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LINC3 OFFICE:(209)933-6980 +� !`ni-` <br /> --- THAL DISPATCH:(800)464-6572-(209)933-6999 DE IVAG* G. d <br /> .O.BO &6001,STOCKTOM,^PA 95206 . <br /> I} STOCKTON PLANT STOCKTON PLANJ; LODI PLANT LODI PLANT <br /> ` 400 S.LINCOLN ST. 749 S.STANISLAUS 851 E.LODI AVE. 1360 EAST TURNER RD. <br /> ,�TQ (TQ ;J •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: ('001 It t ILL <br /> 110h'1171-L FOOTHILL SANITARY LW-A) FILL; <br /> THE MART LL: WIfi"fER SYSTEM+, INC 6484 WAVERLEY RD. , <br /> 1818 LOVER I E Rte. STOCKTON C/S FLOOD Of' 26 <br /> PITTSBURG, CA 94565 59 <br /> MIX NQICU.YDS.THIS LOADI YARDS ORDERED I I DRIVE • . <br /> 4.k y{>�' t.t714?� �t `:�)-11 :1 t1POU i N 1 <br /> DATE <br /> NO;OF • . YARDS <br /> Of, 1.:I.,03 '4.00 75V'.4 1.5.f,10 <br /> CONCRETE INC. AND DRIVER OF TRUCK are released from anyJOB SITE CYLINDER: OYES 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,or counted by a weighmaster,whose 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 /> a will not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> for shortage of 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 Ata�rictt�r ` .(..j, <br /> CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer'sDEPUTY <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load DYES <br /> PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR <br /> CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: <br /> TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br /> RECEIVED BY: X X • •• • <br /> S a 00 f.. Seffff i L.�f fk..rfY f 4.. J}"f.l.' <br /> 4 <br /> moo, <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 with <br /> the advice,consu ation,recommendation or suggestion of Concrete,Inc and Buyer assumes all risk related to the selection of the quoted product for �o�d <br /> an articular a plication." <br /> COUNT •= <br /> •- p Time of Job Min. REASON FOR DELAY TIME: <br /> ! ❑ Job Not Ready <br /> Standby Min. <br /> ❑ Job Broke Down <br /> COUNTPOUR STOPPOUR <br /> Rate of X$ Per Min. El Truck Broke Down ADDITIONAL CHARGE 1 <br /> ❑ Adding Water <br /> _$ ❑ Arrived Job Early <br /> • - •- El Placing Method ADDITIONAL CHARGE 2 <br /> TIME p Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) <br /> Additional unloading time charged at$1 per min. • ' <br />