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WP0041412
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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: 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 <br /> 788167 <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 12460 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: ;fit:l-—. `dt'17 r�i%T? i._E"r..? SHIP TO: <br /> 00 Bo v, (')II <br /> H'(1El, <br /> TIME MIX NO. ICU.YDS.THIS LOADI YARDS••. .-IVERfTRUCK PLANT PLANT# <br /> DATE NO OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any KNIFE RIVER WEIGHMASTER CERTIFICATE <br /> responsibility of addition of colors due to variations in cement and JOB SITE CYLINDER: ❑YETHIS 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 E]YEE 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 /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE of the California Business and Professions Code,administered by the <br /> 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 /> r' <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 /> 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 /> • •= <br /> Time of Job Min. REASON FOR DELAY TIME: <br /> ❑ Job Not Ready <br /> Standby Min. ❑ Job Broke Down <br /> COUNT Rate of X$ Per Min. El Truck Broke Down <br /> ❑ Adding Water <br /> $ ❑ Arrived Job Early <br />' TIME • •• •- ❑ Slow Placing Method <br /> Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) <br /> Additional unloading time charged at a minimum .t <br /> $1.50 per min. <br /> L <br /> , < ,I� lF ;cr 117+t;r1 �74!t 314 r 2,17 '/ '768167 <br /> 1 .,.�11 3t. ,: MI Codd:, f"'.t�t,k(I itr.d fit;- 1+1i?, flaw =r,t'I I .t_t.)ld ITC <br /> Naterli1 Deeiqu"Att Required @atChPd Yar MoiAnre ktual Wat Trip <br /> INPE11 k-il.0 1 4840.0 l b 4M.0 1b i,�% <br /> t936 lb 10197 Ih IP-4 113 0.142% 5.14% A 519 1111 <br /> CITY W 1b 1485 1b 1�,78 Ib 0.44x t 1478 it, III <br /> !_Nati T�tala 1 G19 ib , De5iga 0.629 Water'fCellil 1.621 T Desiyr, X44. 1b Rctuall'39?,I Ib To Aft-Wii7..-'r Ib <br /> SIulp- )5.00 iv, # ldatet- ill Trftc 0.0 gl Adju:t Water, 0,0 q1 ! Load Crim watsr'a 25.ki ql. <br /> BILLING COPY 2 <br /> I <br />
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