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WP0039649
EnvironmentalHealth
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MILTON
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19958
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039649
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Last modified
3/24/2022 2:45:32 PM
Creation date
7/31/2019 9:55:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039649
PE
4380
STREET_NUMBER
19958
Direction
E
STREET_NAME
MILTON
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
10521004
ENTERED_DATE
5/24/2019 12:00:00 AM
SITE_LOCATION
19958 E MILTON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2019
Tags
EHD - Public
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BILLING OFFICE: (209) 933-6980 <br /> KN I FE RIVER CENTRAL DISPATCH: (800) 464-6572 • (209) 933-6999 DELIVERY <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG <br /> 7,19522 <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 I MIX NO.-ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# DRIVER/TRUCK PLANT PLANT# <br /> DATE NO.OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> 7-- <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: EYETHIS 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 OYEE 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 /> the California Business and Professions Code, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE <br /> On Job Gals.to 2/3 load EYE,' Division <br /> vision 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 /> la3 f",6e <br /> "Ine mixes quo a are no warren e o be acceptable Tor any particular use,purpose or application,nor are they warranted o be acceptable 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 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 /> COUNT •- Time of Job Min. REASON FOR DELAY TIME: <br /> '. ❑ Jab Not Ready <br /> - Standby Min. ❑ Job Broke Down <br /> COUNT •UR STOP POURRate of X$ Per Min. ❑ Truck Broke Down <br /> El Adding Water <br /> ' =$ ❑ Arrived Job Early <br /> TIME ON _ LEAVE _ ARRIVE PLAN ❑ 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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