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WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity <br /> was weighed,measured,or counted by a weighmaster,whose <br /> signature is on this certificate,who is a recognized authority CONCRETE PRODUCTS, INC. <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 Measurement P p <br /> Standards of the California department of Food and Agriculture. 209-838-1448 <br /> WEIGHMASTER SIGNATURE TICKET 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 /> BATCUST <br /> Y: CUSTOMER SIGNATURE <br /> AT CUSTOMER'S REQUEST GALLONS El YES ❑NO <br /> CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET <br /> SOLD TO DELIVER T030-39"I DRIVER <br /> PIASE:LI_IS 1)N1L_L.ii\1 il\Ill. ;.—E: AVE. <br /> 1. 19 ALDERS RD <br /> I0DE,310 F.-SI.F11._ON C.",A )53;? TERMS <br /> QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED <br /> THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE <br /> . —R) SL-URF' <br /> I::1-NV I RONMENTAI_ FEE <br /> TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE WAITING TIME <br /> SUB TOTAL <br /> SPECIAL INSTRUCTIONS TAX <br /> I:;t:IT i TOTAL <br /> GRAND TOTAL <br /> TICKET NO. <br /> T'r Dt~iveIr- IIA Ser~ 1Di5A Jif itet idLtw i Li i,et 11) i ime Da7te <br /> ROGEL_10 !•+lILIP 4; 477 9:58 3/2L='/19 <br /> I_o::td Size Mix Code Reti_trtried aty Mj,x Age Seq L_cad ID <br /> r CA yd SAND00103 D 13709 <br /> Material Design__�@ty Required Batched 'rar Moisture Actual Wat <br /> SAND 1101 2850 lb 21147 lb 20940 1b -0198% 6.00% M 142 al <br /> CEMENT 968.0 1b 6776.0 lb 6735.0 1b -0.61% <br /> WATER 40.00 gl 185.56 g1 185.00 g1 -0.30% 1,85.N gl <br /> Actual NUB Batches: 1 <br /> Load Total: 29219 lb Design 0.3345 Water/Cesent 0.405 A Design '801.0 yl Actual 327.0 gl To Add: 0.0 g1 <br /> Slurp: 7.00 in II Water in Truck: 0.0 y1 Adjust Water: 0,0 gg! ! Load Trig Water: 5.0 li yd <br /> Actual W/C Ratio: 0.405 Actual Water: 327 gl Batched Cevent: 6735 1b Allowable Water: 0 lb <br />