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WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed,measured,or counted by a weighmaster,whose signature Is on this certificate,who is a recognized authority CONCRETE PRODUCTS INC. of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business and 1900 Roosevelt Avenue, Escalon, CA 95320 Professions Code,administered by the Division of MeasurementP 209-838-1448 f p p Standards of the California department of Food and Agriculture. 209-838-1 448 WEIGHMASTER SIGNATURE INVOICE/TICKET NO. NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, WAITING TIME: INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE.WE MAKE DELIVERIES INSIDE CURB LINES AND ON LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES $ per hr.unloading charge. RESULTING FROM SUCH DELIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND P&L CONCRETE LEAVE P T PRODUCTS,INC.FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF REMOVING (� ) MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OF \ J ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST.WE DO ARRIVE JOB NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING, FINISHING OR CURING OF CONCRETE AND DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED,INCLUDING CRACKING. If CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE LEAVE JOB PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE,ON CUSTOMER'S PROPERTY, FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE ARRIVE PLANT OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. SEE TERMS AND CONDITIONS ON REVERSE SIDE.READ FRONT AND REVS E CRf FIULLY CYLINDERS TAKEN Y }' WATER ADDED BY. -I-' CUSTOMER SIGNATURE ATCUSTOMER'SREQUEST GALLONS El YES El NO CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET SOLD TO DELIVER TO DRIVER HE AN I N132.I, BP101-I-•lE P,3 Di IA-L I NI.-, i RCH RD AUSTIN N [RD ARMANDO 1.930 L..f4DD RD. MO1)F.F.711.) ;TOCK ISN Gni 95 r_ TERMS QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED CODE DESCRIPTION' MEASURE PRICE PRICE 1. 00 4. IZ0 IRONMENTAt- FEE /L $20. k"(' $20. 111/10 8. L710 0i:' `Ei41E-'N'T SHORTAGE FE"E /y d $15. 00 $120. 00 TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE WAITING TIME SUB TOTAL 51, 464. er?tl SPECIAL INSTRUCTIONS TAX $11.5. Tltl..l(.:I TOTAL $ 17 51. - . 01 GRAND TOTAL INVOICE/TICKET NO. '`''+`' ' Tr'-'I.C:EG 1)Y'iver- User- DiSI7 -riC::ket N1.l11 1' 11.fit• sa,ist: -t r:) €"aFdMANDO PH I L I P 25FA1171 13:47 11 -12; 20 ZE? 11ix C;:rJcJE Re.bI_tr11ec1 G?P y t+lix Aqc., 3eg Loarr ID 8. 121121 yd SAN1:i1t 01.123 D ;::,'7530 Material Desiggn Otyy' Ritlired Batr_hed `tar s Moisture Actual Wat SAND 1101 2850 1b c�O168 1b 24070 1b -0.41% e.N% M 16., g1 CEMBIT X368.0 lb 7744.0 lb 773541 l b -0.12% 14ATER 40.N g 1 228.0 7 g 1 228.00 g 1 -0.03% 228.00 g 1 Actuai Nun Batches: 2 Load Total: 33708 lb [resign 0.34.5 Water/Cement 0.422 A Design : .0 gg1 Actual 391.3 gl To Add: 0.0 gl :111 P-. 10.00 in I# Water in Trl.ck: 0.0 gi 1i4d.just Water: 0.0 1 i Load Trio Water: 4.0 gli yd Actual W/C Ratio: 0.422 tactual Water. 3911 gl Batched Ceaent: 773-3 lb Allowable Water: 0 ,b