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SU0012365
Environmental Health - Public
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2600 - Land Use Program
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PA-1900129
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SU0012365
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Entry Properties
Last modified
5/7/2020 11:35:44 AM
Creation date
9/9/2019 10:08:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012365
PE
2626
FACILITY_NAME
PA-1900129
STREET_NUMBER
15737
Direction
E
STREET_NAME
SARGENT
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05307006, 05307007, 05307008
ENTERED_DATE
6/12/2019 12:00:00 AM
SITE_LOCATION
15737 E SARGENT RD
RECEIVED_DATE
7/23/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\S\SARGENT\15737\PA-1900129\SU0012365\APPL.PDF
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EHD - Public
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LLING OFFICE: (209) 933-698 <br /> KNIFE RIVES CE TRAL DISPATCH: (800) 4640DELIVERY <br /> 6572 • (209) 933-6999 <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG <br /> STOCKTON PLANT LODI PLANT MANTECA PLANT r 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 95885 <br /> SOLD TO: SHIP TO: <br /> mix NO. 4DER 4 DRIVER/TRUE NT PLAN <br /> OF LOADS =IL _SLUMP TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any ' JOB SITE CYLINDER: OYESKNIFE 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 I Water (� Gals.to full loadE]YES on the certificate, who is a recognized authority of accuracy, as <br /> for shortage will not be allowed unless made at the time this materiel Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE , �-t� D the California Business and Professions Code, administered by the <br /> � On Job Gels.to 2/3(oadl_IYE Division of Measurement Standards of the California Department of <br /> WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT i At Food and Agriculture. <br /> CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE ',, Customer's ) 1�L� DEPUTY <br /> COMMODITY AND BECOMES THE PROPERTY OF THE I Request Gals.to 1/3 load)—IYE <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 quoted are not warranted to be acceptable for any particular use,purpose or application,nor are they warranted to be acceptable for use in anyparticular] <br /> environment or in conjuncture with any particular soil conditions. Buyer's selection of the quoted mix,unless otherwise acknowledged in writing by Knffe River wilt ba <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 /> rtla lar application." <br /> • Now •" REASON FOR DELAY TIME: <br /> Time of Job Min. <br /> ❑ Job Na Ready <br /> 5 �/ ! Standby Min. ❑ Job Broke Down <br /> • START POUR <br /> -_. •• POUR ❑ Truck Broke Down <br /> Rate of X$ Per Min. <br /> ❑ Adding Water <br /> —f <br /> =$ ❑ Arrived Job Early <br /> TIME i <br /> ON •' LEAVE JOB ❑ slow Placing Method <br /> Five(5)minper yd.free unloading time allowed. ❑ Other tEeml <br /> Additional unloading time charged at a minimumGRAND TOTAL <br /> - $1.50 per min. <br />
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