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Calaveras Materials Inc. Delivery Tag <br /> CALAVERAS 3451 West Shaw Avenue 0 Weighmaster Certificate <br /> HEIDELBERGCEMENTGroup Fresno' California 93 71 1-3204 <br /> Telephone 559-277-7060 CUSTOMER COPY 2 <br /> Fax 559-277-7134 <br /> Toll Free 800-726-5615 <br /> Mentees Ready Mix Plant Tracy Reatly Mix Plant Thorne Ave.Ready Mix Plant Thorne Ave.Ready Mix Plant River Ready Mix Plant 1475 Selma Ready Mix Plant <br /> #54 ism P CA 95330 o ad #53 Tracy,S.Mac <br /> ac Ar hur #60 Fresno Th.rneCA A 6 nue #(7t Fresno, A 93 O6 nue #�2 Pinedale,CA 936501000 W.Nees Selma, <br /> #63 Sel a,CA 93662 <br /> Load Leave Plant Arrive Job Start Pour End Pour Leave Job Arrive Plant <br /> Water Added on Job t stonier <br /> Customer's Request Gallons Signature x <br /> WEIGHMASTER CERTIFICATE: THIS IS TO CERTIFY that the following described commodity was weighed, measured,or counted by a weightmaster,whose <br /> 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 <br /> California Business and Professions Code,administered by the Division o Measurement Standards of the California Department of Food and Agriculture. <br /> � r <br /> Date <br /> Plant Ticket No, Order No. Customer No. Sold To: <br /> Zone Driver E.O.Number q, <br /> Delivery Address -. <br /> M Pt_,.-' <br /> Project No. <br /> Special Instructions <br /> Job Number <br /> Special Instructions <br /> Truck No. Load Size Mix Cade Slump /Air /Call. Project Name. <br /> Load Cumulativtion Price <br /> Ordered Unit of Product Product unit Amount <br /> Descri <br /> Quantity Quantity Quantity Measure Code p <br /> ND <br /> CALAVERAS MATERIALS INC.ASSUMES NO CERTIFICATE OF COMPLIANCE: WE CERTIFY that the <br /> RESPONSIBILITY FOR DAMAGE INCURRED IN Portland cement,chemical and mineral admixtures contained in <br /> DELIVERING MATERIALS INSIDE THE CURB LINE. the material described below are brands stated and comply with <br /> specifications: Sub total <br /> CALAVERAS MATERIALS INC. CEMENT BRAND: <br /> TYPE: II MILL LOCATION: TVPE. Tax <br /> MIKE S T EMER I N!i CHEMICAL ADMIX BRAND: <br /> MANUFACTURER: <br /> By MINERAL ADMIX MANUFACTURER: <br /> CLASS: Total <br /> CONTROL -4 DO NOT USE FOR TICKET NO. <br /> pp ,,��JJjj A'd 9R>< Tat if t- i{x {, i}_a.l. %;(nay-irzaoa) <br /> rare zE, i1 <br /> 9% <br /> TEICHf'? 10436 LA) I.t�14+7J!%! I i! . <br /> .r <br /> Tare 7eI,o Tare ZercY <br /> Cement. Tat-ge.t Ac--t Ua I S iAtu Watei Tat get At.tual St atuS <br /> -rarc: 7nro <br /> CE:M#1 3496 I-b 3496 In Tot I CAI,a ZPr o <br /> WATER#I. *1 116 Gal 115 In Tol. <br /> Water aI :Lowed at .joltsite: kA Gal <br />