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WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity wasweighed,is measured,or counted who is a recognized ut hose CONCRETE PRODUCTS INC. 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 California Business and 1900 Roosevelt Avenue, Escalon, CA 95320 Professions Code,administered by the Division of MeasurementP Standards of the California department of Food and Agriculture. 209-838-1448 i.'1��lJl:il If WEIGHMASTER SIGNATURE TICKET NO. 1.040_7 NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, WAITING TIME: INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE.WE MAKE DELIVERIES INSIDE CURB LINES AND ON LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES $ per hr.unloading charge. RESULTING FROM SUCH DELIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND P&L CONCRETE LEAVE PLANT PRODUCTS,INC.FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF REMOVING MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OF ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST.WE DO ARRIVE JOB NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING, FINISHING OR CURING OF CONCRETE AND DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED,INCLUDING CRACKING. l �J CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE LEAVE JOB PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE,ON CUSTOMER'S PROPERTY, FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE ARRIVE PLANT OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. SEE TERMS AND CONDITfO ON R_EVERSE__S/DE.READ FRONT AND REVERSE CAREFIULLY i WATER ADDED CYLINDERS TAKEN CUSTOMER SIGNATURE ATCUSTOMER'SREQUEST (,GALLONS [I YES EI NO CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET A SOLD TO DELIVER TO DRIVER MASE1-.L-.I S DR I L.. _I Nr.: INC 119 AL-BERS RID ,10DE.S1'O TERMS QUANTITY QUANTITY " PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE +. 0C 14. 00 3AND001IVA 111. 3 SACK SAND SL.URflY 1 . 00 1 . 00 SHORT i. 1_00_'AI_ ,'_• t r_, 4. 25 1. 1714'1 1. 110 E F= ENV I F?CIN M E N'T A L.- F=EE 1 i TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE WAITING TIME 00 F' i tal;�l SUB TOTAL SPECIAL INSTRUCTIONS TAX �4 SCOTT TOTAL GRAND TOTAL TICKET NO. r it.c,k t:•r Ll s t. i... 1:i i. 1=' T i c 1:e?t N I..I In -F'i c::h e t: T T:t F'i al n D __3 .A R'y` f'F I:L L I F-' ].i;.14 0 7 14'.i 19 1.lit, 9. ! ;, .ci ?.d Si c, ri1:ix C0cic Rc•t Ir--rigid Oty lyli Act f_q L._r_•_a!1 J1 d SAND0010? hlater'tal De31gn Qty Required Batched % llar % Moisture Actual Wat SAND 1101 2850 lb 12084 1b 13040 lb -0.36% 6.00% M 82 gl CEMENT 968.0 lb 3873.0 1b 3840.0 1b -0.83% WATER. 40.00 gl 126.04 gl 126.00 q 1 -0.03% 126.0;, g l Actual Nus Batches: 1 Load Total: 16931 lb DeEign 0.345 Water/Cement 0.451 A Design 160.0 gr Actual c^^07.7 gl To Add: 0.0 gi Slurp: 7.00 in # Water in Truck: 0.0 g1 Adjust Water: 0.0 gl 1 Load Tris Water: 10.0 g1/ yd Actual WIC Ratio: 0.451 Actual Water: 208 91 Batched Cell 3840 lb Allowable Water: 0 lb