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WP0036376
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036376
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Entry Properties
Last modified
3/8/2019 5:10:09 PM
Creation date
3/1/2019 9:47:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036376
PE
4369
STREET_NUMBER
5501
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00519049
ENTERED_DATE
1/30/2017 12:00:00 AM
SITE_LOCATION
5501 E JAHANT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AMeuangkhoth
Tags
EHD - Public
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980 <br /> KN I F RIVER BILLING OFFICE: CH: ( 0)464- ( ) <br /> CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 DELIVERY 571004 .7 1(��.J/` <br /> AN MPU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG LJ�.J`t <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 /> 1 " GROSS3 DRILLING <br /> PQ BOX 1*78 WPODBRIDE3 <br /> ,012 WOODSON RD <br /> f"rrntrjnrt^ Tru! <br /> NO.OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from anyKNIFE RIVER WEIGHMASTER CERTIFICATE <br /> responsibility of addition of colors due to variations in cement and JOB SITE CYLINDER: DYES 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❑YE 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's DEPUTY <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 /> "The mixes quoted are not warranted o be acceptable for any particular use,purpose or application,nor are they warranted o be accep a e Tor 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 Rivet 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 /> COUNT •: Time of Job Min. REASON FOR DELAY TIME: <br /> ❑ Job Not Ready _ <br /> (�.,, i � � ) •� �_ Standby Min. ❑ Job Broke Down <br /> • START POUR STOP POUR Rate of X$ Per Min. [__1 Truck Broke Down <br /> ❑ Adding Water <br /> n <br /> $ ❑ Arrived Job Eady <br /> TIME ON • •• ARRIVE PLANE] Slow Placing Method <br /> Five(5)min.per yd.free unloading time allowed. ❑ ether(Explain) <br /> Additional unloading time charged at a minimum <br /> $1.00 per min. <br />
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