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BILLING OFFICE: (209) 933-6980 1�4 KN 1 FERIVER CENTRAL DISPATCH: (800) 464-6572 - (209) 933-6999 DELIVERY 796290 AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 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 I MIX NO. ICU.YDS.THIS LOADI YARDS c�l"1L.T ORDERED .-. DATE OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: [:]YES THIS 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 OYES 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 Job Gals.to 2/3 load DYES 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's DEPUTY COMMODITY AND BECOMES THE PROPERTY OF THEGals.to 1/3 load OYES PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR Request CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. RECEIVED BY: X /� . • . • • "The mixes quoted are not warranted to be acceptable for any particular use,purpose or application,nor are they warranted to be acceptable for use in any particular 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 •= Time of Job Min. REASON FOR DELAY TIME: ❑ i ! r/ 7r• 00 Job Not Ready -� �.I:{ 1 4�1 t'�I._ � / �G. Y.�rt.� Standby Min. ❑ Job Broke Down TAY r,1• .3 COUNTPOUR STOP • Rate of X$ Per Min. ❑ Truck Broke Down •I O i PL. .p 8t 3 Y 38 ❑ Adding Water LJ t-� Y' _$ ❑ Arrived Job Early TIME ON •: LEAVE JOB ARRIVE PLANT ❑ Slow Placing Method $853. `8 Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) Additional unloading time charged at a minimum $1.50 per min. 796290 -1r-ui~k Dv,iVer' II C. Di +_;I, f'i.ck+e.t NiI Ticket ID TiIII e D,tte 'i50'334.1.9::i3 4 IS 6 IS A. 1-1Se V, 166-9548r._.'4 48=3`, 10:41 8/13/20 _ Coati Size Mix Cc)de kNtur-r)Pd Qt'y I'll iX I•:ge ,F2q 1.-oaci TD = . 00 C;YDS 504 D 8 '7 INaterial Desiti�nnQt kReauired Batched % Var x Mn)sture Actual Wat TYPEII-V OKI ib 5W Ib 58W9lb --0.14 .W 1 KI 1b 12246 1b 1[2* lb 4.38% 5.48% A 76 91 WATER 50.0 41 1 2u^23.6 gl 2,74.0 gl 0.16% 224.9 gl Actual Mum Batches: 1 -Load Total: 19867 lb Dim 0.430 Water/Ceseat 0.431 A NO 308.0 l Actual 300.1 yl To Add: 0.0 g] Sruep: 8.00 in # Water in Truck: 6.0 �gl Adjust Water: 0.0 91 / f•aati Trio Rater: 0.0 g1! CYD SITE COPY