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WP0037753
EnvironmentalHealth
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MILTON
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22851
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037753
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Entry Properties
Last modified
12/28/2021 4:31:28 PM
Creation date
10/3/2018 10:56:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037753
PE
4369
STREET_NUMBER
22851
Direction
E
STREET_NAME
MILTON
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
09311009
ENTERED_DATE
1/2/2018 12:00:00 AM
SITE_LOCATION
22851 E MILTON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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t <br /> KN I FE RIVER BILLING OFFICE: (209) 933-6980 <br /> r-4 CENTRAL DISPATCH: (800) 464-6572 • (209) 933-6999 DELIVERY 6901 <br /> `9 n 1 � /I <br /> AN MDU RESOURCES COMPANY d f P.O. BOX 66001, STOCKTON, CA 95206 TAG �? J, �} <br /> STOCKTON PLANT LODI PLANT MANTECA PLANT ITRACY 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 /> TIME I MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK PLANT PLANT# <br /> I <br /> DATE <br /> • OF •• . <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: DYE KNIFE RIVER WEIGHMASTER 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 be weighed, 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 11YES on the certificate, who is a recognized authority of accuracy, as <br /> a will not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> for shortage of the California Business and Professions Code, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job Gals.to 2/3 load DYES 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'sDEPUTY <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load❑YE <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 • • • • <br /> e mixes quoted are no warran e o e acceptable or any particular use,purpose or application,nor are they warren e o acceptable or use In any pa cu ar <br /> environment or in conjuncture with any be <br /> 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 /> • •: Time of Job Min. REASON FOR DELAY TIME: <br /> _ • ❑ Job Not Reedy <br /> Standby Min. ❑ Job Broke Down <br /> COUNT • Rate of X$ Per Min. ❑ Truck Broke Down <br /> ElAdding Water <br /> =$ ❑ Arrived Job Early <br /> • . <br /> El Slow Placing Method <br /> TIME B LEAVE JOB ARRIVE PLANT 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 /> $90154 <br /> fr^lat:.k Dr'�ivr-_r t.f er- Di 1.,I7 'T i.c'ke'r iiit_tIrl 1.if:_ke't :I). <br /> 5541,34:16.fi5 •t t:;1.05 C,r, 1.GJ;-?::6",.:?c::."i 58(A1 i <br /> 1_.c:t:_tci ':;a.ZtZ, fyliX ts0(J e P4-tttrrrr:cl >t EYi:iat Ar�lL- <br /> i n l71!'t f;i1)s.7 5 0::t. iD <br /> I Deg ;y 4t r Required Aatche ttaar' Moisture Actual Nat;r: Trip <br /> DwV �.0 It 5808.0 lb 5910.Vfib 1.764 <br /> 1336 lb 12199 Ib 12200 lb 0.01X, 5.02% A <br /> CITY 60'3 lb 1719 lb 1,12 Ib -0.78X Ir12 1 c, g_ <br /> Actual Nur Batches: 1 i Manual 11:06:17 <br /> Load Total. 19812 lb Design .629 Nater/Cement 0.616• T Design -7653. lb ktuala2TO- 1h To Add:l-M.4 <br /> 51.uspfi 4.00 in i1 Water'`in-True: V0.0 ql Adjust W;ter: 0.0 gl / Load THe Water:-237AV rIi ryr! <br /> BILLING COPY 2 <br />
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