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WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity <br /> wasweighed,is ,measured,orcountedby recognized <br /> ut hose CONCRETE PRODUCTS INC. <br /> signature is on this certificate,who is a recognized authority <br /> of accuracy,as prescribed by Chapter 7(commencing with <br /> Section 12700)of Division 5 of the California Business and 1900 Roosevelt Avenue Escalon CA 95320 <br /> Professions Code,administered by the Division of MeasurementP > > <br /> Standards of the California department of Food and Agriculture. 209-838-1448 <br /> WEIGHMASTER SIGNATURE INVOICE NO. <br /> NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, WAITING TIME: <br /> INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE.WE MAKE DELIVERIES INSIDE CURB LINES AND ON <br /> LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES $ per hr.unloading charge. <br /> RESULTING FROM SUCH DELIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND P&L CONCRETE LEAVE PLANT <br /> PRODUCTS,INC.FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF REMOVING <br /> MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OF <br /> ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST.WE DO ARRIVE JOB <br /> NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING,FINISHING OR <br /> CURING OF CONCRETE AND DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED,INCLUDING CRACKING. <br /> CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE LEAVE JOB <br /> PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE <br /> LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE,ON CUSTOMER'S PROPERTY, <br /> FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE ARRIVE PLANT <br /> OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. <br /> SEE TERMS AND CONDITIONS ON REVERSE SIDE.READ FRONT AND REVERSE CAREFIULLY <br /> WATER ADDED CYLINDERS TAKEN <br /> BY: CUSTOMER SIGNATURE ATCUSTOMER'SREQUEST GALLONS El YES El NO <br /> CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET <br /> 4 <br /> SOLD 10 DELIVER TO DRIVER <br /> TERMS <br /> QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED <br /> THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE <br /> I <br /> I I <br /> TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE <br /> WAITING TIME <br /> SUB TOTAL <br /> SPECIAL INSTRUCTIONS TAX <br /> TOTAL <br /> GRAND TOTAL <br /> INVOICE NO. <br /> 1 r,l-tc,k Dr-iver• User- Di sA Ticket Num 'Ticket ila ! Ialu i)ai,U <br /> 53 GARY PHILIP 9972 12':26 10/5/18 <br /> i._o.ad Size Mix Code Retl_!rned (qty Mix Aye Sey Load ID <br /> 5. 00 Y d SANE)001 k'3 D 11009 <br /> Material Design Qty Required Batched % Uar % Moisture Actual Waat <br /> SAND 1101 2850 lb 15105 1b 15160 lb 0.36% 6,00% M 103 gl <br /> CEMENT 968.0 lb 4840.0 lb 4830.0 lb -0.21% <br /> WATER 40.00 gl 147,54 g] 148.00 gl 0.31% 148.00 gl <br /> Actual Nue Batches: 1 <br /> Load Total: 21225 lb Design 0,345 Water/Cement @.433 A Design 200.0gg1 Actual 250.8 gl To Add: 0.0 91 <br /> Slump: 7.90 in # Water in Truck: 0.8 g1 Adjust Water: 0.0 gl / Load Trim Water: 8,0l/ yd <br /> Actual WIC Ratio: 0.433 Actual Water: 251 gl Ba+,shed Ceeent: 4830 lb Allowable Wa�er: 8 lb <br />