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BILLING OFFICE: (209) 933-6980 KNIFE RIVER CENTRAL DISPATCH: (800) 464-6572 • (209) 933-6999 DELIVERY i� AN MfU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 - TAG 736195 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 12480 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: - =i 866/4 10602 WEE-i-3 f W(ll_.N ILY1 GROVE FROM) A &- Ga GROSS DR 11_.I.-I NG WE-'.Sr OF Lal.-OSSCTM (IN t-1,EF=1" F10 BOX 1.78 Wf51 DDRYD13 :301+ WOODSONJ RD CA f 1 iORN'f ON Ph pts i a 1-1-I.ACk TIME I MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDEFI# DRIVERITRUCK PLANT PLANT# 1. t.03 •`_oit z.. 00 C,. 00 DATE • OF .•. YARDS 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 OYES On the certificate, who is a recognized authority of accuracy, as foc shorts a will not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 9 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. CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer's j DEPUTY COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load❑YES PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. ••• •• 0 11011.1,11 • •• Les RECEIVED BY: X X •• • • f]114 • yd e mixes quoted are not warranted to be acceptable for any particular use,purpose or application,nor are may warranted o be acceptable or 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." • •: Time oJob Min. REASON FOR DELAY TIME: /• f f f ❑ Job Not Ready Sl)Lt.l.{:l..i Hl_. f�, 7 _• Standby in. El Broke Down (`t1 , • • •• •• El Truck Broke Down U .�Rate of X$ Per Min. r 1 !!t� ` ❑ Adding Water , 1 A l_, $ ❑ Arrived Job Early TIME ON •• LEAVE J013 ❑ Slow Placing Method Five(5)min.per yd.free unloading time allowed. El Other(Explain) \j Additional unloading time charged at a minimum ., $1.50 per min. 736195 1_t-I_%c^k Driver User Disp 'fir_ket Ni.tf0 `firltet 11) -time Datta 5`)0 341,820 46698 u s as r` 1 GC710/04 158511:-- 1.2:0 3 9/2,4/19 1_ oad Size Mix Cade Re-t:.tr-•rred Uty Mi x Age Seq 1-oad 11) 1",. 00 CYDS `04 1:) 16930 Material UesagR Qt ReQu' ed Batched X Valr % moisture k teal Nat K�lI-U 968 lb 15M lb -0.14% 1935 1b 12380 1b 122M lb (x.16% 5.94% A 82 91 WATER 73.6 91 358.9 g l 358.0 91 -8.24% 3.`18.8 g l Actual Nur Batches,: 1 Load Total: 21063 lb Design 0.L:4 Nater/Ceoent 8.635 T Design 441.6 qq1 Actual 44&6 g1 To Add: 1.1 gl Sluept 7.50"yin. # Nater in Truck: �•� al Adjust Nater: @.8 gl i Loud Trio Nater: 0.0 gl/ CYD SITE COPY