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WP0038976
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038976
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Entry Properties
Last modified
3/24/2022 2:14:33 PM
Creation date
7/23/2019 5:01:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038976
PE
4380
STREET_NUMBER
22788
Direction
N
STREET_NAME
JOHNSON
STREET_TYPE
RD
City
CLEMENTS
Zip
95227-
APN
02328003
ENTERED_DATE
11/1/2018 12:00:00 AM
SITE_LOCATION
22788 N JOHNSON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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i W2 .1"1 1146 11tU yam, , i I1� . -.=•�� i,. <br /> BILLING <br /> KN I FE RIVER CENTRAL (8 0) 46FFICE: (209) 4-6572 • 209) 933-6999 <br /> ( DELIVERY 715358 <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 /> tL 6-874 c_'c:"788 N. Jf.'IHNSON RL). <br /> A t;, A GROSS DRILLING US S 1AW`t' 12 EnST SIDE OF ROAD <br /> FSC) BOX 1791 WOODBRIING <br /> .3012 WOODSON RD <br /> TIME II NO. CU.YDS.THIS LOADI YARDS ORDERED <br /> ORDER# I DRIVER/TRUCK <br /> 00 5 4.1 :;03/4 1..<4.;�• <br /> DATE NO.OF • . RDS DEL. BATCH# SLUMP TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released fromany JOB SITE CYLINDER ❑ E KNIFE RIVER WEIGHMASTER CERTIFICATE <br /> responsibility of addition of colors due to variations in cement and : Y 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 DYE,' 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 /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job of the California Business and Professions Code, administered by the <br /> WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Gals.to 2/3 load EYE,' Division of Measurement Standards of the California Department of <br /> Food and Agriculture. <br /> CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Customer's Gals.to 1/3 load❑YE DEPUTY <br /> PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR Request <br /> CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: <br /> TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br /> •' • 11010 <br /> • •• • <br /> RECEIVED BY: X 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 /> REV.COUNT LEAVE PLANT ARRIVE •= Time of Job Min. REASON FOR DELAY TIME: <br /> L ` 1�� El Not Ready !-jUB) �7 r-�I„_, <br /> !1 Standby Min. ❑ Job Broke Down 't!'t <br /> II COLIN T START POUR STOP POUR El Truck Broke Down 1 A <br /> Rate of X$ Per Min T(I'r FAL <br /> (, ❑ Adding Water <br /> _$ ❑ Arrived Job Early <br /> TIME ON JOB LEAVE JOB ARRIVE PLANT El Slow Placing Method <br /> Five(5)min.per yd.free unloading time allowed. <br /> Additional unloading time charged at a minimum El Other(Explain) 1 <br /> $1.50 per min. <br />
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