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IVER BILLING OFFICE: (209) 933-6980 <br /> KNIFE �t <br /> POBOX 66 01, STOCKTON, CA 95206TAG 682094 <br /> (209) 933-6999 DELIVERY 4 <br /> AN MDU RESOURCES COMPANY P.O.• <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 /> NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK PLANT PLANT# <br /> 77 7_72", 7 <br /> DATE NO.OF ••! <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from anyJOB SITE CYLINDER: DYES 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 DYES 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 DYES 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 DYES <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 /> RECEIVED BY: X `/O/!� X ! • • <br /> e mixes quoted are not warranted to be acceptable for any particular use,purpose or application,nor are they warranted to be acceptable for use in any particular <br /> environment or in conjuncture with any particular soil conditions. Buyer's selection of the quoted mix,unless otherwise acknowledged in writing by Kn'Ife 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 /> • •: Time of Job Min. REASON FOR DELAY TIME: <br /> ❑ Job Not Ready <br /> Standby Min. ❑ Job Broke Down <br /> COUNT • •• POUR Rate of X$ Per Min. ❑ Truck Broke Down <br /> ❑ Adding Water <br /> _$ ❑ Arrived Job Early <br /> TIME ON •- LEAVE JOBARRIVEElSlow Placing Method <br /> Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) <br /> Additional unloading time charged at a minimum , <br /> $1.50 per min. <br /> 682094 <br /> 5F-rt:'I:3 +1.?!.+ <br /> c..:!.+!a(I RE>t;I..lr"fled •: <br /> Resired Baiclred Actual Wat <br /> V12.0 t,b IBM 01b * 1.'} <br /> 1831' lh law 1h 0.221%' S'1i lb <br /> `A& lb 21454 1h 1.13?: '2454 1b, `C ql <br /> _;.,si!. .. i Nnual 9a15o37 <br /> Lead Total 2 9v its Design 0.f �1 We#ir{Ceeent 0.617T 11e i p 5480. Ib R-traa33 51.0 lb T All(i <br /> Sll!20; 8.NO 1..f( It biter in Truck:. 0.0 91 Adjust, Water, 0.0 gl��.% Loid Trill 4lat,�r.. 28.0 ql,' END <br /> I <br /> SITE COPY <br />