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%� WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity <br /> was weighed,measured,iccounted byaecgnized r,whose CONCRETE PRODUCTS, INC. <br /> signature is on this certificate,who is a recognized authority <br /> of accuracy,as prescribed by Chapter 7(commencing with <br /> Section 12700) of Division 5 of the California Business and 1900 Roosevelt Avenue, Escalon, 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 HMA TER 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,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF REMOVING <br /> MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE 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 WATER ADDED CYLINDERS TAKEN <br /> AT CUSTOMER'S REQUEST GALLONS 11 YES ❑NO <br /> CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET <br /> SOLD TO DELIVER TO DRIVER <br /> 1`11ASE.L_L_I S Dk 1 LI.-I HU 1140 <br /> 19 ALBERS RD <br /> E 6,T 0 TERMS <br /> QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED <br /> THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE <br /> DCAL- 4. 5 t o 5. l�J <br /> NV I RIDNMENTAL. FCL <br /> TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE WAITING TIME <br /> SUB TOTAL <br /> SPECIAL INSTRUCTIONS TAX <br /> TOTAL <br /> GRAND TOTAL <br /> TICKET NO. 14388 <br /> i r'1.i(_t; Driver, tj er' Disp Ticket Ntim "t'icket IL) i :ime Date <br /> 31 DANIEL PHILIP 14388 12 15 6/21/19 <br /> L.o ad E3 z Mix Code? Rat'.1_tr,ned of y Mix Age Secy Load IIS <br /> 5. 1710 yd 'SAND00103 D 15750 <br /> Material Design at Regwired Batched % Var % #loisture Actual Wat <br /> SAND 1101 2850 lb 15105 lb 14960 1b -8.%% 6.00% IN 101 91 <br /> CEMENT %8.0 lb 4840.0 1b 4836.0 lb -0.21% <br /> WATER 40.00 gl 122.54 gl 1222.00 gl -0.44% 122.00 gl <br /> Actual Num Batches: 1 <br /> Load Total: 20808 lb Design 0.345 Water/Cement 0.386 A Design 200.0 g1 Actual 223.5 gl To Add: 0.0 gl <br /> Slump: 7.00 in # Water in Tretck. 0.0 91 Adjust Water: 0.0 g1 / Load Trie Water: 3.Q if yd <br /> Actual W/C Ratio: 0.386 Actual Water: 223 gl Batched Cement: 4930 lb Allowable Water: 0 lb <br />