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WP0039902
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039902
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Entry Properties
Last modified
12/15/2020 2:29:24 PM
Creation date
9/24/2019 11:02:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039902
PE
4380
STREET_NUMBER
9263
Direction
E
STREET_NAME
SCHMIEDT
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05111067
ENTERED_DATE
8/1/2019 12:00:00 AM
SITE_LOCATION
9263 E SCHMIEDT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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IVER BILLING OFFICE: (209) 933-6980 <br /> 6980 <br /> KNIFE D ( ( DELIVERY <br /> CENTRAL DISPATCH: 800 464-6572 • 209) 933-6999 722628 <br /> ] C Q <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG 1 V V <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 /> STOCKTOI* ;A J520 LODI,CA 95240 MANTECA,CA 95337 TRACY,C, 8`; i" y' R E, 4 SUTTER CREEK,CA 95685 <br /> SOLD f4 e, A GROSS DRILL..IFifa SHIP TO: (y.";S 1381.1 _ .. .. <br /> PIO BOX 1-78 WOODNR I DLA <br /> 3012 WOOD'SON RD <br /> CA L..OD I <br /> F_'r-0V i.ot.l(a Tr^uC-k : <br /> TIME MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# DRIVER <br /> f='Cl # <br /> nATE . <br /> I <br /> LOADS <br /> 7- <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any KNIFE RIVER WEIGHMASTER CERTIFICATE <br /> responsibility of addition of colors due to variations in cement and JOB SITE CYLINDER:' ❑YE THIS IS TO CE that the following described commodity was <br /> aggregate materials or admixtures, and for damage which may be weighed,measu d, 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❑YE on the certifi te, 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 hapter 7(commencing with Section 12700)of Division 5 <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job of the Calif., is Business and Professions Code,administered by the <br /> WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT Gals.to 2/3 load Division of easure nt Standards of the California Department of <br /> At Food and A ricutture. <br /> CUSTOMER'S OWN --RISK. CONCRETE IS A PERISHABLE Customer's /-� DEPUTY <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 /> Y- <br /> "Th <br /> e 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 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 /> any particular application." <br /> SUB'TU T f•aL.. <br /> COUNT •= REASON FOR DELAY TIME '1'A X <br /> Time of Job Min. <br /> c.� ❑ Joh Not Ready <br /> Standby Min. ❑ Job Broke Down T O_I..A L <br /> COUNT ' - STOP POUR Rate of X$ Per Min 1:3Truck Broke Down <br /> /` L El Adding Water <br /> C `' J =$ ❑ Arrived Job Early <br /> TIME ON •. LEAVE JOB ARRIVE PLANT ❑ Slow Placing Method <br /> Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) <br /> Additional unloading time charged at a minimum <br /> $1.50 per min. <br /> y <br /> 722626 <br /> `f,r,'at:k Dr-iUer User Di p J icket: N1_lRI J ic�ket 1D I :iIl.e Date <br /> :�`JrLr141)•.5r� $t71 , ,�, I_lyer 16;::,9515 14711 11 :52 8/81 19 <br /> Load Size Mi x C;ude Ret Llr'rted Ot yr Mix Age Seq Load ID <br /> 7. 00 C:' DE) 504 I:) 15740 <br /> Material Design Qty Required Batched % Var K Moisture Actual Nat <br /> Vff11-V 988 lb 6776 lb 6780 lb 0.06% <br /> KRCSAND 3935 lb 14353 lb 144M 1b 0.3N 5.%$ A 97 gl <br /> NATER 73.6 gl 313.3 91 313.0 gl -0.09% 313.0 gl <br /> Actual Nus Batches: 1 <br /> load Total: 23788 lb Design 6.634 Nater/Cement 0.833 T Desiggn 515,2 g1 - ilctual 410.2 gl To Add: 105.1 1 <br /> Slump: 8. 1 it I Nater in Truck: 0.0 gl Adjust Nater: 0.0 gl Laad P 1 Nater:-15.0 gll CVD g <br /> BILLING COPY 2 <br />
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