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WP0037519
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037519
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Entry Properties
Last modified
12/27/2018 8:44:31 AM
Creation date
12/26/2018 1:10:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037519
PE
4366
STREET_NUMBER
9502
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01719024
ENTERED_DATE
10/26/2017 12:00:00 AM
SITE_LOCATION
9502 E PELTIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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BILLING <br /> FFICE: (209) 933-69 <br /> KNIFE RIVER CENTRAL ODISPATCH: (800) 4646572 • (209) 933-6999 DELIVERY (^C� ;:t <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG 6 v V <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 /> 7 1 MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK PLANT PLANT# <br /> 7- --7------------ <br /> • OF •• .S I YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: [:]YES THIS <br /> 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 EYES 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 /> 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 EYES <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 /> '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 /> • •= REASON FOR DELAY TIME: <br /> Time of Job Min. <br /> ' ❑ Job Not Ready <br /> Standby Min. ❑ Job Broke Down <br /> REV.COUNT START POUR STOP POUR ❑ <br /> Rate of X$ Per Min. Truck Broke Down <br /> ❑ Adding Water <br /> -$ ❑ Arrived Job Early <br /> TIME ON •. LEAVE JOB ARRIVE PLANT ❑ 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 /> 668698 <br /> 'T'r t!,c:�6f. lr•r^i.vF:•9'f� l.Jr;;r:.,•r 1):i <sl'! i :L i::I;F:•r'1: t••I�!.m I :i.t::l•�.erf: I:.l.+ 'I :i.lnc;•� :t):a'l,t;r <br /> x_;`.-50,314.1. E'il,01.27 Lk':i(:3Y` 4r':rlc 9 I.r.?::..:Sf.:� <br /> i <br /> I <br /> c) (-.1 ',:i. r: :+ 11H.x C.:'t:!cic:? f:c:a t;t..t rr1(caca G21:: I''I:i : f lI:�f:) ::;c:�ta T D <br /> L•1„ ()U CYD7 t";()rt r.0 Cr <br /> I1 �Q•vial DesigQn----(ft R aired Ratched % Val, X MDietur'e Actual Wat <br /> i101I V 999 1t 77 4 lb 7710 1b fi.44% <br /> KRCSAMD 19:35 lb 16199 lb 16160 lb 85 01 <br /> WATk.R 73.6 g1 3'x'3.0 gl 399.0 gl 0.00% 399.0 ul <br /> Actual t" batches: l <br /> Load Total: L7195 lb Design 0.634 Wa r/CeMent 0.6K T. Desi n 5M18 1 Actua y83.9 ql r �?:1:1 1�F.r� nl <br /> Slut: 9.00 it1 # dater in <br /> Ton, 0.634. <br /> 0.0 gl Adjust Water. 0.0 g1 / LDa5 Trio later:-13.1 gl; YCI <br /> BILLING COPY? <br /> .r•r <br />
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