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IVER BILLING OFFICE: (209) 933-6980 6980 KNIFE R ( ( ) 1�4 CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 DELIVERY AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG 759778 STOCKTON PLANT LODI PLANT MANTECA PLANT TRACY PLANT ELK GROVE PLANT AMADOR TRANSIT MIX 400 S.LINCOLN ST. 851 E.LODI AVE. 450 EAST WETMORE 1728 WEST LINNE ROAD 10260 WATERMAN ROAD 12480 RIDGE ROAD STOCKTON.CA 95203 LODI,CA 95240 MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE,CA 95624 SUTTER CREEK,CA 95685 SOLD TO: SHIP TO: TIME MIX NO. —ICU.YDS.THIS LOADI YARDS ORDERED I ORDIER# DRIVER/TRUCK PLANT PLANT# DATE NO.OF •••S YARDS DEL. BATCH# SLUMP TICKET NUMBER C.` 7- KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: DYE KNIFE RIVER WEIGHMASTER CERTIFICATE responsibility of addition of colors due to variations in cement and THIS IS TO CERTIFY that the following described commodity was aggregate materials or admixtures, and for damage which may be weighed,measured, or counted by a weighmaster,whose signature is incurred in delivering materials across the curb or property line.Claims Water Gals.to full load DYES on the certificate, who is a recognized authority of accuracy, as for shortage will not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business and Professions Code, administered by the was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On JobGals.to 2/3 load❑YE Division of Measurement Standards of the California Department of WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and Agriculture. CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer'sDEPUTY COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load❑YE PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. • •• • • IJ I ZION RECEIVED BY: /� X �/ • • • • • • • • •• • • • "The mixes quoted are not warranted to be acceptable for any particular use,purpose or application,nor are they warranted o e acceptable or use In any pa icu ar environment or in conjuncture with any particular soil conditions.Buyer's selection of the quoted mix,unless otherwise acknowledged in writing by Knife River will be deemed to be without the advice,consultation,recommendation or suggestion of Knife River and Buyer assumes all risk related to the selection of the quoted product for any particular application" COUNT •: it Time of Job Min. REASON FOR DELAY TIME: ❑ Job Not Ready Standby Min. ❑ Job Broke Down REV.COUNT START POUR STOP POUR ❑ Rate of X$ Per Min. Truck Broke Down ❑ Adding Water =$ ❑ Arrived Job Early _ _ El slow Placing Method LEAVE ARRIVE PLANT Five(5)min.per yd.free unloading time allowed. ❑ other(Explain) Additional unloading time charged at a minimum $1.50 per min. 758778 i I SITE COPY