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IVER BILLING OFFICE: (209) 933-6980 <br /> KNIFE �t <br /> *4. 1 CENTRAL DISPATCH: (800) 464-6572 • (209) 933-6999 DELIVERY 688944 <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 /> VALLEY <br /> 3876 E. EMERSON AC:AMPO; C. C7. D <br /> ACAMPO <br /> TIME MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK PLANT PLANT# <br /> DATE <br /> . OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: [:IYEIz KNIFE 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❑YE 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❑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 /> 11111 Lem <br /> RECEIVED BY: X X • • • <br /> k !1 1 L:fL,. I:J <br /> 'The mixes quoted are not warranted o be acceptable for any particular use,purpose or application,nor are they warranted o be acceptable or use in any pa 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." --yy,, <br /> COUNT • Time of Job Min. REASON FOR DELAY TIME: SIJ 'TQT(-aLE�K.1. �.� <br /> .• ',f El Job Not Ready <br /> Standby Min. ❑ Job Broke Down ^7.1. <br /> t�^•11 T'A X $'�(-A I$51 . I`•' <br /> El• •� • • Rate of X$ Per Min. Truck Broke Down ro C�^)L.. 7' ., 1.5 <br /> ❑ Adding Water <br /> _$ ❑ Arrived Job Early $71. 1. 15 <br /> { <br /> TIME ON •_ LEAVE •_ El 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 />