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lVEfz BILLING OFFICE: CH: 933-6980 <br /> KNIFE ft (209) 933-6999 DELIVERY 571004 <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON CA 95206 TAG <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 /> F-f ti. 1•i 1.71?1J`_::,.�i Ll�`: !.i_I �,r 1i:1 �; ;_i :._ <br /> PO BOX 178 WOODNRIDG 55�f <br /> CA <br /> Previous J'rI_tc•k : <br /> TIME MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED ORDER# I DRIVERrrRUCK I PLANT <br /> . OF LOADS <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER ❑YE 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❑YEon 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 /> of the California Business and Professions Code, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job Gals.to 2/3 load❑YE 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❑YE <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 /> "The mixes quoted are not warranted to be acceptable ter any particular use,purpose or application,nor are they warranted o 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 /> any particular application" <br /> COUNT •: Min. REASON FOR DELAY TIME: <br /> Time of Job <br /> ❑ Job Not Ready <br /> I Standby Min. ❑ Job Broke Down <br /> • START POUR • • Rate of X$ Per Min. ❑ Truck Broke Down <br /> ❑ Adding Water <br /> _$ ❑ Arrived Job Early <br /> TIME ON •_ LEAVE •_ ARRIVE PLANT El Slow Placing Method <br /> Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) <br /> Additional unloading time charged at a minimum <br /> $1.00 per min. : GRAND TOTAL <br />