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SU0012041_SSNL
Environmental Health - Public
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2600 - Land Use Program
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PA-1800064
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SU0012041_SSNL
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Last modified
11/19/2024 3:46:26 PM
Creation date
9/9/2019 10:27:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0012041
PE
2666
FACILITY_NAME
PA-1800064
STREET_NUMBER
9296
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240-
APN
05112056
ENTERED_DATE
10/30/2018 12:00:00 AM
SITE_LOCATION
9296 E HWY 12
RECEIVED_DATE
11/8/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\9296\PA-1800064\SU0012041\SS STUDY .PDF \MIGRATIONS\T\HWY 12\9296\PA-1800064\SU0012041\NL STUDY .PDF
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EHD - Public
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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 SLITTER CREEK.CA 95685 <br /> SOLD TO: SHIP TO: <br /> TIME MIX NO. r r • r YARDS ORDERED ORDER# DRIVER/TRUCKi <br /> I <br /> DATE NO. OF LOADS YARDS DEL. BATCH # SLUMP TICKET NUMBER <br /> i 1 <br /> l � <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any YES, KNIFE RIVER WEIGHMASTER CERTIFICATE <br /> JOB SITE CYLINDER: ❑ <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❑YESI. on the certificate, who is a recognized authority of accuracy, as <br /> for shortage will not be allowed unless made at the time this material Added i prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job I of the California Business and Professions Code, administered by the <br /> WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT Gals.to 2/3 Ioad❑YESI Division of Measurement Standards of the California Department of <br /> 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 113 load❑YES" <br /> PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR <br /> CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: I <br /> TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br /> RECEIVED BY: X X r • <br /> r • •- • <br /> • <br /> • •• r • r <br /> R <br /> I <br /> i <br /> 'The mires quoted are not warranted to be acceptable for any particular use.purpose or application, nor are they warranted to be acceptable for use in any particular <br /> environmenr 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 /> an particular application.' <br /> COUNTPLANT ARRIVE •_ (REASON FOR DELAY TIME: <br /> Time of Job Min. <br /> ,lob No,Ready <br /> Standby Min. ❑ Job Broke Down <br /> REV. COUNT START <br /> POUR STOP •• Truck Broke Down <br /> Rate of X S Per Min.` ❑ <br /> - ; ❑ Adding Water <br />
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