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WP0039420
Environmental Health - Public
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EHD Program Facility Records by Street Name
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JACK TONE
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039420
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Entry Properties
Last modified
3/24/2022 3:09:58 PM
Creation date
7/31/2019 3:58:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039420
PE
4366
STREET_NUMBER
10749
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
06321022
ENTERED_DATE
3/12/2019 12:00:00 AM
SITE_LOCATION
10749 N JACK TONE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Supplemental fields
CYEAR
2019
Tags
EHD - Public
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ISN BILLING OFFICE: (209)93) 6980 <br />1�4 I FE RIVER ( ) <br />CENTRAL DISPATCH: ( 800 464-6572 • 209 933-6999 <br />AN�6i�U RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 <br />STOCKTON PLANT LODIPLANT <br />400 S. LINCOLN ST. 851 E. LODI AVE. <br />STOCKTON, CA 95203 LODI, CA 95240 <br />SOLD TO:_ 78504 <br />,JURVTANCE: DRILLERv3, <br />E_'. U. BOX 64 <br />17707 E. HW`r' 26', <br />LINDEN <br />DELIVERY 716393 <br />MANTECA PLANT TRACY PLANT ELK GROVE PLANT AMADOR TRANSIT MIX <br />450 EAST WETMORE 1728 WEST LINNE ROAD 10260 WATERMAN ROAD 12480 RIDGE ROAD <br />MANTECA, CA 95337 TRACY, CA 95376 ELK GROVE, CA 95624 SUTTER CREEK, CA 95685 <br />SHIP TO: 1.07-49 JACK TONE <br />JUST SUl1TH., OF LIVE OAf! OFF HW`Y' 8 <br />9 <br />LODI <br />1-i r e v i a l -t s T r -1-t c k: <br />LOADS I YARDS DEL. BATCH <br />KNIFE RIVER AND DRIVER OF TRUCK are released from any <br />JOB SITE CYLINDER: <br />responsibility of addition of colors due to variations in cement and <br />❑ Job Not Ready <br />Standby Min. <br />aggregate materials or admixtures, and for damage which may be <br />❑ Truck Broke Down <br />incurred in delivering materials across the curb or property line. Claims <br />Water <br />Gals. to full load <br />for shortage will not be allowed unless made at the time this material <br />Added <br />❑ Slow Placing Method <br />was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE <br />On Job <br />Gals. to 2/3 load <br />WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT <br />At <br />CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE <br />Customer's <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 />SLUMP I TICKET NUMBER <br />KNIFE RIVER WEIGHMASTER CERTIFICATE <br />THIS IS TO CERTIFY that the following described commodity was <br />weighed, measured, or counted by a weighmaster, whose signature is <br />on the certificate, who is a recognized authority of accuracy, as <br />prescribed by Chapter 7 (commencing with Section 12700) of Division 5 <br />of the California Business and Professions Code, administered by the <br />Division of Measurement Standards of the California Department of <br />Food and Agriculture. <br />DEPUTY <br />RECEIVED BY: X X . • ■ <br />QUANTITY CODEDESCRIPTION <br />'The mixes q uoted are not warrants 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 />SUBTOTAL <br />TAS: <br />TOTAL. <br />REASON FOR DELAY T <br />Time of Job Min. <br />❑ Job Not Ready <br />Standby Min. <br />❑ Job Broke Down <br />❑ Truck Broke Down <br />Rate of X $ Per Min. <br />❑ Adding Water <br />_ $ <br />❑ Arrived Job Early <br />❑ Slow Placing Method <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 />SUBTOTAL <br />TAS: <br />TOTAL. <br />
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