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WP0040922
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HORSE SHOE
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21301
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040922
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Entry Properties
Last modified
11/24/2021 2:39:53 PM
Creation date
7/29/2020 2:51:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040922
PE
4366
STREET_NUMBER
21301
Direction
N
STREET_NAME
HORSE SHOE
STREET_TYPE
CT
City
CLEMENTS
Zip
95227-
APN
01931009
ENTERED_DATE
6/29/2020 12:00:00 AM
SITE_LOCATION
21301 N HORSE SHOE CT
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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lVEft BILLING OFFICE: (209) 933-6980 <br /> KNIFE ftDELIVERY 747347 <br /> CENTRAL DISPATCH: (800) 464-6572 • (209) 933-6999 <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG <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 /> .• <br /> NO.OF •• • <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: [:]YES THIS <br /> 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 /> prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> for shortage will not be allowed unless made at the time this material Added 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❑YES 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❑YES <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 /> "The mixes quoted are not warranted to be acceptable for any particular use,purpose or application,nor are they warranted to be acceptable for use in any particular <br /> 1 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 •= Time of Job Min. REASON FOR DELAY TIME: <br /> / `/ El Job Not Ready <br /> r, / r _ Standby Min. ❑ Job Broke Down <br /> • START POUR STOP POUR <br /> Rate of X$ Per Min. El Truck Broke Down <br /> ❑ Adding Water <br /> $ ❑ Arrived Job Early <br /> TIME ON •- LEAVE JOB ARRIVE PLANT ❑ 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 />
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