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WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity <br /> was <br /> gnatur is measured,or counted who <br /> is a recognized <br /> ut hose CONCRETE PRODUCTS, INC. <br /> signature Is on this certificate,who is a recognized authority <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 /> WEIGHMASTER 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 DD 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 /> SIDE.R1jA <br /> SEE TERMS AND CONDITIONS ON REVERSED FRONT AND REVERSE CAREFI ULLY <br /> WATER ADDED CYLINDERS TAKEN <br /> BY: CUSTOMER SIGNATURE AT CUSTOMER'S REQUEST GALLONS ❑YES Ll NO <br /> CUSTOMER ID P.O.NUMBER BER 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 /> Disp Ticket Num Ticke' x.17 Time Dat­ <br /> 39 9 DANIEL PHILIP 81397 13: 18 <br /> Lozad Sig( Mix Code . Retr_tr,ned 0.1by Mix Arae Seq Load ICS <br /> 7. 00 yd SAND00103? D 9943 <br /> Material Desinn 4ty Required Batched % Var % Moisture Actual fiat <br /> SAND 1101 2850 1b 21147 lb 20948 lb -0.98% 6.00% M 142 gl <br /> CEWNT 968.0 lb 6776.0 lb 6788.0 lb 0.06% <br /> WATER 40,08 gl 206.56 gl 207.00 gl 0.21% 2"07.08 gl <br /> Actual Num Batches: i <br /> Load Total: 29447 lb Design 0.345 Hater/Cement 0.430 A Design 286.0g1 Actual 349.0 gl to Add: 0.0 a <br /> Slump: 7.00 in # Water in Truck: 0.8 l Adjust Water: 0.6 gl / Load Trim lister: 8.8 l/ yd <br /> Actual W/C Ratio: 0,430 Actual Water: 349 gl Batched Cement: 6780 lb Allowable Water: 0 lh <br />