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CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION
File No. 4.7169
Synopsis of Previous Couucil Actiou:
06/06/99 Allocation of $400,000 in 1999/2000, Capital Improvement Program budget for
installation of a storm drain in Mt. V ernon Avenue from Base Line Street to 16th Street.
02/07/00 Resolution approving agreement with Joseph E. Bonadiman & Associates, Inc. for
design of master plan storm drain in Mt. Vernon Avenue from Base Line Street to 16th Street.
07/10/00 Allocation of $697,900 in 2000/01, Capital Improvement Pro~ram budget for
installation ofa storm drain in Mt. Vernon Avenue from Base Line Street to 16t Street.
08/21/00 Adopted resolution awarding contract to Bonadiman-McCain, Inc. for installation of
storm drain improvements in Mt. Vernon Avenue from Base Line Street to 16th Street
01122/01 Authorized execution of CCO #2 in the amount of $31,530.53 for removal of an
abandoned waterline which interfered with installation of the storm drain.
Subject: Authorization to execute Change
Order No. Five in the amount of$7,784.95
to contract with Bonadiman-McCain, Inc.
for installation of storm drain improvements
in Mt. Vernon Ave. from Base Line St. to
16th St.
MCC Date: 04/16/2001
From: James Funk, Director
Dept: Development Services
Date: April 2, 2001
Recommeuded Motion:
That the Mayor and Common Council Approve Contract Change Order No.
Five in the amount of $7,784.95 to the contract with Bonadiman-McCain, Inc. to compensate the
contractor for removal of concrete thicker than shown on plans (corings) for Mt. Vernon Avenue
from Base Line Street to 16th Street.
~~ r~{^"V
James Funk
Contact person: Michael Grubbs. Field Engineer
Phone: 5179
Supportiug data attached: Staff Report, Change Order #5
Ward:
6
FUNDING REQUIREMENTS: Amount:
$7,784.95
Source: (Acct. No.) 248-368-5504-7169
Acct. Description: Storm Drain in Mt. Vernon Ave. from Base
Line to 16th
Finance: Clf;-6tU~ e~~
Council Notes
IJIII,/b)
Agenda Item No. J
CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION
STAFF REPORT
Subject:
Authorization to execute Change Order No. Five in the amount of $7,784.95 to contract with
Bonadiman- McCain, Inc. for installation of storm drain improvements in Mt. Vernon Ave. from
Base Line St. to 16th St.
Background:
On August 21, 2000, the Mayor and Common Council awarded a contract to Bonadiman-
McCain, Inc. in the amount of $550,435.00 for installation of storm drain improvements in Mt.
Vernon Avenue from Base Line Street to 16th Street. The bids ranged from $550,435.00 to
$732,759.00.
Since start of construction five change orders, including CCO #5, have been submitted and are
described as follows:
Original Bid Amount ...... ..... ... ... ... ...... ... ... ... ................ ... ... ... ... ........ ..... ... ......$ 550,435.00
Increase due to CCO #1 - Remove existing manhole structure ....................$ 4,430.141
Increase due to CCO #2 - Remove abandoned 16" water line......................$ 31,530.53
Increase due to CCO #3 - Relocate street light conduit................................$ 1,190.141
Increase due to CCO #4 - Modify C.B. to Clear Gas & Sewer Lines...........$ 908.801
Increase due to CCO #5 - Compensation for extra thick concrete Pvmt. .....$ 7.784.95
Revised Contract Amount ...........................................................................$ 596,279.56
I CCO's totaling less than $5,000.00 were approved administratively in accordance with
Resolution No. 88-389.
Contract Change Order No. Five is 1.41 % of the original contract amount.
The cumulative total of all change orders processed to date is $45,844.56, which represents
8.33% of the original contract amount.
Additional time to complete Contract due to Change Order .........................2 Working Days.
See the attached change order for details of CCO #5.
The total amount of all change orders processed to date for this project, including CCO #5, is
$45,844.56, increasing the total contract amount to $596,279.56. The cumulative total of all
contract change orders for this project to date is 8.33% of the original contract amount. The
revised total contract amount is still substantially less than the second lowest bid which was
$715,866.00.
Financial Impact:
Sufficient funds are available for all change orders from the project contingency fund of
$55,044.00 originally authorized from Account No. 248-368-5504-7169 (Installation of Storm
Drain in Mt. Vernon Ave. from Base Line to 16th) as part of the Contract Award.
Recommendation:
That the Mayor and Common Council Approve Contract Change Order No.
Five in the amount of $7,784.95 to the contract with Bonadiman-McCain, Inc. to compensate the
contractor for removal of concrete thicker than shown on plans (co rings) for Mt. V ernon Avenue
from Base Line Street to 16th Street.
DEVELOPMENT SERVICES DEPARTMENT
'"
300 North "D" Street. San Bernardino' CA 92418-0001
Planning & Building 909.384.5057 . Fax: 909.384.5080
Public WorkslEngineering 909.384.5111 . Fax: 909.384.5155
www.ci.san-bernardino.ca.us
CONTRACT CHANGE ORDER NO. FIVE
FILE NO. 4.7169
DATE: APRIL 2,2001
PROJECT: MT VERNON STORM DRAIN IMPROVEMENTS PER
PLAN NO. 10097
TO: BONADIMAN MCCAIN INC.
280 South Lena Road
San Bernardino, Ca. 92408
GENTLEMEN:
You are hereby compensated for performing the additional work as follows:
Item No. Description of Chanl!e Cost
Compensation to Contractor for increased cost of removal
1 of existing asphalt concrete and Portland cement concrete $8,491.20
that was approximate one-third thicker than indicated in the
contract.
2 Compensation To contractor for re-striping of lane line on $563.75
Mt. Vernon Avenue from 16th Street to Base Line Street.
TOTAL PAYMENT TO CONTRACTOR FOR CCO #5 $9,054.95
DEDUCTIONS TO THE CONTRACT
Bid Item No 5 "Imported Backfill as ordered by the
3 Engineer". This item is deleted in its entirety. No work ($270.00)
was done on the item.
4 Bid Item No. 17 "Relocate Water Meter". This item is ($1,000.000
deleted in its entirety. No work was done on the item.
NET AMOUNT OF CHANGE ORDER $7,784.95
Contract Change Order No. Five
Mt. Vernon Storm Drain Improvements Per Plan No. 10097
Page 2 of 3
JUSTIFICATION:
Item No.1: Upon start of excavation the Contractor, under the provisions of Section 3-4
"Changed Conditions" of the Standard Specification, notified the Engineer that the thickness of
concrete underlying the existing road was substantially greater than indicated in the Contract
Special Provisions. The Special Provisions contained boring logs which indicated
approximately 3" thick concrete underlying existing asphalt paving however, the Contractor
encounter concrete averaging 4.5" thick. The asphalt pavement in the excavation area was
pulverized and hauled away to be used as base material elsewhere; however, the concrete had
to be broken up and hauled to a dump site for inert materials. This additional thickness of
concrete caused the Contractor to incur additional costs for sawcutting, removal, loading,
hauling, and disposal of the excess concrete. Since the concrete was 1/3 thicker than indicated
in the Contract, the Contractor submitted a request to be reimbursed for 1/3 of the total cost of
removal of the concrete. Attached are time and material (T&M) report and invoices
documenting the Contractor's total cost for sawcutting, removal, loading, hauling, and disposal
of the excess concrete. Staff feels that the Contractor is justified for making this request for
compensation and that additional payment for 1/3 of the Contractor's total cost of sawcutting,
removal, hauling and disposal of the underlying concrete pavement is fair and reasonable
compensation for this work.
Item No.2: After start of construction it was noted that the lane line on southbound Mt.
Vernon Avenue was badly worn and in need of re-striping. The City currently has no
operational striping machine. Therefore, the Contractor was requested to provide a proposal
for the work. Staff has reviewed the attached proposal and feels that the price is fair and
reasonable for the work.
Item No.3: The sand equivalent of the native material excavated from the trench was tested by
the City's lab and found to be 30 or greater; therefore, under provisions of Section 306-1.3.3
"Jetted Backfill", the native material met the minimum specifications required for jetting.
The Contractor elected to use the native material for backfill and, therefore, it was not
necessary to import any backftll material. Under the provisions of Section 28-1.02 "Payment"
of the Special Provisions, "no adjustment therefor shall be made in the contract unit price for
increased or decreased quantities of imported backfill for trenches" .
Item No.4: This item called for relocation of a water meter which was indicated on plans to
interfere with construction of a catch basin at station 44+23.95. Upon excavating the
Contractor found that the water meter had been previously removed and the connection capped
by the City Water Department. Therefore, this item is deleted in its entirety. The Contractor
incurred no cost related to this item prior to its deletion; therefore, no additional compensation
is allowed therefore.
Contract Change Order No. Five
Mt. Vernon Storm Drain Improvements Per Plan No. 10097
Page 3 of3
SUMMARY OF CONTRACT COSTS
The estimated revised contract cost is as follows:
Original Bid Amount................................................................$ 550,435.00
Increase due to CCO#1 -Remove existing manhole structure...............$
Increase due to CCO #2 -Remove abandoned 16" water line...............$
Increase due to CCO #3 -Relocate street light conduit.......................$
Increase due to CCO #4 -Modify C.B. to Clear Gas & Sewer Lines......$
Increase due to CCO #5 -Compensation for extra thick concrete Pvmt. ..$
Revised Contract Amount ........................................................$
4,430.14
31,530.53
1,190.14
908.80
7.784.95
596,279.56
Contract Change Order No. Five is 1.41 % of the original contract amount.
The cumulative total of all change orders processed to date is $45,844.56, which represents
8.33 % of the original contract amount.
Additional time to complete Contract due to Change Order ..................2 Working Days.
