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BILLING OFFICE: (209) 933-6980 <br /> KNIFE RIVER CENTRAL DISPATCH: (800) 464-6572 - (209) 933-6999 DELIVERY 71518 4 <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG <br /> STOCKTON PLANT LODI PLANT MANTECA PLANT TRACY PLANT ELK GROVE PLANT AMADOR TRANSIT MIX <br /> 400 S.LINCOLN ST. 851 E.LODI AVE. 450 EAST WETMORE 1728 WEST LINNE ROAD 10260 WATERMAN ROAD 12480 RIDGE ROAD <br /> STOCKTON,CA 95203 LODI,CA 95240 MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE,CA 95624 SUTTER CREEK,CA 95685 <br /> SOLD TO: SHIP TO: <br /> A 0 GROSS DRIL.I....I1'dt: C `Lr P( L<_•1-Icr? <br /> PO FOX 178 WIDIC)I7BF IDI <br /> 30- 1i? WOOI)SON RD <br /> T, <br /> TIME MIX NO. ICU.YDS.THIS LOADI YA,RDS ORDERED I ORDER# I DRIVER/TRUCK <br /> 7 <br /> OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: ❑YE KNIFE RIVER WEIGHMASTER CERTIFICATE <br /> responsibility of addition of colors due to variations in cement and THIS IS TO CERTIFY that the following described commodity was <br /> aggregate materials or admixtures, and for damage which may be weighed,measured,or counted by a weighmaster,whose signature is <br /> incurred in delivering materials across the curb or property line.Claims Water Gals.to full load EYES on the certificate, who is a recognized authority of accuracy, as <br /> for shortage will not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> of the California Business and Professions Code, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On JobGals.to 2/3 load❑YE Division of Measurement Standards of the California Department of <br /> WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and Agriculture. <br /> CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer'sDEPUTY <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load❑YE <br /> PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR <br /> CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: <br /> TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br /> ••• •• •• • •• <br /> RECEIVED BY: X X <br /> e mixes quoted are no ranted o e acceptable r any particular use,purpose or application,nor are they warranted o e acceptable or use In any particular <br /> environment or 1n conjuncture with any particular soil conditions. Buyer's selection of the quoted mix,unless otherwise acknowledged in writing by Knife River will be <br /> 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 <br /> any particular application." <br /> COUNT •: REASON FOR DELAY TIME: <br /> Time of Job Min. ❑ Job Not Ready A-MTOTAL- <br /> Standby Min. ❑ Job Broke Down Tr 1 r <br /> • START POUR STOP POUR Rate of X$ Per Min. El 'L`"r�Truck Broke Down TO i <br /> ❑ Adding Water <br /> _$ ❑ Arrived Job Early <br /> TIME ON •. LEAVE JOB ARRIVE PLAN T El Slow Placing Method <br /> Five(5)min.per free unloading time allowed. El Other(Explain) <br /> •�.• � Additional unloading time charged at a minimum <br /> $1.50 per min. <br />