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WEIGHMASTER CERTIFICATE 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 authority CONCRETE PRODUCTS INC. of accuracy,as prescribed by Chapter 7(commencing with � Section 1700)of Division 5 of the California Business and 1900 Roosevelt Avenue Escalon CA 95320 Professions Code,administered by the Division of MeasurementP > > Standards of the California department of Food and Agriculture. 209-838-1448 WEI HMASTER SIGNATURE TICKET NO. NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, WAITING TIME: 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 $ per hr.unloading charge. RESULTING FROM SUCH DELIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND P&L CONCRETE LEAVE PLANT PRODUCTS,INC.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 OF ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST.WE DO ARRIVE JOB 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 COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE LEAVE JOB PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE,ON CUSTOMER'S PROPERTY, FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE ARRIVE PLANT OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. SEE TERMS AND CONDITIONS ON REVERSE SIDE.READ FRONT AND REVERSE CAREFIULLY BY: CUSTOMER SIGNATURE WATER ADDED CYLINDERS TAKEN AT CUSTOMER'S REQUEST GALLONS ❑YES ❑NO CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET SOLD TO DELIVER TO DRIVER TERMS QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE WAITING TIME SUB TOTAL $50. 84 SPECIAL INSTRUCTIONS TAX TOTAL A115 F.'1/I GRAND TOTAL TICKET NO. Frl_trk Driver, U::. 1')i p Ticket Nl.tm Tic^I,.L-t Ili) riwm 1)61t 48 f OGEL_10 PH:I I_ If:` 1-+E'78 L-('3 a d S i .::e Mix C t:)CI t= R t;l!r-r-I e d CS t y Irl i x A tl e e cl TD 4. 00 yd SANr)00 10-7 D 15E,3"1 Material Des at y R? aired batched % Var % Moisture Actual Wat SAND 1101 2850 16 1NE 1b 12010 lb -0.61% 6.0&1% M 81 gl GEMENT %8.0 1b 387.0 1b 3850.0 lb -x.57% WATER 40.00 gl 94,04 gl 94.00 gl —0.04% 9'+.00 gl Actual Hum Batche_: ! Load Total: 16644 lb Design 0.345 Wat?: Ceeznc 0.380 A Design 160.0 gl Actual 175.5 gl To Add: 0,0 gl :Slump: 7.00 in # Water in Truck: 0.0 91Adjust Water: 0.�► gi / Load Trio Water: 2.0 li rt, Actual W/C Ratio: 0.380 Actual Water: 175 91 BatLhed Cement: 3850 lb Allowable Wa er: 0 lb I