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BILLING OFFICE: (209) 933-698 1�4KN I FE RIVER CENTRAL DISPATCH: (8 0) 46406572 • (209) 933-6999 DELIVERY AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG 789762 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 MIX NO. �CU.YDS.THIS LOADI YARDS ORDERED I ORDIJ DRIVER/TRUCK PLANT PLANT# DATE NO.OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER 7- KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: [:]YES KNIFE RIVER WEIGHMASTER CERTIFICATE A responsibility of addition of calors 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 E]YES on the certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7(commencing with Section 12700)of Division 5 for shortage will not be allowed unless made at the time this material Added 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 E]YES 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'sDEPUTY COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load❑YE PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. RECEIVED BY: X XJill 111111111111 ill • • •• • •mmi • • "The mixes quoted are n warranted o e acceptable or any particular use,purpose or application,nor are they warrantedto a acceptable or use in any particular environment a 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 in 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 •: REASON FOR DELAY TIME: Time of Job Min. •i i ❑ Joh Not Ready /- I Standby Min. ❑ Job Broke Down COUNT •• 'STOPRate of X$ Per Min. ❑ Truck Broke Down ❑ Adding Water _$ ❑ Arrived Job Early TIME ON - LEAVE JOB ARRIVE PLAN ❑ Slow Placing Method Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) Additional unloading time charged at a minimum $1.50 per min. 789762 . j SITE COPY