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6980 <br /> KN I FE RIVER BILLING OFFICE: CH: ( 0)464- ( ) DELIVERY <br /> CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG 715358 <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 /> 88 'c:7SE1 Pd. <br /> 48974 c_ JOHNSON RD. <br /> A R A GROSJS DRIL.L-ING C/S HWY 12 EAL-iT SIDE OF ROAD <br /> PC) BOX 178 WOODBR I DG <br /> .301.2 WOODS❑N RD <br /> CIA AC-'Ah1PO <br /> ICU.YDS.THIS LOAD�YARDS ORDERED ORDEFI# DRIVERrrRUCK PLANT PLANT# <br /> TIME MIX NO. <br /> DATE <br /> • OF LOADS <br /> 1017/11/ 19 1 (;. !JI-j-h R. ►�Gh i.,� 1.;3,=11411 <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: ❑YE 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 /> for shortage will not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE of the California Business and Professions Code, administered by the <br /> 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 /> RECEIVED BY: X'Th /� • •• • <br /> e mixes quos are not warranted to be acceptable for anyparticu ar use,purpose or application,nor are they warranted to be acceptable or 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 /> any particular application:' <br /> COUNT •= Time of Job Min. REASON FOR DELAY TIME: <br /> ElJob Not Ready UB F O AL.. <br /> 1 i j Standby Min. ❑ Job Broke Down TAX <br /> COUNT •UR STOP POURRate of X$ Per Min ❑ Truck Broke Down TOTAL <br /> ❑ Adding Water F t.._ <br /> _$ ❑ Arrived Job Early <br /> TIME ON •: LEAVE JOB ARRIVE PLANT ❑ 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 />