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, J�4KNIFE RIVER BILLING OFFICE: CH: ( 0) 464- ( ) <br /> CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 DELIVERY 6881-50 <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 /> TIME MIX • ICU.YDS. • , . ORDER# DRIVERITRUCK PLANT PLANT If <br /> DATE NO.OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from anyJOB 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 DYEon the certificate, who is a recognized authority of accuracy, as <br /> a will not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> for shortage 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[:IYEE 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 /> e mixes quo are no warren e o e acce,fa a T.,any particular use,purpose or application,nor are they warranted o be acceptable r 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 , •: Time of Job Min <br /> REASON FOR DELAY TIME: <br /> . <br /> fl r,.( ,.��^, _ � ��`' El Job Not Ready <br /> - 1- Standby Min. ❑ Job Broke Down <br /> REV.COUNT START POUR STOP POUR Rate of X$ Per Min. ❑ Truck Broke Down <br /> ❑ Adding Water <br /> _$ ❑ Arrived Job Early <br /> ❑ Slow Placing Method <br /> TIME JOB LEAVE <br /> Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) <br /> Additional unloading time charged at a minimum <br /> $1.50 per min. <br /> t <br /> 686. 5® <br /> ?Y'L4 t,1: l 1'"1 t...l: D 7. J_l T 1,...I t r.,t I`1 I.t III <br /> rY50 u4 . 4P1 �I 114 Ci <br /> tr'.t1: 1_tt <br /> f e 017f <br /> ria1 1�0SME�� �r� 'b -0x " u Q st re of Al �' ` <br /> TYPEII--4t %8.0 lb 3B72.0 lb ',MT71.01b -0.85% f <br /> WATER 350 It Al2 lb KID 1h 0.198% l <br /> Po:tUAl Plus Bitches: 2 Marital 12:24. <br /> Load Total: 12870 1b DESign O.O,c PAter!Cesent O.::G? T llugig 14ft 16 Ia- t1.1 .th I' Ind 1.C,6 ih' , <br /> lump: 8.* in Wafer 61Trio l(: 0.0 gal IadruSt Water: 0.8 gal r La Tris Water. -t.)Qa: <br /> SITE COPY <br />