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;ill\ANMDUREISOURCESCOMINY <br />ER <br />wwwknifenvercom <br />SafetyFirst! <br />KRPR - LODI <br />Billing OFFICE (209) 933-6980 <br />Dispatch: (800) 464-6572 / (209) 933-6999 <br />P.O. BOX 66001, Stockton, CA 95206 LOAD #: 1 <br />DATE: 05/26/21 <br />REQUESTED DELIVERY TIME: 12:30 <br />ORDER NUMBER: 55018 <br />TICKET NUMBER: 1325641 <br />CYDS DEL: 4.00 <br />TRUCK ID DRIVER PLANT ID LEAVE PLANT ARRIVE JOB ..., START POUR END POUR LEAVE JOB AT PLANT <br />550341642 WALLY W. LOD I <br />i CUSTOMER ACCT ID CUSTOMER P.O. / PROJECT NO PROJECT NA E LOT & BLOCK PREVIOUS TRUCK <br />378044 / <br />SOLD TO: <br />VALLEY DRILLING <br />DELIVERY ADDRESS/LOCATION: ADDRESS VERIFIED? Check <br />VALLEY DRILLING; 15930 BRANDT RD <br />LO DI <br />ADDITIONAL DELIVERY INSTRUCTIONS: DRUM REVOLUTIONS <br />EAST OF N TULLY, PREPAID C/C <br />BEGINNING ENDING TOTAL <br />Qty this Load Qty Ordered Qty Dlvd Product Code Product Description UOM Unit Price EXT Amount <br />4.00 4.00 4.00 504 10.3 SK . SAND SLURRY yd 157.50 630.00 <br />WATER ADDED / ESTIMATED SLUMP STANDBY AND UNLOADING TIME OVERTIME MINUTES <br /> <br />SUB TOTAL 780.00 <br /> <br />SALES TAX $60.45 <br /> <br />TICKET TOTAL $840.45 <br /> <br />GRAND TOTAL $840.45 <br />Full Load: GAL SLUMP Excess truck time will be assessed by dispatch at the current <br />rate per minute for orders exceeding five (5) minutes per <br />cubic yard. <br />ADDITIONAL TIME FEE 2/3 Load: GAL SLUMP <br />1/3 Load: GAL SLUMP <br />I DESIGN SLUMP <br />0.0 0 <br />REQUESTED SLUMP <br />8.00 <br />ACKNOWLEDGEMENT OF RECEIPT, WATER ADDED, & TERMS AND CONDITIONS ON WEB SITE <br />Signature: Printed Name: USE OF CONCRETE, AS PLACED: <br />RELEASE: Contractor or Owners agree to indemnify and save harmless Knife River Corporation from liability imposed as a <br />result of any damage caused to the property of others as a result of such delivery. FOR ADDITIONAL RELEASE <br />INFORMATION: SEE WWW.KNIFERIVER.COM/NCA FOR PROP 65 INFO WWW.P6SWARNINGS.CA.GOV <br />TESTED BY AIR/SLUMP/TEMP/CYCS <br />Signature: Printed Name: <br />Knife River Weighmaster Certificate <br />THIS IS TO CERTIFY that the following described commodity was weighed, measured or counted by a weighmaster, <br />whose signature is on the certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 <br />(commencing with section 12700) of Division 5 of the California Business and Professional Code, administered by <br />the Division of Measurement Standards of the California Department of Food and Agriculture. <br />Deputy <br />Truck Driver User Disp Ticket Num Ticket ID Time Date <br />550341642 48502 user 1325641 <br />16482 <br />11:33 5/26/21 <br />Load Size Mix Code Returned Qty Mix Age Seq Load ID <br />4.00 CYDS 504 D 17989 <br />Material Design Qty Required Batched % Var% Moisture Actual Wat <br />SAND 1936 lb 7957 lb 7980 lb 0.29% 2.75% A 214 lb <br />TYPEII-V 968.0 lb 3872.0 lb 3875.0 lb 0.08% <br />WATER 350 lb 519 lb 518 lb -0.24% 518 lb <br />Actual Num Batches: 2 Manual 11:33:18 <br />Load 12373 lb Design W/C: 0.362 Water/Cement: 0.361 T Design 1400.0 lb Actual 731.8 lb To Add: 668.2 lp <br />Slump: 8.00 in # Water in Truck: 0.0 gal Adjust Water: 0.0 gal / Load Trim Water: -20.0 gal / CYDE