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-6980 KN I FE RIVER BILLING OFFICE: CH: ( 0) 464- ( ) CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 DELIVERY AN M9U RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG 36195 (sy 619 5 STOCKTON PLANT LODI PLANT MANTECA PLANT TRACY PLANT ELK GROVE PLANT �\ AMADOR TRANSIT MIX 400 S.LINCOLN ST. 851 E.LODI AVE. 450 EAST WETMORE 1728 WEST LINNE ROAD 10260 WATERMAN ROAD j12480 RIDGE ROAD STOCKTON,CA 95203 LODI,CA 95240 MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE,CA 95624 / SUTTER CREEK,CA 95685 SOLD TO: SHIP TO: ----_-_- 4668l4 104602 WN54 WALNUT Gft09E ROA1+ A & A GROSS DR 11_.t_1 NG WI' S..T. OF BL-OSSOM ON 1..EFT PO BOX 178 WOODBRIDG 3012 WOODSON RD CA "f FHC1RNTON Pr^ekriou I..r,I.ACk- TIME MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED ORDIER# DRIVERTRUCK PLANT PLANT# G. 4:118 t='; DATE • OF LOADS fi.r3l 214! 1 9 KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: DYES KNIFE RIVER WEIGHMASTER CERTIFICATE responsibility of addition of colors due to variations in cement and THIS IS TO CERTIFY that the following described commodity was aggregate materials or admixtures, and for damage which may be weighed,measured,or counted by a weighmaster,whose signature is incurred in delivering materials across the curb or property line.Claims Water Gals.to full load DYES on the certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7(commencing with Section 12700)of Division 5 fo6•shortage will not be allowed unless made at the time this material Added of the California Business and Professions Code, administered by the was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job Gals.to 2/3 load❑YES Division of Measurement Standards of the California Department of WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and Agriculture. -M ' CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer's 7 ' J DEPUTY COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load OYES PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR j CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. -- --» RECEIVED BY: X'• ^ . • . • • (,. t?tI.'.I ',',:I `,:iUt�e 14fi• ,:3 'mak' ."::iAND St.. "The mixes quoted are not warranted to be acceptable for any particular use,purpose or application.nor are they warranted o be acceptable for use in any particular 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 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 any particular application:" COUNTPLANT ARRIVE JOB Time of Job Min. REASON FOR DELAY TIME: 1 Y !1 !L ❑ Job Not Ready `.:i I.I l:K 1 C) �G-11_. r Standby Min. ❑ Job Broke Down -I-A X • • - •• •• - Rate of X$ Per Min. ❑ Truck Broke Down C3Adding Water FU TAL• $ ❑ Arrived Job Early • •- •- E] Slow Placing Method LEAVE Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) Additional unloading time charged at a minimum $1.50 per min. 736195 -Cr-uc^k Driver l.JSer Diisi:t 'T k--ket Num `I-ieket 11) -T'ime Date 550 341820 46698 113 Ser' 16-E,0/04 1"', 435b 12:03 t._a,-ld Size Mix Code Recur-rigid Uty Mix Age Seq I....oad 1D 6. 00 C:YDS 504 D 16a93.0 material Desi n at Re u' ed Batched X Var % Kolsture .Actual Nat KRC�V 1 1b 123* 1b 5M ib 14 b 1&80 ib x.16% 5.94% A 82 0 g NATER 7.3.6 g l 3358.9 g i 35.§.0 91 -0.24% 358. y Actual Num Batches: 1 Load Total: 21*3 lb Design t1.&A Water/Cement 101.63S T Design 441.6 g1 Actltal 448.6 g1 To Add: 1r 1 gl Slump: 7.58 �i,n,, . # Nater in Trurk: 0.0 91 Adjust Nater: 0.0 91 i Load Trim Nater: 0.0 gl/ CYD SITE COPY