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} 7/11 MA'T'ERIALS,INC. WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity was weighed,measured, <br /> WEIGI-IMASTER 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 of Measurement Standards of the California Department of Food and Agriculture. <br /> (209)529-4050 4D . <br /> CONTROL NO. 534241 <br /> SOLD TO. SHIP TO: <br /> TIME MIX NO. LOAD SIZE CU YD/METERS ORDT SLUMP PLANTITRANSACTION 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 /> EMWEIGHED AT: DEPUTY <br /> R,gIV(B ARIV PLNT LEFT JOB FIN POUR JOB NOT READY TRUCK BROKE DOWN Time Allowed JOB SITE CYLINDER TEST YES NO <br /> © 5 4 <br /> SLOW POUR OR PUMP ACCIDENT Water <br /> Added Gals to full load YES <br /> TRUCK AHEAD ON JOB �CITATION <br /> LEFT PLNT LEFT PLNT ARIV JOB ST.POUR Time Due On Job <br /> 0 p g E] CONTRACTOR UNAVAIL OTHER At Gals to 2/3 load [:]YES <br /> ❑ ADDED WATER Customer's <br /> FIN POUR TTL RD TRIP TTL @ JOB POUR TIME Request Gals to 1/3 load YES <br /> JOB DELAY EXPLANATION Delay Time <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 /> rl*'1Gn Qty pval,i., Matched n liar % Moisture kt!;.al War <br /> !S36 l 6 41 a r 1 D4301) 1b 3.1'37, 7.tax A '•7 0_1 <br /> 3.70.0 1b t..1,'% <br /> .00 01 <br /> Ciel G I <br /> FJ!!9 Fatehes: 1 Nani!yi lli;i� :.t:6� <br /> _0a0 i ota';; ^1370 lb D%s1yn 0.431 Water/i went 0.3,19 A Desitin !100.0ggi Actual 36.5 rl To Add: 3.57 Q' <br /> lu ,.00 in l� Water' jr, lr, c k: E-0.0 �l Adjust Water: 0,0 of Load Tris Water: - l:k I% D"D <br /> P trhed Cesenc: 2077 1b Allowable Wa er: 56 lb <br />