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ISN I FE RIVER BILLING OFFICE: CH: ( 0) 464- ( ) DELIVERY <br /> CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 TAG 716701 <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 <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 /> 378504 15863 FRENCH CAMP RD <br /> PURVIANCE DRILLERS, NORTHWEST CORNER OR FRENCH CAMP <br /> P. O. BOX 64 AND MURPHY <br /> 17707 E. HWY 26 <br /> LINDEN RIPON <br /> Previous Truck : <br /> TIME MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK I PLANT I PLANT# <br /> KENNETH FER <br /> 11 : 110 504 9. 00 9. 00 55018 55034143' ' STOCK 01 <br /> DATE I OF LOADS YARDS DEL. BATCH# I SLUMP I TICKET NUMBER <br /> 03/28/19 1 9. 00 6. 50 i n 1035324 <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any KNIFE RIVER WEIGHMASTER CERTIFICATE <br /> JOB SITE CYLINDER: DYES THIS IS TO CERTIFY that the following described commodity was <br /> responsibility of addition of colors due to variations in cement and 9 tY <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 /> prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> for shortage will not be allowed unless made at the time this material Added 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❑YES Division of Measurement Standards of the California Department of <br /> WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and AgrtqpI tjre. ROE <br /> CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer's DEPUTY <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 /> •M. • • <br /> RECEIVED BY: X �1 VI-)V f X • • r • • <br /> • •• • • • <br /> 9. 00 yd 504 10. 3 SK. SAND SL <br /> '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 <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 /> an articular a lication" <br /> • •= REASON FOR DELAY TIME: SUBTOTAL <br /> • Time of Job Min. <br /> +•� i / ❑ Job Not Ready TAX <br /> —� f ? standby Min. ❑ Job Broke Down TOTAL <br /> REV �IWNT START POUR • POURI Rate of X$ Per Min. ❑ Truck Broke Down <br /> _ ❑ Adding Water <br /> ❑ Arrived Job Early <br /> TIME ON •. LEAVE •_ ARRIVE PLANT ❑ Slow Placing Method <br /> Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) <br /> -7 .� Additional unloading time charged at a minimum t <br /> $1.50 per min. <br />