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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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DISPATCH 970.587.9305 1 303.637.0900 <br /> BURMCD CORP OFFICE 970.356.7523 <br /> 301 CENTENNIAL DR. �IN11111111111111 <br /> MILLIKEN,CO 80543 <br /> CUSTOM!. CVSTO4EII Cnar P AN't TF TWE TICKET <br /> C.UStUW RAK7NFR ARRIVE JCM 9E(:INPOUR LrAVr PLAN <br /> • .x+IXRMUUKR CVST µ7RIMWR I' ^.•.fiia AAEVKx,)SW� COOT APL9 IINISH POUR LrAVE(Q8 ARRIVE RANT <br /> • a P <br /> • <br /> e <br /> i <br /> IL <br /> rr •� ' <br /> DELIVERYADDRESS INSTRUCTIONS (PLEASE VERIFYADDRE5S) SUBTOTAL <br /> CITY TAX <br /> STATE TAX <br /> WATER ADDED AT CUSTOMER/DRIVER COMMENTS TOTAL <br /> CUSTOM ER'S REQUEST ___ GRAND <br /> TOTAL <br /> CAUTION <br /> TPUU _ci. c MAP PAGE <br /> { 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 /> PREwOUSTRUCK TEST RESULTS ,LUMP AIR TEAR repeatedly with water.Seal r ^n*! „I- "'noon.KEEP OUT OF RFACH OF CHILDREN <br /> NOT RESPONSIBLE FOR DELIVERY BEYOND THE CURB LINE. <br /> r 10324726 I I'I I I "' III I I I I' I I"I RECEIPT,RELEASE AND ACKNOWLEDGEMENT <br /> • CUSTOMER TO PROVIDE WASHOUT AREA <br /> UNLOADING TIME 15 SIX MINUTES PER CUBIC YARD.TIME IN EXCESS IS SUBJECT TO CHARGE CUSTOMER'S REPRESENTATIVE <br /> i <br /> 01 C;P T <br /> Lc)�4d 91 lReturncid Catty Miw <br /> Materjal [it�cripptjon be Joel at yy 11tqucred Batched % <br /> At�38 Y0 ALLUVIAL Wj 1j� Ib 5711 ib 6760 1b *.,el- t. <br /> 'A A61814410 CXXTE SAID I'172 l b 16617 1 b 16569 Ill -C KA 5. <br /> I CfMi ` 6I tb 4M0 lb 4216.1 lb 8.054 <br /> IW135 MID a o� 1I5.84 az stB.INI <br /> *TER WATER lb 1667 lb 1666 Ib 1b.i3 <br /> Rll -0 AIR [WfMINMEMT All 11 0 0z YI az <br /> WA SIX B 1 b i0.0 I b An I tb -4. <br /> {f ,d7 WDIIIATIOM STARE.. V 3: i 104. az 1I21.80 oz -t.,KC <br /> Actual 1A Batches: Manua! :` ie <br /> Lead Total It 38M lb 6.SM, watiri1t5ek 0.4% A <br /> 0 c,-#D,: 6.41 ill Watg Rs Water. CA qI <br /> , r <br />
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