HomeMy WebLinkAbout1903 Spring Farm Dr - Correspondence/Plans Approval - 09/17/2018Cityof
,kt.:..a Coll�
Community Development & Neighborhood Services
281 N. College Ave. Fort Collins, CO 80522; Voice: 970-221-6760
FAX: 970-224-6134
CONSTRUCTION WASTE MANAGEMENT PLAN and DOCUMENTATION
Note: City staff is able to assist if you have questions about implementing a construction site recycling program, please
can Jonathon Nagel at (970) 416-2701 or jnagel@fcgov.com
PROJECT INFORMATION
Address(es) Spring Creek Farms
Permit #(s}
Addresses and Permit Numbers Attached
General Contractor & Contact Info:
LC Home-Eric Petersen 970-699-0153
Instructions: Submit the construction waste management plan at the beginning and end of each project. At first
submittal, do nQ! include the total volume/weights, hauler signatures or documentation. At project completion resubmit this
plan. with ALL fields completed, along with the required documentation. If one or more materials were not generated
during the project, indicate as such.
Documentation: Provide documentation from the hauling company listing the project address and services provided. If
you hauled the materials yourself, attach tickets from all facilities recycling the materials.
Vendor hauling the
Facility recycling the
Total volume or weight
Material material of material
(Indicate if self-hauled)
material
(Indicate units)
Concrete/(Required) Masonry N \ �:\- 0
Wood/(Required) Lumber \-\af l-\-o�t'\W.'lv4� 0
Metals (Required) Ni Y-\ 0
Cardboard
(Required) L\.. ;_\ Q ,It.:) \NW\ f ..... f.,*{ Ji. �
Trash \�GS NIA
\ 5D yJ,:; 34.81 tons
�9 sc y&� 3,648 pulls
Contaminated (Intended recyclables, loads sent d- NIA lne '"(JS5.71 tons-wood
to landfill. Indicate material)
Date
8/10/18
Print Name & Signature - Hauler(s) Date
(If multiple, indicate vendor and include signature from each)
Rev6-l-2017
Permit # Address
B1701569 1902 SPRING FARM DR, FORT COLLINS CO 80525
B1705620 1903 CHARLES BROCKMAN DR, FORT COLLINS CO 80525
B1600625 1903 NANCY GRAY AVE, FORT COLLINS CO 80525
B1605390 1904 CHARLES BROCKMAN DR, FORT COLLINS CO 80525
B1701536 1908 SPRING FARM DR, FORT COLLINS CO 80525
B1705625 1909 CHARLES BROCKMAN DR, FORT COLLINS CO 80525
B1601001 1909 NANCY GRAY AVE, FORT COLLINS CO 80525
B1701574 1909 SPRING FARM DR, FORT COLLINS CO 80525
B1605383 1910 CHARLES BROCKMAN DR, FORT COLLINS CO 80525
B1701501 1914 SPRING FARM DR, FORT COLLINS CO 80525
B1705623 1915 CHARLES BROCKMAN DR, FORT COLLINS CO 80525
B1601000 1915 NANCY GRAY AVE, FORT COLLINS CO 80525
B1701529 1915 SPRING FARM DR, FORT COLLINS CO 80525
B1700698 1916 CHARLES BROCKMAN DR, FORT COLLINS CO 80525
B1705622 1921 CHARLES BROCKMAN DR, FORT COLLINS CO 80525
B1600375 2202 ADOBE DR, FORT COLLINS CO 80525
B1600220 2203 ADOBE DR, FORT COLLINS CO 80525
B1600367 2208 ADOBE DR, FORT COLLINS CO 80525
B1600222 2209 ADOBE DR, FORT COLLINS CO 80525
B1600219 2209 JOSEPH ALLEN DR, FORT COLLINS CO 80525
B1600221 2214 ADOBE DR, FORT COLLINS CO 80525
B1600350 2215 ADOBE DR, FORT COLLINS CO 80525
B1600391 2215 JOSEPH ALLEN DR, FORT COLLINS CO 80525
B1600820 2220 ADOBE DR, FORT COLLINS CO 80525
B1600996 2221 JOSEPH ALLEN DR, FORT COLLINS CO 80525
B1600995 2227 ADOBE DR, FORT COLLINS CO 80525
B1600629 2227 JOSEPH ALLEN DR, FORT COLLINS CO 80525
B1600628 2233 ADOBE DR, FORT COLLINS CO 80525
B1600455 2233 JOSEPH ALLEN DR, FORT COLLINS CO 80525
B1603852 2239 ADOBE DR, FORT COLLINS CO 80525
B1600991 2239 JOSEPH ALLEN DR, FORT COLLINS CO 80525
B1600992 2244 ADOBE DR, FORT COLLINS CO 80525
B1603747 2245 ADOBE DR, FORT COLLINS CO 80525
B1600218 2245 JOSEPH ALLEN DR, FORT COLLINS CO 80525
B1602357 2250 ADOBE DR, FORT COLLINS CO 80525
B1603949 2251 ADOBE DR, FORT COLLINS CO 80525
B1602349 2256 ADOBE DR, FORT COLLINS CO 80525
B1604404 2257 ADOBE DR, FORT COLLINS CO 80525
B1603751 2262 ADOBE DR, FORT COLLINS CO 80525
B1604116 2263 ADOBE DR, FORT COLLINS CO 80525
B1603944 2268 ADOBE DR, FORT COLLINS CO 80525
B1604168 2274 ADOBE DR, FORT COLLINS CO 80525
B1606045 2275 ADOBE DR, FORT COLLINS CO 80525
B1604162 2280 ADOBE DR, FORT COLLINS CO 80525
B1606046 2281 ADOBE DR, FORT COLLINS CO 80525
B1607399 2287 ADOBE DR, FORT COLLINS CO 80525
