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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 > > Standards of the California department of Food and Agriculture. 209-838-1448 WEIGHMASTER SIGNATUREINVOICE/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 PLANT 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 ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST.WE DO RRIVE 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. I i)_ 0 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 REVERSE CAREFIULLY BY: CUSTOMER SIGNATURE WATER ADDED CYLINDERS TAKEN AT CUSTOMER'S REQUEST GALLONS ❑YES ❑NO CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET SOLD TO DELIVER TO DRIVER HENNING6 BROTHERS DRII_L.11',16) f1RC>4 RID AL1 s'T•1N f?)a ll � L..faDD RD. TERMS r+•tc;l�lw�}�•r� 4;-r�-�c;o-<; r��r1 CA ,�1.IJ QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE .'r . 1 1. 00 ;2. 0 0 EF I I)I RONlIEN'TAI._ F E $�QA. E10 $20. 00) a. 00 16,. C71 CZ CF 'EME..N•r GHORTAGE FEE 15,. 00 1 121" 0r"r TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE WAITING TIME f-'L- 1 1.0. 171 10: C, A i `:;FtNDOO 10_.s SUB TOTALis'.i., •zl•84. si?0 SPECIAL INSTRUCTIONS TAX $11-5. 01 ..35 4 TRUIEl"; TOTAL 1> 17 599. 01 GRAND TOTAL INVOICE/TICKET NO. E.5698 rrI..rc•E: DriVrr, U er DisN 1'ic.?ket No-vo -ric:ke.b 1i:} IiIrle i}ate 39 L_E Of IA DO V111 I I.-I E' 2.5.56,98 9- :45 11118120 L-oad Size Hi.x Cock' 6?et l.wned I?t V Mi x Aare G e q 1_.o�gd ID Material Geri rl Reauir•ed Patched X Var � Moisture Actual Wat SAND 1101 2 50 1� 24168 lb 24M l b 45% 6.00 A 11 1 G3 gl CEMENT 9R.0 1 h 7744.0 lb 7715.0 1b -0,37% *TER 40.00 g 1 ?28.07 g 1 228.&1 g 1 --0.1113% 228.00 91 Actual Nue Batches: 2 Load Total: 33678 lb Design 0.345 Water/Cement 0,423 A Design 320.8 gg1 Actual 391.2 gl To Add: eP.O gl Slue: 10.+0 in 9 Water in Trucl,,: 0.0 gg1 Adjust Water: 0.0 gg1 I Loan Tri.r Aater: 4.0 Pl/ ud Actual WIC RatlG: 0.423 ' Actual Wafter: X31 gl � Batched Cement: 7715 1b Allewattle Water: 0 lb