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WP0040135
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040135
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Last modified
11/22/2021 2:51:34 PM
Creation date
10/22/2019 2:44:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040135
PE
4366
STREET_NUMBER
8751
Direction
W
STREET_NAME
EIGHT MILE
STREET_TYPE
RD
City
STOCKTON
Zip
95219-
APN
07108043
ENTERED_DATE
9/30/2019 12:00:00 AM
SITE_LOCATION
8751 W EIGHT MILE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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s <br /> .i <br /> IVER BILLING OFFICE: (209) 93)6980 ( ) DELIVERY <br /> KNIFE fZ <br /> r4 CENTRAL DISPATCH: (800 464-6572 • 209 933-6999 731136 <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG <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. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK PLANT PLANT# I <br /> DATE NO.OF LOADS YARDS DEL. BATCH# SLUMP <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: ❑Y E 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❑YE on the certificate, who is a recognized authority of accuracy, as <br /> ;_ <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 5of the California Business and Professions Code, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job _ Gals.to 2/3 loadEIYES 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's DEPUTY:-_;r• Gals.to 1/3 load❑YE <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Request <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 /> • • •• • <br /> X • <br /> RECEIVED BY: 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 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 /> COUNT •: Time of Job Min. <br /> REASON FOR DELAY TIME: <br /> , <br /> ❑ Job Not Ready <br /> Standby Min. ❑ .Job Broke Down <br /> COUNTSTART POUR STOP Rate 01 X$ Per Min. ElTruck Broke Down <br /> ❑ Adding Water <br /> _$ ❑ Arrived Job Early <br /> TIME ON • •- 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 •r <br /> $1.50 per min. <br />
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