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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 /> � bf 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 MeasurementP > > <br /> Standards of the California department of Food and Agriculture. 209-838-1448 <br /> WEI HMA 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 DYES ❑NO <br /> CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET <br /> DELVERTO DRIVER <br /> irll...l•:�r L::.t......L:::7 RJ I t.I.i..�.......•',i.J .I.1`•I:..- <br /> 119 AL..BE.REs KL? <br /> MOJDESTO <br /> TERMS <br /> Cn <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 /> Tl'l.tc:k Driver User Disp Tict(et Num Tic.,kE,t. .i i., 1.:a;:: 1 <br /> 43 PAIR JN PHILIP 444.3 1. :02 t <br /> Load Size Mix Code Retl_trned aty Mix Ache - L..o--td <br /> 1. 50 yd SAND00103 L) 4987 <br /> Material Design Qtyy Rewired Batched % Var % Moisture Actual Mat <br /> SMD 1101 2950 1b 4532 lb 4500 lb -0.70% 6.W% M 31 g1 <br /> CEMENT 969.8 1b 1452.0 Ib 1450.0 11b -0.14% <br /> MATER 40.06 gl 333.75 91 33.00 gl -2.26% 33.80 gl <br /> Actual Nue Batches: 1 <br /> Load Total: 6225 lb Design 0.345 Nater/Cement 0.365 A Design 60.0 q1 Actual 63.5 gl To Add: 0.0 gl <br /> Slump: 7.00 in # Nater in Truck: 0.6 gl Adjust Mater: 0.0 gl / Load Trio Mater: 0.0 gl/ yd <br />