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ISN I FE RIVER BILLING OFFICE: CH: ( 0) 464- ( ) DELIVERY CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 TAG 716701 AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 STOCKTON PLANT LODI PLANT MANTECA PLANT TRACY PLANT ELK GROVE PLANT AMADOR TRANSIT MIX 400 S.LINCOLN ST. 851 E.LODI AVE. 450 EAST WETMORE 1728 WEST LINNE ROAD 10260 WATERMAN ROAD 12480 RIDGE ROAD STOCKTON,CA 95203 LODI,CA 95240 MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE,CA 95624 SUTTER CREEK,CA 95685 SOLD TO: SHIP TO: 378504 15863 FRENCH CAMP RD PURVIANCE DRILLERS, NORTHWEST CORNER OR FRENCH CAMP P. O. BOX 64 AND MURPHY 17707 E. HWY 26 LINDEN RIPON Previous Truck : TIME MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK I PLANT I PLANT# KENNETH FER 11 : 110 504 9. 00 9. 00 55018 55034143' ' STOCK 01 DATE I OF LOADS YARDS DEL. BATCH# I SLUMP I TICKET NUMBER 03/28/19 1 9. 00 6. 50 i n 1035324 KNIFE RIVER AND DRIVER OF TRUCK are released from any KNIFE RIVER WEIGHMASTER CERTIFICATE JOB SITE CYLINDER: DYES THIS IS TO CERTIFY that the following described commodity was responsibility of addition of colors due to variations in cement and 9 tY aggregate materials or admixtures, and for damage which may be weighed, measured,or counted by a weighmaster,whose signature is 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 prescribed by Chapter 7(commencing with Section 12700)of Division 5 for shortage will not be allowed unless made at the time this material Added of the California Business and Professions Code, administered by the was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job Gals.to 2/3 load❑YES Division of Measurement Standards of the California Department of WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and AgrtqpI tjre. ROE CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer's DEPUTY COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load DYES PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. •M. • • RECEIVED BY: X �1 VI-)V f X • • r • • • •• • • • 9. 00 yd 504 10. 3 SK. SAND SL 'The 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 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 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 an articular a lication" • •= REASON FOR DELAY TIME: SUBTOTAL • Time of Job Min. +•� i / ❑ Job Not Ready TAX —� f ? standby Min. ❑ Job Broke Down TOTAL REV �IWNT START POUR • POURI Rate of X$ Per Min. ❑ Truck Broke Down _ ❑ Adding Water ❑ Arrived Job Early TIME ON •. LEAVE •_ ARRIVE PLANT ❑ Slow Placing Method Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) -7 .� Additional unloading time charged at a minimum t $1.50 per min.