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1�4KN I FE RIVER BILLING OFFICE: (209) 933-6980 DELIVERY CENTRAL DISPATCH: (800) 464-6572 • (209) 933-6999 674515 AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG STOCKTON PLANT LODI PLANT MANTECA PLANT TRACY PLANT ELK GROVE PLANT AMADOR TRANSIT MIX 400 S.LINCOLN ST. 851 E.LODI AVE. 450 EAST WETMORE 1728 WEST LINNE ROAD 10260 WATERMAN ROAD 12480 RIDGE ROAD STOCKTON,CA 95203 LODI,CA 95240 MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE,CA 95624 SUTTER CREEK,CA 95685 SOLD TO: SHIP TO: fl A it (3RIYiS DNII.,L.ING CC""i C;AlyAN ICHE"' � 3 )1 c WN7ODSON RD ("A WALLACE TIME MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/-rRUCK PLANT PLANT# DATE . OF LOADS •• DEL. BATCH# SLUMP TICKET INIUMBE KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: [:]YES KNIFE RIVER -7 TER CERTIFICATE responsibility of addition of colors due to variations in cement and THIS IS TO CERTIFY that the following described commodity was aggregate materials or admixtures, and for damage which may be weighed,measured, or counted by a weighmaster,whose signature is incurred in delivering materials across the curb or property line.Claims Water Gals.to full load OYES on the certificate, who is a recognized authority of accuracy, as for shortage will not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business and Professions Code, administered by the was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On JobGals.to 2/3 load❑YE Division of Measurement Standards of the California Department of WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and Agriculture. CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer'sDEPUTY COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load EYES PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS, RECEIVED BY: X X 0 All • • • •• • • • e mixes quo are no warren e o e acceptable or any Particular use,purpose or application,nor are they warranted o e acceptable or use In any particular 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 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 _ any particular application" • •: REASON FOR DELAY TIME: Time of Job Min. ❑ Job Not Ready T fA X Standby Min. ❑ Job Broke Down TO 7"N COUNT • •• POUR Rate of X$ Per Min. ❑ Truck Broke Down ❑ Adding Water =$ ❑ Arrived Job Early TIME ON •- LEAVE JOB ❑ slow Placing Method Five(5)min.per yd.free unloading time allowed. ❑ other(Explain) Additional unloading time charged at a minimum $1.50 per min.