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WP0038805
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038805
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Last modified
8/1/2019 1:46:24 PM
Creation date
8/1/2019 11:37:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038805
PE
4366
STREET_NUMBER
9425
Direction
N
STREET_NAME
ASHLEY
STREET_TYPE
LN
City
STOCKTON
Zip
95212-
APN
08648037
ENTERED_DATE
9/21/2018 12:00:00 AM
SITE_LOCATION
9425 N ASHLEY LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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-6980 <br /> 1�44KNIFE ftlVEft BILLING OFFICE: CH: ( 0) 464- ) TAG O <br /> CENTRAL DISPATCH: 800 464 6572 • 209 933-6999 DELIVERY <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 <br /> 27 <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 MIX • ICU.YDS. •• .0 YARDS ORDERED ORDER <br /> OF LOADS I YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER DYE 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 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 /> prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> for shortage will not be allowed unless made at the time this material Added 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 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 X • • • <br /> "the mixes quote are no warren o e acceptable or any particular use,purpose or=ion ion,nor are ey warran e o e accep a e r 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 KnMa 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 /> f c ' Time of Job Min. ❑ Job Not Ready <br /> J <br /> I1 ' <br /> Standby Min. ❑ Job Broke Down <br /> COUNT POUR <br /> , POUR <br /> Rate of X$ Per Min. El Truck Broke Down <br /> ❑ Adding Water <br /> _$ ❑ AnNed Job Early <br /> . •B LEAVE •- ❑ Slow Placing Method <br /> TIME Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) <br /> 7 Additional unloading time charged at a minimum .t Tom <br /> $1.50 per min. <br />
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