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WP0036474
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036474
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Last modified
3/22/2019 1:49:09 PM
Creation date
3/8/2019 4:16:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036474
PE
4378
STREET_NUMBER
25431
Direction
N
STREET_NAME
KENNEFICK
STREET_TYPE
RD
City
ACAMPO
Zip
95632
APN
00519018
ENTERED_DATE
1/30/2017 12:00:00 AM
SITE_LOCATION
25431 N KENNEFICK RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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AMeuangkhoth
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EHD - Public
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KMH FE RIVER BILLING OFFICE: (209) 933-6980 634358 <br /> CENTRAL DISPATCH: (800)464-6572• (209) 933-6999 DELIVERY <br /> AN MD,U RESOURCE!fCOMPANY 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 /> TIME MIX NO. ICU.YDS THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK PLANT PLANT# <br /> DATE NO.OF ••.S YARDS DEL. BATCH# SLUMP TICKET NUMBE�: <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any KNIFE 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 DYES 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 OYES 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 /� • • • <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 KnifeRiver 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 /> REV.COUNT LEAVE PLANT ARRIVE JOB REASON FOR DELAY TIME: { <br /> Time of Job Min. ❑ Job Not Ready <br /> Standby Min. ❑ Job Broke Down r { <br /> COUNTfi <br /> • • •• Rate of X$ Per Min. ElTruck Broke Down I t)„t Nil , <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 />
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