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WP0036421
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036421
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Last modified
1/9/2019 11:54:54 AM
Creation date
1/9/2019 10:25:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036421
PE
4366
STREET_NUMBER
651
Direction
W
STREET_NAME
SARGENT
STREET_TYPE
RD
City
LODI
Zip
95242
APN
02902057
ENTERED_DATE
1/30/2017 12:00:00 AM
SITE_LOCATION
651 W SARGENT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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BILLING <br /> 209) 933-69 <br /> KNIFE �RIVEft CENTRAL ODI PATCH: (800)4646572 • (209) 933-6999 DELIVERY 6572621771 <br /> AN MDU RESOURCES 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 /> MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVERITRUCK PLANT PLANT# <br /> DATE NO.OF LOADS <br /> 7 <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: EYES 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 /> 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❑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 /> ••• •• •• • •• <br /> RECEIVED BY: X . • . • • <br /> ,1y.<i. kC9.. .:i ::rl ;:iIF•ilNll3 'l.: !-�1•:'r � ,� `!.<.k ,z '� � �+17.,,ti►r} `i%(1r <br /> ] 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 /> •= <br /> Time of Job Min. REASON FOR DELAY TIME: <br /> ❑ Job Not Ready <br /> 7 Standby Min. ❑ Job Broke Down <br /> a START POUR STOP POUR Rate of X$ Per Min. El 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 /> 62177 . <br /> .......... ...._.... <br /> . ................................. _..,.........:....... <br /> r, (.v:t::F' <br /> ! .04 ..,_�..._. t.ril. .,..._ .1�1(.l:i ,.�...............lPtl:::. (1( 1.1,JE�......... <br /> 1.; "'11:5 <br /> ` i...Z3 :I -'3960I :.. I " 0 (.1 1 <br /> l r'I:tl:::I f -•V 9(:.8.,() 117 6 ",'6. 0 1 ka'7r c?., i? `•:ak.�t:'� L;;31G <br /> Il. 1351..G ? ' ' . ()0; ) l t �R <br /> o..f)f-fD TOTAL: 23bb's' 1h DFSHM W/C: 0.513 NATER/CEMENW4. 1;f,.., DESIM WATER: 416.5 gl ACTUAL WATER: 4(x!.9 gi TO ADD: 13.5 ql <br /> 8.t�0 r'# IdATEfc lW TlillGK: 0.0 ql AlY,i1 T I�F','�ti.!`tx ,- 11 /load TRIA WRTER: --6.0 91 /yd <br /> SITE COPY <br /> l <br />
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