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WP0039290
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039290
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Entry Properties
Last modified
10/1/2019 11:45:12 AM
Creation date
10/1/2019 11:40:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039290
PE
4366
STREET_NUMBER
18720
Direction
E
STREET_NAME
SIERRA VIEW
STREET_TYPE
CT
City
CLEMENTS
Zip
95227-
APN
01926065
ENTERED_DATE
2/12/2019 12:00:00 AM
SITE_LOCATION
18720 E SIERRA VIEW CT
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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rKNIFE fI�Eft BILLING OFFICE: (209) 93)6980 ( ) <br /> 4 <br /> CENTRAL DISPATCH: (800 464-6572 • 209 933-6999 DELIVERY 715459 <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG <br /> � J <br /> V ' <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: t SHIP TO: <br /> rI R A GROSS DRII._L.11AG CI'S Hwy i El <br /> PO E{OX 17FJ WUC7DBRIDG <br /> 3012 WOODSON RD <br /> C(t LODI <br /> TIME MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK PLANT PLANT# <br /> SLUMP U <br /> DATE NO.OF LOADS YARDS DEL. BATCH# TICKET NIUMBE: <br /> ca,.. 4rl lir t r1 t <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: []YES 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 DYES 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 load DYES 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 /> -The mixes q uoied are nowarran e o e acceptable or any particular use,purpose or application,nor are they warranted o e 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 /> • •- Time of Job Min. REASON FOR DELAY TIME: <br /> ❑ Job Not Ready <br /> Standby Min. ❑ Job Broke Down TA <br /> El Truck Broke Down <br /> ❑ {�� <br /> TAX y x <br /> COUNT • • • Rate of X$ Per Min. r Adding Water �� TO L. <br /> -$ ❑ Arrived Job Early <br /> • •B LEAVE •- <br /> El Slow Placing Method <br /> TIME ARRIVE PLANT 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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