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WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is on this certificate,who is a recognized authority CONCRETE PRODUCTS INC. of accuracy,as prescribed by Chapter 7(commencing with 7 Section 12700)of Division 5 of the California Business and 1900 Roosevelt Avenue Escalon CA 95320 Professions Code,administered by the Division of MeasurementP O s Standards of the California department of Food and Agriculture. 209-838-1448 PIiIL-! WEIGHMASTER SIGNATURE TICKET NO. 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. 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 CONDITIONS ON REVERSE SIDE.READ FRONT AND REVERSE CAREFIULLY BY: CUSTOMER SIGNATURE WATER ADDED CYLINDERS TAKEN AT CUSTOMER'S REQUEST GALLONS El YES ❑NO CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET MAS213 , SOLD TO DELIVER TO DRIVER t ASEELL I S 1)R I LL.I NO INC' EN ) OF N. i:71 L-IY10RE R1). MARCIPS It'-) ALBE:RS RD M01)E.aT0 I....I NDE'.N CA 95236, TERMS QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE c; 3ANE)0011) 0. , SAC R SAND SLUR111 .. i'. F101'? I .I LOCCIL 4f. J to 5. 75 !._ T 0 00 I . 00 !_F ENV I RONMENTAL FEE_ %!.._ i 54n;7 TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE WAITING TIME SUB TOTAL i !87. 50 SPECIAL INSTRUCTIONS TAX 55. 9.3 TOTAL 1>642,,, 49 GRAND TOTAL TICKET NO. I r,I_tc:t: I)r i. e r t..l i i.i i p i t c.i c: L 1.4, . 1. h,a 1.i I a. is t�; 1 t 35 1+lARclis F.1-1ILIP 10609 13: 11 111`:3118 i._oacl Si 1`1ix Code RetI.tr necl tilty Iyji >< 11g0 Sq Lo-id 11) 5. 00 ,,d SAND001 U7t.: D 1 1 L-19 t Material Design Qty Required Batched z Uar k Moisture Actual Wat SAND 1101 2850 lb 15105 lb 14980 lb -0.83% 6.00% M 100, gl CEMENT 968.0 lb 4840.0 lb 4885.0 lb 0.93% WATER 40.00 gl 142.54 gl 1421.00 gl -0.38% 142.00 gl Actual Num Batches: 1 Load Total: 21050 lb Design 0.345 Water/Cement 0.416 A Design 2@0.0 1 Actual 243.6 gl To Add: 0.0 gl Slump: 7.00 in N Water in Truck: 0.@ 1 Adjust Water: 0.0 ql f Load Trim Water: 7.0 l/ Vd Actual W/C Ratio: 0.416 Actual Water: 244 gl Batched Cement: 4885 lb Allowable Water: 0 lb