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WEIGHMASTER dERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is on this certificate,who is a recognized authority CONCRETE PRODUCTS INC. of accuracy,as prescribed by Chapter 7(commencing with Section 1'2700)of Division 5 of the California Business and 1900 Roosevelt Avenue, Escalon, CA 95320 Professions Code,administered by the Division of Measurement P & Standards of the California department of Food and Agriculture. 209-838-1448 i'01-111.i..1:'i 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 ID5unloading 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 Z 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 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 71 YES 0 N CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET SOLD TO DELVER TO DRIVER , 9002 ,.]. CARROL 1T ON RD. 1:16-'ON CA 9536E, TERMS QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE k?» ,S JI IL L' :JI 10`!1 _•i._L1 1C 1 t. 0 1 0i� OGAL 3t o �t. �, 0. 00 t70. 0110 NV I RONMENT Al_ FEE: 5. 00 $15. 00 TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE WAITING TIME ITlOo1 0:G'14! A ( r'F'h.11)t'h!?11 I,h; SUB TOTAL $E,t�.,:3. 00 SPECIAL INSTRUCTIONS TAX $44. 80 01...T TOTAL $707. 80 $707. 80 GRAND TOTAL TICKET NO. 12064 064 f Lt C.1< Di.-'iver, Lj,3er. Di :.Fa ._1 ic1,et Nt.tm -Fic1(r_•t I1) Ti In E• Da +3; DON PH I L._I P 1.2064 9:c:i; 2;E:8 I._c?,.?.d Ii z E Mix Code Ret!_wned Ot; v Mix Age Ceq 1...oad ID 4. 0 L y(J OAND0010 ; D 1:?.270 I Material Desig�n Qty Required Batched % Var M Moisture Actual Wat ,SAND 1101 ^ct350 lb 1'084 lb 1c'0"c0 lb -®.53x 6.00% M 82 gl CEMENT 468.0 1b 3670".0 1b 3840»0 1b -0.83% WATER 40.00 q 106.04 g1 106.00 g1 --0.03% 106.00 gl Actual Num Batches: 1 Load Total: 16745 lb Design 0,345 Water/Cement 0.408 A Design 160.0 i Actual 187.5 gl To Add: 0.0 gl Slump: 7.00 in # Water in Truck: 0.0 gl Adjust Water: 0.0 1 i Load Trim Water: 5.0 g1/ yd Actual W/C Ratio: 0.408 Actual Water: 188 gl Batched Center€: 3840 Ib Allwable Water: 0 lb