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Mat er <br />SAND <br />CEMENT <br />WATER <br />WATER 2 <br />1901 <br />it ure <br />6,85% A <br />dcrieci inn it <br />4810.8 11-_. <br />162.49 gl <br />. gl <br />.00 gl <br />Act uai pvcit, <br />79 gl <br />162.49 gl <br />5cript 1011 <br />SAND <br />CEMENT <br />WATER <br />WATER 2 <br />HOT WATER <br />lor2141i Ay Pi:gu4i A <br />1936 lb 10343 lb <br />968.0 lb • 4840.0 lb <br />50.20 gl 160.56 gl <br />00 % 11 A@ gl <br />.00% * .20 gl <br />VVEIGHMASTER CERTIFICATE <br />THIS IS TO CERTIFY that the following described commodity was weighed, measured, <br />or counted by a weighmaster, whose signature is on this certificate, who is a recognized <br />authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of <br />Division 5 of the California Business and Professions Code, administered by the Division <br />of Measurement Standards of the California Department of Food and Agriculture. <br />CONTROL NO. 594681 <br />SOLD TO: SHIP TO: <br />Ticket 738069 v i I <br />CALWATER DRILLING CP ' <br />300 S. KILROY ROAD <br />OF <br />, <br />TIME MIX NO. LOAD SIZE CU YD/METERS ORD'D SLUMP PLANT/TRANSACTION TRUCK # DRIVER <br />DATE SCHEDULED ARRIVAL TIME NO UPLOADS ACCUM CU YD/METERS ZONE PO. JOB # TRUCK AHEAD TICKET NUMBER <br />CODE ,_-' QUANTITY CODE DES-C-Fil7TION PRICE CU YD METER EXTENDED PRICE <br />__, <br />1 . in 6027 , S --81,,JPPP /0 <br />1 <br /> <br /> E.1-,1 V 1 & ENV I RO COMP ID E.1 .17.1 0 <br />SHORT LOAD <br />SUBTOTAL <br />SALES TAX <br />TOTAL <br />PREVIOUS <br />STANDBY <br />WEIGHED AT: DEPUTY <br />GRAND <br />TOTAL V <br />REV COUNT ARIV JOB ARIA/ PLNT LEFT JOB FIN POUR JOB NOT READY TRUCK BROKE DOWN <br />SLOW POUR OR PUMP ACCIDENT <br />Eli TRUCK AHEAD ON JOB CITATION <br />CONTRACTOR UNANTAIL DOTHER <br />ADDED WATER <br />JOB DELAY EXPLANATION <br />Five (5) minutes per yd/meter free unloading time allowed. <br />Additional unloading time charged at current hourly rate. <br />Time Allowed JOB SITE CYLINDER TEST DYES DNO <br />Water <br />Added Gals to full load DYES <br />0 © 0 <br />On Job <br />At Gals to 2/3 load DYES <br />Time Due LEFT PLNT LEFT PLNT ARIV JOB ST. POUR <br />0 0 ® <br />Customer's <br />Request Gals to 1/3 load DYES <br />Delay Time FIN POUR rrL RD TRIP TTL @ JOB POUR TIME <br />AUTHORIZED BY: <br />NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TAG INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE WE MAKE <br />DELIVERIES NSIDE CURB LINES AND ON LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES RESULTING FROM SUCH DE- <br />LIVERIES. CUSTOMER SHALL INDEMNIFY, HOLD HARMLESS & DEFEND 7/11 FOR, FROM & AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY. EXPENSE OF <br />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 <br />BEEN ADDED AT THE BUYERS REQUEST. WE DO NOT GUARANTEE THE COLOR OF THE CONCRETE. WE HAVE NO CONTROL OVER THE PLACING, FINISHING OR CURING OF CONCRETE AND <br />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 <br />LEAVING THE PLANT. ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS. CUSTOMER IS RESPONSIBLE FOR PRO- <br />VIDING A SUITABLE PLACE, ON CUSTOMER'S PROPERTY, FOR DRIVERS TO WASH CHUTES AS NECESSARY. ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE OR REMOVAL OF <br />TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. <br />RECEIVED BY: <br />Actual Ni. Batches: 1 Manual 13:27:03 <br />Load Total: 16486 lb Des_ign 0.431 Water/Cement 0.419 A Design 250.0 gl Actual 241.8 gl To Add: 8.2 gl <br />Slump: IN in it Water in -Truck: 0.0 gl Adjust Water: 0.0 gl / Load Trim Water: -1.0 gl/ CYD <br />Actual WIC Ratio: 8.419 Actual Water: 242 gl Batched Cement: 4810 lb Allowable Water: 5 lb <br />7/11 MATERIALS, INC. <br />WEIGHMASTER <br />. • ' P.O. BOX 4770 <br />MODESTO, CA 95352 <br />(209) 943-4730 <br />MATERIALS, INC.