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WP0041332
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041332
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Last modified
12/9/2020 4:09:35 PM
Creation date
12/9/2020 3:56:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041332
PE
4374
STREET_NUMBER
0
Direction
W
STREET_NAME
LINNE
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25301009
ENTERED_DATE
10/14/2020 12:00:00 AM
SITE_LOCATION
0 W LINNE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\fgarciaruiz
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EHD - Public
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IVER BILLING OFFICE: (209) 93)6980 ( ) DELIVERY <br /> KNIFE �t <br /> 1�4 CENTRAL DISPATCH: (800 464-6572 • 209 933-6999 773459 <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 /> _419644 LA.'1CADE; 9b90 W L U414L kb <br /> CASCADE DRILLING PREPAID GIC <br /> TRACY <br /> PrPv i cru True- <br /> TIME MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK PLANT PLANT# <br /> ]ARIURO SANU <br /> DATE OF LOADS I YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: []YES THIS <br /> 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 DYES 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 Code, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job Gals.to 2/3 load❑YES 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 load DYES <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: I • • • •' • <br /> 5 22.75 SK NEAT +`. r" <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." ,g <br /> • •= SIM rO rid <br /> REASON FOR DELAY TIME: <br /> Time of Job Min. <br /> - ❑ Job Not Ready NIX <br /> Standby Min. ❑ Job Broke Down TCTkL <br /> COUNT ,• •, • ❑ Truck Broke Down <br /> Rate of X$ Per Min. ❑ Adding water d ('► <br /> -$ El ♦Arrived Job Early 7�1-ti bso, flip <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 We , <br /> $1.50 per min. <br />
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