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BILLING OFFICE: (209) 933-6980 1�4 KN I FE RIVER CENTRAL DISPATCH: (800)464-6572 • (209) 933-6999 DELIVERY TAG 67331 Q`r AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 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: I-. i- � 1. `_} 1-( 1L..1_.Lt'f�... ,,_. -a f !.L..l,t.�I:.L%iT�-l •J:.i 301;7` I.100tYSSION RD TIME MIX NO. YARDS ORDERED ORDEFI# DRIVER/TRUCK PLANT 7 DATE OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER ❑YE KNIFE RIVER WEIGHMASTER 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 beweighed, 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 DYESon 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 was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE of the California Business and Professions Code, administered by the On Job Gals.to 2/3 load DYES 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❑YES 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 . • . •' • "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 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." COUNT •= Time of Job Min. REASON FOR DELAY TIME: -AJE TOTAL..ElJob Not Ready T,A Standby Min. ❑ Job Broke Down L T©Tf�1 COUNT •• • •• El Truck Broke Down 1 1.1' . Rate of X$ Per Min. ❑ Adding Water r' =$ ❑ Arrived Job Eady 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. 673818 1-r- k, 1:)r t v-0 r- 1-15 c.I I)i r.? T':i.c+(e.t N I.f ill 'T'i C 1:0,t ID Dat:e •.:591-3415410 A6696 1A S t?T, 1. :1181. 1G 9c:r+-9 2/8/18 i. f, P'1 i.x C n(:i P R e t+-cr-rt e Ii lit,r Mix Age S ca q 1-O a d IF) 6.00 CyD9 504 , D 10-458 Maticriil Desi n at 1• aRpuired diatcned % Var % Moisture Actual Wit W11-1) 8 lh' 5@ is AN 1b + ,15,% "�•t�% M 233 lb WATER 3W 1b 1357 t h 1362 1 h 367E I X2 lb khal N41 Batches: 2 Manual 13:17:52 Load'Total: .19097 lb Design ®.362 Water/Ce�ent A,357 7 -sign ifs, lh ActuaI1594.5 Ib To Add: 5@x.5 1L Sloop; 7.00 in A Water, ih Truck: 0.0 gal Adjust Water: 0. Load Load Trim Water:-10.®gal/ CYD k� li