B1607409 2293 ADOBE DR, FORT COLLINS CO 80525
B1607404 2303 ADOBE DR, FORT COLLINS CO 80525
B1607440 2309 ADOBE DR, FORT COLLINS CO 80525
B1607402 2315 ADOBE DR, FORT COLLINS CO 80525
B1705005 2318 ADOBE DR, FORT COLLINS CO 80525
B1607365 2321 ADOBE DR, FORT COLLINS CO 80525
B1705627 2322 ADOBE DR, FORT COLLINS CO 80525
B1705626 2326 ADOBE DR, FORT COLLINS CO 80525
B1607412 2327 ADOBE DR, FORT COLLINS CO 80525
B1705628 2330 ADOBE DR, FORT COLLINS CO 80525
B1607366 2333 ADOBE DR, FORT COLLINS CO 80525
B1700700 2339 ADOBE DR, FORT COLLINS CO 80525
B1700695 2345 ADOBE DR, FORT COLLINS CO 80525
B1700690 2351 ADOBE DR, FORT COLLINS CO 80525
B1700665 2357 ADOBE DR, FORT COLLINS CO 80525
B1700668 2363 ADOBE DR, FORT COLLINS CO 80525
B1701505 2403 ADOBE DR, FORT COLLINS CO 80525
B1701577 2408 ADOBE DR, FORT COLLINS CO 80525
B1701531 2409 ADOBE DR, FORT COLLINS CO 80525
B1702646 2415 ADOBE DR, FORT COLLINS CO 80525
B1703518 2420 ADOBE DR, FORT COLLINS CO 80525
B1701573 2421 ADOBE DR, FORT COLLINS CO 80525
B1701568 2426 ADOBE DR, FORT COLLINS CO 80525
B1701532 2427 ADOBE DR, FORT COLLINS CO 80525
B1703525 2432 ADOBE DR, FORT COLLINS CO 80525
B1701502 2433 ADOBE DR, FORT COLLINS CO 80525
B1701538 2438 ADOBE DR, FORT COLLINS CO 80525
B1701530 2439 ADOBE DR, FORT COLLINS CO 80525
B1701572 2445 ADOBE DR, FORT COLLINS CO 80525
B1604114 2269 ADOBE DR, FORT COLLINS CO 80252
·. _;i~ \f ~ ~RH1P.M'li D, 5
,JPT CO LING CO, R 2
·~· (97 ~6-11 1
WASTE MANAGEMENT
Tic:k~t Date : 01 10/~01
Tan action lype: Ir.bound
Lo d
Boo• rngff:
Seal 1 :
I r.ARRIER
Time
In 01/10/2018 10:36:57
Out ,l/Hl/2018 10: ~·1
Co enr.s :
Pl oduct
E VI ST
i 11 Rele ett
Container
Se 1 2
\Joh1c:l : t
Inb· nd
- --------------------------- ---- -~~~----- lM ---- Unit Qty
1 DCC l.oo·P. 100
403WM-N
u
20£0 lb
860 lb
398 lb
2 lb
1.03
Origin
179117
0
------------------------------- I
Custo1er
HOME BUILDERS SERVICES
3031 HIGHWAY 119
LONGMONT, CO, 80504
Ticket Date : 01/18/2017
Transaction Type : Inbound
Loadl
Bookingt:
Seal 1 :
Carrier: CONMON COMMON CARRIER
Driver :
Ti1e
In 01/18/2017 08:50:40
Out 81/18/2817 08156:59
Co11ents :
Product
OCC - Loose
Driver's Signature:
403WM-N
Scc1le
lnbollld
Outbound
Mil 1 Rel easel
Container
Seal 2
Vehicle 1
Manual Tickett:
Hauling Ticketl:
Operator
llansbtr
llanabtr
Inbound
LD~ Unit Qty
100
Original
Ticketl 190300
Gross
Tare
Net
Tons
UOM
2100 lb
41260 lb
39160 lb
2100 lb
1. 05
Origin
140640
. ,.
0
•
~!187 'J1fWdfmbAD, 518 E YINE ST
ORT CCUINS, CO 8052~
WAIITa MANAGliMIUII'
Customer
(978) 226-1101
HOME BUILDERS SERVICES
3031 HIGHWAY 119
LONGMONT, CO, 88504
Ticket Date 1 01/31/2117
Transaction Type: Inbound
loadl
Bookingl:
Seal 1 :
Carrier; CONNON CCMION CARRIER
Dri v'ir t
Mill Rele
Container
Seal 2
Vehicle 1 643
)lanual Ticketl:
Hauling Tickett:
Tile Inbound Gross
In 81/31/2017 12:37:10
Out 01/31/2017 121S1:34
Co11ents :
Product Lin' Unit Qty
Tare
Ne
Tons
39580 lb
37800 lb
1780 lb
0.89
-------------------------~-----------------Origin ----
DCC ""loose 100 1780 lb
Driver's Signature:
142396
•
0
I
I
I
I
li 1 ~' I
•• .--:-\1.\l. ' '
WlrWJuU41
WASTE MANAGEMEl\ffi
.0 E BUILOEK· SER IC -
3~31 HISH1 AY 119
LotmMOHy col ~050 i
1cket D.:;t.e
Trans<1ct ion Typ : Ir.bo11nd
Loadff
Brrnl inglt:
Seal 1
Carrt~t : COMI l COM, ON CHRRIER
river
Till!.'
In 0°10 /2i18 13:21:19
O~t 02/06/2018 13:26:19
Cnnentc; :
~roduct
OCC - Loo e
~AD ~ E VINE T
tc;,?4
hll Rele set
Container
Seal 2
1Jr:ih1c le : 1
LDi: Unit Qty U 4
2.!-360 1 b
'1228 lb
39720 lb
25£0 lb
1.28
Ot 1gin
166413
0
.J
1111
•
~ l!Rm ~¥~RHii¥"~, 500 E VINE ST
ORT COLLINS, CO, 80524
• (970) 226-1101
WASTE MANAGEMENT
Customer
HOME BUILDERS SERVICES
3031 HIGHWAY 119
LONGMONT, CO, 80504
Ticket Date e 02/15/2017
Transaction Type : Inbound
Loadl
Bookingl:
Seal 1 :
Carrier: COMMON COMMON CARRIER
Driver :
Tite
In 02/15/2017 08:18:25
Out 02/15/2017 08:24:21
Co11ents :
Product
1 OCC - Loose
Driver's Signature:
403WM-N
Sc le
Inbound
Outbound
Mil 1 Re leas el
Container
Seal 2
Vehicle : 2
Manual Ticket#:
Hauling Ticket#:
Operator
llansber
llan1b1r
Inbound
LD~ Unit Qty
100
Bross
Tare
Ntt
Tons
UOM
1820 lb
40520 lb
38700 lb
1820 lb
0.91
Origin
138635
0
r .
