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AP2502053
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LUCAS
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1094
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4200/4300 - Liquid Waste/Water Well Permits
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AP2502053
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Entry Properties
Last modified
4/2/2026 11:52:44 AM
Creation date
10/16/2025 2:57:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
AP2502053
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
1094
Direction
W
STREET_NAME
LUCAS
STREET_TYPE
RD
City
LODI
APN
01504060
CURRENT_STATUS
Closed - Issued
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
1094 W LUCAS RD LODI
Tags
EHD - Public
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DATE: 06/04/25 <br /> C--4�- KNIFE RIVER REQUESTED DELIVERY TIME: 11:15 <br /> KRPR - LODI ORDER NUMBER: 55022 <br /> Billing OFFICE (209) 933-6980 TICKET NUMBER: 1335037 <br /> www.kniferiver.com Dispatch: (800) 464-6572 / (209) 933-6999 <br /> CYDS DEL: 9.00 <br /> Sia et)/ First! P.O. B0X 66001 Stockton CA 95206 LOAD#: 1 <br /> TRUCK ID DRIVER PLANT ID LEAVE PLANT ARRIVE JOB START PO END POUR LEAVE JOB AT PLANT <br /> CUSTOMER ACCT ID CUSTOMER P.O./PROJECT NO. PROJECT NAME LOT&BLOCK PREVIOUS TRUCK <br /> 378044 / <br /> SOLD TO: DELIVERY ADDRESS/LOCATION: ADDRESS VERIFIED? =Check <br /> VALLEY DRILLING VALLEY; 1094 WEST LUCAS ROAD <br /> LODI <br /> ADDITIONAL DELIVERY INSTRUCTIONS: DRUM REVOLUTIONS <br /> PREPAID CC, W/T, <br /> BEGINNING ENDING TOTAL <br /> Qty this Load Qty Ordered Qty Dlvd Product Code ;, Product Description UOM Unit Price EXT Amount <br /> 9.00 9. 00 9.00 504 10.3 SK. SAND SLURRY yd 197.50 1, 777.50 <br /> 1.00 554015 FUEL SURCHARGE EA 40.00 40.00 <br /> 9.00 55EFS CEMENT FREIGHT SURCHARGE CY 10.00 90.00 <br /> f <br /> WATER ADDED/ESTIMATED SLUMP STANDBY AND UNLOADING TIME OVERTIME MINUTES SUB TOTAL 1,907.50 <br /> Full Load: GAL SLUMP Excess truck time%vil!be assessedY b rY3t.h at the current SALES TAX $147.83 <br /> Y` <br /> 2/3 Load: GAL SLUMP rate per minute for orders exceeding five(5)minutes per ADDITIONAL TIME FEE TICKET TOTAL $2,055.33 <br /> 1/3 Load: GAL SLUMP cubic yard. $2 . 5 0/mil7 <br /> GRAND TOTAL $2,055.33 <br /> DESIGN SLUMP REQUESTED SLUMP ACKNOWLEDGEMENT OF RECEIPT WATER ADDED &TERMS AND CONDITIONS ON WEB SITE <br /> 0.00 8. 00 <br /> Signature: Printed Name: <br /> USE OF CONCRETE,AS PLACED: RELEASE:Contractor or Owners agree to indemnify and save harmless Knife River Corporation from liability imposed as a <br /> result of any damage caused to the property of others as a result of such delivery.FOR ADDITIONAL RELEASE <br /> INFORMATION:SEE WWW.KNIFERIVER.COM/NCA FOR PROP 65 INFO WWW.P65WARNINGS.CA.GOV <br /> TESTED BY AIR/SLUMP/TEMP/CYL'S <br /> Signature: Printed Name: <br /> Knife River Weighmaster Certificate <br /> THIS IS TO CERTIFY that the following described commodity was weighed, measured or counted by a weighmaster, <br /> whose signature is on the certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 <br /> (commencing with section 12700) of Division 5 of the California Business and Professional Code, administered by <br /> the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> Deputy <br /> ruck Driver User Disp Ticket Num Ticket ID Time Date <br /> 50341643 669688 user 1335037 25629 10 : 35 6/4/25 <br /> Dad Size Mix Code Returned Qty Mix Age Seq Load ID <br /> . 00 CYDB 504 D 27358 <br /> terial Design Oty Required Batched %Var%Moisture Actual Wat <br /> ND 1936 lb 18557 lb 18540 lb -0.09% 6.50%A 1132 lb <br /> PEII-V 968.0 lb 8712.0 lb 8715.0lb 0.03% <br /> >TER 350 lb 2092 lb 2094lb 0.08% 2094lb <br /> !ual Num Batches: 3 Manual 10:35:56 <br /> 3d 29349 lb Design WIC: 0.362 Water/Cement: 0.370 A Design 3150.0 lb Actual 3225.7 lb To Add: 0.0 lb <br /> mp: 8.00 in # Water in Truck: 0.0 gal Adjust Water: 0.0 gal /Load Trim Water: 1.0 gal / CYD: <br />
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