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WP0039515
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039515
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Entry Properties
Last modified
3/24/2022 2:58:16 PM
Creation date
7/31/2019 10:47:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039515
PE
4366
STREET_NUMBER
2500
Direction
E
STREET_NAME
WOODBRIDGE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01323041
ENTERED_DATE
4/16/2019 12:00:00 AM
SITE_LOCATION
2500 E WOODBRIDGE 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 /> KNIFE DELIVERY <br /> fZIVEft '.ENTRAL DISPATCH: (800)464-6572• (209) 933-6999 <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG 714280 <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 /> :.►cit_r�"?'4 '-- <br /> 2500 E. WOODBR"IDGE RD <br /> $1 & A GROSS DRIL'rl_ING US) L..OWE:R SAC <br /> PC) BOX 1.761 WOODEAR I lal i <br /> 3012 WOODSON RV <br /> CFI flcAmpEl <br /> TIME MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# DRIVERTRUCK PLANT PLANT# <br /> IlAt -61) AA-2-6 j U LL-�7 <br /> t? <br /> NO.OF LOADS YARDS DEI BATCH# SLUMP MillelA4201110,1:143 <br /> FE RIV R ND DRIVER OF TRUCK are released from any JOB SITE CYLINDER ❑YE KNIFE RIVER WEI HMASTER 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 ]YEE on the certificate, who is a recognized authority of accuracy, as <br /> prescribed by Chapter 7(co mencing with Section 12700)of Division 5 <br /> for shortage will not be allowed unless made at the time this material Added of the California Business a d Professions Code, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job Gals.to 2/3 load OYEE Division of Measurement andards 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 ••• ••«•F- �•••� <br /> CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: r <br /> TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br /> RECEIVED BY: X X •- • <br /> '5.,00 yd `04 1.+11. 3 SK. SANG) SL <br /> e mixes quoted are not warranted to acre e r any part cu ar use,purpose or application,nor are they warrantedto a acceptable 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 /> • •: REASON FOR DELAY TIME: <br /> Time of Job Min. El Job Not Ready <br /> UBTOTf-1L. <br /> Standby Min. ❑ Job Broke Down _ <br /> • START POUR STOP POUR Rate of X$ Per Min. ❑ Truck Broke Down a X <br /> ❑ Adding Water TOT AL. <br /> _$ ❑ Arrived Job Early <br /> TIME OV JOB LEAVE •_ 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 .r r <br /> ?J $1.50 per min. <br /> 714280 <br /> Tr,rtrk Dir,iVer User Disp -ricket NLim 'Ticket ID Time Matte <br /> 550341718 553309 L1:ier 1 ':--1121050 1204``, i£': 1-r 5/6/19 <br /> L.oad Size Mix Code Rete-11:nNd 1.'At:y Mix Aqe Seq Load 11) <br /> 5. 00 C_:YIDS 504 1.1 1::,'3;98 <br /> Material Qesign Qty Required Batched % 11ar % Moisture Actual Wat <br /> SMD 1936 1 b 1073 ]b 10260 lb -0.12% 6112% A 592 1 b <br /> TYpt.I 11 %6.0 lb 5840.0 lb 5815.0 10 -0.521 <br /> LITER _-'50 1 b 1157 lb 1158 lb 0.93% 1168 lb <br /> ktrlal No Batches:: 2 Manual 12:17:21 <br /> oad Totl: 11(•;243 ib pet}fin 0.36 Watirf lea 0 3 6 R DLesi�n 150. Na A t�aaW.1 Ib To Add: it.@ Ib <br /> �erpo .QNB 1n Wafer 1n ruck: .0 ga lu!� Pa era 0.0 gal 1 oa rt�l tern <br /> SITE COPY <br />
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