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KN I FE RIVER BILLING OFFICE: (209) 933-6680 <br /> CENTRAL DISPATCH: (800)464-6572 • (209) 933-6999 DELIVERY 703952 <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 /> Pt.IRVIAWE DRIL. L.1-W , NORTH IY, VETTL..EMEN RD <br /> rl. 0. F40X 64 <br /> i-7707 E. MY 2'6 <br /> t_I NDEPI L._C;)1?T <br /> TIME MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER <br /> DATE . OF LOADS <br /> KNIFE RIVER AND DRIVER OF TRUCK are release rom any JOB SITE CYLINDER: DYE 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 OYES 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 /> 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[:IYES 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 /> X X • • <br /> RECEIVED BY: • <br /> • • • <br /> e mixes quo a are no warranted o acceptable r y purpose racceptable or use in any pa ou ar <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 /> REASON FOR DELAY TIME: <br /> COUNT •- L1 F1'T CJ 1#1L.. <br /> Time of Job Min. <br /> - ❑ Job Not Ready TAX <br /> Standby Min. ❑ Job Broke Down TOTAL <br /> REV.COUNT START POUR, STOP POUR Rate of X$ Per Min. ❑ Truck Broke Down <br /> ❑ Adding Water <br /> _$ ❑ Arrived Job Early <br /> TIME ON •" LEAVE _ ARRIVE PLANT 1:1 Slow Placing Method <br /> Five(5)min.per yd.free unloading time allowed. El Other(Explain) <br /> Additional unloading time charged at a minimum <br /> GRAND TOTAL <br /> $1.50 per min. <br /> - '_ l ll _ <br />