BONDIMAN-MCCAIN, INC.
CITY OF SAN BERNARDINO
DEVELOPMENT SERVICES
Approved:
Accepted
By:
By:
James Funk
Dir. of Development Svcs.
Title:
Date:
Date:
Approved By City Council
MCC Agenda Item No.
Date Approved
,
.'
EXTRA WORK AUTHORIZATION REQUEST
FROM: Jeff Bonadiman
Bonadiman-McCain, Inc.
POBox 6444
San Bernardino, CA 92412
ORDER NO.: 001
DATE: December 28, 2000
PROJECT: Mt. Vernon Avenue Storm Drain
LOCATION: San Bernardino
BMI JOB NO.: 33.511
ORIGINAL CONTRACT AMOUNT
TOTAL PREVIOUS CONTRACT CHANGES:
TOTAL AMOUNT BEFORE THIS CHANGE ORDER:
TOTAL AMOUNT OF THIS CHANGE ORDER:
TOTAL REVISED CONTRACT TO DATE:
$550,435.00
$
$
$
$
TO: Mike Grubbs
City of San Bernardino
300 N. "D" St.
San Bernardino, CA 92418
This CHANGE ORDER includes all Material, Labor and Equipment necessary to complete the following work
and to adjust the total contract as indicated:
DESCRIPTION OF WORK COVERED BY THIS CHANGE ORDER:
ITEM: DESCRIPTION OF WORK: TOTAL
REQUESTING PAYMENT FOR EXTRA WORK PER SECTION 3-4,
"CHANGED CONDITIONS" OF THE STANDARD SPECIFICATIONS FOR
PUBLIC WORKS CONSTRUCTION.
SEE ATTACHED BORING LOGS FOR EXISTING STREET SECTION.
PER THE BORING LOGS THE STREET SECTION IS 6" AC OVER 3" OF
PCC AND 8" AC OVER 2" OF CONCRETE.
EXISTING PHYSICAL STREET SECTION WAS 6" AC OVER 4 1/2" PCC
DIFFERING MATERIALLY FROM THE DIMENSION REPRESENTED ON
THE CONTRA HANGED CONDITIONS HAVE INCREASED
OUR COSTS Y A THIRD 0 THE TOTAL COST FOR THIS WORK.
THE ADDITIO 02 1/2" OF CONCRETE RESULTED IN
APPROXIMATELY 4,084 CUBIC FEET OR 151 CUBIC YARDS OVER
WHAT WAS ORIGINALLY ANTICIPATED. PLEASE REVIEW ATTACHED
COST BREAKDOWN.
1.) TOTAL COST FOR SAW CUTTING CONCRETE
2.) TOTAL COST FOR LOADING CONCRETE
3.) TOTAL COST FOR HAULING CONCRETE
4.) TOTAL COST FOR DISPOSAL FEES
$939.60
$2,960.80
$1,257.20
$864.00
$6,021.60
$496.48
$6,518.08
TOTAL EXTRA WORK REQUEST:
5.) TOTAL COST FOR ADDITIONAL SAW CUTTING CONCRETE
TOTAL REVISED EXTRA WORK REQUEST:
**CONTINUED ON FOLLOWING P AGE**
.'
EXTRA WORK AUTHORIZATION REQUEST
FROM: JeffBonadiman
Bonadiman-McCain, Inc.
POBox 6444
San Bernardino, CA 92412
ORDER NO.: 001-B
DATE: December28,2000
PROJECT: Mt. V ernon Avenue Storm Drain
LOCATION: San Bernardino
BMI JOB NO.: 33.511
ORIGINAL COOTRACT AMOUNT:
TOTAL PREVIOUS CONTRACT CHANGES:
TOTAL AMOUNT BEFORE THIS CHANGE ORDER:
TOTAL AMOUNT OF THIS CHANGE ORDER:
TOTAL REVISED CONTRACT TO DATE:
$550,435.00
$
$
$
$
TO: Mike Grubbs
City of San Bernardino
300 N. "D" St.
San Bernardino, CA 924 I 8
This CHANGE ORDER includes all Material, Labor and Equipment necessary to complete the following work
and to adjust the total contract as indicated:
DESCRIPTION OF WORK COVERED BY THIS CHANGE ORDER:
ITEM: DESCRIPTION OF WORK: TOTAL
ADDITIONAL WORK PERFORMED ON DECEMBER 17 & 18, 2000.
COST TO HAUL OFF CONCRETE WHICH WAS
STOCKPILED ON JOB SITE.
1.) COST FOR LOADING OF CONCRETE
2.) COST FOR HAULING OF CONCRETE
3.) COST FOR DISPOSAL OF CONCRETE
TOTAL COST OF ADDITIONAL WORK:
$933.12
$728.00
$312.00
$1,973.12
TOTAL EXTRA WORK REQUEST:
$8,491.20
The work covered by this Change Order shall be performed under the same Terms and Conditions as that
included in the original contract unless otherwise stated above.
Signed:
* Authorized Signature Required*
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lELEVATIO~: STA: 19+16 BY: MH
JOB NUMBER:
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Silty fine to medium grained sand; brown to dark
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IHILLTOP GEOTECHNICAL, INC.
I ELEVATION: STA: 25+86IBY: MH
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DATE: 4/10/00 I PLATE NO. 3
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HILLTOP GEOTECHNICAL, INC. SUBSURFACE EXPLORATION LOG
ELEVATION: STA: 38+33IBY: MH DATE: 4/10/00 I PLATE NO. '2
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Bl!JUlB{f]lJflO Bl!lflflDUI@jl DUlB"
7159 Jurup. Road
Riverside, CA 92509-3402
909681-8231 FAX909681-7269
DATE INVOICE #
11/1.6/2000 ~340
BILL TO
Bonadiman-McCain, Inc.
P.O. Box 6444
San Bernardino, CA 92412
PROJECT P.O. NO. TERMS
SanBemardino/MtVernon/Baseli Net 30
I
QUANTITY UNIT DESCRIPTION AMOUNT
I FLAT-SAW: 2,349.00
I '1,620' X 6" ASPHALT ON TOP OF 4" CONCRETE - TOTAL DEPTH
I
10" DEEP@$1.45 PER FT.
JOB #33.511
.
Thank you for doing Gusiness with Southern DUE DATE
Counties! Total $2,349.00
12/16/2000
Ifany invoice is not paid in full within 30 days after billing date, the Customer hereby agrees to pay interest at the rate of 10% per annum upon the unpaid portion of the
invoice.Ifaction or suit is brought by Southern Counties Concrete Cutting. Inc. Customer agrees to pay all costs of collection including attomey's fees. Customer shall give
written notice of any claim relating to work for which extra compensation is asserted within three (3) days or RattlY this office by phone within twenty four (24) hours after
such work is perfonned or Customer shall be deemed to have waived any claim to extra compensation or credit adjustments.>..
7159 Jurupa Road
Riverside, CA 92509-3402
90968]-8231 FAX 909 681-7269
INV~_~
9355
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B[i}llJBCJl1flO Bl!J'ilffPIlJIEIl DIlJBD
BILL TO
Bonadiman-McCain, Inc.
P.O. Box 6444
San Bernardino, CA 92412
PROJECT P.O. NO. TERMS
SanBernardino/Baseline&MtVem Net 30
QUANTITY UNIT DESCRIPTION AMOUNT
FLAT-SAW: 1,241.20
856' X 10" ASPHALT AND CONCRETE @ $1.45 PER FOOT
~
,
ENTERED ~II
DATE _ JOB 1/ ~
, "CeT It ~ 9#=- - 6-1--~
,/leer /I . $'#-7: h6)-O ,re~ -
;\
, Acer iJ t) __
, "CCl/l
i PAID
,
DATE CK.'
'l
..
l1ia:nR. you for aoino business witli Soutliern DUE DATE
Counties/ Total $1,241.20
12/22/2000
Ifany invoice is not paid in full witbin 30 days _ billing date, the Customer hereby a_1O pay _ at the rate of 10% per annum upon the unpaid portion nfthe
invoice.Ifaction or suit is brought by Southern Countiea Concrete Cutting. Inc. Customer _10 pay all costs of collection ineluding attomey's tbes. Customer sball give
written notice ofany claim relating 10 _ fur which extra compensation is asserted within throe (3) days or notiJY this office by phone witbin twenty !bur (24) bours_
such _ is perfurmed or Custo..... sball be dcancd 10 have waived any claim 10 extra compenaalion or cn:dit adjustments.
Dellton
DALTON TRUCKING, INC.
13~ ~HITTRAM AVENUE
FO A A, CALIFORNIA
92335-2998
FOR BILLING INQUIRIES CALL:
(800) 333-2400
INVOICE
"Oependob/e SeMc:e Sin<e 1963"
SAN BERNARDINO
CA
92412
12/19/00
BONADIMAN,MCCAIN INC.
P.O. Box 6444
00027777
BMSB
12/12
tSNBER ISNBER
FREIGHT - CONCRETE 6.70 HR 70.00 469.00
7-L"bADS
13137 12/12 053
tSNBER ISNBER
FREIGHT - CONCRETE 7. 00 HR 70.00 490.00
7-LOADS
"Dependable Service Since 1963"
Weight
6
Terms: NET DUE 30 DAYS
Units
13. 70
Due Date: 01/18/01
Invoice Total
959.00
PAGE 1
Dle-n-nc D3:\npm From-DALTON TRUCKING
.a'.~an. .J~JVl"ltJft1^MJ\VI;I~UC.
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(800) 333.2400 I
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80NADIMAN,MCCAIN INC.
