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lVEfz BILLING OFFICE: (209) 933-6980 <br /> KNIFE ftDELIVERY 691825 .Q 1 O 2 5 , <br /> CENTRAL DISPATCH: (800) 464-6572 • (209) 933-6999 1 J dd Q L <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG <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 /> YARDS ORDE —F—DR11VER/TRUCK PLANT <br /> TIME I MIX NO. ICU.YDS.THIS LOADI RED I ORDER# PLANT# <br /> DATE NO.OF LOADSBATCH# TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: DYEKNIFE 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 OYES 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 <br /> On Job Gals.to 2/3 load❑YE 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❑YE <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 /> ••• •• •• • •• <br /> RECEIVED BY: X X ••• • <br /> -Th <br /> e mixes quoted are no wartan o e acceptable r any particular use,purpose or app Ica on,nor are ey warran o e accep a e or 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 Knife 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 /> • •: REASON FOR DELAY TIME: <br /> Time of Job Min. <br /> ❑ Job Not Ready <br /> Standby Min. ❑ Job Broke Down <br /> COUNTPOUR STOP POUR Rate of X$ Per Min. ❑ Truck Broke Down <br /> ❑ Adding Water <br /> _$ ❑ Arrived Job Early <br /> TIME ON _ LEAVE •_ ❑ Slow 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 /> 69 1.825 <br /> • / t1 f�: <br /> 'Ty r,es c k Ii T i V e r" t_I F r 01 : P t i.C k ti t; 114 l.t to I I c':k e't: I L) <br /> ` '.�0-5�{1w- `,'f'r�(�1 I..tS01 1. 1�J�►F,1ll(i ? 1. 1 :.::1 1 l <br /> L.f,-I ad gir_r:• tylia C`crcle RC-�tl..tr°ttC,cl Gt;y Ilii }! F1SFsq L.i.,at di. II") <br /> Material De6iggnQtv Reghired Batched % 'Jar '% Moisture Actual Wat <br /> TYIE11-') .4 lei 8712 lb 8770 lb ®.67% <br /> KRCW' 1935 1b 18512 lb 18526 lb 0.04% 6.30Y M 132 91 <br /> WATER 50.0 gl 318.3 91. 318.0 gl -9..i% 318.0 gl <br /> Actual Nua hatches: I <br /> Load Total: 27946 lb Design 0.430 Water/Cesent 0.4%'.8 T Deei rt 450.1 1 Actual 449..7 ql To Adel: sir.`t. i11 <br /> ;3luAp;. 7.02 in # Water in Truck: 0.0 gl Adjust Water: 0.0 gl I Load Mill er: 0.0 g CY?1 <br /> SITE COPY <br />