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BILLING OFFICE: (209) 933-6980 DELIVERY 634632KN I FE RIVER CENTRAL DISPATCH: (800)464-6572 • (209) 933-6999 TAG AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 • r STOCKTON PLANT DI 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 9 MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE,CA 95624 SUTTER CREEK,CA 95685 SOLD T0:+888 SHIP TO: 8418 E LIBERTY A & A GROSS DRILLING EAST OF DUSTIN ON RIGHT PO BOX 178 WOODBRIDG 3012 WOODSON RD CA Previous Truck : TIME MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK4E373 12:50 504 7. 00 7. 00 55029 550125 LODI 03 1 E101!l E 1 7. 00 8. 00 in 1314570 KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER []YES 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❑YES on the certificate, who is a recognized authority of accuracy, as for shortagew ill not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 ADDITIONAL WATER ADDED TO THIS CONCRETE of the California Business and Professions Code, administered by the was delivered. On Job Gals.to 2/3 load❑YES 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 DYES 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 . • . • • 7. 00 yd 504 10. 3 SK. SAND SL "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 an articular a lication." REV.COUNT LEAVE PLANT ARRIVE JOB Time of Job Min. REASON FOR DELAY TIME: 10 I� - El Job Not Ready SUBTOTAL V Y Standby Min. El Broke Down �7 •• • •• ❑ Truck Broke Down I AX Rate of x$ Per Min, El Adding Adding Waier =$ ❑ Arrived Job Early •: LEAVE JOB ARRIVE PLANT ❑ Slow Placing Method i Five(5)min.per yd,free unloading time allowed. ❑ Other(Explain) Additional unloading time charged at a minimumkL 7— •r $1.50 per min.