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WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity <br /> was weighed,measured,or counted by a weighmaster,whose <br /> signature is on this certificate,who is a recognized authority CONCRETE PRODUCTS INC. <br /> of accuracy,as,prescribed by Chapter 7(commencing with 7 <br /> Section 42700)of Division 5 of the California Business and 1900 Roosevelt Avenue, ESCaIOn, CA 95320 <br /> Professions Code,administered by the Division of Measurement P & <br /> Standards of the California department of Food and Agriculture. 209-838-1448 <br /> WEI H ATR SIGNATURE TICKET NO. <br /> NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, WAITING TIME: <br /> INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE.WE MAKE DELIVERIES INSIDE CURB LINES AND ON <br /> LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES $ per hr.unloading charge. <br /> RESULTING FROM SUCH DELIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND P&L CONCRETE LEAVE PLANT <br /> PRODUCTS,INC,FOR, &AGAINSINJURY EXPENE OF REMOVING <br /> MITRED TRUCK PAYABLE BOY CUSTOM RT WEA EALLIMS NOT RE PO SGB EFOR DAMAESOFOR THEONAL STRENGTH,SLUMP,OR QUALITY OF <br /> ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST.WE DO ARRIVE JOB <br /> NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING,FINISHING OR `> <br /> CURING OF CONCRETE AND DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED,INCLUDING CRACKING. <br /> CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE LEAVE JOB <br /> PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE <br /> LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE,ON CUSTOMER'S PROPERTY, <br /> FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE ARRIVE PLANT <br /> OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. <br /> SEE TERMS:AND CONDITIONS ON REVERSE SIDE.READ FRONT AND REVERSE CAREFIULLY <br /> BY: CUSTOMER SIGNATURE ADDED <br /> CYLINDERS TAKEN <br /> ATCUST <br /> - -"-""-` """ =� AT CUSTOMER'S REQUEST GALLONS DYES ❑NO <br /> CUSTOMER ID' ----— 11.6-NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET <br /> SOLD TO DELIVER TO DRIVER <br /> TERMS <br /> QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED <br /> THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE <br /> �L :: 411,' •. ' <br /> TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE <br /> WAITING TIME <br /> SUB TOTALt'766. IZIQI <br /> SPECIAL INSTRUCTIONS TAX $17L 84 <br /> a;a4l 'Iut>_,a. ' :I: ..I I TOTAL $816. 84 <br /> X81E,. 84 <br /> GRAND TOTAL <br /> TICKET NO. <br /> Dr,iVer 1.17er, Dispr Ticket No-tilt Ticket: IL) iI.M e iwa :tte <br /> _ 3 f3APy 1+11L.I1 13064 '-J <br /> 1 . .3 4r 19/1 S <br /> tt Sii :0 �Iix Code Pet•_trned oty Mint Age Seq 1_ozAd ILS <br /> 1110 1 S( NID001.L13 D 1%4335 <br /> Material Bestgn U-tV Required Batched % Var % Moisture Actual Wat <br /> SANG; 1101 8850 lb 12084 lb 12170 1b 0.71% 6.00% M 83 g1 <br /> CEMEK 968.0 1b 3872.0 1b 3875,0 1b 0.08% <br /> WATER 40.00 g l 102.04 g l 1022.00 g 1 •-0.03% 102.0U g l <br /> Actual Num Eatches: 1 1 <br /> Load Total: IA6t4, lb fts;gn 0.345 WaterlCement 0.397 A Design 1600 1 Actual 184.5 gl To Add: 0.0 gl <br /> Sleep: 7.00 iii # Water in Trent: 0.0 g11 Ad ust Water: 0.0 illr Load Trim Water: 4.0 g1/ yd <br /> Actual W!C Ratio: 0.397 Actual Slater: 185 g1 Batched Cement: 3875 lb Allowable Water: 0 lb <br />