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SR0076830
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0076830
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Last modified
9/13/2019 9:52:02 AM
Creation date
12/2/2017 10:36:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0076830
PE
4366
STREET_NUMBER
2971
Direction
E
STREET_NAME
LOOMIS
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
17911021
ENTERED_DATE
2/23/2017 12:00:00 AM
SITE_LOCATION
2971 E LOOMIS RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\L\LOOMIS\2971\SR0076830.PDF
QuestysFileName
SR0076830
QuestysRecordID
3342321
QuestysRecordType
12
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EHD - Public
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1�4 <br /> KNIFE ftlVEft BILLING OFFICE: CH: ( 0) 464- ( ) DELIVERY 674470 <br /> CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 <br /> 1 <br /> � f 1 <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. . •r• -. ORDERED ORDER# DRIVER/TRUCK PLANTPLANT# <br /> i <br /> DATE NO.OF LOADS <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any KNIFE RIVER WEIGHMASTER CERTIFICATE <br /> JOB SITE CYLINDER: <br /> ]YES THIS IS TO CERTIFY that the following described commodity was <br /> responsibility of addition of colors due to variations in cement and g b <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 /> 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 OYES 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 /> ol <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 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 /> an rticular application" <br /> • EAVE PLANT ARRIVE JOB Time of Job Min. REASON FOR DELAY TIME: <br /> ❑ Job Not Ready <br /> Standby Min. ❑ Job Broke Down i <br /> COUNTSTART • • POUR Rate of X$ Per Min. ❑ Truck Broke Down <br /> ❑ Adding Water <br /> _$ ❑ Arrived Job Early <br /> TIME ON • •- 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 GRAND TOTAL <br /> $1.50 per min. <br />
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