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WP0037332
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0037332
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Entry Properties
Last modified
8/9/2019 2:26:22 AM
Creation date
10/3/2018 1:25:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037332
PE
4374
STREET_NUMBER
2280
Direction
S
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
18303004
ENTERED_DATE
9/18/2017 12:00:00 AM
SITE_LOCATION
2280 S JACK TONE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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TSok
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EHD - Public
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IVER BILLING OFFICE: (209) 933-6980 <br /> KNIFE D <br /> CENTRAL DISPATCH: (800) 464-6572 • (209) 933-6999 DELIVERY 695885 <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 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 I MIX • ICU.YDS.THIS LOADI . . . DRIVER/TRUCK <br /> DATE NO.OF • • YARDS <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: OYES 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❑YES on the certificate, who is a recognized authority of accuracy, as <br /> a will not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> for shortage 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 DYES 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 /> "Th <br /> e mixes quoted are not warranted o be acceptable for any particuiar use,purpose or application,nor are they warranted o be acceplable or 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 Knlfe 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 /> ime of Job Min. REASON FOR DELAY TIME: <br /> T <br /> ❑ Job Not Ready <br /> Standby Min. ❑ Job Broke Down ' <br /> COUNTPOUR S1• • Rate of X$ Per Min. ❑ Truck Broke Down <br /> ❑ Adding Water <br /> =$ ❑ Arrived Job Early <br /> TIME ON •• LEAVE JOB ❑ Slow Placing Method <br /> Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) <br /> Additional unloading time charged at a minimum <br /> $1.50 per min. <br />
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