Hll '
u
••
U.l
I ~
I
II-
WASTE MANAGEMENT
r i: t ,,
HO BUILDERS SERVICES
1 31 HISHl-!AY 119
LO~GH T, CO, e 504
Ticket Date : ll"/'1 1 -·01e
Trans·c•icn Type : Inbound
Lo.d~
: co~ .. Oil COM u CARRIER
1i1e
In 0 /27/2018 10132:14
Out P. /27/2018 10:42:03
Conents :
Pr duct
Mill Rele~seti
Container
Bl 2
Vehicl : e
:1nual Ticket
Ha,Jl ing TiclwU:
Lo,( Uni\- Dty
'Pfr~ ii E:08870
UOM
40920 lb
3976ti) lb
l 160 lb
0.58
------------- -~----- ---------------------------------- -----Origin ·-··-·---
1 DCC - Loo,;e
r~1v, ~ Signature ·
403WM-N
11ti0 lb
---~------
177345
0
•
HOME BUILDERS SERVICES
3831 HIGHWAY 119
LIJ8IIONT, CO, 88S04
Ticket Date : 02/28/2017
Transaction Type: Inbound
Loadt
Bookingl:
Seal 1 :
Carrier : COMMON COMt40N CARRIER
Driver :
Tile
In 02/28/2017 13:23:59
Out 02/28/2017 13:29:22
Co11ents :
Product
Scale
Inbound
Outbound
Mi 11 Re leas el
Container
Seal 2
Vehicle : 1
Manual Ticket# :
Hauling Ticketl:
Operator
llansber
llansber
Inbound
L~ Unit Qty
Gross
Tare
Net
Tons
UOM
40540 lb
39800 lb
740 lb
0.37
~~---~~~---~------------------------------~------------~------------Origin ------
1 OCC - Loose 100 740 lb
••
ft'
•
...
,--tlfflil't ~~~' 508 E VItE ST
ORT CB.LINS, CO, 88524
• (978) 226-1101
WASTE MANAGEMENT
Custoaer
IOE BIJILDERS SERVICES
3031 HIGHWAY 119
LONSNONT, CO, 80504
Ticket Date : 03/08/2017
Transaction Type: Inbound
Loadl
Bookingi:
Seal 1 :
Carrier: aJ4MON COMMON CARRIER
Driver :
Tile
In 03/08/2017 08:43:26
Out 03/08/2017 08:58:46
Co11ents :
Product
Scale
Inbound
Outbound
Mill Releasel
Conhiner
Seal 2
Vehicle : 3
Manual Ticketl :
Hauling Ticket#:
Optrator
ph1il1an
phei111n
Inbound
L~ Unit Qty
Gross
Tare
Net
Tons
UOM
40320 lb
39040 lb
1280 lb
0.64
-1 ----OCC ----- -Loose --------------~----~~---------------~-~~-------~~---------Origin ---~--
Driver's Signature:
403WM-N
100 1280 lb
137416
0
1111
•
v
IIIJ
1111
I'
i :z V1 :,
::;:
::;:
t' ,> I 8
"g '
~
'. ,..
\ !" ..
~1~~ ~A~~RHW~N1bAO, 500 E VINE ST
WASTE MANAGEMENiOflT COLLINS, co, 80524
pt,· ('370) 226- t 101
Custo1er
HOME BUILDERS SERVICES
3031 HIGHiJAY 119
LONGMONT, CO, 80504
Ticket Date : ~3/13/201B
T•·ans -ct ion Type : Inbound
loadit
Bookingff:
Seal 1
Carrier COMMON COMMON CARRIER
Driver
T11e Scale
In 3/P/2018 13:58:07 Inbound
Out 03/13/2018 14: 16:17 Outbound
Co11111ents :
Product
OCC - Loose
403WM-N
D2J. ·er·; Signature:
Mill Release#
Container
Sea.l 2
Vehicle : 669
Manua Tickt>ttt ;
H ul ·ng Ticket#:
Opet tor
dJohnson
djohnson
Inbound Gtosc;
LD,- Unit
10~
Qty
Tar
Net
Ton:
UOM
1100 lb
~05~0 lb
39440 lb
1100 lb
0.55
Origin
201290
I , • I
0 ~
~ ~~~RmQ\!N~ijAo, 500 E VINE ST
ORT COLLINS, CO, 80524
: (970) 226-1101
Custoaer
-----~~--------------~------------
HOME P.IJILDERS SERVICES
3031 HIGHWAY 119
LONGMONT, CO, 80504
I .I Ticket Date : 03/21/2017
Transaction Type: Inbound
Load#
Booking#:
Seal 1 :
Carrier: COMMON COMMON CARRIER
Driver :
Mi 11 Rele set
Container
Seal 2
Vehicle 1
Manual Tickett:
Hauling Ticket#:
Ti1e Scale Operator
llansber
llansber
Inbound Gross
In 03/21/2017 14:37:55 Inbound
Out 03/21/2017 14:37:59 Outbound
Co11ents :
Product
1 DCC - Loose
Drivers Signature:
403WM-N
* M nual Weigh
LDJ Unit
100
llty
T re
Net
Tons
UOM
940 lb
40500 lb
39560 lb
940 lb
0.47
Origin
138094
------- -~ 0
I
I I
~ li~ 'i1%1f1fk.B~~NMAu, s00 E vu E sr
WASTE MANAGEMENi'JPT COLLINS1 co, 80524
Ph: (970) 226-1101
Custo1er
HOME BIJILDE S SERVICES
3031 HIGHl#W 119
LONGMOMT, CO, 80504
Ticket Date : 03/20/2018
Tram act ion Type : Inhound
Load#
Booking#:
Seal 1
Carder: COMMON COMMON CARRIER
Driver
Ti1e Scale
In 03/28/2018 07:57:15 Inbound
Out 03/2B/2018 08:0€,:04 Outbo nd
Co11ents :
Product
DCC - Loose
Mill Relea,e#
C nt~iner
Seal 2
Vehicle 1
Manual Ticket#
Hauling Tickeh:
Ope1•atnr lnbou d
l lansber
llan;;ber
LDi' Unit Oty
Gross
T re
Net
Tons
UOM
1140 lb
202017
1+0860 lb
39720 lb
1140 lb
0.57
Origin
Si gnat11re: ~~ ..
I
403WM-N
l)) '~' J
---~-----------------------------........_.~~-- -_J
------- ~n~~~~r:rnc~-~------.n:rm,i~-uu-~-.--.~-~-~--~
re PT COLLINS. co, 80521
~ .· 19 0) <<• 110!
WASTE MANAGEMENT
HO!i[ HUilf, R:.:; S7 RVICES
3031 HIGH AV 119
Lat GMOtlT, CO 00504
Ticket Date : 0~/10/2018
Transact 1 iJTI Type : I nbo1md
Load#
Bi!oking#:
Sea.1 i .,: ,. ,
Cat r i r:r : COMMotl CUM! 'N "'/4RRIER
Dt 1ver ~ ,
T.i1e Scale
In 0' /10i2018 10: :37 Inbound
O•lt l'l4/10ic.018 10·53:29 Out 01md
Couentr . .
Product
DCC - luO:ie
Dn,·er· s Signature:
403WM-N
204142
Vehicl
Operator C.ro::: tt0700 lb*i
llansber T r-e 39S00 lb~~
lan b r' Net 900 lb
Manua Tom; 0.45
Q V UOfll , 01 igin
900 lb
0
- ------ ------------------ --------- - --- ·----------.-...-
•
111.
