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WP0038913
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038913
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Entry Properties
Last modified
6/12/2019 4:28:10 PM
Creation date
6/12/2019 3:27:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038913
PE
4366
STREET_NUMBER
14141
Direction
E
STREET_NAME
PROUTY
STREET_TYPE
RD
City
GALT
Zip
95632-
APN
00903012
ENTERED_DATE
10/19/2018 12:00:00 AM
SITE_LOCATION
14141 E PROUTY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AGooderham
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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IVER BILLING OFFICE: (209) 933-6980 <br /> KNIFE RDELIVERY <br /> 1*4 CENTRAL DISPATCH: (800)464-6572 • (209) 933-6999 (a <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 9.5624 SUTTER CREEK,CA 95685 <br /> SOLD TO: SHIP TO: <br /> 4136874 14141 PROUTY RD <br /> A & A GROSS DRILLING LIBERTY TO TACK TO1 1-0 END, PRO <br /> PO BOX 179 WOODBRIDG I.,ITY LOOK FOR PIG <br /> 3012 WOODSON RD <br /> CA GALT <br /> 1:-,1"f.)V I T. r-4< n <br /> TIME MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK <br /> S�4 <br /> DATE <br /> OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> +��l�al19 AklZlu+ �f� <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: ❑YE 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❑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 IoadE1YE8 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❑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 /> e mixes quoted are not warranted o be acceptable for any particular use,purpose or application,nor are they warranted o e accep a e or 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 /> • •- Time of Job Min. REASON FOR DELAY TIME: ( t y Y <br /> 1:1Job Not Ready-4101 <br /> Standby Min. ❑ Job Broke Down TAX X <br /> COUNT •• •- •• TOTAL <br /> Rate of X$ Per Min. ❑ Truck Broke Down A <br /> L <br /> ❑ Adding Water -I "-� <br /> _$ ❑ Arrived Job Early <br /> TIME • •" LEAVE •- 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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