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HomeMy WebLinkAboutPermit Miscellaneous 2009-3-12 ~\ '.1'0: raS 03:57p , ---.. . ~ ' ~CE Equipment ~pecialty , Services Inc. Mike Kuenne 541- 349 W lJlo Street Springfield, )r. 97477 (541)485-8930 Fa,: (541)393-0202 CCB# 154093 DEQ# 38314 Bill To Oregon Water Services, Inc' 727 Wilson Street Eugene, OR 97402 P.O. Number Terms Rep MDK Net 30 Quantity Item Code 1,000 PUMPING I Job Location 1742 DELROSE I Date I 3/12/2009 -- CoM 247'1 - 001 Z-,i Ship ,/1212009 Descriptior TANK PUMPING FOR TJ, NK ABANDONMENT , NICE GUY NO ADDrnO 'IAL CHARGE FOR ALL THAT EXTRA ,lARD WORK AND MUD '., ~. JjJ~/o\" .' WAY COOL' I Total F.O.B. Price Each 0.265 .. p.l Invoice Invoice # I 9467 I Project Amount 265.00 $265.00 ~r.n<c['!':L~aJSeS skI1 m_,CootJi" PO!l~d-:'=I-Read ~ fotv.i~ -*'9beW:uS~ ~tai ~ We( ~ , c:erre1t cr CEfT'Sl1 rrixtLres (31 cause ski'l initabcrI, severe cnemca tuns CJ se-ious ete d<rna'Je. AvOO cxrrtad 'MIh eyes a>d sJ<i>. gbIes. . f\Jy-lluIlllred. ~ slit U1ength """'" a>d Ii;Iht-fiIlirg "to ~ v.t1en1Y<Xl<i\i ~ 1hese rrateriasll""""""Io';.!1"l ilwe!concrele. usewalelproctboolslhat...li;lhtaltl'elDpa>dhighO'lOUJhtokeepconcrelefroolllaM~ i11DtI'em Ili'OsI1nJconcrele. 'IIeif"",,~topmectkneesAftercmta:tv.i1t1 'injct1heserraterias. washctfi-rlre<lalelyv.i1t1[esh._walEr,1ndirectcmta:t 1lmIJhclolt'i'li.asda1geroossoprorlJlllyri1se1heserraterias froolclolt'i'li____1ioo1yoo""",,persistento-severe _atln case ct "to cont1d, 1\S1~ ~ctwalErfa' alhlast 15 rmrtes, Con9JlphjsiBl i-rIre<IaleIy, KEEP ootct.- ct_i Use' agrees 10 rm<ejltiswamg to" persoro "'" rroy use 0- cane i11D ""tact v.i1t1 we! (~concrele. rrota'. 0'l'lIeI1t o-O'l'lIeI1t rrixbJres, Aaareaates: PtttlrgOO ~ of dust froo1 a grayeI pn:xllx:l may be haza'l:ku; lo ycu ~, Measures lo control fl.gilive dust sIo.id l::e talen .ten ~ IIis ~ Hot AIM.h errils I'lJisa1re fumes, Moo breaIli1g \Ires, Also~Asph<t rroy caJSe severe btJns, W'" prctedive sa!eIy _ (krg ........ palls "" ~""",), 11xIred. 000 ~ waIEr a>d sre . physm1. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agent aarees to accept responsibility for reduced strength The ~ ci !tis piece rJ heavy eqUJmrt. i1 ~ /his RE- duetowateraddedabovedesign. LEASE to~fa"yrJJsgnallte,isctlhe~MIhe~r:JU'is rT1id'ilefy. tI'e_reqlRdtoperfo'mourOO'tr<<:t~ yoorroy possiJIycaJSeda-nagetltl'eprrrriseso-~,h.o.r\\ishtohelp yooil_lhat.."". txJtilada'todoltis. tI'e"""""'.aski1g that yoo sign Itis RElEASE, In roiOOeabo , ct ~ pefOO1la'<e ct ~ _ ct rts 00'tr<<:t ~ me. I tI'e lI'def1;igned. he'el1}' INDE~IFY tI'e _a>drts~Itr'injda-nagea>dfa'''cBmlotl'eprrrrises. buiklng. utifity pipeW1es .. cables. \eIeptale Oles. dri-leway 0- _ awutenances. Ii: Arrived at job with inch slump. o Added _ gal water at customer request. Test cylinders take" Other additions ~ Received by X Buyer's Agent receipt of product and approval of any added items. The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liabiltty. Signature of Owner or Its Agent Signature of Owner or its Agent _ Leav: Plan' liI"ive: Job SI'1 Start"'o:scha<g1-Finlsh Fh.rgej Drivers' Comments -JWGDEL TKT09D408 Leave .JOb Site Arriv~ Plant J .. , , Order No. Cus~ Nd. Companyl Customer Job Customer pO; Phase Code TIC/EJ' NO. 58(.0'7746 58012 43484 OREGON WAT DtLROSE -----l CUSTOMER/OFFICE 2103086 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. limited Warranty The only. liability of the seller. for product defect is fheretum of the purchase price. In no event shall the seller be liable for any dIrect, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of dellvery,We do not assume responsibility for any damage beyond the curb line. Eugene Sand and Gra 90~20 Loburg Ruad Eugene, OR ~7408-9467 541-485-1084 III I 11111111111111111111 1 \. Driver Co. Proj. No. r<_' TODD I':ERR [Jato Mop )3/1<: 20tJ) ES1 Zooe E Customer OREGON WATER SERVICE Delivery Instructions Delivery Address 1742 DEL~OSE AVE-BPFINGFIELD CO'" 2.:10'1 - ,)0 'JZs. YOLANDA LF T OFF 19TH OFF MOHAWK ",00 PSI C.DF ~NVIRONMENTAL SURCHARGE OFF GRANDVrSTA RT OFF Load Oly 6.50 6 50 Product Code UOM 396215 yd 487000 '!a ProdLfct Description Oelivered Qty Order Qty 6.50 6.50 0.00 '" \ ON JOB TIME: 13120 Load Size Prod. No Description J,., c: >l9A-'" 1 "I "\1;('\ Truck Gross Welgh( Tare Weighl , cc Use Haul Cd. Slump Type <'liT. rn<= J,., TraIler Trailer Taken by I Check # 0838 ""'. Time: 11:.:,+5 FM Unit Price Amount " Itjt/j~ PiU~ tsales Tax "'Q TOTAL DUE l t ~ .