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WP0039060
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039060
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Entry Properties
Last modified
1/9/2019 12:18:01 PM
Creation date
1/9/2019 10:36:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039060
PE
4369
STREET_NUMBER
22100
Direction
N
STREET_NAME
BRUELLA
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01719008
ENTERED_DATE
11/26/2018 12:00:00 AM
SITE_LOCATION
22100 N BRUELLA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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BILLI 5980 DELIVERY <br />F474N <br /> NIFE R1 PEN BOX 66001, STOCRAL Dr3PATCH: (800) 464-6572 -KTON CA 95206209) 933-6999 TAG ��0593 <br /> DU RESOURCE COMI:ANY <br /> s <br /> • MANTECA PLANS TRACY PLANT ELK GROVE PLANT AMADOR TRANSIT MIX <br /> LOCM <br /> PLANT450 EAST uORE 1728 WEST LINNE ROAD 10260 WATERMAN ROAD 12480 RIDGE ROAD <br /> STOCKTON P NT 851 Ej LODI AV MAN ECA095337 TRACY,CA 95376 ELK GROVE,CA 95624 SUTTER CREEK,CA 95685 <br /> 400 S.LINCOLN ST LODI,CA <br /> STO CKTON,CA 95203 SHIP TO: <br /> SOLD TO'. <br /> F LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> . . <br /> . . <br /> KNIFE RIVER AND DRIVER OPUCK are released from anyJOB SITE CYLINDER: ❑YES KNIFE RIVER WEIGHM ASTER CERTIFICATE <br /> responsibility of addition of CDlome to variations in cement and THIS IS TO CERTIFY that the following described commodity was <br /> and for damage which may weighed, measured,or counted by a weighmaster,whose signature is <br /> m <br /> aggregate materials admixture g y be ,n 5 as <br /> incurred in delivering materials rt the curb t prescribed by Chapter 7(commencing with Section 12700)of Divisioproperty line.Claims Water on the certificate, who is a recognized authority of accuracy <br /> Gals.to full load❑YES <br /> for shortage will not be allowed Ifss made at the time this material Added of the California Business and Professions Code, administered by the <br /> was delivered. ADDITIONAL WFR ADDED TO THIS CONCRETE On Job Gals.to 2/3 load EYES Division of Measurement Standards of the California Department of <br /> WILL REDUCE ITS STRENCI ANY WATER ADDED IS AT At Food and Agriculture. DEPUTY <br /> CUSTOMER'S OWN RISK.,ONCRETE IS A PERISHABLE Customer's Gals.to 1/3 load DYES <br /> COMMODITY AND BECOF5 THE PROPERTY OF THE Request <br /> PURCHASER UPON LEAVIN THE PLANT. ANY CHANGES OR <br /> CANCELLATION OF ORIdfAL INSTRUCTIONS MUST BE AUTHORIZED BY: <br /> TELEPHONED TO OUR OFFG BEFORE LOADING STARTS. <br /> X <br /> RECEIVED BY: X . • <br /> 'The mixes quoted arewt 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 con)u�re 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 theadvlce,consultation,recommendation or suggestion of Knife River and Buyer assumes all risk related to the selection of the quoted product for <br /> an particular application. <br /> REV.COUNT LEAVE PLANT ARRIVE •= REASON FOR DELAY TIME: <br /> Time of Job Min. <br /> ❑ Job Not Ready <br /> Standby Min. ❑ Job Broke Down <br /> REV.COUNT START POUR • -• - [ITruck Broke Down <br /> Rate of X$ Per Min. <br /> ❑ Adding Water <br /> _$ ❑ Arrived Job Early <br /> TIME • LEAVE•_ •. ARRIVE PLANT El 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 />
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