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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 7 <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 <br />rf p <br />Standards of the California department of Food and Agriculture. 209-838-1 448 <br />WEI H A TER SIGNATURE <br />INVOICE/TICKET NO. <br />NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, <br />INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE. WE MAKE DELIVERIES INSIDE CURB LINES AND ON <br />WAITING TIME: <br />LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES <br />RESULTING FROM SUCH DELIVERIES. CUSTOMER SHALL INDEMNIFY, HOLD HARMLESS & DEFEND P & L CONCRETE <br />PRODUCTS, INC. FOR, FROM & AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY. EXPENSE OF REMOVING <br />$ per hr. unloading charge. <br />LEAVE PLANT <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 <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 />ARRIVE JOB <br />I J <br />CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE <br />PLANT. ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE <br />LEAVE JOB <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 <br />OR REMOVAL OF TRACKED -MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. <br />ARRIVE PLANT <br />SEE TERMS AND CONDITIONS ON REVERSE SIDE. READ FRONT AND REVERSE CAREFI ULLY <br />CYLINDERS TAKEN <br />GALLONS 11 YES ❑ NO <br />ED <br />BY: CUSTOMER SIGNATURE ATCUSTTER OMERS <br />AT CUSTOMER'S REQUEST <br />CUSTOMER ID <br />P.O. NUMBER <br />LOAD NUMBER <br />JOB NUMBER <br />TIME <br />DATE <br />TICKET <br />I 111 i <br />v;f 1.3,'21 <br />47;"1 <br />'H1.5 <br />SOLD TO <br />DELIVER TO <br />DRIVER <br />TERMS <br />I.II..t <br />QUANTITY <br />QUANTITY <br />PRODUCT <br />PRODUCT <br />UNIT OF <br />UNIT <br />EXTENDED <br />THIS LOAD <br />DELIVERED <br />CODE <br />DESCRIPTION <br />MEASURE <br />PRICE <br />PRICE <br />TRUCK <br />PLANT <br />SLUMP <br />DUEATJOB USE OF CONCRETE <br />WAITING TIME <br />L i,'l „ I "I <br />SUB TOTAL <br />TAX <br />TOTAL <br />SPECIAL INSTRUCTIONS <br />. 1 ; 1 T FSI. �,. I : ,; �_ , , � ; � , � <br />OR (i►....L. THEWflY 10 E , ,, <br />I_..( 0[l, FOR BIG WAI'EFt <br />GRAND TOTAL <br />!Jr Iver^ LIser` <br />C'p2 I._EONARDO F -1i T 1...11: <br />I-ci.-_Aei moi. z e Mix Code Rett-tr•iiee1 at , <br />8.50 S,d SAN1?00103 <br />Material Design Qty Reqquired Patched % Vai, <br />SAND 1101 2858 lb A% lb 25570 lb —0.42% <br />CEMENT %8.0 1 b R28. 0 1 b 8200.0 lb -0.34% <br />WATER 40.00 gl 233.82 gl 234.00 gl 0.08% <br />Actual Num Batches: 2 <br />Load Total: 35723 lb Design 0.345 Water/Cement 0.415 A <br />Slump: 10.00 in # Water in Truck: @.@1 <br />Adjust Water: 0.0 ! <br />Actual WIC Ratio: 0.415 Actual Water: 4171 g1 Batched Cement: <br />INVOICE/TICKET NO. <br />1 , i �.1. u1 �. ,.. _• �_. .�. _. to P:: ,_; ::.t :.. <br />32815 1 : 08 0 i 1. <br />D 35(,. <br />y Moisture Actual Wat <br />6.00'6 M 173 gl <br />234.00 gl <br />Design 340.0 g1 Actual 407.4 gl To Add: 0.0 n <br />Load Trio Water: 3.0l/ yd ;. <br />8200 1b Allowable Water: <br />• �.ror - <br />