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7/11 MATERIALS,INC. WEIGHMASTER CERTIFICATE <br /> WEIGHMASTER THIS IS TO CERTIFY that the following described commodity was weighed,measured, <br /> or counted by a weighmaster,whole signature is on this certificate,who is a recognized <br /> P.O.BOX 4770 authority of accuracy,as prescnbed$y Chapter 7(commencing with Section 12700)of <br /> Division 5 of the California Business and Professions Code,administered by the Division <br /> MODESTO,CA 95352 ATERIALS,INC. of Measurement Standards of the California Department of Food and Agriculture. <br /> (209)529-4050 n <br /> CONTROL NO. 010 2 2 <br /> SOLD TO: SHIP TO: <br /> i ( S TJ (:0IR Fit":1i I.: <br /> TI., I: TOB 1"E, F.'(;t,..l_ I.-IF RE <br /> TIME MIX N0. LOAD SIZE CU YD/METERS ORD'D SLUMP PLANT/TRANSACTION TRUCK# DRIVER <br /> DATE CONTACT NO OF LOADS ACCUM CU YD/METERS ZONE P.O.JOB# LICENSE# TICKET NUMBER <br /> QUANTITY CODE DESCRIPTION PRICE CU YD METER EXTENDED PRICE <br /> SUBTOTAL <br /> SALES TAX <br /> TOTAL <br /> PREVIOUS <br /> STANDBY <br /> •' t <br /> WEIGHED AT: DEPUTY 1 <br /> RARIV OBI ARIV PLNT LEFT JOB FIN POUR JOB NOT READY TRUCK BROKE DOWN Time Allowed JOB SITE CYLINDER TEST❑YESNO <br /> © � 4 <br /> SLOW POUR OR PUMP .ACCIDENT Water <br /> Added Gals to full load ❑YES <br /> D TRUCK AHEAD ON JOB CITATION <br /> LEFT PLNT LEFT PLNT ARIV JOB ST.POUR Time Due On Job <br /> p g CONTRACTOR UNAVAIL OTHER At Gals to 2/3 load F YES <br /> ADDED WATER Customer's <br /> Request Gals to 1/3 load El YES <br /> FIN POUR TTL RD TRIP TTL n JOB POUR TIME JOB DELAY EXPLANATION Delay Time <br /> Five(5)minutes per yd/meter free unloading time allowed. AUTHORIZED BY: <br /> Additional unloading time charged at current hourly rate. <br /> NOTICE:MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TAG INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE WE MAKE <br /> DELIVERIES INSIDE CURB LINES AND ON LOTS OR PROPERTY AT CUSTOMER S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES RESULTING FROM SUCH DE- <br /> LIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND 7/11 FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF <br /> REMOVING MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OF ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS <br /> BEEN ADDED AT THE BUYER S REQUEST.WE DO NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING,FINISHING OR CURING OF CONCRETE AND <br /> DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED,INCLUDING CRACKING.CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON <br /> LEAVING THE PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PRO- <br /> VIDING A SUITABLE PLACE,ON CUSTOMER S PROPERTY,FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE OR REMOVAL OF <br /> TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. <br /> RECEIVED BY: <br /> 111'•I- ., I I' ,_.I l..i f I ).: m'I I I I;I i. .T ( . ,.. „ <br /> r' II.:T(4_-, ",� ).[ t Yhii 4J:1, 0.431 J1FITt=t fF;;;,. "j D "T i 1,i_5 ri 5 ... <br /> Fi,' s.i �, t �. ��Itil �.'���i'{ .J�r �_ F i'; FIL „Fi a Lj� <br /> .00 14 1i JUST NATER; 0.0 q1 !? ad U,1i1i WATti?, <br />