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7/11 MATERIALS,INC. WEIGHMASTER CERTIFICATE I THIS IS TO CERTIFY that the following described commodity was weighed,measured, WEIGHMASTER or counted by a weighmaster,whose signature is on this certificate,who is a recognized P.O.BOX 4770 authority of accuracy,as prescribed by Chapter?(commencing with Section 12700)of MODESTO,CA 953527 of Measurement Division 5 of the California Business and Professions Code,administered by the Division Standards of the California Department of Food and Agriculture. (209)529-4050 CONTROL NO. 534,231 SOLD TO: SHIP TO: TIME MIX NO. LOAD SIZE CU YD/METERS ORDT SLUMP PLANTfTRANSACTION TRUCK# DRIVER DATE CONTACT NO OF LOADS ACCUM CU YD/METERS ZONE P.O.JOB# LICENSE# TICKET NUMBER QUANTITY CODE DESCRIPTION PRICE CU YD METER EXTENDED PRICE SUBTOTAL SALES TAX TOTAL PREVIOUS STANDBY 1 WEIGHED NP DEPUTY REV COUNT ARIV PLNT LEFT JOB FIN POUR ❑ JOB NOT READY TRUCK BROKE DOWN Time Allowed ARIVOB JOB SITE CYLINDER TEST❑YES [:]NO ❑ SLOW POUR OR PUMP ❑ACCIDENT Water Added Gals to full load YES El TRUCK AHEAD ON JOB CITATION LEh 1'PLN"1' LEFT PLNT ARIV JOB ST.POUR Time Due On Job 0 2 S CONTRACTOR UNAVAIL OTHER At Gals to 2/3 load YES ADDED WATER Customer's Request Gals to 1/31oad �YES FIN POUR TTL RD TRIP TTL @ JOB POUR TIME JOB DELAY EXPLANATION Delay Time Five(5)minutes per yd/meter free unloading time allowed. AUTHORIZED BY: Additional unloading time charged at current hourly rate. 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 DELIVERIES INSIDE CURB LINES AND ON LOTS OR PROPERTY AT CUSTOMERS RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES RESULTING FROM SUCH DE- LIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND 7/11 FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF 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 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 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 PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PRO- 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 TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. RECEIVED BY: Mnict ur'E ActI,aI Wat I-E IFS I ir_, ., 1 Q7 i'f 41,k+ WA.TC S0.Dti ir_J. G� -'L.42'., 12$.G.i Gi lel T CU, .00 x 1 Bl) of HOT00 # 00 as g Act Ila Num Batches. 1 Manual 8:53:413 Load Total: 13420 lb Design 0.431 Water/Cement 0.411 A Design 200.0 of Actual 195.9 gl To Add: 4.1 g! Slump; 10.00 in Water in Truck: 0.0g1 Adjust Water: 0.0 111 / Load Trim Water: -1.0 g1/ CYT? Actual WIC Ratio: 0.411 Actual Water: 198 gi Batched Cement: 3980 lb Allowable Water: Be lb