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ILLING OFFICE:(209)933-6980 DEL IVB �j (� /[ <br /> NTRAI,DISPAT(;H; aO.0)464-6572•(209)933-6999 TAG G `t <br /> .O.BO1G=860th,STOCKTON,GA95206 <br /> STOCKTON PLANT STOCKTON PLANT LODIPLANT LODIPLANT <br /> 400 S.LINCOLN ST _ 749 S.STANISLAUS 851 E.LODI AVE. 1360 EAST TURNER RD. <br /> Kz,QC1,,.CA86263_...r STOCKTON,CA 95206 LODI,CA 95240 LODI,CA 95240 <br /> CONCRETE INC. _ MANTECA PLANT TRACY PLANT ELK GROVE PLANT <br /> / 450 EAST WETMORE 1728 WEST LINNE ROAD 10260 WATERMAN ROAD <br /> A Subsidiary of KRC Holdings, Inc. MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE,CA 95624 <br /> SOLD TO: SHIP TO: F RUTH I L <br /> MARTEL-Lw FOOTHIL.!_ SANITARY LAND FIL-L.g <br /> THE MAR TELL. WI i 1:R SY15 F X15, INC' 6484 WAVERLEY RD., <br /> 18W LOVERIDGE RD. STOCKTON C/S-3 FLOOD OF' 26 <br /> PI-TTSBURG, CA 94%,5 4 z5 <br /> TIME MIX • t LOADI r ••r t t 1 <br /> f .n '1 .: ;, �iiCA . 'x)>5 <+, txlR?I c: . JC34tJi4 °'� �fa "a <br /> nATE MIX DESCR. NO.OFLCADS •t DEL. 13ATCH WATER TRIM SLUMP TICKET NUMBEA <br /> 4. 130 65199 l c,00 :s. <br /> CONCRETE INC. AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: ❑YES CONCRETE INC. WEIGHMASTER CERTIFICATE <br /> responsibility of addition of colors due to variations in cement and THIS IS TO CERTIFY that the following described commodity was <br /> aggregate materials or admixtures, and for damage which may be weighed, measured, h counted by a weld author <br /> uthorwhose signature is <br /> incurred in delivering materials across the curb or property line.Claims Water Gals.to full load DYES on the certificate, who is a recognized authority of accuracy, as <br /> prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> for shortage will not be allowed unless made at the time this material Addedof the California Business and Professions Code, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job Gals.to 2/3 load❑YES Division of Measurement Standards of the California Department of <br /> WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and Agriculture. <br /> CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer's DEPUTY <br /> DEPUTY <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load❑YES <br /> PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR <br /> CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: <br /> TELEPHONED TO OUR OFF CE BEFORE LOADING STARTS. <br /> p,Sign <br /> • 1111=10120IN&VAN <br /> RECEIVED BY: X X • <br /> • •r • e t r <br /> 4.00 Y3 120 27 !AP • NEAT C;Ir.tstteN <br /> "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 <br /> environment or in conjunction with any particular soil conditions.Buyer's selection of the quoted mix,unless otherwise acknowledged in writing by Concrete,Inc will be <br /> deemed to be without the advice,consultation,recommendation or suggestion of Concrete,Inc and Buyer assumes all risk related to the selection of the quoted product for <br /> an-p articular application." <br /> • •= REASON FOR DELAY TIME: <br /> • Time of Job Min. <br /> ❑ Job Not Ready <br /> j rl Standby Min. ❑ Job Broke Down <br /> COUNT •UR STOP POUR Rate of X$ Per Min. ❑ Truck Broke Down <br /> ADDITIONAL CHARGE 1 <br /> E] Adding Water <br /> 7, r =$ ❑ Arrived Job Early <br /> TIME ON • • ❑ Slow Placing Method ADDITIONAL CHARGE 2 <br /> Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) <br /> Additional unloading time charged at$1 per min. <br />