P.O. Box 6444
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CA
'12412
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11t20
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fAEXQHT -
11-L.OADS
11/21
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11 /20
ISNDER
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11/21 :t:.#
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,,:j~t ;f%~;f;,';)}i< ];::.(:1:;;:";,
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70.00
546,00
7,70
HR
70,00
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70,00
560.00
',. ".- ,.;.. . ~~;.~~,,-, ;,:".-::~
. .i' ;.,\.~ <<.~~;" - ,. ifl'........ ~,',?i4
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7 "0' u;' '," ij;.' 7.0...'.....0' 0
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539.00
, -'--'1_
".
.. :~-.; ~ n.
rf;!T',M: NET DUE 30 DAYS
Du. Date: 12/22/00
PAGE 1
Invo ice Tot;, 1
~, 184.00
rru R T H STREET ROCK PLEASE REMIT PAYMENT TO:
DIVISION OF FOURTH STREET ROCK CRUSHER P.O. BOX 6490
H. NORMAN JOHNSON, JR., PRESIDENT SAN BERNARDINO, CALIFORNIA 92412
P.O. BOX 6490.1945 W. FOURTH STREET
SAN BERNARDINO, CALIFORNIA 92412
(909) 885-6866 . FAX: (909) 888-9851
'$E'if
":260754 SAN BERNARDINO PLANT MON 11/20/00 78958
<d~/Y'
23078 DUMPING FEES, INERT 1.00 LD 30.00 30.00
23079 DUMPING FEES, INERT 1.00 LD 30.00 30.00
23083 DUMPING FEES, INERT 1.00 LD 30.00 30.00
23101 DU,~PING FEES, INERT 1.00 LD 30.00 30.00
23102 DUMPING FEE 5, INERT 1.00 LD 30.00 30.00
23103 :)Ui'1PING FEE S, INERT 1.00 LD 30.00 30.00
23104 JIJ:.1PING FEES, INERl' 1.00 LD 30.00 30.00
23105 DUMPING FEES, INERT 1.00 LD 30.00 30.00
23106 DIJ,-lPING FEES, I NE R T 1.00 LD 30.00 30.00
23107 DUrl? I NG FEES, INERT 1.00 LD 30.00 30.00
----2-3-1 0 8 DUMPING FEES, I NE RT 1.00 LD 30.00 3 D-..-O-Q--
23126 lilJMPING FEES, INERT 1.00 LD 30.00 30.00
23127 DUdPING FEES, INERT 1.00 LD 30.00 30.00
23128 DUMPING FEES, INERT 1.00 LD 30.00 30.00
23129 DU!iPING FEE 5, I NE RT 1.00 LD 30.00 30.00
23130 DUHPING FEES, INERT 1_00 10 30_0!! '111-00
23137 DUr1?ING FEE S, INERT 1.00 LD 30.00 30.00
23138 DUi1PING FEE 5, INERT 1.00 LD 30.00 30.00
23139 OUi1PING FEES, INERT 1.00 LD 30.00 30.00
23140 [JUMPING FEES, INFT 1.00 LD 30.00 30.00
2315:~ clUMPING FEE 5, INERT 1.00 LD 30.00 30.00
231 54 DUMPING FEES, I NE RT 1.00 LD 30.00 30.00
23155 DUI1PING FEE S, INERT 1.00 LD 30.00 30.00
2:$156 DUMPING FEES, INERT 1.00 LD 30.00 30.00
23174 DU y, PIN G FEE 5, INERT 1.00 LD 30.00 30.00
23206 [JUMPING FEE 5, INERT 1.00 LD 30.00 30.00
-----2+2 0 7 D'JI~PING FEES, INERT 1.00 LD 30.00 3 0-.-tl-6-
23208. DUMPING FEES, INERT 1..00 LD 30.00 30.00
23209 DUMPING FEES, INERT 1.00 LD 30.00 30.00
2.3225 DUMPING FEES, INtRT 1.00 LD 30.00 30.00
2,3228 DUMPING Ff:ES, INERT 1.00 LD 30.00 30.00
23232 DUMPING FEES, INE RT 1.00 LD 30.00 30.00
CONTINUED
1A11,n.,....c -_.._----~. ..L -. .... "--' --
SALES TAX
.00
INVOICE
INVOICE TOTAL ~
960.00
5
J
o
B 44 INERT DUMP SITE
A
D
D
R
E
5
5
~RCHASER ACKNOWLEDGES THAT ORDER SHOWN ON INVOICE MAY HAVE BEEN PLACED BY AGENT OF PURCHASER. PURCHASER AGREES THAT. UNLESS NOTIFIED IN WRITING TO THE
MENTAAAY WITHIN 10 DAYS OF DATE OF INVOICE, SELLER MAY AlLY ON AGENT'S AUTHORITY TO PLACE ORDeR AND. PUFlCHASER ASSUMES LIABILITY FOR PAYMENT. IF LEGAL ACTION IS
TA;I';:::~~~~~!~:~~R~T008TAINPAYMENTFOR GOODSIMATERIALSLlSTEDHEREIN.SELLERSHALL BE ENTITLED TO RI!;CnVFlR A~UnNUI a; "'nnlll! nil:' ,... ........^..~...u,... .......... ...........__...
)
80NADIMAN-MC CAIN I~C.
p. O. BOX 6444
)
r
,
SAN BERNARDINO
CA 92412
FOURTH STREET ROCK lJ~~l PLEASE REMIT PAYMENT TO:
A DIVISION OF FOURTH STREET ROCK CRUSHER P.O. BOX 6490
H. NORMAN JOHNSON, JR., PRESIDENT
P.O. BOX 6490 . 1945 W. FOURTH STREET SAN BERNARDINO, CALIFORNIA 92412
SAN BERNARDINO, CALIFORNIA 92412
(909) 885-6866 . FAX: (909) 888-9851
260754 SAN SEHNARDINO PLANT TUE 11/?1/00 78997
23245 DUMP!'!" FEES, INE"1 1.00 LiJ 30.01) 30.00
232/'.f, GUhPING FEES, I NE RT 1.00 LD 30.00 30.00
23254 DlJi<PING Fl'cC INERT 1.00 LO 30.ao 30.0"
- ~-;:;,
23255 CUtlPING FEES, I Nt: R T 1.00 LD 30.00 30.00
23256 LiUi,\PING FEE 5, INERT 1.0G LD 30.00 :3 0.0 IJ
25257 DUHPINfj FEES, INERT 1.00 LD 30.00 30.00
2;) 2 58 [;UHPING FEES, I Nl:!H 1.00 LD 30.00 30.00
23259 DUMPli~G FEES, INERT 1.00 LD 30.00 30.00
2::;276 DUj'1PING FEE 5, INERT 1.00 LO 30.00 30.00
23278 LUHPING FEES, i Nt: R T 1.0() LO 30.00 30.00
--2-U 79 IJi) l.~ PIN C FEES, INERr 1.00 LD 30.00 3 0....-9-G-
23280 CUi'lP!P.jG FEES, INERT 1.00 LD 30.00 30.00
23231 DJr-iPIN<o FEES, INERT 1.00 LD 30.00 30.00
2.3232 DtU"PING FEES, INERT 1.00 LD 30.00 30.00
2-3283 DU!1PING FEES, I NEfH 1.00 La 30.00 30.00
2-:5311 DU,1PING FEES, INERT 1.00 LD 30.00 30.00
23312 DUrlPI NG FEES, I HERT 1.00 La 30.00 30.00
23-313 DUMPING FEES, INERT 1.00 LD 30.00 30.00
23314 DUMPING FEES, I NEH 1.00 LO 30.00 30.00
23315 DlJi~PING FEES, INERT 1.00 La 30.00 30.00
2B27 DUrjPING FEES, I NE R T 1.00 LD 30.00 30.00
23328 DlJliP PIG FEES, INE!H 1.00 LD 30.00 30.00
23329 DClMPING FEES, INERr 1.00 LD 30.00 30.00
23330 DUMPING FEES, INERT 1.00 La 30.00 30.00
23332 DU:'1PING FEES, INERT 1.00 LD 30.00 30.00
23334 DUMPING FEES, I HERT 1.00 LD 30.00 30.00
SALES T~X
.00
INVOICE
INVOICE TOTAL ~
780.00
o
T
o
SAN BE1~NAPDIN()
CA 92412
J
o
B 44
A
o
o
R
E
S
S
INERT DUMP SITE
001955 W. 9TH STREET
SAN BERNARDINO
)
bONADIMAN-MC CAIN INC.
P. O. BOx 6(44
PURCHASER ACKNOWLEDGES THAT ORDER SHOWN ON INVOICE MAY HAVE BEEN PLACED BY AGENT OF PURCHASER, PURCHASER AGREES THAT. UNLESS NOTIFIED IN WRITING TO THE
CONTRARY WITHIN 10 DAYS OF DATE OF INVOICE, SELLER MAY RELY ON AQENrs AUTHORITY TO PLACE ORDER AND. PURCHASER ASSUMES LIABILITY FOR PAYMENT. IF LEGAL ACTION IS
NECESSARY FOR SELLER TO OBTAIN PAYMENT FOR GOOD8!MATERIALSLlSTED HEREIN, SELLER SHALL BE ENTITLED TO RECOVER REASONABLE COSTS OF ITS ATTORNEY'S FEES EXPENDED
TAKING SUCH ACii'OiiTOGETHER WITH ALL COSTS THEREOF. PAST DUE ACCOUNTS SUBJi'CT'TO INTEREST CHARGE AT MAXIMUM LEGAL RATE. CUSTOMER ORIGINAL
,. ATH'!
.~~
.", ,.
".I,.aHJ.O
FOURTH STREET ROCK
A DIVISION OF FOURTH SffiEET ROCK CRUSHER
H. NORMAN JOHNSON. JR.. PRESIDENT
P.O. BOX 6490.1945 W. FOURTH STREET
SAN BERNARDINO, CALIFORNIA 92412
(909) 885-6866 . FAX: (909) 888.9851
P~EASE REMIT PAYMENT TO:
~.
