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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 recognized authority CONCRETE PRODUCTS INC. of accuracy,as prescribed by Chapterr 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 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 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 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. 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 CAREFI ULLY WATER ADDED CYLINDERS TAKEN BY: CUSTOMER SIGNATURE ATCUSTOMER'SREQUEST GALLONS El YES El NO CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET t SOLD TO DELIVER TO DRIVER HENN I NGS, 11ROTIAE FSS DRILLING AF?i:H RD & ALJ9'r I N RID T l:N11. 19,'30 L..ADD FRI). MODES1*0 STCrCKTON CA 95;_15 TERMS QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE t'.. 6t l!..' :- `4'. v: ' .:F ii i._ L _ .i.4'.'..• .l;i, .:! ..i�-i�..i•. :;�r-i14A., _.,...IJi:t', Y l.a lt.:!_. _.,1: 4 -F y . c.l i...i y 1 1. 17113 ;3. 00 =::F bIVIRIONME'NTAL FEE /I $217.1. C60 $20. 00 0. 0 _ ,...*. .,EMENT SHORT(1GE is=EF_ :' $15. 00 $120. 00 TRUCK PLANT SLUMP DUEATJOB USE OF CONCRETE WAITING TIME k Ill, 4� i. !. : 1? !thlClth4r 11tf;3 SUB TOTAL t 1, 484. 1210 SPECIAL INSTRUCTIONS TAX $115. 0 1 i c35 /-a 'T RL)CK'_.'j TOTAL � 1, 5`)`?. 0 1. GRAND TOTAL INVOICE/TICKET NO. .256199 DiFr T.i c:k e-t N I_t rn i i c: i; L i:.0 i i nr e D -t e 54 JAIME PH 11...I P 25699 10:09 111/1611,20 L.(:Pa(I Eii. :c' Mix Code Pee tI_trrrec:l G!ty Mix Age req Lucic9 ID £1. 00 yd SAND00103 D 2761_34 Material Desiggr: tDty Rer.Ored Hatched % 'Jar % Moisture Actual Wat SAID 1101 2. 50 .1.�b 24168 lb 24170 lb 0.01% 6.0014 M 164 gl L1 i %8.0 lb 7744.0 1b 7780.0 lb -0.31% WATER 40.IN g1 228.137 g1 228.00 ul -11.03% 228.CIO g ktual Nue Batches: 2 Load btal: 33793 lb !Design 0.345 Water/Cesent 0.4'24 A Des in 320.0 al factual 39'..9 gl To Add: 0.0 q-1 51m: 10.00 in # Water in Truck: 0.0 g1 Pdju t Water: 0.0 g1 / Lead Trir Rater: 4.0 1/ yd N_tual WIC Ratio: 0.424 Actual Water: •392 gi Batched 11,e®ent: 7720 Ib Allowable Water: 0 Ib