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CALAI VERA5 Calaveras Materials Inc. Delivery Tag <br /> d.b.a. Western Stone Products Weighmaster Certificate <br /> A CBR Company 1022 Woodland Avenue• P.O.Box 3171 <br /> Modesto, CA 95353 <br /> (209)523-5615 • Fax(209)521-1721 <br /> WEIGHED AT <br /> 1022 Woodland Ave. 3371 N. Highway 59 711 S. Madison Lathrop Rd &W.P 1800 Paulsen Road 8181 W Bus Loop 205 <br /> 51 Modesto,CA 95351 52 Merced.CA 95340 53 Stockton,CA 95203 54 Manteca.CA 95336 55 Turlock. CA 95380 56 Tracy.CA 95376 <br /> LOADLEAVE PLANT ARRIVE JOB START POUR END POUR LEAVE JOB ARRIVE PLANT <br /> 1, .� <br /> WATER ADDED ON JOB AT CUSTOMER <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 weighmaster, 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 of Measurement Standards of the California Department of Food and Agriculture. <br /> CAUTION: CONCRETE IS CAUSTIC. AVOID CONTACT WITH SKIN. <br /> PLANT TICKET NO. ORDER NO. CUSTOMER NO. SOLD TO DATE <br /> J <br /> DELIVERY ADDRESS - ZONE DRIVER 7 P/o NUMBER - <br /> SPECIAL INSTRUCTIONS - PROJECT NO. <br /> I. .q c:. C YL.,UME <br /> 1SPECIAL INSTRUCTIONS. JOB NO, <br /> TRUCK N0. LOAD SIZE MIX CODE SLUMP No AIR %CALC. SPECIAL INSTRUCTIONS CONT. <br /> I <br /> LOAD CUMULATIVE ORDERED UNIT OF PRODUCT PRODUCT UNIT <br /> QUANTITY QUANTITY QUANTITY MEASURE CODE DESCRIPTION PRICE AMOUNT <br /> IZ16 T•►i.m i_t in Load C h rP <br /> WESTERN STONE PRODUCTS SUB-TOTAL <br /> WEIGHMSTEP- WESTERN STONE PRODUCTS ASSUMES NO <br /> f RESPONSIBILITY FOR DAMAGE INCURRED IN TAX <br /> -- -•--�---'1 <br /> DELIVERING MATERIALS INSIDE THE CURB LINE. <br /> By <br /> EPUTY <br /> i <br /> // CUSTOMER TOTAL <br />