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J. 7/11 MATERIALS,INC. WEIGHMASTER CERTIFICATE WEIGHMASTER THIS IS TO CERTIFY that the following described commodity was weighed,measured, or counted by a weighmaster,whose signature is on this certificate,who is a recognized ,P.O.BOX 4770 authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of 1GIODESTO CA 95352 Division 5 of the California Rosiness and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. (209)529-4050 CONTROL NO. 489458 SOLD TO: .SHIP TO:. TIME MIX N0. LOAD SIZE CU YD/METERS ORD'D SLUMP PLANT/TRANSACTION TRUCK# DRIVER DATE CONTACT NO OF LOADS ACCUM CU YD/METERS ZONE P.O.JOB# LICENSE# TICKET NUMBER QUANTITY CODE DESCRIPTION PRICE CU YD METER EXTENDED PRICE SUBTOTAL SALES TAX TOTAL PREVIOUS STANDBY l WEIGHED AT: DEPUTY t REVCOUNT ARIV PLNT LEFT JOB FIN POUR Time Allowed ARIV OB JOB NOT READY TRUCK BROKE DOWN JOB SITE CYLINDER TEST❑YES []NO © 5 ❑ SLOW POUR OR PUMP ACCIDENT Water Added Gals to full load []YES TRUCK AHEAD ON JOB CITATION LEFT FLNT LEFT PLNT ARIV JOB ST.POUR Time Due On Job r O p g CONTRACTOR UNAVAH. E]OTHER At y ��Gals to 2/3 load E]YES ❑ ADDED WATER Customer's(- FIN UR TTL RD TRIP TTL @ JOB POUR TIME Dela Time Request l Gals to 1!3 load YES ,TOB DELAY EXPLANATION y Five(5)minutes per yd/meter free unloading time allowed. AUTHORIZED BY: Additional unloading time charged at current hourly rate. NOTICE:MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TAG INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE WE MAKE DELIVERIES INSIDE CURB LINES AND ON LOTS OR PROPERTY AT CUSTOMER S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES RESULTING FROM SUCH DE- LIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND 7/11 FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF REMOVING MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OFANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER S REQUEST.WE DO NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING,FINISHING OR CURING OF CONCRETE AND DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED,INCLUDING CRACKING.CONCRETE IS A PERISHABLE COMMODITYAND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PRO- VIDING A SUITABLE PLACE,ON CUSTOMER S PROPERTY,FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. RECEIVED BY: meqquired Batches `� liar % Moisture Actua- 1936 iii 10 61 lb ICU lb 1.01% G.00% M 710' 9EZ.0 It 4640.0 1b 4200.0 1b -0.41x 50.@0l .N g! .00 g 1 + 08. # 148.48 g', 140.92 g 1 0.37% 140.92 .00 % # .88 g1 .00 al Num Batches: 1 Manual 11:33:3 oar ioial: 162`,6 lb Design 0.431 Watar/Cement 0.399 A Design 25@.0 g1 ilctual 2io.5 gi 1'0 Ndd; 1.� gi � Slump: 7.00 in # Water in True: 29.O.gql Adjust Water: 0.0 ggl / Load Trim Water: -1.0 Gli CYD Actual W/C Ratio: 8.399 Actual Water: 231 g 9atched Cement: 4920 1b Allowable Waler: 153 1b