. P.O. BOX 8490
SAN BERNARDINO, CALIFORNIA 92412
260754
SAN BERNARDINO PlANl
23') 0 7
23911
23916
23923
23943
23972
24434
;14438
24455
24477
---2-4-4 ~ 0
24485
24486
24489
DUMPING FEES, INE~T
DUMPING FEES, INERT
DUMPING FEES, INEqT
DUMPING FEES, INERT
DUMPING FEES, INERT
DUMPING FEES, INERT
DUMPING FEES, INERT
DUMPING FEES, INERT
DUMPING FEES, iNERT
DUt1PING FEES, INERT
DUMPING FEES, INERT
DUMPING FEES, INERT
DUMPING FEES, INERT
DUMPI~G FEES, INERT
TUE 12/12100 79665
1.00 LD 30.00 30.00
1.00 LD 30.00 30.00
1.00 LD 30.00 30.00
1.00 LO 30.00 30.00
1.00 LO 30.00 30.00
1.00 LD 30.00 30.00
1.00 LD 30.00 30.00
1.00 LD 30.00 30.00
1.00 LD 30.00 30.00
1.00 LD 30.00 30.00
1.00 LD 30.00 3~
1.00 LD 30.00 30.00
1.00 LD 30.00 30.00
1.00 LD 30.00 30.00
SALES TAX .00
INVOICE
INVOICE TOTAL ~
420.00
BONADIMAN-MC CAIN INC.
P. O. BOX 6444
5
o
L
D
T
o
SAN BERNARDINO
CA 92412
J
o
8 44
A
D
D
R
E
5
5
INERT DUMP SITE
001955 W. 9TH STREET
SAN BERNARDINO
PURCHASER A'CKNOW1.EDGES THAT- ORDER SHOWN ON INVOICE MAY HAVE BEEN PLACED BY AGENT OF PURCHASER. PURCHASER AGREES .THAT. UNLESS NOTIFIED IN WRITING TO THE
CONTRARY WITHIN 10 DAYS OF DATE OF INVOICE. SELLER MAY RIL YON AOENT'S AUTHOfIITYTO PLACE ORDER AND PURCHASER AIIUME. LIABILITY FOR PAYMENT. IF LEGAL ACTION IS
NECESSARY FOR SELLER TO OBTAIN PAYMENT FOR GOOD8IMATERIALSLlITED HERIlN,81!LLER SHALL IE ENTlTLEDTQ RECOYER REASONABLE COlTS OF ITS AnoRNEY'S FEES EXPENDED
TAKING SUCH ACT'""'iOiiTOGETHER WITH ALLC08TSTHEREOF. PASTDUEACCOUNT88UaJiCi'TO INTEREST CHARGE AT MAXIMUM LEGAL RATE. CUSTOMER ORIGINAL
==':-~~-~~~~~~7~~~~-=":",,:-==-~.~_:~....- --~7
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FEB-07-2001 09:12
P.03
,., "
....' .:."'..,..... .........--. ",---_.
DflIISION OF FOURTH STREETIlOCK CRUBHSf
P.O. BOl( 6490, 1945 WEST FOURTM STREET
SAN BERNARDINO, CAUFORNIA 92412
(909,);-lI85-:8866 . (800) 686-3444
~Dll~
,
~.~~ ".
~,
""-
.... ~..
.~ '-';"
INERT FILL SITE
1955 W. 9th Street
San Bernardino, California
Date:l.'" /1-.~I.'"
~
..B'cr' e
~
(dA~hlillt ..'
o Sweeper Dirt
Code 01824 D&ul6"'''
o Rock
o Concrete/Steel
o DrilVSlurry Mud
~ >- PQjnt of Origin
~.
o Other
..eIe;
STREET
..' tJ cash
..".'~'-
.. Trfir.k # B' I () .
1. '\;\'
< '\
. .
CITY
Amount
..' ,--...
J3
;lfe!:qD
SIGNATURE
. ~lt$
"'''':
....
...
"
"-
~~
....
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~L:E~Nl);~ 0-.'-
COMPANY
P.O./i
. Tho IaCIl\ylSan_.laandwlU only-'-" i__......lIlIDnma_1llld
_roJ soil 1111. I0Io ocntanlIOalOd Of ___ _1I/IIIPd& Of lIlY kllld 1l1li be ....pIOd.
. A _ checIli1g _...10 In _ II IhO I1Ic:lIIty .... oll_ ...y be...... '" inopolcIion.
. A1IOInpled lb11ping 01__ go _ moIII_ of any _ ot IhO 1aoI1I1y" unll.wtuI ana ..y
_h in Iou oI.dumpllV plNiogB& go __ ............ In lIddiliOn, p_" wit .. IlIIIod lor It1a
lUmoval oIany___ _to Iho faclIlIy.
---..-- ---.
:0'''' ....... .1
FEB-07-2001 09:12
FOURTH::51 HI:t: IHU\i1\
DMsIoN OF FOU1ITH STREfl' ROCK CtWSHER
P.O. POX 6490. 1945 WEST FOURTH STREET
. SAN BERNARDINO; CAliFORNIA 92412
(909) 885-6866 - (800) 686-3444
P.04
26114
INERT FILL SITE'
1955 W. 9th Street
San Bernardino, California
Date: 1-/7-~1
~~-
c..LJl,;oricret9._
o Asphalt
o Sweeper Dirt
Code 01824 ~
o Rock
o Concrete/Steel
o DrilVSlurry Mud
Point of Origin
o Other
,2~' (. c"y --d~
STREET .
o Cash
[]J;:Amge'-' .
Truck # f7, - I
1?~/I1 pA:J;
SIGNATURE
CITY
Amount
5"0
.~ NAME (PRINT) .
!). . L.. I ....~~ -" . ,
r oiII!' ~.......... .--j- .~,___~-....
COMPANY
P.O./I
-Tho fu:ilily io.. ...._.... ond wIIon1r _........InoIl"'--.d1_ m_ ond
....... ....... No _ "'_... ..-wq,,1<to of.., _ willie ""'"lllDd.
- A bod -"Il P...... io." _1l1ho1ocilily lIIld"''- may....IIUtljoot... inspoetion.
'A_d_l19of__or.___atanylll/lClIIlho_is_landmay
1lIIIlt.. .... atcb1'*'R ~ or _ p............. In Iddlllon, pracb:o.. wiI1l1e _lorlho
rBmaVaI of any unacceptllble wastI d111~ to the taoiIiIy. .
FEB-07-2001 09:12
. ---....-- ---...--- ----
P.05
DIVISION OF FOUrrTH STREET ROCK CI/IJSHER
P.O. BOX 6490, 1945 WEST FOURTH STREET
SAN BERNARDINO. CAUFOfINIA 92412
(909) 885-6888 . (BOO) 666-3444
GO 110
!.(t...
l~
,
.......
..~.
.~
INERT FILL SITE
1955 W. 9th Street
San Bernardino, California
DatejJ- /7-;;Jn';
~.
C~'-""
.
o SweePer Dirt
Code 0 1824 ...Daa1lL. H
o Rock
o Concrete/Steel
o Drill/Slurry Mud
\.)c Point of Origin
....:.
.,
o Other
'. .-cRJ, .
STREET
.,
';"."8-
".~
I"~ 0 Cash
,:'~ D-effilr9;
':; i';Vruck #
". ",
'" '\.,~
~i ~'.
':':~ -: ~ .
CITY
Amount
~
/P
13
I?ILf/t:?
SIGNATURE
....
.\
~ NAME (PRINT)..
. /",r1l '-
~ . COMPANY
,}
~ '
P.O./I
.The~ia IUl ~ _andWlDanly IIlilQBPl cl88n.Inon~ft ~ INdsriall: ana
_1IOiI.,.No_'_or_~"'onyki"wII"_.
. A 1oodal-.g p_1o ~ _ atll1elaCllllyand 811_ may lIo...bjICllO__
. Altempt8d ~ af contam_ or --.. ........ 01 "" IcInd at tho lIIOiIiIy IS unlawful.... may
_~ m _ of ~ p.MIogoo ",.u,IoIIodo1ll P"'''''''' In odd;';"". pcoWcell will be _ fat ...
"""""'" '" """ una=oplllblo _ dOlVOrod'lO "'" flloilily.
#WI ...._........ ___.
FEB-07-2001 09:13
. . .~. I"'UUftlr"l::t Iru:c I "U\,;,I\
DIVISION OF FOURTH STREET FlOCK CRUSHER
P.O. BOX 6490, 1945 WEST FOURTH STREET
SAN BERNARDINO. CALIFORNIA 92412
(009) lIlI5-ll866 0 (800) ll88-3444
P.06
26117
INERT FILL SITE
1955 W. 9th Street
San Bernardino, California
~./7'~'
----....
cg;oncreta _ ..___
Asphalt
o Sweeper Dirt 0 Other
.~~
Code 0 1824 Beo'r6-
o Rock
o Concrete/Steel
o DrilVSlurry Mud
Point of Origin
STREET
o Cash
~~e
Truck #
CITY
5~
Amount
I
'.
/? /?l€~URE
.
.' 4'7 . ~E (PRINT)
VS~If/~'
COMPANY
P.O. II
oThoflc:illY.loanLo";ll",,olIiOCl...lIldwilanly__.lnorl_do_1I1llllIrIaJs1lld .
neturat d fiL No CD'IIItnIMl8d 01 hlIZarda15~ of MY Idnd"" be 1ICIC8pIOd.
