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WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature Is on this certificate, who is a recognized authority CONCRETE PRODUCTS INC. 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 P & Standards of the California department of Food and Agriculture. 209-838-1448 WEI HMA 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 Tzr.�kei LL- LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES $ per hr. unloading chaff. 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 14 :58 5/24/1.6 MIRED TRUCK PAYABLE BY CUSTOMER. WE ARE NOT RESPONSIBLE FOR THE STRENGTH, SLUMP, OR QUALITY OF Mix Coda hetl.tr-ned ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST. WE DO NOT GUARANTEE THE COLOR OF THE CONCRETE. WE HAVE NO CONTROL OVER THE PLACING, FINISHING OR ARRIVE JOB r CURING OF CONCRETE AND DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED, INCLUDING CRACKING. " 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 8388 LOADING STARTS. CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE, ON CUSTOMER'S PROPERTY, % Var % Moisture 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. 2850 1� 24168 lb 24210 1b SEE TERMS AND CONDITIONS ON REVERSE SIDE. READ FRONT AND REVERSE CAREFIULLY 164 gl CYLINDERS TAKEN WATER ADDED BY: CUSTOMER SIGNATURE ATCUSTOMER'SREQUEST GALLONS ❑YES El NO CUSTOMER ID P.O. NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET 48.00 gl 244.07 gl 244.00 gl -0.03% 244.00 gl — SOLD TO DELIVER TO DRIVER CHNE- i4 & SON;:: A R M A N D 0 1.4384 DUESTA +- I 33971 lb Design 0.345 Water/Cement 0.441 A Design 320.0 1 Actual 488.2 91 To Add: 0.0 gl 'LINO RA in # Water in Truck: 0.0 g1 Adjust TERMS 7 -17 171 Actual WIC Ratio: 0.441 Actual Water: 488 gl `I i n QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE 1%1{71 T1?UCK TIM 1.171. 01.. $ 220. 1�'l4�1 TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE WAITING TIME F!I__ 1 "'.00 3:30 P1 SAND001113 SUB TOTAL $1,41.6.00 TAX $109. 74 SPECIAL INSTRUCTIONS �] TOTAL $1,525.74 $1,525.74 !9525.4 GRAND TOTAL INVOICE NO. fr-, l: DIr' iVer USer^ Lisp Ticket NI_M Tzr.�kei LL- I i. In u:! ij tt;r_, ;: 5 ARMANDO PHIL -IFS 7 558 14 :58 5/24/1.6 l._ozid Size Mix Coda hetl.tr-ned Qty Mix Age Seq Load ID 8.00 yd SAND00103 D 8388 Material Design at Re aired Batched % Var % Moisture Actual Wat SAND 1101 2850 1� 24168 lb 24210 1b 0.17% 6.80% N 164 gl CEMENT 968.0 1b 7744.0 1b 7725.0 1b -0.25% WATER 48.00 gl 244.07 gl 244.00 gl -0.03% 244.00 gl Actual Num Batches: 2 Load Total: 33971 lb Design 0.345 Water/Cement 0.441 A Design 320.0 1 Actual 488.2 91 To Add: 0.0 gl Slump: 7.00 in # Water in Truck: 0.0 g1 Adjust Water: 8.0 g1 / Load Trim Water: 8.0 1/ yd Actual WIC Ratio: 0.441 Actual Water: 488 gl Batched Cexeni: 7725 1b . Allowable Wa er: 0 lb