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WP0040712
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040712
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Entry Properties
Last modified
9/3/2020 10:33:33 AM
Creation date
9/3/2020 10:12:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040712
PE
4374
STREET_NUMBER
6969
Direction
S
STREET_NAME
NEW CASTLE
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
18111005
ENTERED_DATE
4/7/2020 12:00:00 AM
SITE_LOCATION
6969 S NEW CASTLE RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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-6980 <br /> KNIFE ftlVEft BILLING OFFICE: CH: ( 0)464- ( ) <br /> t47 CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 DELIVERY 759782�,�7 <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# <br /> DATE NO.OF • . YARDS <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: OYESTHIS ISTO 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 E]YES 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 Cade, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On 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 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 EIYEEE <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 /> X . •• • <br /> RECEIVED BY: X . • . • • <br /> F7Fe mixes quoted are not warrant e to be acceptable for any particular use,purpose or application,nor are they warranted o 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 /> • •: REASON FOR DELAY TIME: I <br /> Time of Job Min. <br /> ❑ Job Not Ready <br /> " Standby Min. ❑ Job Broke Down <br /> REV.COUNT START POUR •• POUR Rate of X$ Per Min. ❑ Truck Broke Down <br /> ❑ Adding Water , <br /> _$ ❑ Arrived Job Early <br /> TIME ON _ LEAVE JOB ARRIVE PLAN ❑ 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 /> 759782 <br /> SITE COPY <br />
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