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KN I FE RIVER BILLING OFFICE: CH: ( 0)464- ( ) DELIVERY CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 TAG AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 -" STOCKTON PLANT LODI PLANT MANTECA PLANT TRACY PLANT ELK GROVE PLANT AMADOR TRANSIT MIX 400 S.LINCOLN ST. 851 E.LODI AVE. 450 EAST WETMORE 1728 WEST LINNE ROAD 10260 WATERMAN ROAD 12480 RIDGE ROAD STOCKTON,CA 95203 LODI,CA 95240 MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE,CA 95624 SUTTER CREEK CA 95685 SOLD TO: SHIP T0: DR 11— . BEHIND 'TACE l- ENI-ER OFF I NI E:RLAI;E N DR. PREEPAID C/C L.OD I T TIME MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK PLANT PLANT# DATE • OF ••• YARDS KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER DYES KNIFE RIVER WEIGHMASTER CERTIFICATE responsibility of addition of colors due to variations in cement and THIS IS TO CERTIFY that the following described commodity was aggregate materials or admixtures, and for damage which may be weighed, measured,or counted by a weighmaster, whose signature is incurred in delivering materials across the curb or property line.Claims Water Gals.to full load DYES on the certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7(commencing with Section 12700)of Division 5 for shortage will not be allowed unless made at the time this material Added of the California Business and Professions Code, administered by the was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job Gals.to 2/3 load OYES Division of Measurement-Standards of the California Department of WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and Agri ulture. CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer'sDEPUTY COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load❑YES PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. Wei •• •• • VDAUCIIIII RECEIVED BY: X X • • . • • "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 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 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 n articular a licalion." REV.0 • •' REASON FOR DELAY TIME: Ti 'JATOTAI._ $571. 00 Time of Job Min. 1:1r.,, • � Job Not Ready TAX V Standby Min. ❑ Job Broke Down TA $47. 1. 1 COUNT • - •• POUR Rate of X$ Per Min. ❑ Truck Broke Down T G 1"A L_ $6 1 B. 11 ❑ Adding Water ❑ Arrived Job Early *616. i `-] TIME • •: •: ElY Slow Placing Method - 6 1 6• .I. 1 Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) Additional unloading time charged at a minimum •r , $1.50 er min. 74414 . TrI_tck L)r .Ivi�r Disp Ticket Ni-tin Ticket ID TiIne Date 5 5 0.34195.3 46E,64 C2 Irl 1664772 1'982 9:3 13/4/21_0 Load Sint= Itli.x Cori: Retl..trrled Q1;y Mix Age Se L..oad ID 3. 1110 CYL)S khat D 21021:0 Material Design oty Required Batched % 'lar % Moisture Actual Wat TYPEII-V 968 16 2904 lb 2910 Ib 0.21% KRCSW 1935 Ib 6199 lb 6240 lb 0.67% 6.78% A 48 g1 WATER 50.0 gl # 102.7 gl 104.0 gl 1.212% 104.0 gl Actual Nus Batches: 1 Load Total: 10017 lb Desi n 0.430 Water/Cesent 0.434 A Desiggn 150.0 qq1 Actual 151.6 gl To Add: 0.0 gl Slump: 8.00 in # Water in Truck: 0.0 gl Adjust Water: 0.0 gl J Loaa Trim Water: 6.0 gl/ CYD p I BILLING COPY 1 - I