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WP0039566
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039566
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Entry Properties
Last modified
10/1/2019 1:18:27 PM
Creation date
10/1/2019 11:40:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039566
PE
4366
STREET_NUMBER
4184
Direction
E
STREET_NAME
GEMSTONE
STREET_TYPE
DR
City
ACAMPO
Zip
95220-
APN
00536017
ENTERED_DATE
5/1/2019 12:00:00 AM
SITE_LOCATION
4184 E GEMSTONE DR
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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KNIFE RIVER BILLING OFFICE: CHI:( 0)464- ( 1 <br /> CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 DELIVERY 7110� <br /> AN MDU R ESOU RCES COM PANY 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 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 MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK PLANT PLANT# <br /> DATE • OF • .S YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from anyd06 SITE CYLINDER: ❑yE 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 EIYEE 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 /> 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❑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'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 <br /> CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: <br /> TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br /> RECEIVED BY: X /� • • • <br /> e mixes quo a are not warranted o be acceptable for 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 /> COUNT ' •= REASON FOR DELAY TIME: <br /> Time of Job Min. <br /> I f \�k.;-� „• 11 Job Not Ready <br /> _ . L Standby Min. ❑ Job Broke Down <br /> COUNT •UR STOP POURRate of X$ Per Min. ❑ Truck Broke Down <br /> ❑ Adding Water <br /> =$ ❑ Arrived Job EarlyTIME I' <br /> ON •_ LEAVE JOB 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 /> i tz i 11_+ f I(1.a : 711085 <br /> 1=1 i : C-t_i;J F. It f 1 r)i:1 f,I i x r..{R,t r:} I.. (:.1 I int <br /> ,.rw X1111 1__'(�. . _.tLh::I. <br /> Kiterial bes:ggn Qty Begtf,ired Batched % 4Iat. ':: Noisture kt+J.3l Wok '1*eis <br /> TYPET1, ) %- 9.0 lb 4840.0 It, 11111310.0 lb --0.&2i <br /> _qtr 19: l h 10343 1 b 19320 l h -4.22% ti.85x N 661 1 b <br /> LiTf 6M lb 1338 1b 1322 1b;! 1.;'_{'f. QCK. 1h -25 gl <br /> I <br /> NUN hatches: 1 >Aatlu��1 II:a41:`x <br /> l va+9 'Crtal: 1645% 1b DeAgn @.(?9 watel. event 0.63" T Desi n 3044. 1b ktuall'.3815 1b To Add:1061.0 to <br /> `limp: 1." in # Nater in Tl-wili-: @.@ gi Wlmt Mater: 11,Et g) Load Trite Water;-r`.0 gt/ UiD <br /> SITE COPY <br />
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