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WP0039017
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039017
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Entry Properties
Last modified
3/13/2020 3:10:26 PM
Creation date
3/11/2020 4:31:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039017
PE
4380
STREET_NUMBER
24222
Direction
N
STREET_NAME
SADLERSTONE
STREET_TYPE
DR
City
ACAMPO
Zip
95220-
APN
00536015
ENTERED_DATE
11/13/2018 12:00:00 AM
SITE_LOCATION
24222 N SADLERSTONE DR
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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IVE . BILLING OFFICE: (209) 933-6980 <br /> KNIFE RDELIVERY 714134 <br /> 1�4 CENTRAL DISPATCH: (800) 464-6572 • (209) 933-6999 <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG <br /> a <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 95240MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE,CA 95624 SUTTER CREEK,CA 95685 <br /> SOLD TO: SHIP TO: <br /> '804 4 VALLEY DR I L I....T IN10:2 4222 ;PiDLi R15),T <br /> !JAl.-LE=Y DRILLING C/S JAHAKT/ WOODSON AND ?9 F—RTC <br /> PP C"/C <br /> ACj <br /> r)re ,l 7.01.4:; -Cr uc+- <br /> TIME MIX NO. CU.YDS.THIS LOAD YARDS ORDERED OPIDER# DRIVER/TRUCK PLANT PLANT# <br /> �►:;3`� b7oq k130 `J. 0t} <br /> DATE OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> 04/18/ 1`3 �'�4- 4`^f0-f 00 ytl 1. 41'i: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,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 /> 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 /> the California Business and Professions Code,administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE <br /> On Job Gals.to 2/3 load❑YE Division <br /> vision 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 /> R <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Gals.to 1/3 load DYE <br /> PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR Request , <br /> CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: I e� <br /> TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br /> RECEIVED BY: ✓ /� <br /> The mixes quoted are not warranted to be acceptable for any particular use,purpose or applicaflon,nor are they warranted to be acceptable for 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. El Job Not Ready -�i TC1 f CSL. F3�;S. 00 <br /> �� /// •/) Standby Min. ❑ Job Broke Down TA X $68. 813 <br /> REV.COUNT START POUR STOPPOUR El Truck Broke Down TOTAL T FII_ $901.5. ✓G4t_) <br /> Rate of X$ Per Min. �L <br /> !) - <br /> El Adding Water <br /> $ [I Arrived Job Early <br /> TIME ON • •" ARRIVE PLANT ElSlow Placing Method $903. 89 <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 />
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