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WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed,measured,is counted by a ec g nixed r,whose CONCRETE PRODUCTS INC. signature Is on this certificate,who is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700) of Division 5 of the California Business and 1900 Roosevelt Avenue Escalon CA 95320 Professions Code,administered by the Division of MeasurementP > > Standards of the California department of Food and Agriculture. 209-838-1448 WEIGHMASTER SIGNATURE TICKET NO. NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, WAITING TIME: INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE.WE MAKE DELIVERIES INSIDE CURB LINES AND ON LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES $ per hr.unloading charge. RESULTING FROM SUCH DELIVERIES,CUSTOMER SHALL INDEMNIFY, HOLD HARMLESS&DEFEND P&L CONCRETE -LEAVE PLANT PRODUCTS,INC. FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF REMOVING I MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OF f( ' ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST.WE DO ARRIVE JOB NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING, FINISHING OR CURING OF CONCRETE AND 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 LEAVING THE LEAVE JOB—• , PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS. CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE,ON CUSTOMER'S PROPERTY, FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE ARRIVE PLANT OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. SEE TERMS AND CONDITIONS ON REVERSE SIDE.READ FRONT AND REVERSE CAREFIULLY ' WATER ADDED CYLINDERS TAKEN BY: CUSTOMER SIGNATURE AT CUSTOMER'S REQUEST GALLONS ❑YES ❑NO CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET SOLD TO DELIVER TO DRIVER TERMS QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE WAITING TIME SUB TOTAL SPECIAL INSTRUCTIONS TAX TOTAL GRAND TOTAL TICKET NO. r 1_tL l t, Iver, 1.lstjr F. GUY F!FiTL_IF 1.�l 4'It21 11 : 16 1 /1:3/20 I_o id Vii ; ,. tlix Co;dc) FZetl_tr,ne,d oty Mix Age Seq 1_oad TD 6. 1710 V d `',A ND00103 D 1.9`:a311 Material Desiggn olty Required Batched % Var' % Moisture Actual Wat CHID 1101 2F150 1 18126 lb 19190 1 b 0.35% 6.00% M 123 g 1 CEMENT %8.0 1 b 5808.0 1 b 57'5.0 1 b -0.57'% WATER 40.00 gl 171.05 g! 171.00 91 —0.03% 171.00 g! f�.-tuaI 'r'tKn Batches: 1 Load 'total: 4" 9 lb Design 0.345 Nater/Ceoert 0.425 A Desiggn 240.0 gg1 Actual 294.4 gl To Add: 0.0 gl Slurp: 6.00 in # Nater, in Truck: 0.0 g1 Adjust Water: 0.0 91 1 Loa cl Trie Watar: 8.0li yd Actual W,!C Ratio: 0.425 Actual Water: 294 gl Batched Cerem: 5775 lb Allowable Nater: 0 lb - y}