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WP0037425
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037425
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Entry Properties
Last modified
12/27/2018 12:01:38 PM
Creation date
12/27/2018 10:30:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037425
PE
4366
STREET_NUMBER
24501
Direction
N
STREET_NAME
FUHRMAN
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02104520
ENTERED_DATE
10/16/2017 12:00:00 AM
SITE_LOCATION
24501 N FUHRMAN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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BILLING OFFICE: (209) 933-6980 <br /> lt!4'MIFE RIVER CENTRAL DISPATCH: (800) 464-6572 • (209) 933-6999 DELIVERY <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG ` <br /> a <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 /> '3F.�+�-A,___ 2"4511 F•UHRMAN RI) <br /> �. A GROSS L)RIt_l.- lNG C/!-) COL.L.TER RD. 'a1YIF1LA_ tathl=+l3E1_ RUCI <br /> .PO 'BOX 178 W(.?r7DBRI.DIS LS <br /> 3"01" W10009431\1 PD <br /> ACO.t4po <br /> • • • <br /> OADS I YARDSDEL. BATCH# SLUMP TICKET NUMBER <br /> -7 <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: ❑YES 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 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 /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE of the California Business and Professions Code, administered by the <br /> On Job Gals.to 2/3 load❑YES 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 DYES <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 /> • • • <br /> "The mixes quoted are not warranted to beacceptablefor 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: y7� ',p 1 <br /> Time of Job Min. El Job Not Ready YUB rT OTAL. <br /> Standby Min. ❑ Job Broke Down TAX <br /> 111RIIII111111111111111111111 START POUR • POUR El Truck Broke Down ter• <br /> Rate of X$ Per Min. E] Adding Water r ���• <br /> _$ ❑ Arrived Job Early <br /> • • LEAVE JOB ARRIVE PLANT ❑ slow Placing Method <br /> 71 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 /> 666822 <br /> Iii-ur� Js: ;_ lir-:iV1 11 E,r" I.?i.sR Ticke?-t Mum 'f,icl<et 1E) 1 xlnf.x Date <br /> 5`r0-341`12112 4i;','•i13? 1. 1.7 0 01 N20".1 13:0`E to/19/17 <br /> Siiza M:ix CodCi Rete 11C—d Oty Mix nqe Fr(i 1...aiad Ii') <br /> E, -VV CYL) 504 D: rel1-•5 <br /> Mate lal -Desi n Ilt Mired Batched % Var x hoistiure Actual Wat <br /> ? 1F-a: : 0 lb lie 0 1b SBIM lb 0.1032 : 233 1b <br /> WATT 39 N 1810. 1b 18521b -0.84% tBa12 lb <br /> 4C 1i l Num Batches: ? Nodal 13:04:50 <br /> Lead T0411 X95: lb Pe:ign 0.39 1later/Ceiilent 0.361 f ;'J1esi n ?1061. lb A ual2@84.5 lb To Add: 15.5 1b <br /> Sluap l.00 in 11 Nater in Truck: VIA gal Adjust Water.,-0.B:gal ! lna� Trio Ylatert @:�Dgal! GY'A <br /> SITE COPY <br />
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