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CAL VERAS <br />HEIDELBERGCEMENTGroup <br />Delivery Tag <br />Weighmaster Certificate <br />CUSTOMER COPY 2 <br />Calaveras Materials Inc. <br />7673 N. Ingram Avenue <br />Fresno, CA 93711-5838 Tr -ac y P l ckn t #k53 <br />Phone 559-277-7060 2898,..E S. Mata Arwt t'i ur~ <br />Toll Free 800-726-5615 <br />Load Leave Plant Arrive Job Start Pour End Pour Leave -joE Arrive Plant <br />Water Added on Job at Customer <br />Customer's Request Gallons Signature x <br />WEIGHMASTER CERTIFICATE: THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weightmaster, whose <br />signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the <br />California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br />Plant <br />Ticket No. <br />Order No. <br />Customer No. <br />Sold To: <br />Date <br />Delivery Address <br />FORM a we (Rev. vos) X289327 <br />Zone <br />Driver <br />Required <br />2M9768 l b <br />Special Instructions <br />% Var <br />` -0.23% <br />x !Moisture Actual fiat <br />4.50% M 112 g 1 <br />CEK#1 <br />Project No. <br />Special Instructions <br />99@5 lb <br />-0.18% <br />Job Number <br />Truck No. <br />Load Size <br />Mix Code <br />Slump <br />% Air <br />% Call. <br />Project Name: <br />Load <br />Cumulative <br />Ordered <br />Unit of <br />Product <br />Product <br />Unit <br />Amount <br />Quantity <br />Quantity <br />Quantity <br />Measure <br />Code <br />Description <br />Price <br />Load Total: ;,.34375 lb •; - <br />r b 151 <br />9.11 t11 <br />Desi n %7.4 1 Actual 565.7 gl To Add: 1.8 gl <br />ytj <br />r 1. 100- <br />il, bt�Nu '::ii_iJNrt <br />20.8 q1 Adjust <br />Water. 0.0 gl <br />1.Oi <br />LA. 00 <br />Pa <br />CACARr <br />CARHfENVIRONK <br />0.00 <br />ea. <br />FUEL- <br />l:A. ciIJRCHARG <br />CALAVERAS MATERIALS INC. ASSUMES NO <br />CERTIFICATE OF COMPLIANCE: WE CERTIFY that the <br />RESPONSIBILITY FOR DAMAGE INCURRED IN <br />portland cement, chemical and mineral admixtures contained in <br />DELIVERING MATERIALS INSIDE THE CURB LINE. <br />the material described below are brands stated and comply with <br />specifications: <br />CALAVERAS MATERIALS INC. <br />CEMENT BRAND: <br />Sub total <br />TYPE: II MILL LOCATION: <br />Tax <br />CHEMICAL ADMIX BRAND: TYPE: <br />MANUFACTURER: <br />By <br />MINERAL ADMIX MANUFACTURER: <br />CLASS: <br />Total <br />rnnlrRrn i� n n r n A <br />NO. <br />'J G 0 J 0 4 <br />-4 DO NOT USE FOR TICKET NO. <br />FORM a we (Rev. vos) X289327 <br />Katerial <br />COtMS n <br />Desi gn otyy <br />?094 l b <br />Required <br />2M9768 l b <br />9atched <br />X0720 l b <br />% Var <br />` -0.23% <br />x !Moisture Actual fiat <br />4.50% M 112 g 1 <br />CEK#1 <br />1034 Ib <br />96c'3 lb <br />99@5 lb <br />-0.18% <br />bIATERMi1 <br />5151b <br />lb <br />lb <br />IWTTWAR22R <br />i N% # <br />3860 1 h <br />38 ;N 1 b <br />-0.25% <br />454 g 1 <br />Actual <br />Nuo Batches: <br />2 <br />Load Total: ;,.34375 lb •; - <br />Desi n 0.499 Waterr'Ceeent <br />-lick- <br />0.500 T <br />Desi n %7.4 1 Actual 565.7 gl To Add: 1.8 gl <br />Slurp: <br />7,00—inII Water <br />in Tr <br />20.8 q1 Adjust <br />Water. 0.0 gl <br />i Load Trir ater: 0.0 g1l CYD <br />