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WP0041604
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041604
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Entry Properties
Last modified
12/21/2021 2:43:23 PM
Creation date
12/21/2021 2:07:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041604
PE
4380
STREET_NUMBER
25753
Direction
N
STREET_NAME
TULLY
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02103033
ENTERED_DATE
1/12/2021 12:00:00 AM
SITE_LOCATION
25753 N TULLY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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SOLD TO: <br />SHIP TO: <br />789762 <br />AMADOR TRANSIT MIX <br />12480 RIDGE ROAD <br />SUTTER CREEK, CA 95685 <br />TIME MIX NO. CU. YDS. THIS LOADI <br />BILLING OFFICE: (209) 933-698 <br />I ORDER# <br />1�4KN <br />I FE RIVER <br />CENTRAL DISPATCH: (8 0) 46406572 • (209) 933-6999 <br />DELIVERY <br />AN MDU RESOURCES COMPANY <br />P.O. BOX 66001, STOCKTON, CA 95206 <br />TAG <br />STOCKTON PLANT LODIPLANT <br />MANTECA PLANT TRACY PLANT <br />ELK GROVE PLANT <br />400 S. LINCOLN ST. 851 E. LODI AVE. <br />450 EAST WETMORE 1728 WEST LINNE ROAD 10260 <br />WATERMAN ROAD <br />STOCKTON, CA 95203 LODI, CA 95240 <br />MANTECA, CA 95337 TRACY, CA 95376 <br />ELK GROVE, CA 95624 <br />SOLD TO: <br />SHIP TO: <br />789762 <br />AMADOR TRANSIT MIX <br />12480 RIDGE ROAD <br />SUTTER CREEK, CA 95685 <br />TIME MIX NO. CU. YDS. THIS LOADI <br />YARDS ORDERED <br />I ORDER# <br />I DRIVERITRUCK <br />PLANT PLANT # <br />DATE <br />NO, OF LOADS <br />YARDS DEL. <br />BATCH # <br />SLUMP <br />TICKET NUMBER <br />7 - <br />KNIFE RIVER AND DRIVER OF TRUCK are released from anyJOB <br />SITE CYLINDER: ❑vE <br />KNIFE RIVER WEIGHMASTER CERTIFICATE <br />responsibility of addition of calors due to variations in cement and <br />THIS IS TO CERTIFY that the following described commodity was <br />aggregate materials or admixtures, and for damage which may be <br />E]YES <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 Gals. to full load <br />for shortage will not be allowed unless made at the time this material <br />Added <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 Gals. to 2/3 load❑YE <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 />COMMODITY AND BECOMES THE PROPERTY OF THE <br />Request Gals. to 1/3 load❑YE <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 />-The mixes quoted aren warranted o e acceptable or any particular use, purpose or application, nor are they warrantedto a acceptable or use in any particular <br />in <br />environment or in conjuncture with any particular soil conditions. Buyer's selection <br />of the quoted mix, unless otherwise acknowledged in writing by Knife River will be <br />deemed to be 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• : <br />•� <br />REASON FOR DELAY TIME: <br />1 <br />Time of Job Min. <br />❑ Joh Not Ready <br />' ' J <br />Standby Min. <br />❑ Job Broke Down <br />REV. COUNT START •'STOPRate <br />of X $ Per Min. <br />❑ Truck Broke Down <br />❑ Adding Water <br />_ $ <br />❑ Arrived Job Early <br />- <br />❑ Slow Placing Method <br />TIME ON •B LEAVE ARRIVE PLAN <br />Five (5) min. per yd. free unloading time allowed. <br />❑ Other (Explain) <br />Additional unloading time charged at a minimum <br />$1.50 per min. <br />789762 <br />SITE COPY <br />
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