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1*4 KN I FE RIVER BILLING OFFICE: CH: ( 0)464- ( ) DELIVERY CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 TAG 728402 AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 I 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: _ ' /7 SHIP TO: + ,/� 15910 N. LNI'vi l S RD. P RrJ Id # '" PIL_L-E:R':aPo US SARGENT RU. 177017 E. 1-114Y L-I NDEN LODI TIME MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED ORDER# DRIVER/TRUCK PLANT PLANT# DATE NO.OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER r7 KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: DYESKNIFE 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 loadE:IYES on the certificate, who is a recognized authority of accuracy, as a will not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 for shortage 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 DYES Division of Measure eht Standards of the California Department of WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At — Food and Agric.ItuI CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer'sDEPUTY 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. • •• • • 19 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 aplocation." • •: REASON FOR DELAY TIME: Time of Job Min. r� ❑ Job Not Ready >UB U (F1L-• Standby Min. ❑ Job Broke Down '1•'F;,X REV.COUNT START •- POUR Rate of X$ Per Min. El Truck 4_ Truck Broke Down r�l , El Adding Water 11. 1 F =$ ❑ Arrived Job Early ARRIVE PLANT• •' ElSlow Placing Method LEAVE JOB Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) 6 Additional unloading time charged at a minimum •r i $1.50 per min. 728402 I r'I-11C.Ik Dr,iyer Ur er' Di. : l:) "Nr k,et Nt_tm Ticket I1:! 'C•iR(F lute 550341819 5101,27 t_t B or, I.3Z2"0i?7 1.2`-994 11 :08 10! 1 1.11`-9 L-(3 ca rj Size M i.x C c)d e R e t I_t r-rr F.,XJ O t;y Iyli x A rl e S e q L_ca a t3 ID 9. 00 C:Y17S 504 D 14377 Material Design Gty k uired batched % Var % Moisture Actual Wat SW 1936 1 b 184 lb 18420 lb 0.06% 5.65% A 985 1 b TfKl I-V 968.0 1b 8712.0 1b 8708.0 lb -0.14: WATER 350 1b 216E 1h 2164 lb -0.0"3% 2154 lb Actual Nus Batches: 3 Manual 11:08:00 Load Total: 29?84 ib Design 0.362 Water/resent 0.362 T Design 3150. lb Actua��48.7 lb To Add: 1.3 lb Slurp: 6.50 in Il Plater in Truck.: 0.0 gal Adjust Water: 0.0 gal f Load Tris !dater: 0.04 al SITE COPY