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WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity sias gnator is measured,or icate, whtedo is a ec gnized ut hose CONCRETE PRODUCTS INC. signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and 1900 Roosevelt Avenue Escalon CA 95320 Professions Code, administered by the Division of Measurement �O > > Standards of the California department of Food and Agriculture. 209-838-1 448 WEIGHMA TER SIGNATURE INVOICE NO. NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, WAITING TIME: INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE. WE MAKE DELIVERIES INSIDE CURB LINES AND ON Ticket 1D LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES $ per hr. unloading charge. RESULTING FROM SUCH DELIVERIES. CUSTOMER SHALL INDEMNIFY, HOLD HARMLESS & DEFEND P & L CONCRETE LEAVE PLANT PRODUCTS, INC. FOR, FROM & AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY. EXPENSE OF REMOVING MIRED TRUCK PAYABLE BY CUSTOMER. WE ARE NOT RESPONSIBLE FOR THE STRENGTH, SLUMP, OR QUALITY OF Load Size ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST. WE DO ARRIVE JOB NOT GUARANTEE THE COLOR OF THE CONCRETE. WE HAVE NO CONTROL OVER THE PLACING, FINISHING OR CURING OF CONCRETE AND DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED, INCLUDING CRACKING. LoAd 1E, CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE LEAVE JOB PLANT. ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS. CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE, ON CUSTOMER'S PROPERTY, 1? FOR DRIVERS TO WASH CHUTES AS NECESSARY. ANY CLEANUP COST OF CUSTOMER -PROVIDED WASHOUT SITE ARRIVE PLANT OR REMOVAL OF TRACKED -MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. SEE TERMS AND CONDITIONS ON REVERSE SIDE. READ FRONT AND REVERSE CAREFIULLY Actual flat 81 CYLINDERS TAKEN WATER ADDED BY: CUSTOMER SIGNATURE AT CUSTOMER'S REQUEST GALLONS ❑ YES ❑ NO CUSTOMER ID P.O. NUMBER LOAD NUMBER JOB NUMBER TIME DATE 3872. 0 1 b TICKET SOLD TO DELIVER TO DRIVER 40.00 gl 122.04 gl 122.00 g1 -0.03.% 122.00 g1 TERMS QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE yd tD lb Actual WIC Ratio: 0.443 Actual Water: gl Batched Ce end:/ 835 ibowable�er: WAITING TIME TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE SUB TOTAL TAX SPECIAL INSTRUCTIONS TOTAL GRAND TOTAL INVOICE NO. Tr•1_tC.,P Dr- iv0r• User- Diss 'Ti.r,kert: Ni.tm Ticket 1D Time L)rat i'? BRIAN PHILIP E,c:l�1�; 12::13 3 r Load Size Mix Code Retl_tr-r1(-_-d Otr' NJ.r ALIe Seq LoAd 1E, 4.00 yd ;"ANL00103 1? BASF. Material Desi n Qt Required Batched 1b % Uar x Moisture -0.61% 6.00% M Actual flat 81 1i101 _ 5gg 1 12884 lb 12010 gl EN . 0 1 3872. 0 1 b 383,..'x+, 0 1b -0.96% WATER 40.00 gl 122.04 gl 122.00 g1 -0.03.% 122.00 g1 Actual Nur Batches: i Lead Total: Slu:p: t.08 16863 lb -fir q Wateq/Cesent in # Wafl / 8 � i Ad just 123 0.443 A Desi n 160.0 l Actual Water: 8G ��y7, Trio er : 8. li 203.5 gl Io Add: 0.0 ql in rucD• yd tD lb Actual WIC Ratio: 0.443 Actual Water: gl Batched Ce end:/ 835 ibowable�er: