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WP0039793
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039793
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Entry Properties
Last modified
12/19/2019 1:39:07 PM
Creation date
12/19/2019 1:24:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039793
PE
4378
STREET_NUMBER
16767
Direction
N
STREET_NAME
TRETHEWAY
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05114031
ENTERED_DATE
7/10/2019 12:00:00 AM
SITE_LOCATION
16767 N TRETHEWAY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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x X&JOIr ,II t rdw_I2. <br /> lt�41KNIFE ftIVEfZ BILLING OFFICE: CH: ( 0) 464- ( ) <br /> CENTRAL DISPATCH: 800 464-6572'• 209 933-6999 DELIVERY <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG 722153 <br /> r a <br /> r ' <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 rA 95624 SUTTER CREEK,CA 95685 <br /> SOLD TO: SHIP TO: i <br /> ,y ac: r t ,16-7C.-i N. '1 RE:THEWIP"i <br /> A & A GROSS DR1I...I.._7:NG C/O t,TC-TOR RD. <br /> PO BOX I It" WOOI7)r)F IDG <br /> 3012 WOi')I)S(::)N RD <br /> CA <br /> TIME MIX NO. <br /> ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK <br /> `)IZf4 ktr) <br /> DATE NO.OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> 0 7 E'.�'j ` i C. - 0 1.�) 7- 00 i <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB 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, counted by a weighmaster,whose signature is <br /> incurred in delivering materials across the curb or property line.Claims Water Gals.to full load NE on the certificate, ho is a recognized authority of accuracy, as <br /> for shortage will not be allowed unless made at the time this material Added _ prescribed by Cha er 7(commencing with Section 12700)of Division 5 <br /> g of the California usiness and Professions Code, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job Gals.to 2/3 loadnYE Division of Me urement Standards of the California Department of <br /> WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and Agri Iture. DEPUTY <br /> CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer's <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 IoadM <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 quoted are not warrants to a accepts a or any particular use,purpose or application,nor are they warrants to a acceptable or use in any pamcu ar <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. ❑ Job Not Ready <br /> 1LIP-1-04 aE.. <br /> Standby Min. ❑ Job Broke Down T A X <br /> COUNT • •• POUR Rate of X$ Per Min ❑ Truck Broke Down r <br /> ❑ Adding Water <br /> _$ ❑ Arrived Job Early <br /> TIME ON • JOB ❑ Slow Placing Method <br /> Five(5)min.per free unloading time allowed. El other(Explain) <br /> Additional unloadinging time charged at a minimum <br /> $1.50 per min. <br />
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