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KN I FE RIVER BILLING OFFICE: (209) 933-6980 CENTRAL DISPATCH: (800)464-6572 • (209) 933-6999 DELIVERY 719835 AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG 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 TO: TIME I MIX • ICU.YDS. •.. DRIVER/TRUCK j- DATE NO.OF • • . are released from any KNIFE RIVER WEI HMASTER CERTIFICATE JOB SITE CYLINDER: THIS IS TO CERTIFY that the following described commodity was responsibility of addition of colors due to variations in cement and 9 tY aggregate materials or admixtures, and for damage which may be weighed,measured,or counted by a weighmaster,whose signature is (.) on the certificate, who is a recognized authority of accuracy, as incurred in delivering materials across the curb or property line.Claims Water Gals.to full load YE 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 E1YEr Division of Measurement Standards of the California Department of WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and Agriculture. CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer'sDEPUTY COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load[E]YE PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. Wei NXey-11:19110[en RECEIVED BY: X X • • • . • • I he mixes re rra e e acceptable?or any use nor are may warranted to be acceplaole Tor use in any particular environment or in conjuncture with any particular soil conditions.Buyers 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 any particular application." REV.COUNTr •: REASON FOR DELAY TIME: -'l f t.'• l l+ 14 I I Time of Job Min. ❑ Job Not Ready I 1 1 Standby Min. ❑ Job Broke Down li REV.COUNT START POUR STOP • Rate of X$ Per Min. ❑ Truck Broke Down ❑ Adding Water =$ ❑ Arrived Job Early ' - LEAVE - El Slow Placing Method TIME O-,i ARRIVE PLANT Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) Additional unloading time charged at a minimum 1 $1.50 per min.