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CALAVERAS Calaveras Materials Inc. Delivery rag <br /> `R—GCEe`NT 3451 West Shaw Avenue Weighmaster Certificate <br /> HEIDELBERGCEMENTGroup <br /> Fresno, California711-3204 CUSTOMER COPY 1 <br /> _ Telephone 559-2777-7060 <br /> Fax 559-277-7134 <br /> Toll Free 800-726-5615 <br /> Mantece Roady Mix Plant Tracy Ready Mu Plan) Thorne Ave.Ready Mix Plant Thorne Ave.Ready Mix Plant River Ready Mix P19.1 Selma Ready Mix Plow <br /> #54 1945 E.Lathrop Road #53 2SM S.Mao Armor #60 410 N.Thome Avenue #61 410 N.Tlnme Aveno• #62 IDOD W.Nees Avenue #63 1475 WhiSon <br /> ' I-Wco,CA 95900 Tracy.CA 95376 Fresno,CA 997o6 Fresno,CA 93706 Pinedak,CA 93650 Sehne,CA 93662 <br /> Load Leave Plant Arrive Job Start Pour End Pour Leave Job Arrive Plant <br /> ' Water Added on Job at Customer J <br /> Customer's Request_ Gallons Signature x + <br /> WEIGHMASTER CEFTIFICATE: THIS IS TO CERTIFY that the following described commodity was weighed,measured,Or;punted by a weightmaster,whose <br /> signature is on this cerl'Ificate• who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section IND) of Division 5 of the <br /> California Business and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture, <br /> • ••• • • • • a • uL Qr I nIS FORM •- <br /> a a <br /> Plant Ticket No. Order No. Customer No. Sold To: Date <br /> 1 Delivery Address Zone (Driver — — — P.O.Number <br /> l <br /> Special instructions Project No. <br /> Special In6lruclions Job Number <br /> Truck No. Load Size Mix Coda Slump %Air %Call. Project Name: <br /> tt�O�ada�r, "t.`rO•M..�rr �dwr 7d... Unlf Df' Product o <br /> P(PdYtX'.. <br /> QIAMKx r•r�rr•nf" :vnMrw[•Mr���� MB96tAl �iOtj9 0{t:: i -...;� .,; �•-.NY, : <br /> CALAVERAS MATERIALS INC.ASSUMESNO �'•�;J ,`;c ?'�%�;;'-' <br /> CERTIFICATE OF COMPLIANCE: WE CERTIFY that the (,..•;.. 1,:,;x <br /> ' RESPONSIBILITY FOR DAMAGE INCURRED IN ponland cement,chemical and mineral admixtures contained in <br /> DELIVERING MATERIALS INSIDE THE CURB LINE. the material described below are brands stated and comply with <br /> specifications: <br /> CALAVERAS MATERIALS INC ",.Y..'¢;:.?-.r' z•v, <br /> CEMENT BRAND:__ Subtotal <br /> TYPE: It MILLLOCATION:__ — Tay <br /> CHEMICAL ADMIX BRAND: _ TYPE:-_ <br /> MANUFACTURER:_ ..r'"`;',„y <br /> By— --- - MINERAL ADMIX MANUFACTURER_ ` <br /> Cross: •r:,-I:.,?.:::,:; :•�;• <br /> CANfACL {� — Total <br /> ',..NU. ... V U ?8 U(� no NOT USE FOR TICKET NO. .:, , <br /> SRhD3y`S5 <br />