"''
- st'~~R.Ji~D, 500 E VINE ST
RT COLLINS, CO, 8052ft
: (970) 226-1101
WASTE MANAGEMENT
Custo1er
- --------------------- ---------------
HOME BUILDERS SERVICES
3031 HIGHWAY 119
LONGMONT, CO, 80504
Ticket Date : 04/18/2017
Transaction Type : Inbound
Loadl
Bookingl:
Seal 1 :
carrier: COMMON COMMON CARRIER
Driver :
Mill Relea etl
Container
Seal 2
Vehicle
Manual Ticket#:
H:1ul ing TickeU:
Ti1e Sc le Operator
llansbtt
llan ber
Inbound Gross
In 04/18/2017 14:26:42 Inbound
Out 04/lB/2017 14:31:55 Outbound
Co11ents :
Product L~ Unit Qty
Tare
Net
Tons
UOM
41380 lb
39640 lb
1740 lb
0.87
--------------~~~--~---~-----------~------~-------~---~-·~~~-Origin ~---
OCC - Loose
Drivers Signature:
403WM-N
100 1740 lb
132129
•
II
0
. "if7 ~~~lfi~\!NRbAD. 5~0 E VINE ST
FOPT COLLINS, CO, B0524
''l · {970) 226-1101
®
V(~"l!W'NAGEMENT
--- - - - . - - - -·------------- --
HOME BUILDERS SERVICES
3011 IIGHWAY 11
LONGMONT, C3, 8 504
Ticket Date : 04/f4/201B
Transac:t ion Typ:- : t hbound
Load#
Ti1e
In 04/24/2018 12:22:16
Out 04/24j2018 1'"':41 :20
Co11ents :
Product
, Scale
Inbound
D1Jt.bound
Ope tor
llanc;ber
llansber
LD,.: Unit Qty
Grosa
Tare
Net
Ttlns
--~~-------~-~---~r.~+----~-------------~--~------~~-------liOM -~
1 OCC - Loo5e · • 100 1600 lb
\
Driver·s Signature:
403WM-N
f1SB0 lb
399B0 lb
Hi00 lb
0.80 ~
L
•.\
Dr i grn
--·--4. . .-;,-.;,. . ~· __ _
---
200475
0
lt!IY; sA~MifRfffQ\!NRMD, 500 E VINE ST
RT COLLINS, CO, 80524
IIIASTE Lusto1e MANAGEMENT "
: (970) 226-1101
HONE BUILDERS SERVICES
3031 HIGHWAY 119
LONGMONT, CO, 80504
Ticket Date : 05/03/2017
1111 Transaction Type : Inbound
Loadl
Bookingl:
Seal 1
Carrier: COMMON COl'INON CARRIER
Dri ·.ier
Mi 11 Rele sel :
Container
Seal 2
Vehicle
Manual Ticketl:
Hauling Ticketi1
Till! Scale
Inbound
Outbound
OpeNtor
llansbtr
llansbe
Inbound
In 05/03/2017 08:13:39
Out 05/03/2017 08:22:19
Co11ents :
Product
Co11ercial Single Strea, - Loose
l>r-1ver·~ Signature:
403WM-N
LDj Unit
100
------------
Qty
Gross
Tare
Net
Tons
UOM
1700 lb
41000 lb
39300 lb
1700 lb
0.85
Origin
132785
..
---------~------~--
~~t~ ~~h~lRHl~~Ni~AD1 500 E VINE ST Oriniaal
T1ck'H!t 212111
ORT COLLINS, CO, 8052t1
~; 1970) 226-1101
WASTE MANAGEMENT
---- ----------------------------------
~OME BUILDERS StRVICES
3031 HIE;HWAY t 19
LONGMONT, CO, 80504
Ticket Date : 05/08/201B
Transaction Type : Inbound
Load#
Booldng#:
Seal 1
Carner COM ON COMMON CARRIER
Dr1ver
T11~ ~c le
In 05/08/2018 13:11:~~ Inbound
Out 05/~8/2~18 13:16:17 Outbound
Co11ents :
Product
Mill Relea;;e#
Contarnei
Seal 2
Vehicle 1
Man1Jal Tid!etl
Hauling Ticket#:
Oper2tor
LLANSBE
LLANSBER
Inbound Gross
LD1- Unit Qty
Ta e
Net
Ton!
UOM
'1060 lb
40140 lb
920 lb
0.46
------------·---------------·---·------·--------- ---------------·-------Origin ------
DCC - Loose 100 920 lb
S1g1oature·
403WM-N
201152
0
------·-------------------- ------·----------------------
ru,
•
I fl
-& ~
Ill~
M ~,JtllrR~ll\!Niw), 510 E VINE ST
RT COLLINS, CO, 80524
WASTE MANAGEMENT
: (970) 226-1101
Custo1er
HOME BUILDERS SERVICES
3031 HIIH,AY 119
LONGMONT, CO, 80504
Ticket Date : 05/16/20i7
Transaction Type: Inbound
Loadlt
Bool<ingi:
Seal 1 :
Carrier: COMMON COMMON CARRIER
Driver :
Ti1e
In 05/16/2017 13:42:16
Out 05/16/2017 13:53:38
Co11ents :
Product
l OCC - Loose
Driver's Signature:
403WM-N
Scale
Inbound
Outbound
Mill Releasel
Container
Seal 2
Vehicle 1
Manual Ticketli:
Hauling Tickett:
Dperator-
llansber
llansber
Inbound
LD~ Unit Qty
100
GI 055
Tare
Net
Tons
UOM
1020 lb
.\0720 lb
39700 lb
1020 lb
0. 51
Origin
134993
•
fl
UI
0
Custol!er
-------~---------------- ------------
HOME BUILDERS SERVICES
3031 Hii:;HWAY 119
LONGMONT I C01 80501
1
T1cke Date : 05/22)2018
Transaction Type : Inbound
Load#
Booking#:
Seal 1
Cartier COMMON COMMON CARRIER
Driver
T1ae
~122i201e ar 7:54
,22/2~18 12:28141
Seal~
lnb und
Outbound
Seal 2
Vetucle
0 erator
LD 1fai t l]ty
Gros:
Tar
et
Ton
LI
2320 lb
422£.0 lb*
39940 lb
Origin
•
199913
..
