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WP0036294
EnvironmentalHealth
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UNDINE
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036294
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Entry Properties
Last modified
9/26/2018 1:30:36 PM
Creation date
9/26/2018 1:18:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036294
PE
4369
STREET_NUMBER
4790
Direction
W
STREET_NAME
UNDINE
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
19106006
ENTERED_DATE
1/30/2017 12:00:00 AM
SITE_LOCATION
4790 W UNDINE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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BILLING (209) 933-69 <br /> KN I FE RIVER CENT ALODISPATCH: (8 0) 4646572 • (209) 933-6999 DELIVERY <br /> AN101131J•RE'SOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG <br /> STOCKTON PLANT LODI PLANT MANTECA PLANT TRACY PLANT ELK GROVE PLANT AMADOR TRANSIT MIX <br /> 400 S.LINCOLN ST. 851 E.LODI AVE. 450 EAST WETMORE 1728 WEST LINNE ROAD 10260 WATERMAN ROAD 12480 RIDGE ROAD <br /> STOCKTON,CA 95203 LODI,CA 95240 MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE,CA 95624 SUTTER CREEK,CA 95685 <br /> SOLD TO: SHIP TO: <br /> i Eik14 + `i 1 1.lE*1I`F ii_tl:.�;il I:>R 1 I-L 114b: 4946 (,TPI1, <br /> STC11VEi- OUbE: DRIL,LAIAG L./16 Cli0(a/,ER PREPAH) fAl-H)i'T CP <br /> TIME MIX NO. ICU.YDS.THIS LOAD� YARDS ORDERED ORDER# DRIVERiTRUCK PLANT PLANT# <br /> DATE OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from anyJOB SITE CYLINDER: [-]YES MKNIFE RIVER WEIGHASTER CERTIFICATE <br /> responsibility of addition of colors due to variations in cement and THIS IS TO CERTIFY that the following described commodity was <br /> aggregate materials or admixtures, and for damage which may beweighed,measured, or counted by a weighmaster,whose signature is <br /> incurred in delivering materials across the curb or property line.Claims Water Gals.to full load OYES on the certificate, who is a recognized authority of accuracy, as <br /> for shortage will not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> California Business and Professions Code, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job Di the <br /> Gals.to 2/3 load Division of Measurement Standards of the California Department of <br /> WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and Agriculture. <br /> CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer's DEPUTY <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load OYES <br /> PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR <br /> CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: <br /> TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br /> RECEIVED BY: X X • M .• • • •• • <br /> • <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 /> any particular application." <br /> COUNT •= Time of Job Min, REASON FOR DELAY TIME: <br /> ❑ Job Not Ready <br /> Standby Min. ❑ Job Broke Down <br /> COUNTPOUR STOPOUREl Truck Broke Down <br /> Rate of X$ Per Min. <br /> ❑ Adding Water <br /> _$ ❑ Arrived Job Early <br /> TIME ON • •" ❑ Slow Placing Method <br /> Five(5)min.per yd.free unloading time allowed. ❑ other(Explain) <br /> Additional unloading time charged at a minimum <br /> $1.50 per min. <br /> 617888 <br /> 1:)riv r LlIF,ery 1� ,� , kpt hl1.An: T,t 'kyt IT) <br /> ) �.'+K.r <br /> i .c� acl Ci i. ::F hlix C.`,o(IP Pt-,t,vrned 0 t y Mix Aqe SNr} L.c;ac:l TO <br /> Material Desi n G+tyy Required Batcbed x Var % 90iiture Actual slat Tris <br /> TYPE II-V 9F .0 !b 677&.0 Ib 6740.0 1b -0,53% <br /> 1936 lb ION lb 14" 1b 0.15% 3.451 N 468 lb <br /> CITY 609 1 b 2101 lb 2112 l b 0.5LN 211' lb --?9 Ill <br /> ktual . Nos Batches: 1 Nanual 12:58:0P <br /> Load Total: . lb Design 0.62'9 Water/Cesent 6.632 T Des' 425:?. 1b ktpa12579.9. Ib To Nil <br /> Shp: 7.00 in # Water in Trurk: 0.0 Ill Ad.ju.st Water: 0.0 gl f Load Tris Water:-29.0 01% CYD <br /> SITE COPY <br />
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