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BILLING 933-698 <br /> 209) <br /> KN I FE RIVER C NT ALODISPAT(CH: (8 0) 46406572 • (209) 933-6999 DELIVERY 6572 <br /> AN DU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 Tp`C' <br /> M 716701 <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 /> ORDEREDTIME MIX NO. ICU.YDS.THIS LOADI YARDS <br /> 7 <br /> KENNETH ER <br /> 71 : 10 504 9. 00 9. 00 55018 550,3414?,' ' STOCK. 01 <br /> DATE I . OF LOADS <br /> -F- <br /> 03/28/19 1 9. 00 6. 50 in 1035324 <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any KNIFE RIVER WEIGHMASTER CERTIFICATE <br /> responsibility of addition of colors due to variations in cement and JOB SITE CYLINDER: OYES 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[:]YES 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 Agc1re. ROE DEPUTY <br /> CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer's <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load❑YES <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 /> RECEIVED BY: Xo <br /> • — v X . • • • • <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 KnifeRiver 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 /> COUNT •= Time of Job Min. REASON FOR DELAY TIME: SUBTOTAL <br /> ❑ Job Not Ready T A X <br /> Standby Min. ❑ Job Broke Down <br /> ❑ Truck Broke Down TOTAL <br /> REV —I?t;NT START •• •• •• Rate of X$ Per Min. <br /> ❑ Adding Water <br /> 7:2/�• r =$ ❑ Arrived Job Early <br /> TIME U, •- •- ❑ Slow Placing Method <br /> Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) <br /> 7 ,2 Additional unloading time charged at a minimum <br /> $1.50 per min. <br />