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4200/4300 - Liquid Waste/Water Well Permits
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WP0037701
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Entry Properties
Last modified
6/28/2018 9:44:36 AM
Creation date
6/28/2018 9:44:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037701
PE
4369
FACILITY_NAME
ZICARI, MICHAEL & LISA TR
STREET_NUMBER
21353
Direction
N
STREET_NAME
CORD
STREET_TYPE
RD
City
CLEMENTS
Zip
95227
APN
02315046
ENTERED_DATE
6/28/2018
SITE_LOCATION
21353 N CORD RD
RECEIVED_DATE
12/15/2017
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SOLD TO: <br />KNIFE RIVER AND DRIVER OF TRUCK are released from any <br />responsibility of addition of colors due to variations in cement and <br />aggregate materials or admixtures, and for damage which may be <br />incurred in delivering materials across the curb or property line. Claims <br />for shortage will not be allowed unless made at the time this material <br />was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE <br />WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT <br />CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE <br />COMMODITY AND BECOMES THE PROPERTY OF THE <br />PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR <br />CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE <br />TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br />RECEIVED BY: <br />SHIP TO: <br />JOB SITE CYLINDER: <br />Water Gals. to full load <br />Added <br />On Job Gals. to 2/3 load <br />At <br />Customer's <br />Request Gals. to 1/3 load <br />AUTHORIZED BY <br />KNIFE RIVER WEIGHMASTER CERTIFICATE <br />THIS IS TO CERTIFY that the following described commodity was <br />weighed, measured, or counted by a weighmaster, whose signature is <br />on the certificate, who is a recognized authority of accuracy, as <br />prescribed by Chapter 7 (commencing with Section 12700) of Division 5 <br />of the California Business and Professions Code, administered by the <br />Division of Measurement Standards of the California Department of <br />Food and Agriculture. <br />DEPUTY <br />"The mixes quoted are not warranted to be acceptable for any particular use, purpose or application, nor are they warranted to be acceptable Tor use in any particular <br />environment or in conjuncture with any particular soil conditions. Buyer's selection of the quoted mix, unless otherwise acknowledged in writing by Knife River will be <br />deemed to be without the advice, consultation, recommendation or suggestion of Knife River and Buyer assumes all risk related to the selection of the quoted product for <br />BILLING OFFICE: <br />Time of Job Min. <br />KN I FE RIVER <br />RY <br />CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 DELIVERY <br />CH: (0) 464- ( ) <br />6 ? 3 5 4 5 <br />AN MDU RESOURCES COMPANY <br />P.O. BOX 66001, STOCKTON, CA 95206 <br />❑ Truck Broke Down <br />STOCKTON PLANT LODI PLANT <br />MANTECA PLANT TRACY PLANT <br />ELK GROVE PLANT <br />AMADOR TRANSIT MIX <br />400 S. LINCOLN ST. 851 E. LODI AVE. <br />450 EAST WETMORE 1728 WEST LINNE ROAD <br />10260 WATERMAN ROAD <br />12480 RIDGE ROAD <br />STOCKTON, CA 95203 LODI, CA 95240 <br />MANTECA, CA 95337 TRACY, CA 95376 <br />ELK GROVE, CA 95624 <br />SUTTER CREEK, CA 95685 <br />SOLD TO: <br />KNIFE RIVER AND DRIVER OF TRUCK are released from any <br />responsibility of addition of colors due to variations in cement and <br />aggregate materials or admixtures, and for damage which may be <br />incurred in delivering materials across the curb or property line. Claims <br />for shortage will not be allowed unless made at the time this material <br />was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE <br />WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT <br />CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE <br />COMMODITY AND BECOMES THE PROPERTY OF THE <br />PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR <br />CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE <br />TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br />RECEIVED BY: <br />SHIP TO: <br />JOB SITE CYLINDER: <br />Water Gals. to full load <br />Added <br />On Job Gals. to 2/3 load <br />At <br />Customer's <br />Request Gals. to 1/3 load <br />AUTHORIZED BY <br />KNIFE RIVER WEIGHMASTER CERTIFICATE <br />THIS IS TO CERTIFY that the following described commodity was <br />weighed, measured, or counted by a weighmaster, whose signature is <br />on the certificate, who is a recognized authority of accuracy, as <br />prescribed by Chapter 7 (commencing with Section 12700) of Division 5 <br />of the California Business and Professions Code, administered by the <br />Division of Measurement Standards of the California Department of <br />Food and Agriculture. <br />DEPUTY <br />"The mixes quoted are not warranted to be acceptable for any particular use, purpose or application, nor are they warranted to be acceptable Tor use in any particular <br />environment or in conjuncture with any particular soil conditions. Buyer's selection of the quoted mix, unless otherwise acknowledged in writing by Knife River will be <br />deemed to be without the advice, consultation, recommendation or suggestion of Knife River and Buyer assumes all risk related to the selection of the quoted product for <br />673545 <br />REASON FOR DELAY TIME: <br />Time of Job Min. <br />❑ Job Not Ready <br />Standby Min. <br />❑ Job Broke Down <br />1. 1 r ,74t-, <br />❑ Truck Broke Down <br />'._ 1 r3. i.� <br />Rate of X $ Per Min. <br />❑ Adding Water <br />to i- <br />_ $ <br />❑ Arrived Job Early <br />❑ Slow Placing Method <br />Five (5) min. per yd. free unloading time allowed. <br />❑ Other (Explain) <br />• , <br />Additional unloading time charged at a minimum <br />Required Batched <br />$1.50 per min. <br />% Moisture Actual W:lt <br />673545 <br />SITE COPY <br />t%l 1-t in T :i C 1: i! 't; I: l t <br />i ;. rt I:! ::a t: er <br />Ll it?T' <br />1. 1 r ,74t-, <br />'._ 1 r3. i.� <br />t�bC,`i,',fi <br />;`? �. ;,,`. W 1� I t 'r: (._ <br />ra r.I F_ 1'� t� 1_t Y T-1 f_t i.:I <br />to i- <br />trdf j. : •i i.] 4' � + t' ! .� <br />�_.. u t .� . d .1 <br />Naterill <br />Desiggn 12t° <br />Required Batched <br />% Oar <br />% Moisture Actual W:lt <br />1336 li <br />11$46 1b 11843 lb <br />-0.07% <br />2.M M C3. It <br />TvgSrr,_1 <br />%8.0 1b <br />5808.0 1b 5840.0 ib <br />0.55% <br />350 lb <br />113%7 It! t 372 1b <br />0.37% <br />1372 1b <br />Ntar Batches: <br />c <br />NfIla31 t0:56:19 <br />Load fatal: 1W.. 1b <br />'design 0.362 Water/Lesent <br />tb. >0 T <br />Desiggn 2100. 1h Actua11604.2 to To Add: `195.8 1 <br />7.N in # dater <br />in Trurk: 0.0 gal Adjust <br />Dater: 0.0 <br />gal ' !_bad Trim Water:-10.Agal' <br />r"M <br />SITE COPY <br />
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