,- ------------------ ---------------
Wt~P.A LARI ER COUNTY
~9~7 S TAFT HILL ROAD, 5 0 E VINE ST
Original
Ticket# 213477
OPT COLLINS, CO 80524
•I;• (970) .~26-1101
WASTE MANAGEMENT
[1Jsh1er
HOME BUILDERS SERVICES
3031 HIGHWAY 119
LONGMONT, CO, 80504
Ticket Date : 0E,/06/201B
Trdn action Type: Inbound
Load#
Booking#:
Seal 1
Carr1er COMMON COMiON CARRIER
Driver
Tie Sc le
In 06/05/2018 10:10:59 Inboun
Out 06/06/2018 10:24:33 Outt, und
Co ,er,ts :
ProdJJct
Mill REleaselt
Container
Seal 2
Vehicle 2
Man•Jal Ticket#
Hauling Tid:et#:
rpera 01·
llan ber
11 n bPI
Tnbo nd Gross
Tare
Net
Tone::
LD)( Unit Qty UOM
41440 lb
3'3580 lb
1860 lb
0.93
----------- -- --------- -----------·1-----------------------Origin ------
DCC - Loose
i:,' Signature:
403WM-N
100 1850 lb
197414
I,
' I
0
IUH
•
E1\lfltllRHlnt!NlMD1 500 E VINE ST
COLLINS, CO, 80524
(970) 226-1101
WASTE MANAGEMENT
Custo1er
---------------------------------------
I-Nlfl£ BUILDERS SERVICES
3831 HIGHWAY 119
LCN3MONT, CO, 80504
Ticket Date : 06/07/2017
Transaction Type : Inbound
Loadl
Booking#:
Seal 1 :
Carrier: COMMON COMMON CARRIER
Driver :
Mill Releasel
Container
Seal 2
Vehicle 1
Manual Ticketi
Hauling Ticketl:
Tite Scale
Inbound
Outbound
Operator
llansbe
llansber
Inbound
In 06/07/2017 10:54:15
Out 06/07/2017 11:00:13
Conents :
Product LD1 Unit Qty
Gross
Tare
N~
Tons
UOM
43S40 lb
40280 lb
32£.0 lb
1.63
Origin
---------------------------------------~~------- -----------------------------~~-
1 DCC - Loose
Driver's Signature:
403WM-N
100 3260 lb
136198
0
5887 S T FT HTLL ROAD, 500 E \1INE ST
-orT COLLINS, co, 052'1
ih. {970) 226-1101
~
WASTE ·,.~to MANAGEMENT n
HOME BUILDERS SERVICES
3031 HIGHWAY 119
LONGMONT, CO, 80504
Ticket Date : 06/l 0 i2018
Tr nsac·ion Type: Inbound
Load# 14i 11 Rel e• elt
Bookingi: Container
Seal 1
Carrier CONMON COMMON CARRIER
Drivel"
Ti1e Sc le
In 06/19/2018 13:09:14 Inbound
Out 0£1._. /2018 13:11:42 Outb 1.md
W 1g t
t
Inbound Gros;;
Tare
N
Tons
LD1' Unit Qty UOM
13f'.0 1 b
-~ --·---------------------------------- ------
OCC - Loo5P. 100
Drive1 · s Signature:
403WM-N
41100 lbt.
39780 lb
1320 lb
0.£6
Origin
207975
,...._.-------------.oor-CRHIPIER ti.DIV --------- {)riginal ------------
5887 8 TAFT Hill ROAD, 518 E Vlt£ ST
.-.-.--:,-u\v:.-J!\_FORT 'I (al.ffl) LINS, 226-1111 CO, 88S24
WA8ff MANAGEMENT
Custoaer
--------------------------------------
HOME BUILDERS SERVICES
3031 HIGHWAY 119
LONGMONT, CO, 80504
Ticket Date : 06/28/2017
Transaction Type: Inbound
Loadl
ooki1Jgl:
Hl I :
Carrier: COfll«lt COtlllN CARRIER
Driver :
Mill Rele set
Container
Seal 2
Vehicle 1
Nanual Ticketl:
Hauling Ticketl:
Ticketl 197375
Till! Inbound Gross 40880 lb
In 06/20/2017 13111:05 39640 lb
Out 06/20/2017 13118:28
Product L.D'l' Unit Qty
Tare
Net
Tons
UON
1240 lb
0.62
Origin
------~~--~~--~- ---------------------------------------------------------------------
DCC - Loose 100 1240 lb
Driver's Signature:
130579
0
..
.~ 'f'tJi~H'f~~AD, 500 E VINE ST
FORT C.oLLINS, CO, 80524
Ph: (970) 226-1101
Custo1er
HOME ---BUILDERS ---------SERVICES -------------------~--
3031 HIGH AV i19
Lot ~o,r, co, aes04
Ticket D te : 7'10/2018
Ttansaction Type : Inbound
Loadl
Booking#:
Seal 1 :
Cat·rier : cm ION COMMON CARRIER
Driver :
1ill Rele se
Container
Seal 2
Vehicle 1
M nual Ticket
Mauling Ticketl:
Tile Scale
Inbound
Outbound
Op ·atot
kwinc.lot
k inslot
Inbound
In 07/1/2018 13:47:22
Out 07/10i2018 1 :S :10
Co11enti: :
LO,; Unit Qty
Gross
T:.r
Net
Tons
UOM
H380 b
79680 lb
1700 lb
0.85
------------------------ -------------Origin ---
OCC - Lose 100 170 lb
403WM-N
209881
0
- ---~---- ---- ·--- ------ ·----
~~i ~%~RH1~N~0AD1 500 E VINE ST
::JRT COLI.I NS1 CO, B0524
WASTE MANAGEMENT R: (970 226-1101
Customer
HOti:E ~JJILDERS SERVICES
3031 HIGH4AY U.9
l.ONSMON r CO, tl0504
Ticket Dah : tJ7/ !9/2017
Transa.r:tion Type : Inbound
Load#
Booking#:
Seal 1 :
Ca~rier: ~OMMON COMMON CARRIER
Ori ver :
Time Scale
In 07/19/~017 07:59:~1 Inbo nd
0'.!t 07/19/2017 08:fi\5:'+4 Outbountl
Co11enls :
Product
1 DCC - Loosa
Driver's Signature:
403WM-N
Mill Relec1se#
Container ,
SP.al 2
Vehicle : 1
Manual Tirketlt :
Hauling Ticket#:
LD~ Unit Qty
100
uo
2080 lb
4i880 lb
39800 lb
c:~80 1 b
1.04
Origin
188174
0
176 93
WASTE MANAGEMENT
0
403WM·N
(
tor
(
(
8H \j\~~mQ\!t~'fitiAD, la'.
RT COLL'NS C01 80524
WASTE MANAGEME . {970) 226-1101
Cus 01er
------------------------------
10 BUILDER ~ERViCF.S
3031 HI6HWAV 119
LONG ON,-, CO, 80504
Ticket Date : 08/01/2017
Trans act ion Type : Inbu1Jnd
Load!!