." 100II ch-.a JlfDIpBn1 is in _.t..-....aJl vohk:ln_1lO lUIlJa<tlO~_
. AtlIImpted dumping of DDnfImiruded Of hazerdoUa ,...tiIl'1a11 of any Idnd.at the faCIItt I, unlawful and may
reeult In to. at dumping prllIIIpS or ---..... ptOIecMtan. In BddiIion. pIOducn will be billed for....
ramavaI Of my IBl::lIol r rllble WUI8 dehBl'8d 10 m. fdly.
-..-..-- ---.
FEB-07-2001 09:13
P.07
'" . . '* .'
. ...-...... -...--- --- -..--
~.~
. ~;..
DIVISION OF FOURTH Sf1/I!ET ROCK CIIIUSHER
P.O. BOX 64!lO, 1945 WEsT FOURTH STREET
SAN BERNAAOINO, CALIFORNIA 92412
(909) 885-8886 . (800) 886-3444
~bll~
i'-
i Jr,:
...~,
INERT FILL SITE
1955 W. 9th Street
San Bernardino, California
Datw1- /. [1- A/,fV
BDirl-... .
ee ~;._,
o Sweeper Din: 0 Other
~. Point of Origin ":; ~ .
.'\
Code 01824 ~;. .'
o Rock
o Concrete/Steel
o DrilVSlurry Mud
~--.... ..
STREET
'"
o Cash-" ,,-,
S {jhirg8
Truck # /P
Jf3
CITY
....
,"
'.
Amount
.. .;t:.,/
5- '
jV-i
~
......
~.
'-'.
fl/.b3(O
SIGNATURE
;,~
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. ~PANY
......
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.
P.O.'
.!
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'1l101I<IIly".._...ondwillonly___.____malB-ond
......, 0Qil1i1. No _nllOd.or hlltanlous ..-.ulIqU1do of """ _ WII be ~,
-A Iood ChlCldng PI"!l...... in _ Ol...flt:illlyondBl__ boaubjeGt '"~.
. A-.pIed...",... 01.._ or~.......... 01""" ~nd""'''''1iIy'' unl_' ond may
I1IBUIlln _ OIClU11lp1og ,,","_Dr _III p_:'n -. pnxt...... wtllbo bmod",1Ile
nomovalolony~""" _"'" to ""...,.
_.._.......A.............
FEB-07-2001 09:13
-. ".. FOURTH STREET ROCK
OIVISION OF FOURTH STREET ROCK CRUSHER
P.O. BOX 6490,1945 WEST FOURTH STREET
SAN BERNARDINO. CALIFORNIA 92412
(909) BB5.e866 . (600) 666-3444
P.08
26120
INERT FILL SITE.
1955 W. 9th Street
San,Bernardino. California
Dated - 17- ,;)9P/
Dirt'
oncrete
.---- -
Code 0 1824 Det1t"i3
o Rock
o Concrete/Steel
o DrllVSlurry Mud
_.~
Asphalt
o Sweeper Dirt
Point of Origin
o Other
.~.
STREET
o Cash
~~----:-......
Truck # ". t I
./?. ~~~
81 T\JRE .
CITY
Amounts-z:/.:: .
. ';) NAME (PIjINT)
.. ~'-'" ';4'";...,---.
COMPANY
P.O.'
. Tho IaCil\yllon _ ... and will only _ -.. Inert _0 domolilion ...lOrlal. """
_ dlll. No __ or _us.-.wquldl 01 any kind IIriII be 8OeIjlI8d,
. A __ng.......1o lo_olll18lOCl11ylllld8ll_ May 1lI"'*",IO~.
.~du~OI__or_matlIrIaloOl"",_.....lacIIItylo_l_may
I1IIUIl in _ 01 ClUmping prIvIlBgH 0'_111 pI<lIOOIlIion. In _. produce...wiI be biUod lor ",,",
_of..y~Ia__IO"'~.
FEB-07-2001 09:14
P.09
~ . . ..
. ""VII." v........ ..'W'......
DIVISION OF FOlIIITH STREE:T flOCK CRUSl/ER
P.O. BOX 8490. 11145 WEST FOURTH STREET
SAN BERNARDINO, CALIFORNIA 92412
(909) Il85-8866 . (BOO) 668-3444
~1)1~4
INERT FILL SITE
1955 W. 9th Street
/ --:I San Bernardino, Caliromia
-;-1/-.?t:P(
. ,'''.,'' Code 01824 [3ouI6
o Rock
o Concrete/Steel
o DrilVSlurry Mud
-.....
oncrete
-..
\..~)
o Sweeper DiJt.
,
.."V
Point of Origin "f
o Other
~...
".-
. STREET
o Cash
CJ.efi8rge
Truck #
OIlY
Amount
50-
./
/tI
.
.tJ
.,;,..........
,/k~
SIGNATURE
'.
"1
\
~ th-'-/~"
. COMPANY
P.O.'
-Thefllllililyio...."aaooIIIlldlllllncl will anlyllCCOpl...... non__._1ncI
~ soil III. No CGnIamIMt.,;f or huaJdDu& n'IlI.tatlaWqulds crIl11Y kind wit be accepIeCL
- A Iood ch...... P....... io n _lIt1l1e IooiIiIy and" -IN!' bt ",bjoct OJ "-on.
-~dumplngof_;_",_''''''_a1any_II''''-II_I_m&Y
...uIt In I0Il01 dumping privi/ogoI or _... P_. In _on, ........ wil .. bUlOCllor '""
........,oIany""""""lll._dII_ OJ'" _1Iy.
.... ~ ",' ,...,
FEB-07-2001 09:14
I-UUH I t1 ~ I HI:I: I HU\,;I\
DIVISION 01' f'DURTH STRar ROCK CRlJSH2R
P.O. BOX 0490, 1945 WEST FOURTH STREE'l"
SAN BERNAROINO. CAUFORNIA 92412
(809) 1185-6866 . (800) 666-3444
P.10
26126
INERT FILL SITE
1955 W. 9th Street
San Bernardino, California
Date: /-I?-~I
<Lf Dirt) --- .
o Con-crete ______"7
~..
o Sweeper Dirt 0 Other ~
Point of Origin-. ~
Code 01824 Etao16
o Rock
o ConcretelSteel .
o DrilVSlurry Mud
STREET
o Cash
~_.
Truck #
CITY
sc--..
Amount
/
.
~- /l7C4~ .
S GNATURE
<:~~~
COMPANY
P.O. II
-The facility" IIf1 unGIIuII\ed ..00 wII only 8QCept devt, Inert oaneIruadon d&moiIion fNtII8riBIB n
_roI..~ iii. No __ or __.-.uJiquido a1....1dnd wi be IIOIl8pI8cI.
. A Iood CIIOdllnG _IS In _ alll.1aot1lly IIld II _lI1IIYbI_ll> """'*..
._d.'"'*"''''__or__alawyldndalltll....ltyls...-..lIldmay
......In _.. dUtI'llInlI PIl.... or..._ pI'OOICU1Ion. In _. plOd..... will... bllod for Ihe
........ "'.... u......b1. WBSIO doIl_1O "'" ....ily. .
-..------ ----~~ .' .
FEB-07-2001 09:14
. _eo ruun I n ~I nt;~ I . nu,,1\.
. .."
DIVISK!N OF FOURTH STREET ROC/( CRUSHER
P.O. BOX 6490, 194!l WEST FOURTH STREET
SAN BERNARDINO, CAUFORNIA 112412
(909) 885-6866 . (aoQ) 666-3444
P.l1
26129
~~-_I?' ~&1P/
~e_~..
~
o Sweeper Dirt
INERT FILL SITE
.~ 1955 W. 9th Street
San Bernardino, California
Code D182~6_.
o Rock
o Concrete/Steel
o DrilVSlurry Mud
Point of Origin
o Other
~
STREET
o Cash
__'._'M--,
-~ "\
(/8 Charge
welt t:-------.-./Q
.
CITY 0'
Amount
5ZJ
.L5
?h"r~D
SIGNAnJRE
..--.)
':' //
/~;4""'"",,'
NAME (PRINT)
~i&1I
COMPANY
P.O.'
'llI&~ is"" _... andwtll onIy.............,.n_ __ .....__
n......oaIlIII.N._"'_.....~gf...,_...bo~ .
. A Iood ohooking prognun is 11\ _ II'" focirlly ond llil....iO.. mav 110 oullIocIlO~.
. A_CUl1I>Invd__"'__'.-_dMy _II'" tai:IJIIy 10......_ and_
_lnloood~priviI_.r__.lnaddlllon.prod_wIIbe_lorll1e
"""""" 0/ any _I' _ doIvorod..1I1e 1ooiiIy. .
-. --.-- ___a
FEB-07-2001 09:14
. ' .".. ruun I.n .:11I nI;l; I nu",,~
lJIVISlON OF FOURTH STReET IIOCK CRUSHeR
P.O. BOX 6490.1945 WEST FOURTH STREET
SAN BERNARDINO. CALIFORNIA 112412
(909) 8ll6-6866 . (800) 66&-3444
P.12
26131
INERT FILL SITE
1955 W. 9th Street
San Bernardino, California
~~.._~?- ~/.
~- "
1,,-..0 r.nn"rat8--... .
o Asphalt
o Sweeper Dirt .
Code 0 1824 ~.
o Rock
o Concrete/Steel
o DrilVSlurry Mud
Point of Origin
o Other
-b
STREET .'.
o Cash
~.
Truck #
CITY
Amount
sz>
J.
.
J? .
') . '~~~~RE
. NAME (PRINT)
<;) ~
., . . '."
.,~., tr~"
COMPANY
P.O.'
-TIle _1ty1S an.__ Sil811lCl wll only _cleln, ____ m...nasa ond
_"'1II1. No.......1lOIId or __ _''''''' of any....... be_.
-A --.upmgnun is in _a1"""'''ltylllClall_..ybooubJo<llD~.
