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WP0041043
EnvironmentalHealth
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HOMESTEAD
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24169
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041043
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Entry Properties
Last modified
12/27/2021 11:33:12 AM
Creation date
6/14/2021 4:35:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041043
PE
4366
STREET_NUMBER
24169
Direction
N
STREET_NAME
HOMESTEAD
STREET_TYPE
LN
City
ACAMPO
Zip
95220-
APN
00740062
ENTERED_DATE
7/30/2020 12:00:00 AM
SITE_LOCATION
24169 N HOMESTEAD LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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BILLING OFFICE: (209) 933-6980 DELIVERY ` <br />1�4 KN I FE RIVER CENTRAL DISPATCH: (800) 464-6572 • (209) 933-6999 TAG 795876 <br />AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 <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 />�.'s�IL..L't;'i LlfCll.._l...11•Il:i� c.^tls.:,.) IILU''Ik.,.-pit. <br />RRFP()TD C•/C C/S F JAHANT <br />AC;AhtPO <br />TIME I MIX • ICU. YDS.••• <br />YARDS ORDERED <br />User, <br />ORDER# <br />I DRIVER/TRUCK <br />lime Dzict e <br />550341326 46539 <br />1.4S 0tr� <br />1669145 - <br />24 r1?` 0 <br />1.2-.36 8/6r`20 <br />Load <br />Size Mix Code RHt.t_t -nod <br />city M i X <br />Agt: Serf <br />1..oad'ID <br />S. 14-11 <br />CYD5 504 <br />DATE NO. OF •••S <br />YARDS DEL. <br />D <br />BATCH # <br />TYGEIa <br />SLUMP TICKET NUMBER <br />Re tfirlb Baedb <br />8 ;?1xt moisture <br />Actual Hat <br />;...,1 <br />SNID <br />19935 1b <br />I2'&3 lb 123211 lb <br />0.47% 5.I A <br />KNIFE RIVER AND DRIVER OF TRUCK are released from anyJOB <br />SITE CYLINDER: DYES <br />KNIFE RIVER WEIGHMASTER CERTIFICATE <br />responsibility of addition of colors due to variations in cement and <br />221.7 g l 221.0 g 1 <br />-8.31 % <br />THIS IS TO CERTIFY that the following described commodity was <br />aggregate materials or admixtures, and for damage which may be <br />Actual <br />OYES <br />weighed, measured, or counted by a weighmaster, whose signature is <br />on the certificate, who is a recognized authority of accuracy, as <br />incurred in delivering materials across the curb or property line. Claims <br />Water <br />Gals. to full load <br />Load Total: 13982 1b <br />a will not be allowed unless made at the time this material <br />for shortage <br />Added <br />gl To Add: 0.4 q1 <br />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 <br />On Job <br />Gals. to 2/3 load❑YES <br />Division of Measurement Standards of the California Department of <br />WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT <br />At <br />Food and Agriculture. <br />CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE <br />Customer'sDEPUTY <br />DYES <br />COMMODITY AND BECOMES THE PROPERTY OF THE <br />Request <br />Gals. to 1/3 load <br />PURCHASER UPON LEAVING)THE PLANT. ANY CHANGES OR <br />CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE <br />AUTHORIZED BY: <br />TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br />X <br />X <br />• • • <br />RECEIVED BY: <br />• • • • • <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 <br />of the quoted mix, <br />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 particularapplication" <br />' <br />COUNT• e <br />i <br />REASON FOR DELAY TIME: <br />Time of Job <br />Min. El Job Not Ready r, 10-1 y1_ s-!92, del <br />1 <br />10 „ `•,' <br />Standby <br />Min. ❑ Job Broke Down C�^ <br />! fa � � 1 � .a�. <br />COUNT• • • • • <br />REVG <br />Rate of X $ <br />ElTruck Broke Down <br />Per Min. T OT A1.-_ 3• <br />1:1 Adding Water •.r <br />_ $ <br />❑ Arrived Job Early <br />TIME ON • - LEAVE JOB❑ <br />slow Placing Method <br />��'j �' <br />Five (5) min. per <br />yd. free unloading time allowed. • <br />❑ Other (Explain) <br />Additional unloading time charged at a minimum , r <br />r IV, <br />$1.50 per min. <br />795876 <br />1'r.tck <br />Dir~ivet- <br />User, <br />D:isp ricket: Ni.tus <br />J icket 1D <br />lime Dzict e <br />550341326 46539 <br />1.4S 0tr� <br />1669145 - <br />24 r1?` 0 <br />1.2-.36 8/6r`20 <br />Load <br />Size Mix Code RHt.t_t -nod <br />city M i X <br />Agt: Serf <br />1..oad'ID <br />S. 14-11 <br />CYD5 504 <br />D <br />r -:S42,; <br />TYGEIa <br />gewigrf_Qfiy <br />Re tfirlb Baedb <br />8 ;?1xt moisture <br />Actual Hat <br />;...,1 <br />SNID <br />19935 1b <br />I2'&3 lb 123211 lb <br />0.47% 5.I A <br />79 g) <br />VAT£R <br />%. 0 q 1 1 <br />221.7 g l 221.0 g 1 <br />-8.31 % <br />22.1.0 q1 <br />Actual <br />&II Batches: <br />1 <br />) <br />Load Total: 13982 1b <br />Desi n 0.k,' ''�HaterTAtent <br />0.4381 T Design 300.0 l Actual299.7 <br />Lter: <br />gl To Add: 0.4 q1 <br />slump: <br />8.00 in A Hater <br />in Truc11t 19.1 l Adjust <br />Hater: 0,4,0 l Loa3 Trim <br />0.8 gl/ <br />YLt <br />=1TE COPY <br />
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