Book rn ff:
Se l 1 :
Carrier : CO O COMMOt CARRlEH
Driv r :
Ti1e
In 08/01/2017 15:36:47
Out ~8/ 112'17 15:44:17
Co1 ents :
E VINE ST
I ill Rele-st>I
Con ainer
Seal 2
Vehicle : 3
Manual T1clle ft:
Haul in Tickett:
Oper tor
11 nsbe
l lansbet
LD Unit IJ y uo
408S0 ib
397B0 lb
1 00 lb
0.55
Origin
Prcduct
----------------------------- -------~----------100 ------------------1 --0 ---lb ---------------
1 OCC - Loose
188867
0
n
Out
403WM-N
i-'r d C
iiMf'ON CO I~ CARRIER
A
le
lnb und
utbound
f\ J I
E I J E T
11 ele r!!ff
ont:iind
rel 2
Veh cl<>
n al
Ha •l 1i1g T1
IJpet toi·
Jlan=be
1 Jan bor
10J
-------------------
lllbo11nd Groce-
Ta
N t
Tons
:%Ge lb
3890 lb
0 lb
.38
01 1 n
091486
---------- ----
...--:\t.\ : if/ Lil~~ 1fi 'I_IIP6Ao, 00 c rNE ST
,.,.~: COLLINS~ O, €0524
WASTE MANAGEMENT ' 970
'C tteil
T1cknt t-e
Ti nsact1on Type· Inbn1nd
Loa ti
ijoohng •
Se l
C rri r
D,·1 VP
Tt
In 08'09 2016 12:55:16
Out 0 q 201~ 7 :~?:4~
Co1 ent
Pr duct
Otf' Loose
403WM-N ""ign· re·
Sea e
Inbou d
Outbo•Jnd
Mill ell'
Cont ner
eal 2.
Veh1 le
~;inual T1cke , :
lfa1 linr TickeU:
Dpe ato1
11 ·ns er
11 nsber
D}: Uni
100
Inbound Gras
Tate
Ne
Ton.
UD
8o0 lb
~BB 0 lb
37980 b
861l lb
0. 3
Oricnn
091730
I!)
WASTE MANAGEMENT
~ An~ R~e~oAo, s00 Ev E sr
r CO LINS, CO, 805~ 4
(970) ~,'6 1101
HO BUILDERS SER 1r£s
30J1 HIGH AV 119
LON ONT, ro, 8.504
T1rket Dai·e : 08/ 3/2016
I - ... Lo Tran.di act 1 on - ·pe : Inbound
Booking :
eal 1 :
C rt r: COMMON ro~M01 CARRIER
Dr r :
T1 e
In 08 27 2016 15•40:46
Ou ~016 15:4 :7 4
Co 1ent
P odu t
OCC Loe
Dr ver Signature·
Sale
Inb und
Out bo ind
Mill Rel se
Contain et
Seal L
VPhtcle
M nual Ticket
lta.11 ing T1 ket
Operat-or
llansber
11 nsb r
LD. Un1
10
Inb und
D y UOM
1 40 ib
r 460 l t,
3822 lb
1~ .. 0 lb
0.6
01 igin
117623
403WM-N •*•• '•
-------~-----------------------
•
fm SA,~RH~D, 500 E VUE ST
RT CCUINS, CO, 81524
WASTE MANAG•M•NT E (970) 226-1101
Cu to1 t·
HOME BUILDERS SERVICES
3031 HIGHWAY 119
LON6MONT, CO, 88S04
Ticket Date : 08/29/2017
Transaction Type: Inbound
Load#
Bookingl:
Seal 1 •
Carrier: COMMON COMMON CARRIER
Driver :
M1ll Relea et
Container
Seal 2
Vehicle 1
Manual Ticketi :
Hauling Ticketl:
Ti1e Scale
Inbound
Outbound
Operato
l lansber
11 nsbfr
Inbound
In 08/29/2017 12:56:40
Out 08/29/2017 13:10:03
Co11ents :
Product
OCC - Loose
LD1', Unit
100
Qty
Broc:s
Tate
Net
Tons
llOM
1340 lb
40920 lb
39580 lb
1340 lb
0,67
Origin
126474
•
u
0
.--- -- - -- -
Rm~Nn AD ~ E VI ST
COLLINS, CO, 80524
(970) 226-1101
I/ASTE MANAGEMENT
HO BUILDERS ERVICES
3031 HIGH AV 119
LO MONT, CO, 80504
Ti ke D te : 09/07/ 16
Tans ct1on Type: Inbo1Jnd
Lo d
:Booking#:
Se l 1 .
C rne1 : co ARRIER
riv r
111 Release
Container
Se l 2
Vehicle
M nu l Ticket#:
Hauling Ticket :
1
Ti1e Sc e
Inb •.md
Outb und
Operat or
llansbe
Inbound
In
Ou
9/07 2016 15: 3:29
09/07/2016 16•17:44
01111ent
Product
DCC Loose
S on:it1Jr :
1-N
l nsber
Oty
100
Gro
T l e
Ton
UOI
2720 lb
40680 lb
37960 lb
27"0 lb
1. 36
Origin
118241
I
•
r l
L.J
II •
Ticket Date : 09/26/2017
Tr nsaction T pe: Inbound
Lo di
Booking
Seal 1
r. rr1e1 : CO
Driv r
Tue
CO N CARRIER
In 09i26/2017 12:52:4~
Out 9/26/2017 12:58:19
Co11ents :
Product
OCC - Loose
Dr1 er s Sinn ture:
403WM·N
Mill Rele ;e
Con iner
Seal 2
V hicle : 3
Manual Ticket#:
Hauling T1cv.et :
LDt Unit
100
174424
41320 lb
39S80 lb
1440 lb
0.72
I
Uty u Origin
1440 lb
0 _ J
•
J
n
sA~ R~Q\!Nli~AD, 500 E VI E ST
L T COLLI s, co, 80524
I'\· 1970) 226 1101
WASTE MANAGEMENT
---------~---------------------
HOE BUILDERS SERVICES
3031 HIGHWAY 119
LONG ONT, CO 805 4
Ticket Date : 09/28/2 1G
Transaction Type : Inbound
Load
Booking
Seal 1
Carrier: CO
Driver :
CO ON CARRIER
Ti e
In 09/28/2016 14:57:07
Out 09/28/2016 15:02:44
Co11ents :
Scale
Inbound
Outbound
M111 Rele se
Container
Se 1 2
Vehicle
anual Ticket
H ul ing T cket
Operator
llansb
11 n ber
Inbound Groc:s
T n•
N~t
Tons
LDi Unit Oty u
85533
0 20 lb
38100 lb
2820 lb
1. 41
Origin
-----Product -~-------~---------------------------------1 --0 - -----~------2820 ---~-lb -------------
1 DCC - Loose
129081
"Signa.t e: r. ....
