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7/11 MATERIALS,INC. WEIGHN.ASfER CF:RTIEIc:ATE: WEIGHNIASTER Tins is To cmi y that the A,Umting&,crihed rommudit)nae weighed,mra.um), or counted h)a%eighmuiter,%h—wignature h on this cerllflcate.who h a mogninvl P.O.BOX 4770 muhorith of accuraq,aw prwrcrihed h)Chapter 7 icommencing with section 12AXII of 4qi Diwiclon 5 of the Calif�rnia Bmim"Y and Prore wfonc Code,adminhirml h)the Uh I.lon MODES TO,CA 95352 of Alra+utxmenl Standard,of the Cofifornta Department nr Fend and%prfcuiturr. 1 209 1 529-4050 _ CONTROL NO. i SOLD TO. -- SHIP TO: ----------- ___. - — i C TIME _ MIX NO LOAD SIZE CU YDRAETERS ORO'D SLUMP PLANUTRANSACTION TRUCK tl DRIVER DATE CONTACT NO OF(AADS ACCUM CU YDIMETERS ZONE P.O.JOB tl LICENSE a TICKET NUMBER OUANTITY CODE DESCFBPTION PRICE CU YD METER EXTENDED PRICE I I SIIBTOTAI SALES TAX TOTAL PREVIOUS STANDBY ' 1 'N't.iG11F:U.Af: Ul•:1't�l'Y 1 , AR(V JOB ARIV PI, LEFf JOB FIN POUR 11 ElJOB NOT READY TRUCK BROKE DOWN Time Allowed JOB SITE CYLINDER'I ES'I❑YES NU o SLOW POUR OR Pt\ll' :A('CIDENT \\ater _ .Added _ Gal to full load01f,- �- 0 1 RI('K AHE:.%I)(IN IUIt ❑(I FAI ION -- LEFf 1'LNT LEFf PUNT ARIV JOB ST.POUR Time Due (to l,d, t IO\IRU-[OR 1Nll All �01 HER \t Gal to 2,3Inad �lI ADDED 11:Cl E.R (u.tnuur'. F•IN POUR rM RD TRIP ITL fir.'JOB POUR TIME JOB DELAY EXPLANATION Delay Time Rcyur.l ----Gale•to 1 rV load ❑1 1 11 -- --- _ FiAc(5)ndnutmwr)dlmetrrfree unloading time allowed. AFT110R1/I.1)lil` Additional unloading time charged at current hourly rate. NOTICE MYSLGNATUBI;.RI3ELQIK..INDICATES_TItAT-LAC-C a tiEZERMii AND CQN29IQn5_QE_T_dl&_QEJ.LV.RY-TAQ.1N.QWURINQ_THE.TESmS.AND.CQNDITI_QEM-ON-THEAEYERSE,WE MAKE DELIVERIES INSIDE CURB LINES AND ON LOTS OR PROPERTY AT CUSTOMERS RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES RESULTING FROM SUCH DE LIVERIES CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND 7/11 FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF REhIOFING MIRED TRUCK PAYABLE BY CUSTOMER WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OF ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS (3EErl ADDED AT THE BU YES S REOUEST WE DO NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING.FINISHING OR CURING OF CONCRETE AND DO NOT GUARANTEE THF FINISHED WORK IN WHICH IT IS USED INCLUDING CRACKING CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE PLANT ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PRO VIDING A SUITABLE PLACE ON CUSTOMER S PROPERTY,FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE OR REMOVAL OF tRACKFD MUD FROM STHEE IS AND ROADS WILL BE BILLED TO CUSTOMER RECEIVED BY: