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WP0039564
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039564
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Entry Properties
Last modified
10/1/2019 11:39:39 AM
Creation date
10/1/2019 11:34:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039564
PE
4366
STREET_NUMBER
24405
Direction
N
STREET_NAME
LEADSTONE
STREET_TYPE
DR
City
ACAMPO
Zip
95220-
APN
00536003
ENTERED_DATE
4/29/2019 12:00:00 AM
SITE_LOCATION
24405 N LEADSTONE DR
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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KNIFE RIVER BILLING OFFICE: CH: ( 0) 464- ( ) <br /> CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 DELIVERY 70919r11_ 1����L <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG <br /> i <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 �110260 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 T0: 5 4� SHIP TO: r_'.4405 LEfIDS TONE DR. <br /> ,) )LI_FY 1)R I L.L.I NG i Gli.lODSON RD. C. Cl. 1) C l_.&:PIN DRUM <br /> (")CAMP <br /> Piv-ovi ol.t r- <br /> TIME I MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I <br /> ORDER# I DRIVER/TRUCK <br /> ] . , , , <br /> %i 7 <br /> DATE NO.OF LOADS •. lSLUMP TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER _1YE1 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 EYEon 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 JobGals.to 2/3 load YE 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 • • . • - <br /> e mixes quoted are not warranted o be acceptable for 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 /> COUNTit <br /> •• Time of Job Min. REASON FOR DELAY TIME- <br /> Time <br /> IME,Ll _1.0.L.ALA 1 QI. ' <br /> El Job Not Ready #L �'l <br /> Standby Min. El Job Broke Down TAX P C!6. 83 <br /> COUNTPOUR STOP •• El Truck Broke Down T(:1'T AL_. t B;71&. 19,21Rate of X$ Per Min. <br /> ❑ Adding Water , <br /> _$ ❑ Arrived Job EarlyTIME J.[.f Y t'1 <br /> • • • ❑ Slow Placing Method 7 8! 5• 6 i <br /> Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) <br /> Additional unloading time charged at a minimum t , <br /> $1.50 per min. <br /> 70919 <br /> Trl_rc1( Dy ivev, Usev, Disp 'Ticket Num 'Ticket ID Tient Dai:e <br /> 150.754 1 f.538 575661 +_l e r 1.657258 18 b 2 9 s i if-, 5/16/19 <br /> Lead r-:ize Mix Code RetI..%r-r► d Ot.y Mix Age Seq Lortd ICS <br /> material Des igIn City Rel wired Batched % Val, X Noissw°e actual Wat <br /> TYPEII-4 968 1b 48�r0 lb 4870 lb 0.62% �. <br /> KRCC-40 1935 1b 10259 1b 10M lb 0.21% 6.K0, A '0 gl <br /> WATER 73.6 g] 25@.5 g1 2W.0 gI -A.1':% 250.0 g ) 1•� <br /> Actual Nur Batches: 1 r <br /> Load total: 1-12 is lb uesigo 0.634 WateriCesent (4.630 T Design+ We gl Actual 320.2 gl To Add: 47.9 gl <br /> Slurp: 9.00 in 1 Water in Truch: 0,0 gl Adjust Water: 0.0 g1 / l.aadd Tris Water: -9.5 gl/ CYD <br /> SITE COPY <br />
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