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WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is oci this certificate,who is a recognized authority CONCRETE PRODUCTS, INC.I of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business and 1900 Roosevelt Avenue, Escalon, CA 95320 Professions Code,administered by the Division of Measurement P r� Standards of the California department of Food and Agriculture. 209-838-1448 WEI HMA TER SIGNATURE TICKET NO. NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, WAITING TIME: INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE.WE MAKE DELIVERIES INSIDE CURB LINES AND ON LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES $ per hr.unloading charge. RESULTING FROM SUCH DELIVERIES.CUSTOMER SHALL INDEMNIFY, HOLD HARMLESS&DEFEND P&L CONCRETE LEAVE PLANT d PRODUCTS,INC.FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF 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 BEEN ADDED AT THE BUYER'S REQUEST.WE DO ARRIVE JOB NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING,FINISHING OR Ci^ CURING OF CONCRETE AND 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 LEAVING THE LEAVE JOB PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE,ON CUSTOMER'S PROPERTY, FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE ARRIVE PLANT OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. SEE TERMS AND CONDITIONS ON REVERSE SIDE.READ FRONT AND REVERSE CAREFIULLY WATER ADDED CYLINDERS TAKEN BY. CUSTOMER SIGNATURE ATCUSTOMER'SREQUEST GALLONS E]YES El NO CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET SOLD TO DELIVER TO DRIVER NACHADO I I• t.— I QI14)1 N HOLDEN ;:x'4-7 N. JAC K-1 CINE 1�D. LST OC',K T ON I....I i'\IDE'N CA 9u1C::.'.�'.: TERMS QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE 1.. 00 SHORT 3 1._OCAI_. I F.o 2. 75 'l. I : 00. VI! $100. 00 1. 00 EF F..NV I RONMEN'TAL. FEE /L $15. 01 $15. 00 TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE WAITING TIME i . . I::,I;I ;: :i SUB TOTAL $414. 00 SPECIAL INSTRUCTIONS TAX $'21'3. 1 r TOTAL $437. 17 J� GRAND TOTAL $437. 17 TICKET NO. 'rri-tel,( Driver- I.Jser, Disp Tiekfat NI-tm 'T'icket 11) I ime DR.tc 43 DON PHILIP 11864 9: 1S 2112119 I_Oad Size helix Carle Feti_wned Oty Mix Age Seq Load ID 2. fz 0 yd SANDOO I L4 3 D 1..:,0.'-'`7.6 Material Desi ggn Dt Required Batched % Var % Moisture Actual Wat SAND 1101 2850 1U 6042 1b 5990 lb -0.86% 6.Orb M 41 gl CEMENT %8.0 lb 19;36.0 1 b 1940.0 1 b 0.21% HATER 40.00 gl 39.62 g 1 ,39.00 gl •-0.04% 39.00 g 1 Actual Nun Batches: 1 i_oad Total: 82`x5 Ib Design 0.345 Water/Cement 0.344 T Design 80.0 g1 Actual 79.E gl To Add: 0.+ gl Sluill 7.00 in # Water in Truck: 6.0 gl Adjust Water: 0.0 g1 / load Trio Water: -2.0 gl/ yd Actual WIC Ratio: 0.343 Actual Water: 88 gl Batched CesenF; 1940 1b Allswable Water: 4 lb