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KNIFE ftlVEft BILLING OFFICE: CH: ( 0) 464- ( ) DELIVERY 647804 <br /> CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 TAG <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 <br /> STOCKTON PLANT (LODI, <br /> ODI PLANT f MANTECA PLANT TRACY PLANT ELK GROVE PLANT AMADOR TRANSIT MIX <br /> 400 S.LINCOLN ST. E.LODI AVE. 450 EAST WETMORE 1728 WEST LINNE ROAD 10260 WATERMAN ROAD 12480 RIDGE ROAD <br /> STOCKTON,CA 95203 CA 9524111' MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE,CA 95624 SUTTER CREEK,CA 95685 <br /> SOLD TO: SHIP TO: <br /> 378329 3927 EMERSON RD <br /> KEN GROSS FUME'S C/S 99 FRONTAGE RD <br /> 353 N. LINCOLN WAY <br /> GALT <br /> Previous Truck : <br /> TIME I MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK PLANT PLANT# <br /> 46193 <br /> 12:38 504 7. 00L7. 00 55032 550341538 LOD I 03 <br /> DATE NO.OF LOADS I YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> 04/06/17 1 7. 00 9. 00 in 1315149 <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any ,JOB SITE CYLINDER: ❑YES KNIFE RIVER WEIGHMASTER CERTIFICATE <br /> responsibility of addition of colors due to variations in cement and THIS IS TO CERTIFY that the following described commodity was <br /> aggregate materials or admixtures, and for damage which may be weighed, measured,or counted by a weighmaster,whose signature is <br /> incurred in delivering materials across the curb or property line.Claims Water Gals.to full load❑YES on the certificate, who is a recognized authority of accuracy, as <br /> a will not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> for shortage of the California Busine s and Professions Code, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job Gals.to 2/3 load❑YES Division of Meas Standards of the California Department of <br /> WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and Agri <br /> CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer'sDEPUTY <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load❑YES r .} <br /> PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR <br /> CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BEf,. <br /> AUTHORIZED BY: <br /> TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br /> RECEIVED BY: X X • • • • • <br /> yd b04 10. ,J bK. <br /> "The mixes quoted are not warranted to be acceptable for any particular use,purpose or application,nor are they warranted to be acceptable for use in any particular <br /> environment or in conjuncture with any particular soil conditions.Buyer's selection of the quoted mix,unless otherwise acknowledged in writing by Knife River will be <br /> deemed to be without the advice,consultation,recommendation or suggestion of Knife River and Buyer assumes all risk related to the selection of the quoted product for <br /> anV particular application:" <br /> COUNT •= REASON FOR DELAY TIME: <br /> Time of Job Min. <br /> r ❑ Job Not Ready SUBTOTAL <br /> 1 Standby Min. ❑ Job Broke Down COUNT •UR • •• TilN <br /> ❑ Truck Broke Down <br /> Rate of X$ Per Min. TOTAA/� <br /> L <br /> ❑ Adding Water <br /> -$ ❑ Arrived Job Early <br /> TIME ON •. LEAVE JOB ARRIVE PLANT ❑ Slow Placing Method <br /> Five(5)min.per yd.free unloading time allowed. ❑ other(Explain) <br /> Additional unloading time charged at a minimum <br /> $1.50 per min. <br />