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KNI F� RIVERMPANY DATE: 11:30/21 <br /> AN MDV RESOURCES COh1iMNY E (20 - LODI REQUESTE TICKET NU TIME: 1325 <br /> ORDER NUMBER: 55019 <br /> Billing OFFICE (209) 933-6960 TICKET NUMBER; 1325511 <br /> www.kniferiver.com Dispatch: (800) 464-6572 / (209) 933-6999 CYDS DEL: 4.00 <br /> salrety First! P . O. BOX 66001, Stockton, CA 95206 LOAD#: 1 <br /> TRUCKID DRIVER PLANT ID LEAVE PLANT ARRIVEJOB START POUR .END POUR LEAVEJOB A-PLANT' <br /> 550341820 KEVIN QUACKENBUS ILODI ' i)i <br /> CUSTOMER ACCT ID CUSTOMER P.O./PROJECT NO. P OJECT NAM LOT&BLOCK PREVIOUSTRUCK <br /> 378044 / <br /> SOLD TO: DELIVERY ADDRESS/LOCATION: ADDRESS VERIFIED? Check <br /> VALLEY DRILLING VALLEY; 23987 CA 99 FRONTAGE <br /> ACAMPO <br /> ADDITIONAL DELIVERY INSTRUCTIONS: DRUM REVOLUTIONS <br /> LODI AIRPORT CAFE, PREPAID CC, W/T & CERT <br /> BEGINNING ENDING TOTAL <br /> Qty this Load City Ordered Qty Dlvd Product Code Product Description. UOM Unit Price EXT Amount <br /> 4 . 00 4 . 00 4 . 00 65 22 . 75 SK NEAT CEMENT yd 275 . 00 1, 100 . 00 <br /> WATER ADDED/ESTIMATED SLUMP STANDBY AND UNLOADING TIME OVERTIME MINUTES SUB TOTAL 1,250.00 <br /> Full Load: GAL SLUMP Excess truck time will be assessed by dispatch at the current SALES TAX $96.88 <br /> 2/3 Load: GAL SLUMP rate per minute for orders exceeding five(5)minutes per ADDITIONAL TIME FEE TICKET TOTAL $1,346.88 <br /> 1/3 Load: GAL SLUMP cubic yard. GRANDTOTAL $1,346.88 <br /> DESIGN SLUMP REQUESTED SLUMP ACKNOWLEDGEMENT OF RECEIPT,WATER ADDED, &TERMS AND CONDITIONS ON WEB SITE <br /> 0 . 00 0 . 00 <br /> USE OF CONCRETE,AS PLACED: Signature: Printed Name: <br /> RELEASE:Contractor or Owners agree to indemnify and save harmless Knife River Corporation from liability imposed as a <br /> result of any damage caused to the property of others as a result of such delivery. FOR ADDITIONAL RELEASE <br /> INFORMATION:SEE W W W.KNIFERIVER.COM/NCA FOR PROP 65 INFO W W W.P65 WARNINGS.CA.GOV <br /> TESTED BY AIR/SLUMP/TEMP/CYL'S <br /> Signature; Printed Name: <br /> Knife River Weighmaster Certificate <br /> THIS IS TO CERTIFY that the following described commodity was weighed, measured or counted by a weighmaster, <br /> whose signature is on the certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 <br /> (commencing with section 12700) of Division 5 of the California Business and Professional Code, administered by <br /> the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> Deputy <br /> Truck Driver User Disp Ticket Num Ticket ID Time Date <br /> 550341820 46698 user 1325511 16357 11 : 26 4 /30/21 <br /> Load Size Mix Code Returned Qt Mix Age Seq Load ID <br /> 4 . 00 CYDS 65 D 17860 <br /> Material Design City Required Batched y' SAS%Var%Moisture Actual Wet <br /> TYPEII-V 2068.0 lb 8272.0 lb 7960.0 lb < -3.89% <br /> WATER 1000 lb 3965 lb 3966 lb 0.02% 3966 lb <br /> Actual Num Batches: 2 Manual 11:26:16 <br /> Load 11916 lb Design WIC: 0.483 Water/Cement: 0.503 T Design 3998.4 lb Actual 3966.0 lb To Add: 32.4 lb <br /> Slump: 0.00 in Water in Truck: 0.0 gal Adjust Water: 0.0 gal /Load Trim Water. -1.0 gal / CYD£ <br />