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BILLING OFFICE:(209)933-6980 DELIVERY <br /> CENTRAL DIS TCH:(800)464-6572•(209)933-6999 TAG 277132 <br /> P.O.BOX 66TOCKTON,CA 95206 is <br /> ST ON PLANT STOCKTON PLANT LODI PLANT LODI PLANT <br /> 400 S.LINCOLN ST. 749'9:,STANISLAUS 851 E.LODI AVE. 1360 EAST TURNER RD. <br /> STOCKTON,CA 95203 STOCKTbN,CA 95206 LODI,CA 95240 LODI,CA 95240 <br /> MANTECA PLANT TRACY PLANT ELK GROVE PLANT <br /> CONCRETE, INC. 450 EAST WETMORE / 1728 WEST LIINNE ROAD 10260 WATEERMAN ROAD <br /> A Subsidiary of KRC Holdings,Inc. j MANTECA,CA 95337 1. TRACY,CA 95376 ELK GROVE,CA 95624 <br /> SOLD TO: \`e --•'SHIP TO: <br /> L,,I N1)4 N Uk i <br /> TIME MIX NOICU.YDS.THIS LOADI •. ORDERED .- r . <br /> 4k`,, '; 00. _ 1 1`f.1_ ,f I JI001 J <br /> DATE MIX DESCR. NO.OF •• tS YARDS DEL. BATCH# WATER TRIM SLUMP TICKET NUMBEIR� <br /> CONCRETE INC. AND DRIVER OF TRUCK are released from any CONCRETE INC. WEIGHMASTER CERTIFICATE <br /> JOB SITE CYLINDER: DYES THIS IS TQ CERTIFY that the following described commodity was <br /> responsibility of addition of colors due to variations in cement and 9 Y <br /> aggregate materials or admixtures, and for damage which may be weighed, measured, or counted by a weighmaster,whose signature is <br /> 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 <br /> prescribed by Chapter 7(commOncing with Section 12700)of Division 5 <br /> for shortage will not be allowed unless made at the time this material Added of the Cailifornla Busmp and{Professions Code,administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job Gals.to 2/3 load❑YES Division of Measurem $(a dards of the California Department of <br /> WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and Agrigyl�ure t ' <br /> CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE f - f ) f DEPUTY <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Customer's Gals.to 1/3 load❑YES ,r <br /> PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR Request ' <br /> CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: 4; <br /> TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br /> RECEIVED BY: X /� t • • <br /> t • t • • <br /> "The mixes quoted are not warranted to be acceptable for any particular use,purpose or application,nor are they warranted to be acceptable for use in any particular '. <br /> environment or in conjunction with any particular soil conditions.Buyer's selection of the quoted mix,unless otherwise acknowledged in writing by Concrete,Inc will be . <br /> deemed to be without the advice,consultation,recommendation or suggestion of Concrete,Inc and Buyer assumes all risk related to the selection of the quoted product for I i`l <br /> an articular ap lication." <br /> COUNT • •: REASON FOR DELAY TIME: ? <br /> Time of Job Min. , <br /> `�.f'I- I r ,w}( ` El Job Not Ready <br /> 1 Standby Min. ❑ Job Broke Down <br /> COUlhf I START POUR STOPPOUR Rate of X$ Per Min. ElTruck Broke Down <br /> ❑ Adding Water ADDITIONAL CHARGE 1 <br /> =$ ❑ Arrived Job Early <br /> TIME ON •_ LEAVE • ARRIVE PLANT ❑ Slow Placing Method ADDITIONAL CHARGE 2 <br /> Five(5)min.per yd.free unloading time allowed. 1:1Other(Explain) •" ' i <br /> Additional unloading time charged at$1 per min. <br />