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SR0071190
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0071190
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Last modified
9/12/2019 11:50:03 PM
Creation date
12/2/2017 6:02:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0071190
PE
4380
STREET_NUMBER
9970
Direction
S
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
20302003
ENTERED_DATE
12/18/2014 12:00:00 AM
SITE_LOCATION
9970 S JACK TONE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\9970\SR0071190.PDF
QuestysFileName
SR0071190
QuestysRecordID
3181145
QuestysRecordType
12
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EHD - Public
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KNIFE ftlVEfz BILLING OFFICE: CH: ( 0) 464- � ) 5 3 J 15 <br /> CENTRAL DISPATCH: 800 464 6572 • 209 933 6999 DELIVERY RY 653015 <br /> ` f <br /> _4AN 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 /> TIME MIX • ICU.YDS.THIS LOAD . • ORDER# DRIVER/TRUCK PLANT PLANT# <br /> .• . . . • . YARDS DEL. H# SLUMP TICKET NUMBE- <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER' DYES 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 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 /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE I—I�� Di the California Business and Professions Code, administered by the <br /> On Job Gals.to 2/3 IoacIE- ' 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 t DEPUTY <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load❑YES <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 /� • • <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 a%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 RNer will be <br /> Lemed 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 /> particular application." <br /> REV.COUNT LEAVE PLANT ARRIVE •= REASON FOR DELAY TIME: <br /> Time of Job Min. <br /> - ❑ Job Not Ready <br /> Standby Min. ❑ Job Broke Down <br /> REV.COUNT START POUR STOP POUR [:3 Truck Broke Down <br /> Rete of X$ Per Min. <br /> ❑ Adding Water <br /> $ ❑ Arris!Job Eady <br /> •- LEAVE •- 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 • It I r <br /> $1.50 per min. <br /> 653015 <br /> I't.t(2k Di-i Vr.r- t.IE:•E?t'' 0i io(; f if:k,rt 1' um 'Ti.r..ket 11) l.,ame Datta) <br /> 1009-3138 9.:3k1f3 7+1545 :c'5 c.i 1,5./ <br /> I ert4rl i P Mi a C`C)ci `tse!i:K:.kf IIP(I (?t hii h Agc- r;t:+A L 0 atl 'I 1') <br /> Irlaterial Desi.gl1 tity Requil,ed Batched X 11af• IlkfistorP Actual Nat Trim <br /> TYPE 11-i1 %8.0 1 b 56ft.0 1 b 581101.0 ]h 0.03% <br /> (AH 60'3 Ib 2158 lb P154 Ib 6.20% 2IR4 1b -29 ql <br /> KRr,"D 1936 I h 12!1@ 1 b 12M t b ; 5.70% 4.2511 14 `i2►'. it <br /> N-Auat. Mats 84005f 1 Nadleal 9:25-N <br /> Load,Toital: 20764 Ib Design 0.629 WateriCesent @.(iN T Design 3(i53. 'It Nctua12675.8 lb To Add: 477.6 Ib <br /> Slusp: 7.00 in A. Nater in Truck: 0.0 ql Nd,st Waters 0.0 g1, load Trio Nater:'-20.0 gl/ M <br /> CITE COPY <br />
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