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BILLING OFFICE: (209) 933-6980 DELIVERY 1*4 KNIFE ftlVEft CENTRAL DISPATCH: (800) 464-6572 • (209) 933-6999 ^ A 0 AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG L4 p 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: 7�7p r f 1.`-';71 5 N. DAVIS RD. PURV _: F?Tl...l_ER'�s C/S SARGENT RD. 1770 l E. I44Y 2.E. L-T:NDE hl l_.OD I TIME I MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVERrrRUCK PLANT PLANT# DATE NO.OF • DEL. BATCH# SLUMP TICKET NUMBER KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: [:]YES 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 for 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 Measuren(ent Standards of the California Department of WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and Agriculturr0 CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer's / DEPUTY COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load❑YE �. PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. RECEIVED BY: X X • •• • 'The mixes quoted are not warranted to be acceptable for any particular use,purpose or application,nor are they warranted to 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 an articular a lication." • •= Time of Job Min. REASON FOR DELAY TIME: _ 1 El :LJE1 f Job Not Ready Standby Min. ❑ Job Broke Down 14,X REV.COUNT START •. • •• El Truck Broke Down Rate of X$ Per Min. TOTAL V } � � ❑ Adding Water 1 �) _$ ❑ Arrived Job Early TIME ON •_ LEAVE JOB ARRIVE PLANT El Slow Placing Method Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) Additional unloading time charged at a minimum t { $1.50 per min. 728402 Tr,Ltc-,k DV,iyeI- U er- Di. ;ap 'Ticket Num Ticket I1) •Pitot DaAte 55 G034 1819 510127 r-t s e r, 133C,2`027 12994 11 :08 10.!11 /19. L_(jrar9 Eyize Mix Code Retur-r►esd Oty Mix Arta Seth L-clad ID 7. 00 CYDS 5504 D 14377 Material Design Qt k uired Patched X tlar' x Moisture Actual Nat Sly 1 36 l 8498 lb 18420 lb 0.06% 5.65% A 91x5 l b PPEII-V 968.0 1b 0712.0 lb 8700.0 1b -0.14ti WATER 350 1b 2166 1b 2164 lb -0.1l 2164 lb Actual Nus Batches: 3 Manual Load Total: 292284 lb Design 0.362 Water/Ceftent 0.362 T Design 3150. 16 ActUa3�48.7 lb To Add: 1.3 lb Slurp: 6.50 in 1 Nater in Truck: 0.0 gal Adjust Dater: 0.0 gal ! Load Tris Nater: 0.0gall SITE COPY