- A_ dumPnfj of.........- or huBnIau. __of any..... ""'fIcIlIy Is unlawful ond may
_"in _ DId....... _orlila__.,n_.IlIOd_ wllbollllod fof1he
_ Dlany -","fa _ dOl_ "'lho faclllIy.
". .a~.""lI!!t ""'"'"
TOTAL P.12
'0
FEB-07-2001 09:16
rvun. n ~ 1 "&..&..1\ n""'R.
DIVISION OF FOURTH STREET ROCK CRUSHER
P.O. BOX 6480.1946 WEST FOURTH STREET
SAN .BEFlNARDINO. CAUFOANIA 92412
(909) 885-6866 . (800) 886-3444
,
P.01
-
26137
INERT FILL SITE
1955 W. 9th Street
San Bernardino, California
Date" ./..,; 17-~1 Code 01824~'
cD. .- DD~lrt'..t_ 0 Rock
~ -' DConcretelSteel
o Asphalt 0 DrilVSlurry Mud
o Sweeper Dirt 0 Other.
-./1>
STREET
Point of Origin
.,1
D Cash
Dc~..~'"
Truck #t 10
13
CITY
Amount
sv
/?/tUtP
SIGNATURE
.? NAME (PRINT)
~""/~
COMPANY
P.O. II
.1hoImlillli.III1_IIIa.nclwtllonIr8llCllpl-..no.t____
_..,Nl.NO_.r_.".....loI/IIquIdsollll1l'klnclwlUbo_.
. A Iood _na _.. in_a1l/1OfIoIIIly_alI_..., boSUlljOclto ,,-*,".
.AIIomjIIod dumplngol_or_ _ 01l1l1I' _a1tho llu:illyiS_.", may.
,""",lnlosooldu~prMIogoo Of-_ -,",",In _. _.. will III bI1Iod1ol''''''
.......1 0I1II1I'.......~ __to""'-.,.
#Itli1~."""",PII'U'
FEB-07-2001 09:16
_ _ __"'r.__ _ ______ ___ ___
lbrJtJ
DIVISION OF FOURTH STR&T ROCK CRUSHER
P.O. BOX 1l41Kl, 1945 WEST FOURTH STREET .
SAN BERNARDINO. CAUFORNIA ~412 '
(909) 885-6866 . (800) 666-3444
INERT FILL SITE
1955 W. 9th Street
San Bernardino, California .
Code 01824 cQ;; 6 -
o Rock
o ConcretelSteel
o DrilVSlurry Mud
/ "
Date: i-4.i::'~j
~.
([con,~
'\sf-I.
o Sweeper Dirt
.
o Other
J~
STREET
Point of Origin
o Cash
GkiJI.....yu
Truck # 'l
g /J1e~
. SIGNATURE
~_.
CITY
Amount.
.5GJ .
NAME (PRINT)
~ ~., ,
'.. -~....t/.i.."..-,,::,
COMPANY .
P:Q./1
.TheWlYlson_....IlldWUlon~.......-...inort___1s111d
"""loIf11;-No~or __ ~iIII o/ony kind wi! be _. .
. A _ -roP_101n _lIlho.....,ond.._...y... ~",""lll ~n.
'--dumpirv"'"",--...- _~ony 1Iind.lIlholBcnlyi&....wIIIl anclmay
rfJIUIt iri .. tIf"dlImpng pI'MIegM-or I.""'~ praMaIdian. In addition. ~ .De bIIJtc1 for Ihe
.......101 ony Ii." P_ _ _lOCI III tho -.y.
CUSTOMER COPY
..-..- --=::-
. "".-.
........-."...---...-.-..- ===:r
~; : ~-- - - '--:.lit
,--.: .....::.;.-~:::. ...- .
-
P.02
I
I
.
FEB-07-2001 09:17
- - ruun In", I nt;;;t;;; I nu\.t'"
DIVISION OF FOURTH STREET ROCK CRUSHER
P.O. .BOX 114llO, 1945 WEST FOURTH STREET
SAN BERNARDINO, CALIFORNIA 92412
(llOY) 885-8866 . (800) 866-3444
P.03
26140
INERT FILL SITE
Date:/l....IJ.-~
.
c:1::rr>:I.r:t___
(";-'DC~nc~e
---. ,....
[J Asphalt
..:' 0 Sweeper Dirt
1955 W. 9th Street
San Bernardino, California _.----)
/'
,,-
Code D1824~6
o Rock
o Concrete/Steel
o DrilVSlurry Mud
. .'
Point of Origin
D~
STREET
9~
/D.cI
c_ I<lal'j)~'.
Truck II $'
.
f3
CITY
...SZ/
Amount .
~~qo
SIGNATURE
. /--/ NAME (PFlINTj
.~ . /..
.~ J/ c~ ~'.. ~:...---
COMPANY
P.O..
. Tho IadlIy IS an _1IOcl1llll....wI..., .......dHn,Jnon_ _1lIon_and
..........111, No_.._l11IIIItIl/IIqlIldoor_lclndwl'be_
. ^ lood cI-.g P"'ll.... iI in _.t.. ,...,~ and.. _ _ be .ubjootlO ~
.-lIIO<fllUl11lll"llol_..--.ma_.ortlrfllindallll.'"'*'iS__.... may
.....In.... of dllll1linll ,"",-... _ _, In _, pJ<lCb;ors wi! De bllod 10, Iho
........olanyunBCl>lplallIe__lvlholOCil\y,
.-.,.............. ---
\
;
,
'~Joo
FEB-07-2001 09:17
'. . ~_ ruun I n ~,. nI:l: I nU,",1\
DIVISION OF FOURTH Smm ROCK CRUSHER
P.O. BOX 6490, 1945 WEST FOURTH STREET
SAN BERNARDINO, CALIFORNIA 92412
(909) 885.6866 . (800) 666-3444
P.04
26142
1
INERT FILL SITE
1955 W. 9th Street
San Bernardino. California r \ \
Datet -/7 ,""*' I
Cb.!2!i:--"
ffConcrete "
---.-........-..--.-.-
o Asphalt
o Sweeper Dirt
. .
.'.-- j
Code D182~_'
o Rock
o Concrete/Steel
o DrilVSlurry Mud
Point of Origin
o Other
~
STREET
o Cash
o Charge
1l'uck # I: ..
/Z- /PI&< /) .
-SIGNAlURE
CITY
Amount
SCJ ;;..i---
.~ ..
..........
J:./ NAME (!:flINT)
~'''';'~I~~:
COMPANY
P.O.'
.TI1o""Ilv~... u_.ondwll anIy__, InoIl__moI___
-,,'ocIIIILNo_lodar_~o/Il"Y1cind1Olllbo-,",,-
.A --.. _'"'" IolnelleototllOlocIIIlvllldlil_ mayll8 SubjOClIu--..
.-.-dUll'4llnllol_i_", __ .."",Idnd81llOloaIityia ....wlulllld moy
rMUH in loa 01 dumphg pItvIegM<<.........,.,... 11 J60n. In....... prad'UCIA wiI bit bIIed b thl
""""""oIl1lYu_bIo__luh_.
-..---- ----
FEB-07-2001 09:17
...."f.-'?' ~ '1.~""'.I""..W",,,,,,,,,,,,. I''''''''''''
DIVISION OFi:ou1mlStRBETROCK.CRUSHBI
P.p. BOX 6490, 1945 WEST FOURTH STREET
SAN BERNARDINO, CALIFORNIA 92412
(909) 8ll5-8888 . (BOO) 666-3444
26146
-...;-....
INERT FILL SITE
1955 W. 9th Street
San Bernardino, California
Code 01824. ~..
o Rock
D Concrete/Steel
o DrilVSlurry Mud
-::2."?
_J
phalt
o Sweeper Dirt
o Other
~.~#~;; --d1
. Point of Origin
D Cash
~
. . "'.
Truck # /t:/
B
CITY
. Amourit
5Jj"
'.f..~
j??Rat7
SIGNATURE
. ___. . NA~ (PRim)
C.-z,. . -;rF~ '- .., n
. COMPANY
P.O. It
. ThIiI fBciIity.. an unduIlfted.... and W1D1I'lIy ~..... i..rt ~ ~ NI8riaI& ard
....... "i fiB. No ...-_.." _us ..-r/IIqIIilo 0/.... kind wil. be ......fOd.
'A --..r_....1o In_atlllo Iodtyond olI._.... "" 0\IbI,ot1O._n.
'-'-cbnpInoCl_or_ _01811\1_01"'" -., ill ...lowIuland may
rueult In II-. 01 du....no pI'fYiNIgeIi or IitIdBIJedIIr&J pnMiecutiDn. In~. prodUCe. will be bifIBd for..
nmovaI of any 1A'l~_I. waste dllIY8nKI to 11811d11y. .
CUSTOMER COPY
P.05
",.:
C'
.i~
FEB-07-2001 09:18
F'UUn I n 0).1 nee I nU\,1\
DIVISION 01' FOURTH STREET ROCK CRUSHER
P.O. BOX 6480. 1945 WEST FOURTH STREET
SAN aERNAROINO. CALIFORNIA 92412
(909) ll85--6866 . (800) 686-3444
P.06
26148
INERT FJLL SITE
Date: /J..... // ~~""h I
~
~c:.-~~
D Asphalt
D Sweeper Dirt
. .t956 W.9th Street ,r \ \
San Bernardino. California rt'J" .":7\
"-~', . , /-,
Code D 1824 ~.
D Rock
D Concrete/Steel
D DrilVSlurry Mud
Point of Origin
D Other
~
. .
~ .... . .
..,
STREET
D Cash
d1~fge:- .,
Truck It / .
.J?//JeA-~
SIGNATURE
CITY
Amount
.V'7.....
o~-
..;L.~../.=~ (PRI~~ ,.
