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WP0040280
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040280
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Last modified
1/6/2020 2:33:42 PM
Creation date
1/6/2020 2:28:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040280
PE
4369
STREET_NUMBER
7485
Direction
E
STREET_NAME
CHEROKEE
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
08718345
ENTERED_DATE
11/7/2019 12:00:00 AM
SITE_LOCATION
7485 E CHEROKEE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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KNIFE RIVER BILLING OFFICE: CH: ( 0)464- ( ) 1 a 2 7 <br /> CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 DELIVERY 741427(� <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 <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 /> ik 110{ t. <br /> TIME MIX NO. ICU.YDS.THIS <br /> .•. YARDS ORDERED ORDER <br /> 7 - <br /> I I t,'.I <br /> DATE NO.OF LOADS <br /> I <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB,SITE CYLINDER: OYES 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 EYES 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 Ott-Job Gals.to 2/3 load DYES Division of Measurement Standards of the California Department of <br /> WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At t Food and Agriculture. <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 EYES <br /> PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR <br /> CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: <br /> I TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br /> RECEIVED BY: X • • • • <br /> t { I iq c: I <br /> "The mixes quoted are not warranted to be acceptable for any particular use,purpose or application,nor are they warrants to a acceptable 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 /> 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 articular application:" <br /> • •• •: <br /> Time of Job Min. REASON FOR DELAY TIME: <br /> ❑ Job Not Ready <br /> 3 r/ Standby Min. ❑ Job Broke Down <br /> COUNT • POUR Rate of X$ Per Min. El Truck Broke Down <br /> l J ❑ Adding Water <br /> _$ ❑ Arrived Job Early <br /> TIME ON •_ LEAVE - ARRIVE PLANT El slow Placing Method <br /> Five(5)min.per yd.free unloading time allowed.' El Other(Explain) <br /> Additional unloading time charged at a minimum .r <br /> $1.50 per min. <br />
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