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IVER BILLING OFFICE: (209) 933-6980 <br /> 6980 <br /> KNIFE R ( ( ) <br /> CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 DELIVERY 6766 .81 <br /> ](^ Q q <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG ( v 8 1 <br /> STOCKTON PLANT LODI PLANT MANTECA PLANT TRACY PLANT ELK GROVE PLANT AMADOR TRANSIT MIX <br /> 400 S.LINCOLN ST. 851 E.LODI AVE. 450 EAST WETMORE 1728 WEST LINNE ROAD 10260 WATERMAN ROAD 12480 RIDGE ROAD <br /> STOCKTON,CA 95203 LODI,CA 95240 MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE,CA 95624 SUTTER CREEK,CA 95685 <br /> SOLD TO: SHIP TO: <br /> TIME MIX NO. <br /> ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK PLANT PLANT# <br /> NO.OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: EYES 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 /> 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 <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE of the California Business and Professions Code, administered by the <br /> On Job Gals.to 2/3 load❑YES Division of Measurement Standards of the California Department of <br /> WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and Agriculture. <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 OYES <br /> PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR <br /> CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: <br /> TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br /> RECEIVED BY: X X <br /> e mixes quoted are no warran e o e acceptable or any particular use,purpose or application,nor are they warranted o e acceptable or 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 /> any particular application." <br /> IREV.COUNT LEAVE PLANT ARRIVE JOB Time of Job Min. REASON FOR DELAY TIME: <br /> ❑ Joh Not Reedy <br /> Standby Min. ❑ Job Broke Down <br /> • • • •• Rate of X$ Per Min. ❑ Truck Broke Down <br /> ❑ Adding Water <br /> $ ❑ Arrived Job Early <br /> TIME ON _ LEAVE _ El Slow Placing Method <br /> Five(5)min.perARRIVE PLAN yd.free unloading time allowed. ❑ other(Explain) <br /> Additional unloading time charged at a minimum <br /> $1.50 per min. <br /> 676681 <br /> i kt.A-. <br /> III i ^ C:I::;cic: Rc.?f,.r r I U.-H y lila .4 <br /> llriiwf tai llesippn uty kn�qquired Yatrhed 1 tier T moistmre whtal Wat <br /> 1`AII-V Ib 5W4 lb 57% 1b -0..31a <br /> i;i<C Nb 19TJ 1b 12142 1111 12120 1b 4.S8% N 64 g1 <br /> I 51 T3.I, g 305.8 gl 305.0 91 --4.2671 '0.0 01. <br /> F;111 Batches: 1 <br /> a<u lhtal: M52 ibl.�GO Design 0.134 !dater/Celill 0.636 T Design 441.E l ktual 368.7 91 To Add:: <br /> lin Water in Tiv&,. 0.0 gl Adjust Waters 0.0 91 ! Load TrimWter:-12.0 gl/ CYD <br /> SITE COPY <br />