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T LING OFFICE:(209)933-6980 4 I I 'J <br /> r- TRAM DISPATCH:(800)464-6572•(209)933-6999 DETIVEIEG <br /> r BOX 66001 :3T-004�TQ)V,CA 95206 <br /> 75-590 <br /> -1 1 SIR <br /> STOCKTON PLANT STOCKTON PLANT LODI PLANT LODI PUNT <br /> 400 S.LINCOLN ST. 749 S.STANISLAUS 851 E.LODI AVE. 1360 EAST TURNER RD. <br /> STOCKTON,CA 95203 STOCKTON,CA 95206 LODI,CA 95240 LODI,CA 9524,0 <br /> / 450 EAST WETMORE 1728 WEST LINNE ROAD 10260 WATERMAN <br /> CONCRETE INC. " ` MANTECA PLANT TRACY PLANT ELK GROVE PLANT <br /> ROAD <br /> A Subsidiary of KRC Holdings,Inc. MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE,CA 95624 <br /> SOLD TO: SHIP TO: . 6ct..ti- mill.-1.. <br /> i>iR I ELL f-013 HILL SANITARY LAPdD—'ILL-j <br /> TFC mnRTELL. WATER SYSTEMS, INC' 6484 WAVERLEY RD. , <br /> 1818 LOVE RIDGE RD. `,#OCKTON C/*S FLOOD UF 26 <br /> PITTSBU€6, CA 94!565 <br /> TIME MIX • ICU.YIDS, • . •. •-. . I •• f. <br /> 13*.07 120.. 4« Y 4» +1 k";7', ,TOA01i1w, rm 1081670 <br /> YARDSDATE MIX DESCR. NO.OF I-OADS <br /> 0Fj 19..ins �74.f7 8 54'�c 0.0 i t'a � 82 3-36 <br /> CONCRETE INC. AND DRIVER OF C are reled from any JOB SITE C NDEfH DYES <br /> CONCRETE INC. WEIGHMASTER CERTIFICATE <br /> responsibility of addition of colors du va do in ent d THISr'IS TO CERTIFY that the following described commodity was <br /> aggregate materials or admixtures, a r d ge which be weighed, measured,or counted by a,weighmaster,whose signature is <br /> incurred in delivering materials across t e rb property 'n .Claims Wailb <br /> Gals.to full load❑YES 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 the ti is material Adof the California Business and Professions.Code,administered by the <br /> was delivered. ADDITIONAL WATER A E O T CONCRETE O Gals.to 2/3 load❑YES Division of Measurement Standards of the California Department of <br /> WILL REDUCE ITS STRENGTH. A E DDED IS AT tgric :�}.I.,,. <br /> CUSTOMER'S OWN RISK. CONCR E I A PERISHABL Customer's DEPUTY <br /> COMMODITY AND BECOMES THE P PERTY OF THE Gals.to 1/3 load❑YES <br /> PURCHASER UPON LEAVING THE P ANY CHANGES OR Request <br /> ,CANCELLATION OF ORIGINAL IN RUCTIONS MUST BE AUTHORIZED BY <br /> TELEPHONED TO OUR OFFICE BEFORE LOADING STA S. <br /> RECEIVED BY: X X •• • <br /> WIN <br /> I., 00 U1 41010 1 SHORT LOAD <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 pparticular soil conditions.Buyer's selection of the quoted mux,unless otherwise acknowledged in writing by Concrete,Inc will be <br /> deemed to be without the advice,consuttatlon,recommendation or suggestion of Concrete,Inc and Buyer assumes all risk related to the selection of the quoted product for <br /> any particular application." <br /> • •: REASON FOR DELAY TIME: <br /> Time of Job Min. ,T <br /> r r ..'._. _� !� ❑ Job Not Ready <br /> Standby Min. ❑ Job Broke Down I <br /> COUNT • •'POUR Rate of X$ <Gi p Ny 'Y~ro Broke Down <br /> El Adding Water ADDITIONAL CHARGE 1 <br /> =$ ❑ Arrived Job Early <br /> TIME ON • JOB ARRIVE PLANT ❑ 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 />