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WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity <br /> was weighed,measured,or counted by a weighmaster,whose <br /> signature is on this certificate,who is a recognized authority CONCRETE PRODUCTS INC. <br /> of accuracy,as prescribed by Chapter 7(commencing with <br /> Section 12700)of Division 5 of the California Business and 1900 Roosevelt Avenue, Escalon, CA 95320 <br /> Professions Code,administered by the Division of Measurement P & <br /> Standards of the California department of Food and Agriculture. 209-838-1448 <br /> WEI H A TER SIGNATURE INVOICE NO. <br /> NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, WAITING TIME: <br /> INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE.WE MAKE DELIVERIES INSIDE CURB LINES AND ON <br /> LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES $ per hr.unloading charge. <br /> RESULTING FROM SUCH DELIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND P&L CONCRETE LEAVE PLANT <br /> PRODUCTS,INC.FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF REMOVING <br /> MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OF <br /> ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST.WE DO ARRIVE JOB <br /> NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING, FINISHING OR <br /> CURING OF CONCRETE AND DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED,INCLUDING CRACKING. <br /> CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE LEAVE JOB <br /> PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE <br /> LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE,ON CUSTOMER'S PROPERTY, <br /> FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE ARRIVE PLANT <br /> OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. <br /> SEE TERMS AND CONDITIONS ON REVERSE SIDE.READ FRONT AND REVERSE CAREFIULLY <br /> WATER ADDED CYLINDERS TAKEN <br /> BY: CUSTOMER SIGNATURE ATCUST <br /> AT CUSTOMER'S REQUEST GALLONS El YES ❑NO <br /> CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE. TICKET <br /> SOLD TO DELIVER TO DRIVER <br /> TERMS <br /> QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED <br /> THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE <br /> TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE <br /> WAITING TIME <br /> SUB TOTAL <br /> SPECIAL INSTRUCTIONS TAX <br /> TOTAL <br /> GRAND TOTAL <br /> INVOICE NO. <br /> T'r,1_ick T)r-iVeI­ U SeIt- 1)i sp, Ticket NLtm Ticket IL) t ime Date <br /> 53 GAf.Y E'HILIP `8E 1 12: 10 218118 <br /> Load Size Mix Code Ret IAr-fled aty Mix Age see Load IL) <br /> 51,. 0121 yd SAND001,03 D 6475 <br /> Material Design Otty Re aired Batched % Var % Moisture Actual Wat <br /> SAND 1101 2850 lb 151 1b 15020 1b -0.56% 6.00% M 102 gl <br /> CEMENT 968,0 1b 4840,0 lb 4805.0 1b -0.72% <br /> WATER 48.00 g1 137.54 gl 138.N gl 0.33% 138.00 gl <br /> Actual Nue Batches: 1 <br /> Load Total: 220977 lb Design 0.345 Water/Cement 0.417 A Design 200.0 g1 Actual 239.9 gl To Add: 0.0 gl <br /> Slump: 7.010 in 1 Water in Truck: 0.0 1 Adjust Water: 0.0 1 / Load Trim Water: 5.0 1/ yd <br /> Actual W/C Ratio: 0.417 Actual Water: 240 g1 Batched Cement: 4805 lb Allowable Water: 0 1b <br /> :I <br />