403WM-N ---------------------------
Ult
•
- !il~JlliR~D, 500 E VINE ST
RT CCX.LINS, CO, 80524
WASTE MANAGEMENT
C1Jsto1er
: (970) 226-1101
HOME BUILDERS SERVICES
3031 HIGHWAY 119
LONGMONT, CO, 80504
Ticket Date : 10/12/2016
Transaction Type: Inbound
Load#
Bookingt:
Seal 1
Carrier: COMMON COMMON CARRIER
Driver
Mill Releasel
Container
Seal 2
Vehicle
Manual Ticketi :
Ha1Jling Ticket4t:
1
Ti1e Scale Operator
llansber
llansber
Inbound Gross
In 10/12/2016 09:10:08 Inbound
" Out 10/12/2016 09:21 :30 Outbound
Co11ents :
Product
1 Co11ercial Single Strea1 - Loose
D~iver's Signat1Jre:
403WM-N
LD~ Unit
100
Qty
Tare
Net
Tons
UOM
2040 lb
41300 lb
39260 lb
2040 lb
1.02
Origin
129627
•
I
I '
...
1111
•
~-------------------,----
~\¥; ~~JllliR.Ji~R'6AD, 500 E VINE ST
ORT COLLINS, CO, 80524
-rffikii~\86664 12 3 6 4 7
WA fl: (970) 226-1101
Custo1er
-~~---------------------------------
H BUILDERS SERVICES
3031 HIGHWAY 119
LONGMONT, CO, 80504
Ticket Date : t0/26/201fi
Transaction Type: Inbound
Loadl
Booking#:
Seal 1 :
Carrier: COMMON COMMON CARRIER
Driver :
Ti1e Scale
ln 10/26/2016 09:03:37 Inbound
Out 10/26/2016 09:15:22 Outbound
Co11ents :
Product
Mill RelHse
Container
Seal 2
Vehicle 1
Manual Ticket# :
Hauling Ticket#:
Operator
llansbe
llansber
Inbound Bross
LD" Unit Qty
Tare
Net
Tons
UOM
40400 lb
39100 lb
1300 lb
0.65
Origin
----------------------------------------------------~--------------------------~------
Co11ercial Single Strea, - Loose
Driver's Signature:
403WM-N
~v.
100 1300 lb
0
•
•
~ bA~~RH~~D, 500 E VINE ST
ORT COLLINS, CO, 88524
: (970) 226-1101
Custc,aer
!DIE BUILDERS SERVICES
3831 HlmMAY 119
LCN31«1NT1 CO, 80504
Ticket Date : 11/01/2016
Transaction Type: Inbound
Loadl
Bookingth
Seal 1 :
Carrier: COMHON COMMON CARRIER
Driver :
Mill RelHsel
Container
Seal 2
Vehicle : 2
Manual Ticket#:
Hauling Ticketi:
Ti1e Scale Operator
llan1btr
llansber
Inbound Gross
In 11/01/2016 14:38:25 Inbound
Out 11/01/2016 JS:03127 Outbound
Co11ents :
Prod•Jct LDi Unit Qty
Tare
Net
Tons
38900 lb
38160 lb
740 lb
0.37
Origin
-~-~------------------------~-~~------------------------~---------------------
Co11ercial Single Strea1 - Loose
Driver's Signature:
403WM-N
100 740 lb
123944
.
, .
11111
~IMJ:<A LARIMER COUNTY
B7 S TAFT HILL ROAD, S
PT CO LIS, CO 80524
; 970) 226 1101
WASTE MANAGEMENT
HOE BUILDERS SERVICES
3m31 HIG V 119
LONS 10lff I CO, 80504
Ticket Dae : 11/07/~1
Transaction "iype: Inbound
Load
Boo ingi.:
Se 1 1 •
--- -----
Carrier : C ON CO I CARRIER
Driver
Tit Sc
In 111112011 14:2 :es
uut 1 1011z011 1 :26:ES
Cone t
E INE ST
Mill Release
Contuine1'
Seal 2
Vehicl
Manu 1 iic.eU
Hailing Ticketi:
lnbo
. D, Unit. ty
Original
T1cket 203941
UOl4
43 0 lb
:9880 lb
·102 lb
2, 01
Origin
--Product ---------- ------ ---··------------4 -c.-'0 -lb ------
OCC - Loose
..-i , r's S1gr,c1ture:
........,----1--- 403WM:c
19 923
0
~-------------------------------------------------
- ~,Jitliflt-ff~D, 500 E VINE ST
ORT CClllNS, CO, B0524
WABTB MANAGEMENT
Custo1er
: (970) 226-1101
HOME BUILDERS SERVICES
3031 HIGHWAY 119
LCINGNONT, CO, 80504
Ticket Date : 11/16/2016
Transaction Type: Inbound
Loadl
Bookingl:
Seal 1 :
Carrier: COMMON COMMON CARRIER
Driver :
Mill Release#
Container
Seal 2
Vehicle : 2
Manual Ticketl:
Hauling Ticket#:
Tite Scale
Inbound
Outbound
Operator
llansber
llansbtr
Inbound
In 11/16/2116 08:56:07
Out 11/16/2816 09:17:26
Co11ents :
-----Product ---~---~~~·
1 OCC - Loose
Driver's Signature:
403WM-N
LI)'.( Unit Qty
100
Gross
Tare
Net
Tons
UCIM
1900 lb
41020 lb
39120 lb
1900 lb
0.95
Origin
133457
I
• I
I
I
_ I
.,
i i
~I
J• pl-ff I D s
-::c, COLLINS. 0 80524
~ t > 2~£ 110
~
IIICAllTE MANAGEMENT
l.,;IJ5t !Jll!I
OM£ BUILDERS SERVICE~
30· 1 HJ IA ' 11 q
LONGMONT, co B 5
11 28/2017
: InC1ourd
lo dt,
Boo ingl:
S al 1
C r 'lf!
