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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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• <br /> CORPOFICE 9056752303.637.0900 <br /> IRURNCKI- , <br /> 301 CENTENNIAL DR. 111111MILLIKEN,CO 80543 HE 1 <br /> rUSrO.A0 COM RANT pATF TIME TICKET <br /> - <br /> 1.ust(wnR PHL)-*1 ARRIVE LOB BEGIN Pme LEAVE PANT <br /> 7--77 ,+'unl', PO NUMPI M 1•P[YKX15 Mlk 1 GOOT AA 1 iTNISN PCX/R LEAYf JOB ARRIVE PUNT <br /> • <br /> DELIVERY ADDRESS:INSTRUCTIONS (PLEASE VERIFY ADDRESS) SUBTOTAL <br /> CITY TAX <br /> STATE TAX <br /> WATERADDEDAT CUSTOMER DRIVERCOMITS TOTAL <br /> CUSTOMER'SREQUEST -.__ __. GRAND <br /> r' F TOTAL <br /> TRUCK pBVEIt SLUMP MAP PAGE Freshly mixed concrete may cause burns,blindness and severe 0 d contact with <br /> Skin. Wash exposed skin areas promptly with water. For eye expo>uie, —"C imn.edhrrely and <br /> PREVIOUS TRUCK TESTRESULTS SLUMP AIR Tfk* r,p—trdly with water.Seek oti—, ,t KEEP OUT OF REACH OF CHILDREN <br /> NOT RESPONSIBLE FOR DELIVERY BEYOND THE CURB LINE. <br /> 10324745 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. CUST(5MER'S REPRESENTATIVE <br /> IJ <br /> LIT,I ,PI <br /> 1.'aai# S),ze Mix Co0v Uty III Jage r E,I-1 L, <br /> 6a00 CMOs 40YN31 L'66 D <br /> MiltErlai Ilascriptjan Design 11ty F4+Isle<rt bii mid x tr % Mn <br /> A11g93339 IflllW(AL 089 83ti l b a s b IA I b v 5A �. <br /> A69114110 COME 9" 19T2 I b :i?45e I b ff."m l b -6.62x <br /> Mel CENT 526.8 1 b 31 0 1 b -.D 1 b •4L 8.''>< <br /> mm MID RAMS 33.48 a: 21 ML Tf ,11i 07 -1.21,21 <br /> ilq?E 1 WATER 329 I b i?% It I Z58 lb l.17X <br /> P10" kit ENTRRIN►ENI .23 az 1.3p? i)z -at ez 1lIL W% <br /> WA 9E7Sc 1:+2.1� Ib .0 it 0%.4 lb I.FA% <br /> PMfs� 4yT&I ION ST t1E i I e,1* 02 1 72 nr T.ill oz 11.aitx <br /> krt a; �cIkw BAmt,4 1 --p mu4� 11.12:87 <br /> ,:4[lv 1b Jr!jRri t.. FlateriCeuen @. 2 .!1• Mir 137.6 l Actual <br /> 51tmp: 6.40 in biatpr t)i buck: t 4) "Miss WA.Vjj 4 11'/ Low Toe Marl -1.5 g11 C*� <br />
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