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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 Measurement P & <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 /> ED CYLINDERS TAKEN <br /> BY: CUSTOMER SIGNATURE ATUSTER M <br /> AT CUSTOMER'S REQUEST GALLONS DYES ❑NO <br /> CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET <br /> SOLD TO DELIVER TO DRIVER <br /> r11-;NN1k1l.3 13E'-OIi-il:::i:«S RD iif_I311iq k1? t,(.F4 <br /> 19 30 L.ADD RD. <br /> MODE.f_310 STIDICKT ON CA 9521.5 TERMS <br /> QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED <br /> THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE <br /> 3. 2171(71 - E1dV I RONMENTAL. FEE: /L.- $17,0:< 0;:: 00 <br /> . CI, :a- r.._EIVIF-'NT SHORTAGE F•1 :E r vd $1.5. 00 -11':0. 00 <br /> TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE <br /> WAITING TIME <br /> SUB TOTAL -$1 ,, 4 84. ID <br /> SPECIAL INSTRUCTIONS TAX $115. fZI 1 <br /> TOTAL $1 e 5-9. 01 <br /> GRAND TOTAL" <br /> INVOICE/TICKET NO. 25597 <br /> I-i v e r Ll F,e I- D i. E Ft T•i c k e t hit-tai ( i c_I,,:,- L 1 D Time D i•t e <br /> 54 RAY F'I-Il1_.IP c5 5 97 11 :51 11 /12/20 <br /> 1-_o:.>ci Si 4e tr1i r-' Code RetIAr~rted Qt y Mix Acte Sey i...oar1d TD <br /> Material Desiggn Uty ReGG U red Batched % Var % Nn ture A-tua.l Etat <br /> SAS 1101 R6541 l b 24168 1 b 241.40 l b -0.12`F 6.00% M 164 g 1 <br /> CEMENT 968.0 ib 7744.0 lb 7745.0 Ib 0.01% <br /> WTER. 10.00 B 1 2.28.@7 g 1 2'28.00 g 1 -6.03% «H.('Su g 1 <br /> Actual Num Batches: 2 <br /> Load focal; 33788 1b Design 0.345 WaterlCement 0.422 11 Design ,32e0.0 gi Actual 391.7 gi To Add 0.9 ,ul- <br /> Slump: 10.00 in # Water in Truck: 0.0 gg1 Adjust Water: 20.0 gq1 Loaa Trim Water: 4.0 ql/ yd <br /> Actual W/C Ratio: 0.422. Actual Water: 332 91 Batched Cement: 7745 ib Allowable Wafter: 0 lb <br />