Dr1v~
Time
In 11/28,2017 lc:51:3
Di~ 11/28 2 17 13:10:56
Co ent
Proclui.;
OCC - Lease
lh-1ve ·- S1gna re:
403WM-N
CARRIEP
s
ill el ~sei
Conta ner
nu 1 Tic etl:
Hau ing Tic:ke I:
Qty UOM
1220 lb
40860 lb
3964 lb
1220 lb
e. GI
Origin
175647
0
!iJWt ltfl~~~~NTIDAo, 500 E VINE ST
RT COLLINS, CO, 80524
: (970) 226-1101
WASTE MANAGEMENT
Custo1er
HOME BUILDERS SERVICES
3031 HIGHWAY 119
LONGMONT, CO, 80504
Ticket Date : 11/29/2016
Transaction Type: Inbound
Load#
Booking#:
Seal 1 :
Carrier: COMMON COMMON CARRIER
Driver :
Tile
In 11/29/2016 14:09:17
Out 11/29/2016 14:15:01
Co11ents :
Product
1 DCC - Loose
Driver's Signature:
403WM-N
Scale
Inbound
Outbound
Mi 11 Re 1 ea set :
Conta~ner ,
·, a'l· E!_ ' 1 I',,, , . :
Vehicle " : . 697
Manual Ticketl :
Hauling Ticket#:
Operator
llansber
llansber
Inbound
LD~ Unit
100
..,
Gty
Gros5
Tare
Net
Tons
UOM
1440 lb
41040 lb
39600 1b
1440 lb
0.72
Origin
134037
WASTE MANAGEMENT
LIMRt=1 LAR MER COUNTY
5887 S TAFT Hill ROA, 500
roRT COLLINS, ro. 805.-'4
Ph: ·97e,) ·-·26 1101
HOMf: BUILDEns SERVICES
3VJ"11 HIGHWh . 1 9
LQtlGMOIH, CO, 80504
r·ck~t n te : 12r1212017
Transacti n Type : Inbound
Load#
Booking#:
Si>a.l 1 :
Catriet COMMON COMMON CARRIER
Dri vet
T1 P.
In 12112 12,?Jt 7 n: 14:34
Out 12/12i20J7 11:20:Ql2
Com ents
Product
1 0 C - Loose
' , '"'r s Signatul e •
403WM-N
Mill Relea:e# :
LDii Uni't Qty
Gross
T- t e
Net
Ton::
UOM
1480 lb
41 l 80 lb
39700 lb
1LtB0 lb
0 7
0
I
I .
I
I
I
I
I
I
I
• I
I
I
I
I
I
I
I
I
I
I
I '
I
I
-------------------------------------,-·
•
Ill
WHPA LARIMER COUNTY Original
87 S TAFT Hill ROAD, 500 E IJINE ST Ticketl 188792
RT COLLINS, CO, 80524
: (970) 226-1101
Custo1er
HOME BUILDERS SERVICES
3031 HISHWAY 119
LONGMONT, CO, 80504
Ticket Date : 12/14/2016
Transaction Type: Inbound
Lo di
Bookinglt:
S l 1 :
Carri r: COMMON COMMON CARRIER
Driver :
Ti1e Sc le
In 12/14/2016 09:05:16 Inbound
Out 12/14/2016 09:12:31 Outbound
Co11ents :
---Product ----
1 OCC - Loose
Driver's Signature:
403WM-N
Mill Releasel
Container
Seal 2
Vehicle : 68
Manual T1cketl :
Hauling Ticket#:
Operator
pheihan
phe · 1,an
lnbo nd 610 s
Ta e
N t
:ron
LDiC Unit
100
12 y UOM
1720 lb
41140 lb
39420 lb
1720 lb
0.86
Origin
136880
•
I
0
WASTE MANAGEMENT
Custo er
HO BUILDERS SERVICES
3031 HIG AV 119
l GM T, CO B0504
Ticke Date : 12/28/2016
Tr ns 10n Typ : Inbound
E VI ST
Original
Ticket# 189412
Load Mill Releas
Booking!!:
Seal 1 :
C rr1er: CO O CO
Driver :
Tue
In 12/28/2016 14:30:02
Out 12/28 6 14:50:37
Co11ents :
Pr'oduct
1 DCC - Loose
Drivers Signature:
403WM-N
CARRIER
Sc le
Inbou d
Outb nd
Container
S al 2
Vehicle
anu 1 Ticke
Hauling Ticket
: 643
Inbo nd
l.Di( Unit Qty
Gross
T e
t
Ton
uo
39460 lb
3788 lb
1580 lb
• 79
·~~~-----------------Origin -------
1 1580 lb
139718
CO HBS Service Ticket 211AII
DEL WEAVER
Job Number: 673189
Requested: 03/15/18
Action: Final
Service: 30 Yard
Service Note: FINAL "WOOD ONLY" AT 1909 CHARLES
BROCKMAN DRIVE
Job Note:
Subdivision: SPRING CREEK
Service#
861013
Mileage Start
Mileage End
Total Mileage
Dump Fee
# On Site 1
#Serviced ~
Completed By ~
Date 7J --L 5::
Bin# In
Bin# Out
30 Yard Per Servi
Address: Builder: 0 LC RECYCLE HOME WAY ;rt aJll; 11,afe d
80525 FORT COLLINS {/J
Called In By: MIKE
Phone: (970) 786-5703
Ordered On: 03/14/18
Billing Type: No Charge
Plan/Desc: 30 YD WOOD ONLY
Return All Service Tickets To Dispatch
Printed: Wednesday, March 14, 2018 02:11 pm Page 1 of 1
HBS CONTAMINATED WOOD RECYCLE FORM.
DATE OF PICK UP/ DRIVER NAME - 00{
BUILDER/ SUBDIVISION - l- C 1/M'l<E- - 717t11f Creef
ADRESSES YOU ARE PICKING BIN UP FROM -
1C/IJ9 c_·t,,ar-k5 §rod:JJtctl't Pr
Pt Cc1J/;)t.,7
TYPE OF TRASH THAT CONTAMINATED IT-
f aper, f1Jefct /1
f /a5fre:"
1 card.bc'"Clf'd
LARIMJCR COUNTY LANDFILL
GATEHOUSE
5887 :, . Tilft Hil.l. Rd .
Fort Coll.ins , CO 80526
Weighed : DEVIN
BILL TO : 5602
HOME BUILDERS SERVICES INC .
3031 HIGHWAY 119
LONGMONT CO 80504
HAULER: CASH
Vi;,hiol.e ID: B2 8
Referanoe :
Origin : LAR:CMER COUNTY
DATE IN : 03/ 15/2018 TIME IN: 10:46:27
DATE OUT : 03/15/2018 TIME OUT : 10 : 46:27
INBOUND TICl<JCT Number :
SCALE 2 GROSS WT.
MANUAL TARE WT .
NET WlCIGHT
Qty Daeor:Lption
30 .000 COMMERCIAL LOO E
05 - 01054078
37980 LB
32420 LB
5560 LB
Amount
189 . 00
Stilte Suro 10 . 50
NET CHARGE AM NT : 199 . 50
3031 Highway 119, Longmont, CO 80504
Phone (303) 651-5715 Fax (303) 651-5745
hbs2@cofence.com
LC Home RE: Spring Creek trash service
We here at Home Builders Services confirm that we provided the trash hauling service for LC
home, in the Spring Creek subdivision. All services were provided according to the instructions
provided by LC Home. Below is the total number of services we did on this project.
76 homes with twice a week service = 3648 services total
Sincerely,
Home Builders Services