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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 C <br /> CORP OFFICE 970.356.7523 <br /> 301 CENTENNIAL DR. <br /> MILLIKEN,CO 80543 <br /> .1 I <br /> .J A A■ , CUSTOMER Nsir"a,"Rq PI ANT DATE TIME TICKET <br /> CUStOMpRMxx/F� ARRIVE JOB BEGIN POUR LEAVE PLANT <br /> . ORDER pAMN.R CUSTIOBpAN.IRFR PO--#A*A MVK7US.' COOT ARC FINISH POUR IIAVE JOB ARRIVE PLANT <br /> ID <br /> A P { <br /> • <br /> DELIVERY ADDRESS,INSTRUCTIONS (PLEASE VERIFY ADDRESS SUBTOTAL <br /> CITY TAX <br /> I <br /> STATE TAX <br /> • I WATER ADDED AT t— CUSTOMER i DRIVER COMMENTS TOTAL <br /> MAIN.p i CUSTOMER'S REQUEST _ GRAND <br /> M A I I TOTAL • <br /> TMJCK DRIVER SLIM► <br /> Freshly mixed concrete may cause burns,blindness and severe skin inj <br /> skin. Wash exposed skin areas promptly with water. For eye exposure, rinse ..nmediately and <br /> PREVIOUITRUCK TEST REIVITS SLUMP AIR TFMP <br /> .rpr.•..al;,,.-t6:,:n•,., C.ek h..,�.;..,m-•dk�r���,�..+.,:�,., KEEP OUT OF REACH OF CHILDREN <br /> I NOT RESPONSIBLE FOR DELIVERY BEYOND THE CURB LINE. <br /> 10324773 I I' III I I I I RECEIPT,RELEASE AND ACKNOWLEDGEMENT <br /> LCUITOr 111 TO PROVIDE-1..11T AREA <br /> UNLOADING TIME IS SIX MINUTES PER CUBIC YARD.TIME IN EXCESS IS SUBJECT TO CHARGE. _ _ CUSTOMER'S REPRESENTATIVE <br /> '.LC.1. , ;.cI-,t`t ft+ D.%ti:- <br /> ii�l+ seer 20301969i? 1.15..'tj7 13:46 10, 1`3:-- <br /> L_DIE,r feet +.Fr IIed (2tY Mix Age,; t,%e f L_cl.-i€d ID <br /> 8. tb&n. +' , , ittYil L i fF 121336 <br /> Material De' i jai . Drtign 9t}� Reqaired fl Var %NoisturE Gana'. Hat <br /> A68383389 ALL 189 ax lb b711 !b bta lb L 13% Y.35% M 3 gI <br /> M14410 C1)NCp>E1£ 5Al�1 1912 lb lux 1b IGW lb -4,58% 5.41 A in 91 <br /> D1i 1CiE 5&4lb 4288.8 1b �1 5.81b -8.78% <br /> WATER RMW �A 39. 9 lb 311 81 oz 311W lb 8.68% <br /> NSIN3 <br /> 329Ib 1681 lb � Ib831b 8.88tRW37 H DRATIill1 53e.9 lb 10%f O 1b lk".Q 1b 8.38% <br /> Artvai .88 az t 18 . a A?.88 oz -1.92% <br /> Nun Hatches. 1 &Rtlal 13:46.55 <br /> Load Total: 3" lb �icl �Q,581d MateriCeeent C 489 4 Design 315.8 g1 Actual 387.5 g) To Add: 8.6 91 ' <br /> 5lulepl: G." is Bate; i, E,A 91 Adjust Yatu: 4-0 91 : Load Trio H fie": i.A gJ' CfD <br /> 1 <br /> f <br /> �Yy <br />
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