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7/11 MATERIALS,INC. WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity was weighed,measured, <br /> WEIGHMASTER or counted by a weighmaster,whose signature is on this certificate,who is a recognized <br /> P.O.BOX 4770 authority of accuracy,as rescribed by Chapter 7(commencing with Section 12700)of <br /> Division 5 of the California Business and Professions Code,administered by the Division <br /> MODESTO,CA n352 kMATERIAL elf of Measurement Standards of the California Department of Food and Agriculture. <br /> (209)529-4050 CONTROL NO. 5 4 5)4 2S_ <br /> SOLD TO: SHIP TO: <br /> TIME MIX NO. LOAD SIZE CU YD/METERS ORDT SLUMP PLANT/TRANSACTION TRUCK# DRIVER <br /> DATE CONTACT NO OF LOADS ACCUM CU YD/METERS ZONE P.O.JOB# LICENSE# TICKET NUMBER <br /> OUANTITY CODE DESCRIPTION PRICE CU YD METER EXTENDED PRICE <br /> SUBTOTAL <br /> SALES TAX <br /> TOTAL <br /> PREVIOUS <br /> STANDBY <br /> I <br /> WEIGHED AT: ' DEPUTY GUM <br /> REVCOUNTARIV PLNT LEFT JOB FIN POUR JOB NOT READY 'TRUCK BROKE DOWN Time Allowed JOB SITE CYLINDER TEST❑YES ❑NO <br /> SLOW POUR OR PUMP ACCIDENT Water <br /> .Added Gals to full load —]YES <br /> TRUCK AHEAD ON JOB CITATION <br /> LEFT PLNT L IiFT PLNT ARIV.TOB ST.POUR Time Due On Job <br /> CONTRACTOR UNAVAIL E]OTHER At Gals to 2/3 load 0 YES <br /> 0 ADDED WATER Customer's <br /> Request Gals to 113 load 0 YF.S <br /> FIN POUR TTL RD TRIP TTL(W JOB POUR TIME JOB DELAY EXPLANATION Delay Time <br /> Five(5)minutes per yd/meter free unloading time allowed. AUTHORIZED BY: <br /> Additional unloading time charged at current hourly rate. <br /> NOTICE:MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TAG INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE WE MAKE <br /> DELIVERIES INSIDE CURB LINES AND ON LOTS OR PROPERTY AT CUSTOMER S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES RESULTING FROM SUCH DE- <br /> LIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND 7/11 FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE of <br /> REMOVING MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OFANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS <br /> BEEN ADDED AT THE BUYER S REQUEST.WE DO NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING,FINISHING OR CURING OF CONCRETE AND <br /> DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED,INCLUDING CRACKING.CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON <br /> LEAVING THE PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PRO- <br /> VIDING A SUITABLE PLACE,ON CUSTOMER S PROPERTY,FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE OR REMOVAL OF <br /> TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. <br /> RECEIVED BY: <br /> `dt•' .- iia::+�'r';ul';Qii �TP51Gii L'r'• �g� :i'r'i',7 1'-3<C.il Bt' ��?.Y' it0i;j:ii4= I-1, tlld: ��:=r <br /> E i.i;N k <br /> i,tV <br /> - I L i; 0 l <br /> 1HTfi . � r. _.E,.L4 G t Cb J. SCJ. <br /> lCi_ I,!B i itE:i h53T,u.a71-A :Ly:IE <br /> 3 ,(d. �, C 1ti :iC t1. .'� slay: 1.°9@Ti`, U). �! -{ ri?:17R 1;��, �� Cr1,7 <br /> ',l� Nu :T: W.T;: ' .i :1 z�G Trio W3L-,i ; — _i <br /> Ni10'd?LT!? .- <br />