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WP0041412
EnvironmentalHealth
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21014
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041412
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Last modified
6/7/2021 12:32:08 PM
Creation date
6/7/2021 12:22:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
File Section
COMPLIANCE INFO
RECORD_ID
WP0041412
PE
4374
STREET_NUMBER
21014
Direction
E
STREET_NAME
COMSTOCK
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
09134002
ENTERED_DATE
11/4/2020 12:00:00 AM
SITE_LOCATION
21014 E COMSTOCK RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\dsedra
Tags
EHD - Public
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KN I FE RIVER BILLING OFFICE: (209) 933-6980 DELIVERY <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 UNNE 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 • ICU.YDS. . . <br /> .. <br /> NO.OF .• . <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER ❑YE KNIFE RIVER WEIGHMASTER CERTIFICATE t <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[:IYEl 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 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'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 /> • •. •. • <br /> RECEIVED BY: X 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 particu 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 y <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 Il <br /> any particular application:' <br /> COUNT •: REASON FOR DELAY TIME: <br /> • Time of Job Min. <br /> ❑ Job Not Ready <br /> Standby Min. ❑ Job Broke Down <br /> COUNTPOUR STOP ,• El Truck Broke Down - <br /> Rate of X$ Per Min <br /> ❑ Adding Water <br /> $ ❑ Arrived Job Early <br /> • •_ !LEAVE •_ <br /> El Slow Placing Method <br /> TIME ARRIVE PLANT Five(5)min.per yd.free unloading time allowed. El other(Explain) <br /> Additional unloading time charged at a minimum <br /> $1.50 per min. <br /> 788164 <br /> r c. •. 'f .. T...r:al'i .. +F_. 1 t:ltl_�lt._'0 a <br /> L It 3il 1;:! e Psi1 ,( 7d0 Re 4..mt'''r)Bd i_,f't;'. :�L.Ir• :a!1 (. <br /> htafp:'ial C+e;igrl <t; Rep ieed Batched N p)ir No Akwe Af-tual Wat Trio <br /> 7�f 1'-1 96E. l 6.'1:.0 113 Me.0 1b + 5.03' <br /> ty38 Ib 1821% lb 18440. Ib 4;d 5.58% A 9115 1b <br /> ITY 609 Ib 2:630 1b 226214 Ib 0.22 2,624 le "2.5 g <br /> i-lrtftal Wo Batches. 1 <br /> �uad Tot.51: ?0?i4 Ib <br /> Design if.fi 4da1er�esent 0.599 T Desi n 540. lb A t+:a �5'A.' !b To Rdi.I681:€, It <br /> �1utp: 6.klfl in Water s. Truck: 0.0 g Ad ii W-)er� 0.k� gl Las•- Tris Dater;-25.@ g <br />
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