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WP0039276
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039276
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Entry Properties
Last modified
9/24/2019 11:05:46 AM
Creation date
9/24/2019 10:10:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039276
PE
4369
STREET_NUMBER
11339
Direction
N
STREET_NAME
WILMER
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
06728015
ENTERED_DATE
2/8/2019 12:00:00 AM
SITE_LOCATION
11339 N WILMER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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ftlVEft CENTRAL FFICE: (209) 933-6980 <br /> KNIFE DISPATCH: (800) 464-6572 • (209) 933-6999 <br /> �4 AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 DELIVERY <br /> Rv 721590 <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 NO. CU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK PLANT PLANT# <br /> DATE NO.OF • . YARDS <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: ❑YE 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 F_1YE1 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 prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> of the California Business and Professions Code, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On JobGals.to 2/3 load❑YE 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❑YE <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 /> •• • • • • - <br /> e mixes quoted are not warrante to a acceptabe or any particuar use,purpose or application,nor are t ey warranted to a accepts le 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 /> tleemad 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 /> • •= Time of Job Min. REASON FOR DELAY TIME: <br /> ' El REASON <br /> Not Ready <br /> Standby Min. ❑ Job Broke Down <br /> REV.COUNT START POUR STOP POUR El Truck Broke Down <br /> Rate of X$ Per Min. <br /> ❑ Adding Water <br /> _$ ❑ Arrived Job Early <br /> TIME ON - LEAVE JOB ARRIVE PLANT ❑ Slow Placing Method <br /> Five(5)min.per yd.free unloading time allowed. ❑ Otl{er(Explain) <br /> Additional unloading time charged at a minimum ., <br /> $1.50 per min. 1111 <br />
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