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WP0037374
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037374
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Entry Properties
Last modified
11/19/2024 3:48:23 PM
Creation date
8/16/2018 4:50:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037374
PE
4369
STREET_NUMBER
22828
Direction
E
STREET_NAME
STATE ROUTE 12
City
CLEMENTS
Zip
95227
APN
02314033
ENTERED_DATE
10/4/2017 12:00:00 AM
SITE_LOCATION
22828 E HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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AMeuangkhoth
Tags
EHD - Public
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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 />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 />669420 <br />AMADOR TRANSIT MIX <br />12480 RIDGE ROAD <br />SUTTER CREEK, CA 95665 <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 for 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 />Time of Job Min. <br />BILLING (209) 933-698 <br />❑ Job Not Ready <br />ICN I FE RIVER <br />CENTRALODISPATCH: (80) 46406572 • (209) 933-6999 <br />DELIVERY <br />AN MDU RESOURCES COMPANY <br />P.O. BOX 66001, STOCKTON, CA 95206 <br />TAG <br />STOCKTON PLANT LODIPLANT <br />MANTECA PLANT TRACY PLANT <br />ELK GROVE PLANT <br />400 S. LINCOLN ST. 851 E. LODI AVE. <br />450 EAST WETMORE 1728 WEST LINNE ROAD 10260 <br />WATERMAN ROAD <br />STOCKTON, CA 95203 LODI, CA 95240 <br />MANTECA, CA 95337 TRACY, CA 95376 <br />ELK GROVE, CA 95624 <br />SOLD TO: <br />SHIP 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 />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 />669420 <br />AMADOR TRANSIT MIX <br />12480 RIDGE ROAD <br />SUTTER CREEK, CA 95665 <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 for 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 />Time of Job Min. <br />REASON FOR DELAY TIME: <br />❑ Job Not Ready <br />Standby Min. <br />❑ Job Broke Down <br />Rate of X $ Per Min. <br />❑ Truck Broke Down <br />❑ Adding Water <br />_ $ <br />❑ Arrived Job Early <br />❑ Slow Placing Method <br />Five (5) min. per yd. free unloading time allowed. <br />❑ Other (Explain) <br />Additional unloading time charged at a minimum <br />$1.50 per min. <br />I r" L.ti"1d 1,1 I. .1 .' r f I ! i':• is t 11 .i :;, )! I 1 t` 1c t; hdf l In hit I: r.� i' 1: L! <br />L_oc-Ad `ii v Mix Code Rr-''1:1t1.,rlod 0A IYIi )i A e 13f.:•o <br />Material Design Qty Required Batched % Var Moisture Actual Yat Trym <br />TYPE I1 -V %8.0 lb 87M0 1b 8710.0 Ib A. 02% <br />669420 <br />1 i RI H, I) ori I, 4:• <br />1 ':41.1. 1Of! I ,1 <br />19?I 1 b 18278 1 b 184041 1 b 0.67% 4.90% R 8E.0 1b <br />CITY 6M 1b 2998 1h 2522 Ib 6 ���-, ?4% 2522 1h -27 ql <br />Actual Num Batches:. I Noual 12:01:13 <br />Load Total: 2%.,x2 lb Di sign 0.029 Nater!Ceme; `0.629 T Desiggn 54841, lb ActuaI3381.6 1b To Add:20'i i.` l.b <br />Sloop: 6.00 in 11 .Water in Truck: 0.0 ql Adjust Dater: VA nl / Loci Tram. Nater: -427.@ gl/ CYD <br />SITE COPY <br />
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