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WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was gnatur is measured,nate,who is a recognized ut hose CONCRETE PRODUCTS, INC. signature Is on Zhis certificate,who is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Seftion 12700)of Division 5 of the California Business and 1900 Roosevelt Avenue, ESCaIOn, CA 95320 Professions Code,administered by the Division of Measurement P & Standards of the California department of Food and Agriculture. 209-838-1448 WEIG MA 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 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 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 DRIVER$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 TERRIW9 AND CON61TIONS ONSIDE'READ F N;T/ND REVERSE CAREFIULLY 1(g �/% WATER ADDED CYLINDERS TAKEN BY; ;'%` CUSTOMER SIGNATURE ATCUSTOMER'SREQUEST GALLONS El YES El NO CUSTOME , P.O'. UMBER" LOAD NUMBER JOB NUMBER TIME DATE TICKET SOLD TO DELIVER TO DRIVER MACHADO 1NL . 1001 N I-AULDEN 22.47 N. J ACf,', I L.JNE RD. SIUCKTON !..INDEN CA 951':3',! TERMS QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE 1.2). ::. SACK SAND ;aL-URRY !-1.34. 50 $,9'_3'7. 00 ENV z RONMEN'TAL FEE > r,5. 0C11 $15. 00 TRUCK PLANT SLUMP DUEATJOB USE OF CONCRETE WAITING TIME ':-;�1 f-�L, 7 I 'i ':;:("it��El�?Ilt �a.i�l.::; SUB TOTAL $'_ 1.�_'. 1,:+141 SPECIAL INSTRUCTIONS TAX A2 TOTAL #9131. 5*3; GRAND TOTAL $1" 1 S. 69 TICKET NO. I Tr-r.1.c:k Driver, Ue>er' Disp Ticket NfAm Ticket Ii) i Ling oat C. 41RAY PHILIP 11869 10:21 2/12/19 L..oad Si ~ee- Mix Code Ret'I-trned OtV Mix Ape Seq Load XD f;, 0 1 D vd SAND00103 D 13061 Material Desi ggn Otyy Regqired Batched % Aar % Moisture Actual Wat SAND 1101 2850 1b 181c6 lb 18010 lb -0.64% 6.00% M 122 g1 CEMENT 968.0 1b 5808.0 lb 5765.0 lb -0.74% WATER 40.00 gl 159.05 gl 158.00 gl -0.03' 159.00 gl Actual Nur Batches: 1 Load Total: 2510 1b Design 0.345 Wdter/Cerent 0.407 A Design 110.0 g1 Actual 281.2 gl To Add: 0.0 gl Slurp: 7.00 in # Water in Truck: 0 .1 Adjust Water: 0.0 g1 1 Laad Trie Water: 5.0 gl/ yd Actual W/C Ratio: 0.407 Actual Water: 1 91 Batched Cement: 5;65 lb Allowable Water: 0 lb