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WP0036456
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036456
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Last modified
1/9/2019 11:26:18 AM
Creation date
1/9/2019 10:28:14 AM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036456
PE
4370
STREET_NUMBER
13489
Direction
E
STREET_NAME
WHITEHOUSE
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10319007
ENTERED_DATE
1/30/2017 12:00:00 AM
SITE_LOCATION
13489 E WHITEHOUSE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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lVEft BILLING OFFICE: 0)6980 <br /> KNIFE ft - 6 31213 <br /> CENTRAL DISPATCH: <br /> (8000 464-6572 • 209 933 6999 DELIVERY <br /> AN"MOURESOURCES 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 /> 7;i <br /> A to GROES-9 I)RII....I_II`JI7 <br /> PU BOX 1.78 1,JOL'II;I.•FtIDG <br /> 3012 WOODS ON RD <br /> ►?p`r ,'xrtttc. L.r tIr <br /> TIME MIX NO. �CU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVERTIRUCK PLANT PLANT# <br /> .• • • ••. BATCH# SLUMP TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER DYES KNIFE RIVER WEIGHM ASTER 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 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 DYES 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's DEPUTY <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load DYES <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 /> "The mixes quoted are not warranted to be accepts a or any particular use,purpose or application,nor are they warrant o e acceptable 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 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 /> COUNT •= REASON FOR DELAY TIME: <br /> Time of Job Min. <br /> ❑ Job Not Ready TOTAL._r <br /> Standby Min. El Broke Down 1 l_�1 - <br /> COUNTPOUR STOP •. ❑ Truck Broke Down i <br /> Rate of X$ Per Min. <br /> ❑ Adding Water - <br /> _$ ❑ Arrived Job Early <br /> TIME ON • •: Elslow Placing Method <br /> Five(5)min,per yd.free unloading time allowed. ❑ Other(Explain) <br /> Additional unloading time charged at a minimum r <br /> $1.50 per min. <br />
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