TR28
Email Name
AME
Media Type
D
Archive
No
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E <br /> UR DISPATCH 970.587.9305 1 303.637.0900 <br /> HMCC CORP OFFICE 970,356.7523 <br /> 301 CENTENNIAL DR. <br /> MILLIKEN,CO 80543 (J 0 <br /> CUSTOMER CUSTOMER CODE PLANT DATE TIME TICKET <br /> CVSTOMERPHONE ARRIVE IOB BEGIN POUR I SAVE PLANT <br /> ORDERNUMBER CUST"NUMBER PO NUMBER "REViOUSIVIM CDOT AN FINISH POUR LEAVEIOB ARRIVE PLANT <br /> I QIJANIIIY QUANTITY QUANTITY PRODUCT <br /> I HIS LOAD ORDERLD DELIVERED CODE PRODUCTr . <br /> r <br /> DELIVER)ADDRESS INSTRUCTIONS (PLEASE VERIFY ADDRESS' SUBTOTAL <br /> CITY T <br /> STATE <br /> WATER ADDED AT CUSTOMER%DRIVER COMMENTS: TOTAL <br /> CUSTOMER'S REQUEST _____ ______ --- GRAND <br /> d` m TOTAL <br /> CAU <br /> TRUCK DRIVER SLUMP "''°PA, Freshly mixed concrete may cause burns, blindness and severe skin injuries.Avoid contact with <br /> skin. Wash exposed skin areas promptly with water. For eye exposure, rinse immediately and <br /> PREVIOUS TRUCK TEST RESULTS SLUMP a�R rEn�.� repeatedly with water.Seek prompt medical attentinn,KEEP OUT OF REACH OF CHILDREN <br /> NOT RESPONSIBLE FOR DELIVERY BEYOND THE CURB LINE. <br /> 10319086 RECEIPT,RELEASE AND ACKNOWLEDGEMENT <br /> CUSTUML R'O PROVIDt I AREA <br /> UNLOADING TIME IS SIX MINUTES PER CUBIC YARD.TIME IN EXCESS IS SUBJECT TO CHARGE, CUSTOMER'S REPRESENTATIVE <br />
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