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WP0041412
EnvironmentalHealth
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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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IVER BILLING OFFICE: (209) 933-6980 <br /> KNIFE fZDELIVERY <br /> CENTRAL DISPATCH: (800) 464-6572 • (209) 933-6999 <br /> 4N 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 /> TIME MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK PLANT PLANT# <br /> DATE NO.OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from anyJOB SITE CYLINDER: [:]YES 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 beweighed, 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❑YE 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 /> 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 E]YEE 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 OFFeE 1 RE LOADING STARTS. <br /> r <br /> RECEIVED BY • • • • • <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." .,-I t� 1 f E•�t.. <br /> COUNT •: REASON FOR DELAY TIME: <br /> Time of Job Min. ❑ Job Not Ready <br /> f Standby Min. ❑ Job Broke Down <br /> REV.COUNT START POURr • •, El Truck Broke Down <br /> Rate of X$ Per Min. <br /> ❑ Adding Water <br /> - -$ ❑ Arrived Job Early <br /> TIME ON •- LEAVE JOB ARRIVE PLANT El Slow Placing Method <br /> Five(5)min.per yd.free unloading time allowed. El other(Explain) <br /> Additional unloading time charged at a minimum •t � � t <br /> j $1.50 per min. <br /> .,1. I.:r.�!;!� "i'i c�1:�t; {`t!r_t sn T:i f:,�f�it l !� !' i m 1�z t t z t: <br /> 788 .57' <br /> I ;<i f. s_,.? 1rirl6-o tt .t 1.171t=,r11"' 9lty�.F:61 1�3a't *.3/ 1 ` ,., 1 t' <br /> r.lr 1 c:11ci (11" I''I S..h: �f1 f? C:Y¢?q L.Sa ia(I T 1'i <br /> `t4h'F 1D X1.0 <br /> i31De;iggiii 9t Ce1Tr.�ir'ed Batched % l)ar' Moicture Actual wallTf,IIII <br /> t;:; i:_.t �tB.$ 1 871,.@ 1b 86?0.@ IL1 lA.25% <br /> r l 'A 1136 1b 15381 1b 18440 1b 0.3121 5.19% A 96@ 1b <br /> 1b ^citkEr 1b 2E,46 it, 0.09" cf,,48 lb 25 rI <br /> Bache.: 1 <br /> l(i-AdW.1 297'78 1b �+;iqn 0.629 {4ater/Cerent @.633}' T De;ign 5`}150. 1b k 1:lia 1 36M.2' lb T; Pdd-W2.1 1b <br /> 04 in # 4'Au in Truck! 0.0 g) PolikiFt water: !�.0 gl ! Load Tria }loin)- 25 0 cel ' Ct'L <br /> BILLING COPY 2 <br />
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