COMPANY
P.O. II
'ThlIlKlilily iBan ...cluoiliod IIiIII andwillonJy lIOCIlpl_lnort__ ...__.
"""""' "';'IiII. No _ or.....-.. .....lIIlIIqulcls .,-._11II. be IIClCOplOd.
." Iood cl-.g PIlIll.... II In _., 1ho _ _ &11_ may be .._IIl"-,,","-
. /I.IlImjlIocI......1nlI of __or_..._ of... _ at.....faciiy iB...1awIuI and may
reeullln loss of dumping prfvIIgIs or ~ pro&8CUIian. In addlian. producers wiU be biIIBd for IhB
...........a1...~I.__lDlhoro.ility.
-..----- ---.
FEB-07-2001 09:18
>:-.~ ~~~nO:~IS~~~=
P.O. BOX 6490,1945 WEST FOURTH STREET
? SAN BERNARDINO, CALIFORNIA 92412
(909) 885.ell86 - (800) 886-34-44
P.07
26153
INERT FILL SITE
1955 W. 9th Street
San Bernardino, Cafifornia
j
3~
(
Date:l.r n'- ~/
~-
--~
.c-B-cOncret.~___
-lrl Asphalt
o Sweeper D!rt
"
Point of Origin
Code 0 18~4 Qeol6~-
o Rock
o Concrete/Steel
o DrilVSlurry Mud
o Other ~
STREET
CITY
o Cash
<Jd-cFiargL,___._,.
Truck # / tl
Amount
.~~
B
J'I1pc/'h
"SIGNATURE -
.,'....
/~7 NAME (PRIm)
~;..-"t.,..-_- .,...
COMPANY'
P_O_1t
-ThoIaciIilyi5onu__lIlllwllcnJylCCllll-,In"'___.ond
natural sol fill. No COnIImNIId or u.rduUII ~ 01 anykl'ld willtM1llCCflPl8d_
. A load chBI:QIg pfOgI'Bm it; i\ eIfect aI: 1M facIfIIv ..t..1 v-hIoIee m-.y be subjear: to inlp8Cllon.
."~d1J....ng..~...__ofllVklndBl".lBcIlIIylsunlBwlulIIlllIlllY
I'8IUIt In IaI& of dumpit\g PfIV\I8Q8I or IIatWfIderaI pt'QIICUIb1. In addition. produr:era will be bIIed for the
- "'ltrfunl"""ll__doIlvtllldlOlhollollly_
FEB-07-2001 09:18
.-t::.'t~, rVUl11 n ~II1CC I I1U~1\
. DIVISION OF FOURTH STREET ROCK CRUSHER
P.O. BOX 6490,1945 WEST FOURTh! STREET
SAN BERNARDINO, CALIFORNIA 82412
(909) 885-6886 . (800) 6116-3444
P.08
26155
INERT FILL SITE
1955 W. 9th Street .'" \ \
.. San Bernardino, California ~.? (l
I iJ 7 .7----, ~-e
Date: -'- f .".~...-~. Code 0 1824 ~..
@rt' 0 Rock
o Concrete 0 Concrete/Steel
-- .
CLAepn~ii . 0 DrilVSlurry Mud
o Sweeper Dirt 0 Other
4~
Point of Origin
. ,
.....'...
STREET
o Cash
"~'llP ---~.
Truck t.LI "
3, /J1~#..LJ
I SIGNATURE
CITY
Amount
.S"-c/
_/:-") NAME (PRINT)
- /L...,.;.....,,~
.- -' COr.wANY
s.......
P.O.'
-Tho flIoliljl 10 on_ "'ondWlllonly -.oI...,ln""__ __......... ond
....... ...."'. No_ ...__. _Ids "'11\1- will be 00G0pIId.
-A Iaod_ngp...." ..lnotllCl..Il'IIIIOiIIlyInclIlI_...ybe.....jOCtla~
. AltempleG dUmping of aantarninatBd or hazardoue matBIiIIa5 of sny kind at the faciil:y ill unlawf14 and may
IIOliIIn 1?0o OIaumpi"ll po1vIIogoo .,11I_ __ 'n _an, pnl<lucono wi' be billocl far tho
........ 01111\I un__ __ __ III tno focIlly. ,
,.
--.----- ---.
FEB-07-2001 09:19
Fl'lUf1TH STREET ROCK .
1) . g. .>:.;''ciIVisioNOFFOURTHSTREETROCICCRIisHER
,:&. .!...."
. . ..,.' P.O. BOX 6490,1945 WEST FOURTH STREET
SAN BERNARDINO, CAlIFORNIA 92412
~. ra:. (909)~-6866 . (800) 668-3444
P.09
.26164
~.~..:.o....,., ..
.
.<
I NEAT FILL SITE
I
;1:.
t
..
1955 W. 9th Street
San Bernardino, California
Date: / - I ~-;).CC/ Co~e.,JJ 1826~A
~ .,. >Q.Rock
cO COPcl'At9 ~ 0 Concrete/Steel
D Asphalt . .. . jJ--o-r'itIISlulTY Mud
~ _N .
. D Sweeper Dirt 0 other
~,~ .
STREET
,.
t
,Point of Origin
.
,..).
.~
t::
.~-D Cash
~
","",
Truck,.
'.,'"
CITY
Amount ..:5d
/v
B
~4C10
S1GNATURE
,\
'.
..
....."
:. ~ '"
,~.
.j
~ NA~E '(PRINT)
_ .J'''~ _'
COMPANY
.i
-,I"
P.O. II
.n.-.yIl..u_lIIo<IoiIo.......Ot'ii_.,..,.,...._n_._....
......solIIII,No_""..........._IdI..ony_...lbo-".
'A_dl__IsIn_"IhoIla:illyOnd"_maybo..bjloolIk>~.
. _plod du~no .,..._ "" _11WOflIlI aI any ~nd ""1aoiIiIy i& ._,.... may
IIIUIIln ,... or....plng prM'_ Dr _ra1 p_n. In addition. __.... bo blllocllorlho
. _01 any u_'*'__OId Iolhoflclllly. .
.. ... CUSTCMER COPY
FEB-07-2001 09:19
..... . f:UUn I n ~ U1CCI nU\,1\
. DtWSION OFFOUFrTH STREET ROCK CRIISHER
P.O. BOX 6490,1945 WEST FOURTH STREET
SAN BERNARDINO, CAUFORNIA 92412
(909) ll85-6866 . (BOO) 868-3#1
P.10
2616f
INERT FILL SITE
1955 W. 9th Street
San Bernardino, California
Date. /1'- 11- ~l.
6 Dirt~__
o Concrete
o Asphalt
o Sweeper Dirt
Code 01824 E19U16 -'
o Rock
--~......_--'--~
rc.r ConcretelSteei .
o DrilVSlurry Mud
Point of Origin
o Other
~/
STREET
o Cash
~---
TruCk # I
~ ~cr~~
. I AllJRE.
CllY
Amount
':;:0
(~ NAME (PRINT)
'. "4f~~
COMPANY
P.O..
.'
.n.lBallilyio.._illId._WlIClIlIy....-._...___......
....... dill No __ or_1lIIIOItIMlquIc 0/ OIl\' _ wID..__
." 1oocI_11Il progrom 11;.. '-.1 tho lIdIIyondd ""'-_".0,*",,1O ~".
.-rMd<bnpingo/_.._~oIony_ltlhofoc:l1tyll_,1II1d _
IOIUlI.._al<bnpingpltorilegll",__ ..._,produ........._IO<lhI
~ 01 an,. una::ceptBb1B .... dellVllrad to the fllcll/ly. .,
-..----- ---...
FEB-07-2001 09:19
. ............. VI ........ I'V""'"
OIVISION OF FOUIffl/ sTJler ROCK CRUSHER
'''' P.Q. BOX 6490, 1945 WEST FOURTH STREET
'5ANBERNARDINO, CAUFORNJA 92412
(909) 885-6866 . (800) 668-3444
P.11
2616 E
INERT FILL SITE
1955 W. 9th Street
San Bernardino, California
Date: /1- I ,.--:'~f7f
~'- ..
~-_.-
~ -----. -
D Asphalt
o Sweeper Dirt D Other
,j
Code D 1824 [JeMa"
. "LJ. Rock
o ConcretelSteel
o DrilVSlurry Mud
Point of Origin
STREET
Dc 11
.~...,
T~~-'
CITY
Amount
.--;;( .--'
j'~~
;'/t7
L3 rtR~O
SIGNATURE
Jl'
,~7r:.
COMPANY
P.O. II
tn. tmIlY" an ~ ..and will mIr aa>>pl Clean. inert C6nWucticr1 dIIn'taIitJan JnlIt8riaIa and
....... oaIJ ilL N. ...........1llCf.'--'O ...-wqulcloClany _ ...11 be _.
. A !oed ch8cking pragnsm ia ~ eff8ct attha facIily and 1111 YIIhicIBe may be IUllfecI to ~n. ,"
. Abmp\lld lUnping Cl ooram_ or _.......... of '"'Y Idnd.. "'" IIIdIIllo' 10 unlawful and may
.....1 In ,.. .,......1111 prIvIIogeo or._ __.In_. p-..... wi! be blllodlo,"'"
......., of any UnaocoplllllO _._ 10 "'" ....lIt. ,
---..-- ---,
FEB-07-2001 09:20
.~. - lii;Uun I n ~ I n&;&; I nu,,~
DIVISION OF FOURTH STRar IfOCK CRUSHBl
P.O. BOX 6490, 1945 WEST FOURTH STREET
SAN BERNARDINO, CALIFORNIA 92412
(909) 8ll5-6866 . (800) 666-3444
P.12
26161
INERT FILL SITE
1955 W. 9th Street
San Bernardino, California
Date: j - ,i 4 y ~f.'t1tJ..,
o Dirt
o Concrete
o Asphalt
o Sweeper Dirt
Gode 01824
~.
