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7/11 MATERIALS,INC. WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity was weighed,measured, <br /> WEIGHMASTER or counted by a weighmaster,whose signature is on this certificate,who is a recognized <br /> P.O.BOX 4770 authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of <br /> Division 5 of the California Business and Professions Code,administered by the Division <br /> MODESTO,CA 95352 ATERIALS,INC. of Measurement Standards of the California Department of Food and Agriculture. <br /> (209)529-4050 CONTROL No. 531685 <br /> SOLD TO: SHIP TO: <br /> TIME MIX NO. LOAD SIZE CU YD/METERS ORD'D SLUMP PLANT/TRANSACTION TRUCK# DRIVER <br /> DATE CONTACT NO OF LOADS ACCUM CU YD/METERS ZONE P.O.JOB# LICENSE# TICKET NUMBER <br /> QUANTITY CODE DESCRIPTION PRICE CU YD METER EXTENDED PRICE <br /> SUBTOTAL <br /> SALES TAX <br /> TOTAL <br /> PREVIOUS <br /> STANDBY <br /> 1 <br /> WEIGHED AT: DEPUTY 1 <br /> REV <br /> NT <br /> IRIV JOB ARIV PLNT LEFT JOB FIN POUR E] JOB NOT READY TRUCK BROKE DOWN Time Allowed JOB SITE CYLINDER TEST[]YES []NO <br /> © 5 4 <br /> SLOW POUR OR PUNA' ACCIDENT Water <br /> TRUCK AHEAD ON JOB CITATION <br /> Added Gals to full load 0 YES <br /> � <br /> LEFT PLNT LEFT PLNT ARIV JOB ST.POUR Time Due On Job <br /> O p g CONTRACTOR UNAVAIL OTHER At Gals to 2/3 load E]YES <br /> ADDED WATER Customer's <br /> FIN POUR TTL RD TRIP TTL c JOB POUR TIME JOB DELAY EXPLANATION Delay Time Request Gals to 113 load ❑YES <br /> Five(5)minutes per yd/meter free unloading time allowed. AUTHORIZED BY' <br /> Additional unloading time charged at current hourly rate. <br /> NOTICE:MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TAG INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE.WE MAKE <br /> DELIVERIES INSIDE CURB LINES AND ON LOTS OR PROPERTY AT CUSTOMER S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES RESULTING FROM SUCH DE- <br /> LIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND 7/11 FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF <br /> REMOVING 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 <br /> BEEN ADDED AT THE BUYER S REQUEST.WE DO NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING,FINISHING OR CURING OF CONCRETE AND <br /> DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED,INCLUDING CRACKING.CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON <br /> LEAVING THE PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PRO- <br /> 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 <br /> TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. <br /> RECEIVED BY: _ <br /> jJ <br /> 2-1 _ ')O <br />