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r4KN I FE RIVER BILLING OFFICE: CH: ( 0) 464- ( ) DELIVERY <br /> CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 756473�!!••6 7�' <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG 5 3 <br /> STOCKTON PLANT LODI PLANT MANTECA PLANT TRACY PLANT ELK GROVE PLANT AMADOR TRANSIT MIX <br /> 400 S.LINCOLN ST. 851 E.LODI AVE. 450 EAST WETMORE 1728 WEST LINNE ROAD 10260 WATERMAN ROAD 12480 RIDGE ROAD <br /> STOCKTON,CA 95203 LODI,CA 95240 MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE.CA 95624 SUTTER CREEK CA 95685 <br /> SOLD TO: SHIP TO: <br /> TIME MIX NO. <br /> ICU.YDS.THIS LOAD YARDS ORDERED ORDER# DRIVER,/TRUCK PLANT PLANT# <br /> DATE NO.OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBE71 <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: DYES KNIFE RIVER WEIGHMASTER CERTIFICATE <br /> responsibility of addition of colors due to variations in cement and THIS IS TO CERTIFY that the following described commodity was <br /> aggregate materials or admixtures, and for damage which may beweighed, measured,or counted by a weighmaster,whose signature is <br /> incurred in delivering materials across the curb or property line.Claims Water V Gals.to full load OYES on the certificate, who is a recognized authority of accuracy, as <br /> for shortage will not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> of the California Business and Professions Code, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE <br /> On Job Gals.to 2/3 load DYES Division of Measurement Standards of the California Department of <br /> WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and Agriculture. <br /> CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer's ' DEPUTY <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load❑YES <br /> PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR <br /> CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: <br /> TELEPHONED TO OUR OFFICE BEFORE LOADING PARTS. <br /> y <br /> RECEIVED BY: X - 1 X • • • <br /> i <br /> The mixes quoted are not warranted to be acceptable for any particular use,purpose or application,nor are they warranted to be acceptable for use in any particular <br /> environment or in conjuncture with any particular soil conditions.Buyer's selection of the quoted mix,unless otherwise acknowledged in writing by Knife River will be <br /> deemed to be without the advice,consultation,recommendation or suggestion of Knife River and Buyer assumes all risk related to the selection of the quoted product for <br /> am articular application," <br /> REV.COUNIT LEAVE PLANT ARRIVE •= REASON FOR DELAY TIME: <br /> Time of Job Min. ❑ Job Not Ready <br /> Standby Min. ❑ Job Broke Down <br /> REV.COUNT START POUR STOP POUR Rate of X$ Per MiEl Truck Broke Down <br /> n. <br /> ❑ Adding Water _ <br /> _$ ❑ Arrived Job Early ° <br /> TIME ON •: LEAVE JOB ARRIVE PLANT ❑ Slow Placing Method <br /> Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) <br /> Additional unloading time charged at a minimum <br /> $1.50 per min. <br /> i S' IIt1i T01 <br /> 756473 <br /> '" W,!;lrfi'A W-1 I: Teii <br /> + lii ?t,5ti Fr_ E,�r ib -1.7.. V) <br /> Nram-fat;.�le�: t <br /> ! f. ,I ,QfW °b NO5i9A +._ :t 14tet i_eltiaRf 0.&735 T Niip 5480, fir Ar.tuai45M.; Eb `10 tidd: 17+.(, it, <br /> �1'''i . �i� 1f I.ir}e r, TI urG (�,f" � w)itl=� la:•}�, I`.ry 111 I r1dP� TI'in <br /> SITE COPY I' <br />