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WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity <br /> was weighed,measured,or counted by a weighmaster,whose <br /> signature Is on this certificate,who is a recognized authority CONCRETE PRODUCTS INC. <br /> of accuracy,as prescribed by Chapter 7(commencing with � <br /> Section 12700)of Division 5 of the California Business and 1900 Roosevelt Avenue Escalon CA 95320 <br /> Professions Code,administered by the Division of MeasurementP > > <br /> Standards of the California department of Food and Agriculture. 209-838-1448 <br /> WEIGHMASTER SIGNATURE INVOICE/TICKET NO. <br /> NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, WAITING TIME: <br /> INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE.WE MAKE DELIVERIES INSIDE CURB LINES AND ON <br /> LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES $ per hr.unloading charge. <br /> RESULTING FROM SUCH DELIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND P&L CONCRETE LEAVE PLANT <br /> PRODUCTS,INC.FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF REMOVING <br /> MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OF <br /> ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST.WE DO ARRIVE JOB <br /> NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING, FINISHING OR <br /> CURING OF CONCRETE AND DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED,INCLUDING CRACKING. <br /> CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE LEAVE JOB <br /> PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE <br /> LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE,ON CUSTOMER'S PROPERTY, <br /> FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE ARRIVE PLANT <br /> OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. <br /> SEE TERMS AND CONDITIONS ON REVERSE SIDE.READ FRONT AND REVERSE CAREFIULLY <br /> WATER ADDED CYLINDERS TAKEN <br /> BY: CUSTOMER SIGNATURE ATCUSTOMER'S REQUEST GALLONS ❑YES ❑NO <br /> CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET <br /> SOLD TO DELIVER TO DRIVER <br /> L11'4411,46'u6k01ili-_i i~)kiLL_id-ai::; <br /> :,013E STO TERMS <br /> QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED <br /> THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE <br /> 0r1V z Fzr!4MENI-AL FEE <br /> 'E.1111wr 51-1CTFtT()IGE FEE <br /> TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE <br /> WAITING TIME <br /> SUB TOTAL <br /> SPECIAL INSTRUCTIONS TAX <br /> TOTAL <br /> GRAND TOTAL <br /> INVOICE/TICKET NO. <br /> rPH I'L I f 25587 8:56 11 1.: ' <br /> 1...,0-1d Si Vlix Code Retltr•f1ed Gl?t;y Mix age Neel L.oad TD <br /> E.1. 00 yC:1 9AN1'.rIl47110L) 2751Ei <br /> Material Design GO Required Aatched % Var % Moisture Actual Wat <br /> SAPID 1.101 2G50 lb 24168 lb 24M lb -0.36% 6.00% N IG3 gl <br /> CEMENT 968.0 lb 7144.0 lh 7745.0 lb 0.01% <br /> MITER 40,00 q1 228.07 gl 228.00 q 1 -d.(J3: 229.00 gl <br /> rk:tual Nuo Bathes: 2 <br /> Load Total: 33728 lb Design 0.345 Water/Cement 0.422 A Design 320.0 1 Actual 391.3 gl To Add: 0.0 gl <br /> Slump: 10.00 in # )dater in Truck: 0.0 ql Adjust Water: 0.0 g, Load Tri® Water: 4.0 �1i }d <br /> Actual W%C Ratio. 0.422 Actual slater: 3.1 gl Batched Cemen : 7745 lb Allowable Wa er: 0 lb <br />