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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, ESC810n, 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 /> W I H IA 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 /> BY: <br /> WATER ADDED CYLINDERS TAKEN <br /> CUSTOMER SIGNATURE <br /> AT CUSTOMER'S REQUEST GALLONS ❑YES ❑NO <br /> CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET <br /> SOLD TO DELIVER TO DRIVER <br /> 11I'4_:)f_rL.l.. l a 1.;f? 1L..L.1 ANG ISI-, c: ill. 'II_=': f'..L) d I K111 i `• t`:AJ. <br /> 1 19 <br /> (-)l....LIE_IRS UZ IIJ <br /> MODESTU MANTECA CA '3i.' 7 <br /> TERMS <br /> LA �r J <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 /> S3 1-'l_ i , ,�'Itq � WAITING TIME <br /> SUB TOTAL <br /> SPECIAL INT (�TI068 3 Li TAX <br /> tt00 ��LL11 TOTAL <br /> GRAND TOTAL <br /> INVOICE NO. <br /> Tr LICE; Dri. 'Jer Llser~ T.-Lu1,et ID _late <br /> 52, GARY PHIL_IP 5'621 12: 10 'E'/a/1El <br /> t_aad Si::e Mix Cade Rei:l_tr~rned aty Mix AQe Seca Load ID <br /> 5. 00 yd SAPID0101103' D 6475 <br /> Material Desiggn9ty Required Batched % Var % Moisture Actual Wat <br /> SAND 1101 2850 lb 15105 1b 15020 1h -0.56% n.00% M 102 yl <br /> CEMENT %8.0 1b 4840.0 1b 4805,0 lb -0.72% <br /> WATER 40.00 gl 137.54 gl 138.00 gl 9.33% 138.00 gl <br /> Actual Nus Batches: I <br /> Laad Total: 20977 lb Design 0.345 Water/Cement 0.417 A Design 200.0g1 Actual 239.9 gl To Add: 0.0 gl <br /> Slump: 7.00 in W Water in Truck: 0.0 ggl Adjust Water: 0.0 1 f Load Trim Nater: 5.0 l/ yd <br /> Actual W/C Ratio: 0.417 Actual Water: 2r+0 gl batched Cemenf: 4805 lb Allowable Water: 0 ib <br />