-'-......
,
Concretel$teel
o DrilVSlurry Mud
o Cash
OJ--'
Ch"r.ge--" ..
o Other ..
;b.~~'
. e~~Ea
. CITY
Point of Origin
Amount
s'~~.
Truck #
I
go /J1e/lJ
SIGNATURE
i~~~'.
COMPANY
P.O. II
. The tacIilv is an ~iIed .. and Will OttIV accept CIIan, ftIrt construc:Ion dIrnOa)n m.ateriaI& IU1d
_ooIIfII.No__or___rtoiflquIdo<llonrlclndwllbe_. .
. A ~ d'ledcing pmgram ia illlff8ct lit hi fBcIity and an YIIf'l:iCIM lYIity be ~jICt to ~_
. AllBmp<ed......'lll <11_ "'...._. ___ <II onriiind Bl tho llu:ilily iB........... snd IMy
nIIlI.tt in _ of dumPrtg privif..- or I~ pnI&8CUtion. In addition. pradU08r$ will be bihd lath
I'8ITlOWI oIlUlY maooepbIbIe ..... dllivera:t to ... lacility.
N .........I:'D ~av
FEB-07-2001 09:20
ruun I n ~I nI;l; I nu",~
0IVI8I0N OF FOUIfTH STREET ROCK CRUSHEFI
P.I:lo.-!lOX 6480, T94S WEST FOURTH smEET
. .. SAN BERNARDINO, CALIFORNIA 92412
(909) llII5-6866 . (SOD) 8Il8-3444
P.13
26172
INERT FILL SITE
1955 W. 9th Street
San Bernardino, Califomia
Date: J- II" -:":p,./
E::-~' ---'
9f"",l.,
. 0 Asphalt
o Sweeper Dirt
Code 0 1824 1Sli011f.
o Rock
o Concrete/Steel
o DrilVSlurry Mud
Point of Origin
o Other
--/4/
....:,....
.. ~...'
smEET
o Cash
[;I.eharge--
Truck #
CITY
/rj'
p~~
. SIGNATURE
Amount
SCJ.
.~ a:p~Z!:~':'
COMPANY
P.O..
'1l1e1Bililly 10 an unotusltlod sire and will an" _ -.. -.n_ demollllDn...- and
-... oaillll. No __ orhNIldouo _uido of any IOnd w1q bo aocop1od.
. ~ IoadchOClClno__ lS.n_ollllO IallillVandall_ may IlOSUIljlIot ID~_
. .-_ dll/l1llMQOl""""inatedor _ rnd8r1011 Of any kirxllllllafllcllltyil _'ond may
........ ....of_plngPfiYllogos or _1II~n.ln_, _...... be _......
-ofony.-._doI_lOtIofaolllly. _
- ...--....... ----
I
!
FEB-07-2001 09:20
_,." . ,.__ ... ',-..."'!!_'!~} . . I,' W, . ".~"'. . ."w",..,
. l1IVISIQN OF FOURTH STREET ROCK CRUSHER
P.O. BOX 8490, 1945 WEST FOURTH STREET
SAN BERNAAOINO, CAUFORNIA 92412
(909) 885-6866 . (800) 666-3444
P.14
26174
INERT FILl SITE
-," .
\ 1955 W. 9th Street
San Bernardino, CaHfornia
Code D18~;'"
o Rock
o Concrete/Steel
o DrilVSlurry Mud
phalt
o Sweeper Din
Point of Origin
o Ot~h.er. . ..' ..................
)~.}
..
.-.-'"
. STREET
"', .~. .
o Cash
~_.
. .
.' . /:
....." .
Truck t., .'- '<"
',~ i'
If,. ,.w~~1'
CITY
Amount . 3~:--
.........1
,'//NAM~ (PRINT)
~"~.d~-t:...-~ -t;.:....
COMPANY
? . .'~'
.-
P.O. II
.lI1o....IIy" on __.iIB ondwlll only-, *-t, __ _ rnOton.Jo and
natul1lllCi1lll. No_or_rdous__<tanykirxlwll bo_
'AIood-.g_ioJn'-at"..__IIll_""'l'bolUlljtlCtlD,,-,. ..
. AIIompfod -.,;ng <I """"lnallCl or ___10 <I.any'" at... f8lliIity;. ......,ul8ncl mar
. _II In ''''<lcllmping prMIogos or _...............In _. __ wil.bo blOod for...
_oIany~__Io"''''Ifty_
. CUSTOMER COPY .
-----. '~'--- -.. .._.RO____
FEB-07-2001 09:21
... '~""'Un'I.I.I.''I'''.I.-~.' .'''''':W'..'-
.. ' .. Di1n$/oN OF FOURm STREJiT.ROCI( CI/USHER
P.O. BOX 6490, t945 WEST FOUFm'l STIlEET
SAN ill;RNARDlNO, CALIFORNIA 92412
(909) 885,6866 . (800) 666.s444
P.1S
Z61 '(l)
...,..-"
INERT FILL SITE
1955 w. 9th Street
San Bernardino, California
Code 01824 ~
o Rock
D Concrete/Steel
o DrilVSlurry Mud
Asphalt
o Sweeper Dirt
o Other
~~ STREST .
Point of Origin
CITY
D Cash
~_._...
Truck # ... -. ../
J5. /J1 ,E'A:tj
SIGNATURE
Amount
c..5Z5 -
.~
. )l..J NAME (PRINT)
(~uI~....
COMPANY
P.O.'
'1l1e ....ilyia8ll ._odollo.......1 tIIN'/ 1CCopt...... iloO__ _110 and
_l1lIooiIilI.No_Dr_.lIIII11IriIIlIIIq_"'..,lln;twilbe~.
.A_-.gP_ ia.,_.,,,,"foPilyllWlall_...,,1lO oubjaclID.inapoctioll.
. AIl8n1J11d _pInv cI __ or _ maIIIlIIscl "'t _ BlIII facllll)' 10 UIl_lll1d may
_In loll .,<lImping ....'_or.._ ._.In _, '"""...... wit be _ lOr Ill.
...._oIl1lY__doiwl1ldto...facliIy.
CUSTOMER COPY
. .. ," < _,.. " ,..__.....~_.... -.------=-------""-.~1
.;..
FEB-07-2001 09:21
. I"'UUnl n ~lnCCI."U"'1\
.. ~ OF FOURTIf flTREn'ROCK CRUSHER
P.O. BOX 6490, 1945 WEST FOURTH STREET
SAN BERNARDINO. CAUFORNIA 92412
(909) fl85.6866 . (800) 600-3444
P.16
26199
INERT FILL SITE
1955 w, 9th Street
San Bernardino, California
, .
'. .
Date: {-I '"' ..ht\. I
.,' "")
IEfOirt..
\.CIeoncrete _
o Asphalt
o Sweeper Dirt
....--.........-.
Code D182.f' 06016
o R~-'-"-
o Concrete/Steel
D DrilVSlurry Mud
o 0th0&,....
._ EET
Point of Origin
o Cash
,,'Dch;~~
\ - -.~-- / /,
bekit----' (.L.
t'
OIlY
Amount
"'-'0
.).
II1.atJO
SIGNATUF;lE
. ..~.~ NAME (PRI~
(" . ~~~ /'1t.~.
COMPANV
P.O. II
. TI1e facIlIly IS an ._ _ and... cny 0Cll0pI........ I................ do_ maIIIIIlS and
_"'1011111. No_or___..anyklndwl...._.
." Iood ell_no 'p_ i& In _ sllholodlily.... &I vohicloo nay'" oubioGllO 1nspocIIan.
. AIttmpItKt dLn1Jlng of corUrnineIBd Dr huardc;g matBrlall at l1l'i/ kind It !he faallly II UI'lIawlU and may
_In 10&0 Dfd"""ing~or_-.oian- In_n, prod...... wllbe b1loclfOr lIle
removal Of atlY uMIaIpIabIB WBBI8 del_.t"1e the faaiIity. '
TOTAL P.16
MAR-29-2001 14:55
P.02
EXTRA WORK AUTHORIZATION REQUEST
ORDER NO.: 004
DATE: March 29, 2001
PROJECT: Mt. Vemon Avenue Storm Drain
LOCATION: San Bernardino
BMI JOB NO.: 33.511
ORIGINAL CONTRACT AMOUNT: $550,435.00
TO: Mike Gtubbs TOTAL PREVIOUS CONTRACT CHANGlJS: $
City of San 8cmardino TOTAL AMOUNT IlEFOItF. THIS CllANGF. ORDER: $
300N."O" SI. TOTALAMOUNTO~"HISCHANOF.ORDER: $
San Bc:n1atdino, CA 92418 TOTAL ItF.V1SF.O CONTltf<(~ TO DA IE: $
This CHANGE ORDER includes an Material, Labor and Equipment necessary to complete the following work
and to adjust the total contract as indicated:
FROM: JetfBonadiman
Bon.tHman-M(;Cain, Inc.
POBox 6444
San Bernardino, CA 92412
o the work below to be paid for a1 actual COS1 of Labor, Materials and Equipment pl\JS
. the work below to be completed per agreed prices as stated-
DESCRIPTION OF WORK COVERED BY THIS CHANGE ORDER:
ITEM: DESCRIPTION OF WORK:
. percenl <___%)
TOTAL
RESTRIPE SKIP LANE LINE ON ML VERNON AVENUE BETWEEN
14TH STREET AND BASELINE - APPX. 1,250 LF
TOTAL EXTRA WORK REQUEST:
$563.75
.
The work covered by this Change Order shall be performed under th
included in the original contract unless otherwise stated above.
e Terms and Conditions as that
Signed:
TOTAL P. 02