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SU0012712
Environmental Health - Public
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PA-1900292
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SU0012712
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Entry Properties
Last modified
9/17/2020 2:38:35 PM
Creation date
12/26/2019 1:54:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012712
PE
2690
FACILITY_NAME
PA-1900292
STREET_NUMBER
6799
Direction
E
STREET_NAME
SARGENT
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
04912066, 04911304
ENTERED_DATE
12/24/2019 12:00:00 AM
SITE_LOCATION
6799 E SARGENT RD
RECEIVED_DATE
12/23/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
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EHD - Public
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KN I FE RIVER BILLING OFFICE: (209) 933-6980 <br /> 1�4CENTRAL DISPATCH: (800)464-6572 • (209) 933-6999 DELIVERY <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG <br /> 694296 <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 • ICU.YDS.THIS LOBATCH It <br /> . . . • . <br /> I <br /> OF LOADS YARDS DEL SLUMP TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released—from any r—� ISE RIVER WE described <br /> ommodity twas <br /> JOB SITE CYLINDER: L 1YE THIS IS TO CERTIFY that the following descrbed commodi was <br /> responsibility of addition of colors due to variations in cement and g commodity <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 DYE on the certificate, who is a recognized authority of accuracy, as <br /> prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> for shortage will not be allowed unless made at the time this material Added of the California Business and Professions Code, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job Gals.to 2/3 load[]YEE 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'srf--tt� DEPUTY <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 IoadLJYE <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 /> III-'The muesquo7e3�norwarten- o eccep r erry ar ,puryo or appi(a ion,nor ere w3F3riledto Ue-scceptatite-for Tai S�Y1�fjl-p��fi��. <br /> environment or in conjuncture with any particular soil conditions.Buyer's selaClfOn of"a quoted mix,unless otherwise acknowledged In writing by Knfe River will be <br /> deemed to be wdhcut the advice,consuaation,recommendation or suggestion of Knife River and Buyer assumes all nsk related to the selection of the quoted product for <br /> any particular application.' <br /> COUNT •; Time of Job Mia REASON FOR DELAY TME:' <br /> ❑ Job Not Heady <br /> r' Standby Min. ❑ Job Broke Down <br /> COUNT • •' POUR Rate of X s Per Min. ❑ Truck Broke Down <br /> ❑ Adding water <br /> _$ ❑ Arrived Job Forty <br /> . .- .- ❑ <br /> SI—Plateg Method <br /> Five(5)min.per yd.free unloading time allowed. ❑ 0ir-(Explain) <br /> Additional unloading time charged at a minimum , <br /> $1 50 per min <br /> 6942296 <br /> fI"A(-1, N-i .01 0 er Eiist) Tic1,E,t Nt.tm Tit 1'et 11) 1 i"Ir II-0 i <br /> '3503 4 160 1 `JBt 4f:,,_ iA0 t 1 ? 17141 i---, l I I. _) l '. _',F l y2 0 1 f3 <br /> Load Si--e Qi t*1t ;� 0111, 'x111 L t;r-r-1 ID <br /> 7. 17.0 C_'YDS `_041 <br /> Material Desiggn Qty 1?equir•ed bitched x Ver x Moisture Actual Nat <br /> M1936 1b 14518 lb 14540'lb 0.1571 7.13% A 9E11 it <br /> TYffII-!I %8.01b 67'?&0 lb C�W.01b 0.h% <br /> WATER me l b 1484 I b 1190 1b -8.27% 1486 I b <br /> iirtual Hug Batches: i Manual 12:38:_Z <br /> Load Total: ?'824' It Design 0.,k� Water/Cesent 0.1W r Design 244. lb )lctua1244:,,1 lb To Add: 2,h tt, <br /> slurp: 8.114to 1 Nater in Truck- 0.0 g,ai Pli.just Wader: 0.8 gal i Load Tris Water: 0.t1r1;1! 011 140`e: &1111l1 feed 01- <br /> SITE <br /> cSITE COPY <br />
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