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BILLING OFFICE: (209) 933-6980 <br /> KNIFE RIVER CENTRAL DISPATCH: (800) 464-6572 • (209) 933-6999 DELIVERY 714280����0 <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG <br /> STOCKTON PLANT LODI PLANT MANTECA PLANT TRACY PLANT ELK GROVE PLANT AMADOR TRANSIT MIX <br /> 400 S.LINCOLN ST. f 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 /> i <br /> '+868-74 D500 E. WOODBR T DGE RD <br /> A A GROSS DRTI_rLING C/S 1_..OWER SAC <br /> PO BOX 178 W'Lt01: BRIUCa <br /> 1^WCJI:DSI.:N RD <br /> C(I ;}f'(1mrrF) <br /> TIME MIX • CU. DS.THIS LOADI <br /> DATE • OF ••.S I Y7RDS DEL. BATCH# SLUMP TICKET NUMBER <br /> r. r. �.. <br /> D 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 beweighed,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 5of the California Business add Professions Code, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job Gals.to 2/3 load❑YE Division of Measurement Standards of the California Department of <br /> ADDED IS AT At Food and Agriculture. <br /> WILL REDUCE ITS STRENGTH. $NY WATER <br /> CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer'sDEPUTY <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load❑YE <br /> PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR c •.p..» - <br /> CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: ^ <br /> TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br /> RECEIVED BY: X X <br /> 3. 00 yd 5014 1+x. .3 SK. SAND SL <br /> 'The mixes quoted are not warranted o-155­g6Eaptable for any particular use,purpose or application.nor are they warranted to be acoep a or use in any particular <br /> environment or in conjuncture with any particular soil conditions.Buyer's selection of the quoted mix,unless otherwise acknowledged In writing by Knife River will be <br /> deemed to be without the advice,consultation,recommendation or suggestion of Knife River and Buyer assumes all risk related to the selection of the quoted product for <br /> any particular application." <br /> COUNT •= REASON FOR DELAY TIME: <br /> Time of Job Min. ❑ Job Not Ready S <br /> UBTUTAL <br /> 1 � Standby Min. ❑ Job Broke Down <br /> El Truck Broke Down A x <br /> • • • POUR Rate of X$ Per Min. <br /> ❑ Adding Water -r ur�-�l,_, <br /> _$ ❑ Arrived Job Early <br /> TIME ON •. LEAVE JOB ❑ Slow Placing Method <br /> Five(5)min.per yd.free unloading time allowed. ❑ other(Explain) <br /> Additional unloading time charged at a minimum .r <br /> f r,•; .5 $1.50 per min. <br /> 714280 <br /> Tr-t-tr..k Dr,iver• 11.,ar, Disp Ticket lid IAM 1'ic_k,at TD Time D.Ate <br /> `_i50341.-19.8 553309 LkGer' 1.'3211-4450 1,2-O4°i 12: 17 5/8/19 <br /> Load Size 11ix Cade ReI t_iriii ttd Ot;y MJ. r A q e SC-2q Ltaad 111) <br /> I_;YDS 504 U.1 13-398 <br /> Material Desiggn Qt Re�uired Batched % Itar x Moisture Actual Nat <br /> SAM 1936 16 102,3 1b 10260 It, --0.12% 6.122% A 59e lb <br /> TYPEII ) %8.0 lb W40.0 1:t 4815.0 Ib -0.52% <br /> WATER 350 lb I157 Ib 1168 lb 0.•23% 1168 lb <br /> Actual flus datche:t 2 Manual 12:17:21 <br /> ltat` =ata�a� I�,c43 b 1}es{ n 13.s' Natgr/ wen 0 3 6 A ll , ipn 1"�• Jib a�su%60.I ib To Add: 0,0 It <br /> Slump: Nater in uck: .0 ga bus -a,.?r: 0.0 gal 1 LeoaG 'rte ter. 0.0ga . <br /> SITE COPY <br />