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WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity <br /> was weighed,measured,or counted by a weighmaster,whose <br /> signature is on this certificate,who is a recognized authority CONCRETE PRODUCTS INC. <br /> of accuracy,as prescribed by Chapter 7(commencing with <br /> Section 12700) of Division 5 of the California Business and 1900 Roosevelt Avenue, Escalon, CA 95320 <br /> Professions Code,administered by the Division of Measurement P rf p <br /> Standards of the California department of Food and Agriculture. 209-838-1448 <br /> WE I A ER SIGNATURE INVOICE/TICKET NO. <br /> NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, WAITING TIME: <br /> INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE.WE MAKE DELIVERIES INSIDE CURB LINES AND ON <br /> LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES $ per hr.unloading charge. <br /> RESULTING FROM SUCH DELIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND P&L CONCRETE LEAVE PLANT <br /> PRODUCTS,INC.FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF REMOVING <br /> MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OF <br /> ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST.WE DO ARRIVE JOB <br /> NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING, FINISHING OR <br /> CURING OF CONCRETE AND DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED,INCLUDING CRACKING. <br /> CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE LEAVE JOB <br /> PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE <br /> LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE,ON CUSTOMER'S PROPERTY, <br /> FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE ARRIVE PLANT <br /> OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. <br /> SEE TERMS AND CONDITIONS ON REVERSE SIDE.READ FRONT AND REVERSE CAREFIULLY <br /> WATER ADDED CYLINDERS TAKEN <br /> BY: CUSTOMER SIGNATURE ATCUSTOMER'SREQUEST. GALLONS El YES El NO <br /> CUSTOMtt ER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET <br /> SOLD TO DELIVER TO DRIVER <br /> TERMS <br /> I <br /> QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED <br /> THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE <br /> �,h 4,, . S�:Ia�l (ri11;i_. 1�1. _. ',-.)AND SLURRY <br /> 1 <br /> 00 IAVi F-P ENVIRONMENTAL EEE - <br /> TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE <br /> WAITING TIME <br /> PL 1 1 f�1, ki I SUB TOTAL <br /> SPECIAL INSTRUCTIONS TAX <br /> -5 t?-3617 E TRUCKS TOTAL <br /> DR ALL THE WAY TO I' :' GRAND TOTAL <br /> LOOK FOR BIG WATERT r <br /> INVOICE/TICKET NO. <br /> r`I..tC.,. river` er- ii Wt.1 I iC:I:isL (`duIII I 1 L-t. 1.i) i zutr_ t <br /> 43 JOSE. V PHILIP 32780 12: 43 8/12/21 <br /> Load Size Mix Code Rei,l_tr,rted 0ty Mix Age Seq Load ID <br /> 8. 00 yd SAND001 fh.3 D 35004 <br /> Material Deiin Ot Re aired Batched % Var % Moisture Actual Nat <br /> ggyy qq <br /> SAND HE 21350 1h 2418 lb 241220 1b -6.20% 6.00% M 164 91 <br /> CEMENT 968.0 lb 7744.0 lb ,'715.0 Ib -0.37% <br /> WATER 40.00 gl 212.07 91 2122.00 91 4.03% 212.00 9l x; <br /> s <br /> Actual Nus Batches: 2 '; I <br /> Load Total: 33604. lb Design 0.345 Water/Cement 0.406 A Design 320.0 g1 Actual 375.6 1 r,}, g1 <br /> Slump: 10.00 in # Water in Truck: 0.0 gl Adjust Water: 0.0 1 / Load Trim Water: 2.0 1/ Id g <br /> Actual W/C Ratio: 0.406 Actual Water: 376 g Batched Cesen : 7715 Ib Allowable Wa�er: 9 <br /> lb <br />