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CALAVERAS TRANSIT MIX <br />SAN ANDREAS, CA 95249 <br />(209) 754-4291 <br />WEIGHED /MEASURED AT: <br />#1 270 George Reed Dr. <br />San Andreas, CA <br />#2 1470 Linebaugh Road <br />Arnold, CA <br />State Contractor's License No. 21137 A <br />A DIVISION OF GEORGE REED, INC. <br />DATE: <br />SOLD TO: <br />PROJECT: <br />DELIVERY INSTRUCTIONS: <br />JOB ADDED WATER <br />TUOLUMNE TRANSIT MIX <br />SONORA, CA 95370 <br />(209) 984-5370 <br />WEIGHED / MEASURED AT: <br />#3 6000 O'Byrnes Ferry Road <br />Jamestown, CA <br />GEORGE REED, INC. <br />WEIGHMASTER <br />P.O. BOX 4760 <br />MODESTO, CA 95352 <br />(209)523-0734 <br />LV PLNT I ARIV JOB I ST. POUR <br />FIN POUR LV JOB ARIV PLNT <br />TRUCK # LOAD # <br />DRIVER CUMULATIVE TOTAL <br />SCHEDULED I CU YD ORDERED <br />HARD HATS, SAFETY GLASSES AND VESTS REQUIRED ON JOB SITE <br />SLUMP FULL 213 1/3 P.O. # ZONE LOT BLOCK <br />QUANTITY U/M MIDESCRIPTION PRICE UNIT AMOUNT NO. I <br />DEPUTY L:'IL_.i_ MT1.._r�Ii�idU'J11�h1 <br />PLANT NO. <br />WEIGHMASTER CERTIFICATE <br />THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a <br />weighmaster. whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by <br />Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, <br />administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br />WARNING <br />Ready mixed concrete or cement may be harmful to the skin, eyes or mucus membranes. Avoid direct contact <br />where possible and wash exposed areas promptly with water. If Irritation persists, seek prompt medical attention. <br />NOTICE: we make deliveries Inside the curb line at customer's risk only, and accept no responsibility whatsoever for damagqes resulting from <br />such dellverles. The driver of this truck, in requesting the additional signature below, is of the 0 inion that the size and weight of thelmck may possibly <br />cause damages <br />to the premises and/or adjacent property if the driver places the material in this Poatl where yyou tlesire it. It is our wish to help you in every <br />way we can, but in or k to do <br />this, the driver is requesting (hat you or your representative sign below intlicating you have released the driver and this <br />company from all responsibility for any damage that may occur to the premises antl/or atljacent property, buildinggs, sidewalks. dnvoways, curbs. etc. by <br />the delivery of this material. Further, as additional cons, <br />tlyemtion. you agree to help the driver remove mud from the wheels of the driver's vehicle so roar <br />the driver will not Inter the public stree, <br />. and you agree to intlemnity antl holtl harmless the driver of this truck and this company for any and all liabilities <br />antl tlamages to the premises antUor adjacent propedy which may be claimed by anyone to have arisen out of delivery of chis order. <br />:Not responsible for concrete tempenures <br />'Not responsible for pumpabillty. Check with your DD mping company <br />No responsible for colored concrete If water is atlded on site <br />Not responsible for concrete slumps over 5 Unless specified an mix design. <br />RECEIVED BY <br />SUBTOTAL <br />SALES TAX <br />STAND BY <br />TOTAL <br />ACCUMULATED <br />TOTAL r' <br />WEIGHT T D5,VET NO. 370" <br />CONTROL NO. 001042623 <br />IiwCK USER L06INDIS€ TICKET NUM TICKET NUM TICRLT ID IME DNoi� <br />`- <br />C�- MER r <br />iiLOAD SyIZZEE MIX CODE <br />X61n �,351•i5 1 2 <br />SEQ LOAD ID <br />�MATEER Ai. SOURCE DESIGN QTY ABS <br />FREE MST ADJ.T REQUIRED BATCHED <br />VAR %MOISTURE %ABSA %TOTMST ACTUAL WAIT ABS.IAT TOT.W4 <br />'T <br />' � MW-- T6 <br />�► i.'r -'R -9W-775-- <br />�5:€ ��T- 77Fi6:iTT T 'D <br />i10EMENT TYPE II 968.0 1b <br />968.0 2904.6 1b 2875.0 lb <br />-29.0 <br />AIR AIR 10.1 02 <br />10.1 - 30.3. oz 31.0 az <br />0.7 <br />.WATER WATER 50.0 g1 <br />30.6 91.7 gl 87.0 gl - <br />-4.7 87.00 gl 87.00 <br />IGRYWATER r 0.0 gl <br /># 0.0 gl 0.0 gl <br />0.0 <br />(TEMPERED TEMPERED W 0.0 gl <br /># 0.0 gl 0.0 gl <br />0.0 <br />PLASTIMENT 0.0 oz <br /># 0.0 oz 0.0 oz <br />0.0 <br />�iqPLASTIMENT <br />lWSIMULATED NUM BATCHES: 1 <br />LOAD TOTAL: 10083 lb DESIGN WATER: <br />150.0 gl ACTUAL WATER: 103.1 gI TO ADD: <br />46.9 gl <br />r SLUMP: 5.00 "# ADJUST WATER: 0.0 <br />y1 /load TRIM WATER: -11.0_yI /yd <br />.............._-_....__..._.._...............__-........._._........._...-----.._..___.._ <br />F;L.OAD COMF)LE�_TED 1-0(�D TI <br />eiGGG SCALE: B; 1 S.- 0 <br />TIE :01:43 ----'- TAF��-_..._.___.._._..._...---.___....._.._ <br />17 <br />1 In F_- ---20 1 b CLiY1 SCALE D "r 1. i-, I. h E : _.; 1. b <br />