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7/11 MATERIALS,INC. WEIGHMASTER CERTIFICATE ' <br /> THIS IS TO CERTI at the following described commodity was weighed,measured, <br /> WEIGHMASTER or counted by a weigh thaster,whose signature is on this certificate,who is a recognized <br /> P.O.BOX 4770 authority of accuracy,is prescribed by Chapter 7(commencing with Section 12700)of <br /> Division 5 of the Califo}Lnia Business and Professions Code,administered by the Division <br /> MODESTO,CA 95352 40) of Measurement Standilyds of the California Department of Food and Agriculture. <br /> (269)529-4050 CONTROL NO. 5 0 1 Q 16 <br /> SOLO TO: SHIP TO: <br /> TIME MIX NO. LOAD SIZE CU YD/METERS ORDT SLUMP PLANT/TRANSACTION TRUCK# DRIVER <br /> DATE CONTACT NO OF LOADS ACCUM CU YO/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 /> EMM <br /> WEIGHED AT: DEPUTY If'" <br /> RARIV JOB ARIV PLNT LEFT JOB FIN POUR JOB NOT READY TRUCK BROKE DOWN Time Allowed JOB SITE CYLINDER TEST YES NO <br /> © 0 <br /> SLOW POUR OR PUMP E]ACCIDENT Water <br /> Added Gals to full load YES <br /> LEFT PLNT LEFT PLNT ARIV JOB ST.POUR TRUCK AHEAD ON JOB CITATION Time Due On Job <br /> 2 3 CONTRACTOR UNAVAIL OTHER At Gals to 2/3 load YES <br /> El ADDED WATER Customer's <br /> Request Gals to 1/3 load []YES <br /> FIN POUR TTL RD TRIP TTL @ JOB POUR TIME JOB DELAY EXPLANATION Delay Time <br /> AUTHORIZED BY' <br /> Five(5)minutes per yd/meter free unloading time allowed. <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 /> . i3C.IL� J. t�t..:M. <br /> 968. 0 1b 7!%,",-4. 0 1b 7690. 0 <br /> U(IT E R 5121. 0 fj 1 V.I. 00 g 1. 0. 1,210 0. 007. <br /> Wn1"E FA ZIrt'1. 01n 42F ts` . -12 g:1 -26 . Lt 7 0. 58 . 47 0). <br /> 1101" 0. 00 G 1. 0. 00 g 1 (71. 00 IZ 0:� <br /> 1`110N.---';3 T.MUL..ATED NUhl BATC;HE::icr: I <br /> LOAD TOTAL: 26;42 lb DESICN W/C: 0.431 WATER/CEMENT: 0.290T DESIGN WATER: 480.0 gl ACTUAL WATER: 267.5 gl TO ADD: 1-32,5 g <br /> SLUMP: 7.00 1 ADJUST WATER: gl ?load TRIS! WATER: -1.0 gl lyd <br /> tI <br /> r�' <br />