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"Q ALLIED Concrete and Supply Co., Inc. asomm �� READYMIX CONCRETE • SAND • GRAVEL No. 1;8 �� PHONE: 524-3177 440-B MITCHELL ROAD FAX: 524-4765 P.O. BOX 1022 SUPPLY WEIGHMASTER CERTIFICATEMODESTO, CALIFORNIA 95353 THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose LEAVE PLANT signature is on this certificate, who is a recognized authority of accuracy, as described by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. ALLIED'S CONCRETE WEIGHMASTER DEPUTY BY: ARRIVE JOB NOTICE:Under the Mechanic's Lien Law(California Code of Civil Procedure,Section 8000 et seq).any contractor,sub contractor,laboring supplier or other person who helps to improve your property but is not paid for his work or supplies,has a right to enforce a claim against your property. This means that,after a court hearing,your property could be sold by a court officer and the proceeds of the sale used to satisfy the indebtedness. This can happen even if you have paid your own contractor in full, if the subcontractor, laborer or supplier remains unpaid. FINISH POURING WARNING: IRRITATING TO THE SKIN AND EYES. CONTAINS PORTLAND CEMENT. Wear Rubber Boots and Gloves. PROLONGED CONTACT MAY CAUSE BURNS. Avoid Contact with Eyes and Prolonged Contact with Skin. In Case of Contact with Skin or Eyes; Flush Thoroughly With Water. If Irritation Persists, Get Medical Attention. KEEP CHILDREN LEAVE JOB AWAY. This agreement requires compliance with the requirements of the Public Works Chapter of the Labor Code as well as proper notification for all projects subject to prevailing wage as determined by the State of California including but not limited to the contact information ARRIVE PLANT for the Awarding Body,General Contractor and any subcontractors with which involvement is expected,a legal description of the jobsite location,the project name,DIR number and/or any other identifying nomenclature specific to this project with a description of the scope of work. CUSTOMER ID P.O.NUMBER ZONE TIME DATE TICKET SOLD TO DELIVER TO SLUMP PLACED 1 ESTIMATE 1 ACTUAL CYLINDERS TAKEN 1 YES 1 NO QUANTITY QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD ORDERED DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE TRUCK PLANT SLUMP INSTRUCTIONS SUB TOTAL ACCEL HOT WATER RETARDER TAX TOTAL In the event Purchaser orders delivery beyond the curb line,Allied Concrete&Supply Co.,Inc.will not assume liability for damage to sidewalks,driveways or You are allowed 7 minutes per cubic yard to unload the other property and Purchaser hereby agrees to indemnify and hold Allied Concrete&Supply Co.,Inc.harmless against all liability,loss and expense deliveries truck after which standby time will be charged. beyond the curb line,including cost of repair,loss of use,or interest shall be the sole responsibility of Purchaser.Title of the material transfers from the material supplier to the Purchaser at the time the concrete batch is started and the truck is loaded. A finance charge of 1.5%per month will be charged on accounts not paid within 30 days of invoice.Additionally,possible mechanics liens or stop notices may AMT be filed on delinquent job site locations,costs of which will be paid by Purchaser.In the event collection efforts are instituted,all collection costs,including reasonable attorney fees and actual court costs,will be paid for by Purchaser. Additional water added to mix concrete will reduce its strength.Any water added is at customer risk. RECEIVED BY: MSDS AND OTHER INFORMATION ON REVERSE SIDE WATER ADDED: ON JOB TEAR HERE No. r