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BILLI KN I FE RIVER CENT G OFFICE: CH: ( 00)46 0 ( ) DELIVERY CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 768562AN 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: 3784104 10904 E TOKAY COLONY PURVIANCE DRILLERS I EAST OFF OF 88 PO BOX 64 LINDEN LODI P'revioi_ts Tv-i-tck - TIME MIX • . ICU.YDS.THIS LOADI YARDS ORDERED I OFIDER# DRIVEFUTRUCK PLANT PLANT# 4E,S. 9 11 : 16 504 8. 00 8. 00 55031 550 41326 LOD I 03 DATE NO.OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER 10/16/207 1 8. 00 6. 00 in 1321-14720 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 for shortage Willi not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 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 DYES 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❑YES PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. RECEIVED BY X X r • • • • J r "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 sail 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 any particular application." COUNT •: REASON FOR DELAY TIME: Time of Job Min. ❑ Job Not Ready SUBTOTAL- Standby UB OTAL_Standby Min. ❑ Job Broke Down T A X COUNTP011r, STOP POUR Rate of X$ Per Min. ❑ Truck Broke Down TOTAL ❑ Adding Water $ ❑ Arrived Job Early TIME ON _ LEAVE •_ ARRIVE PLANT ❑ Slow Placing Method Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) Additional unloading time charged at a minimum $1.50 per min. 768562 Tr-1-tck Driver U_er DisR Ticket Nl-tm Ticket ID Time Date 550341326 46539 1-ts-e r 13247=0 1 J 595 11 : 18 10/16/2`0 Load Size Mix Code Rett-tr,ned Qty Mix Age Seq Load ID 8. 00 CYDS 504. D 170 7 3 Material Design 9ty Required Batched % 41ar % Moisture Actual Wat SAND 1936 1h 161'-5 lb 161220 lb -0.03X 4,11% A 637 lb TYPEII-V 968.0 lb 7744.0 lb 7750.0 16 0.08% WATER 350 lb 1954 lb 1956 lb 0.09% 1956 lb Actual Nuo Batches: 3 Manual 11:18:51 Load Total: 25826 lb Design @,362 WaterlCe�ent 0.661 T Desi 2800, lb Actual2593.0 lb To Add: 207,0 lb Sluop: 6.00 in # Water in Truck: 0.0 gal Adjust Water:-208 gal / Load Trio Water: @.0gal/ CYD FILE COPY