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=�F ail ill YTYiLLAWN'Ir Ilrlp 7 RawILIVIL1\C'. 1900 Roosevelt Avenue,Escalon,CA 95320 209-838-1448 ' PHILIP VAI,JGHN wFrau uLRTFT'sTrnuTNRE--- INVOICE NO. NU7tL;t: nfY SIGNATURE EELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONSI per 9170 u�lo0adinQ Ch:.r' 1 lNCLUDtN(3 7HE TERMS AND CONDITIONS ON THE REVERSE.WE MAKE DELIVERIES NSI INSIDE LINES AND ON WAITING 71tdE. ,', WTS OR PROPERTY AT CUSTOMER S RISK ONLY AND ACCEPT NO RESFFONSIBIUTf WHATSOEVER FOR ANY DAMAGES b RESULTING FROM SUCH DELIVERIES.CUSTOMER SHALL INDEMNIFY,R PEHOLD HARMLESS 6 IMS FOR DAMAGES ODEFEND P,%L CONCRETE NOT RESPONSIBLE FOR Trve tfi PRODUCTS.INC FOR.FHOlA&AGAINST ALL CLARSONAL INJURY,EXPENSE OF REMOVING A41F:ED TRUCh.PAYABLE Bl CUSTOMC-R.WE ARE HE STRENGTH,SLU EAC _ ANY'CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS DEEM ADDED AT THE BUYER'S REQUEST. E DO nRRfvE.riE " ---�--- --� NOT GUARANTEE THC COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING,FINISHING OR I �} CURING OF CONCRETE AtJD DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED,INCLUDING CRACKING. Y PIAN7aANE CHANGES Ofl G NCELLATIONS OF ORIGOMENSTRUC ONS MUSS THE T THE RE TELEPHONED TO O LEA BEFORE LEL rE ic's LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE,ON CUSTOMER'S PROPERTY. I 1 FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER, SEF.Irams-1,CONO mns ON REVERSE sw,,.RFAU FRONT AND REVERSE CAAEFILYLY �___ 4 BY. - — .:l tLER Al EU Y.ATER ADL'ED L l i _ E t� _ - - ----- _ CUSTOMER SIGNATURE ATcs-�t.+cR:.RwuF 'CJSTp.,tEti lU I'D hULiRER --TOnp Ii JGR FIJCE NUI.+EER— ----- TIME WTE A&A9985 i 1 j 12:59 08/22/2018 9170 A & A GROSS DRILLING 16919 BEELER RD. DON P.O. BOX 178 WOODBRIDGE ESCALON CA 95320 E CA 95258 NET 30 LiTff-� tF�T1T'I IFHDUIVCT FFLl DUCT UNn OF UNITEITENDECI ;OAII 6ELI JERED .CODE IDESGRIPTICM! IVEA5URE FRIC.E (PRICE 7.00 7.00 SAND00103 10.3 SACK SAND SLURRY yd 8149.5041,046.50 1.001 1.00 EF ENVIRONMENTAL FEE /L 11415.00 415.00 I i ' lA'JCN PLANT JL'JMF DUEAT JOR USE OF f_pNCRLTE WAITING TIME 43 PL 1 i 7.00 1:30 P SAND00103 Sue TOTAL 41,061.50 m -- -- ;SPECIALINSTMCTID1IS TAX 481.10 609-9140 TOTAL 41, 142.60 GRAND TOTAL 41,142.2-50 i INVOICE NO. 9170 Truck Driver User Disp Ticket NI_Im Ticket ID Time Date 43 DON PHILIP' 9170 12-:59 8/22/18 Load Size Mix Code Retl_Irned Gty Mix Age Seq Load ID 7.00 yd SAND00103 D 10132 Material Design of ReGwired Batched %Var %Moisture Actual Wat SAND 1101 2850 lb 21147 lb 20970 lb 434% 6.00% M 142 91 J CEMENT 968.0 lb 6776.0 Ib 6750.0 lb -0.38% RATER 40.00 gl 192.56 gl 193.00 gl 0.23% 193.00 gl . Actual Nun Batches: Ilktual 335.2 l To Add: 0.0 gl Load Total: 29331 lb Design 0.345 hater/Cement 0.415 A Design 280.0 y1 g tp y Slump: 7.00 in # Nater in Truck: 0.0 g1 Adjust Water: 0.0 gg1 ! Load Tri.Dater: 6.0 g1! yd Actual WIC Ratio: 0.415 Actual Water: 335 gl Batched Cement: 6750 lb Allomable Water: 0 lb 4.