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TRUCK ID <br />IDRIVER <br />DATE: <br />02/23/22 <br />"KN I FE RIVER <br />STOCKTON <br />REQUESTED DELIVERY TIME: <br />12:00 <br />AN MDU RESOURCES COMPANY <br />11:46 2/23/22 <br />ORDER NUMBER: <br />55008 <br />PROJECT NAME <br />Billing OFFICE (209) 933-6980 <br />TICKET NUMBER: <br />1081504 <br />www.kniferiver.com <br />Dispatch: (800) 464-6572 / (209) <br />933-6999 CYDSDEL: <br />9.00 <br />Safety First! <br />P.O. BOX 66001, Stockton, CA <br />95206 LOAD#: <br />1 <br />TRUCK ID <br />IDRIVER <br />I PLANT ID <br />I LEAVE PLANT ARRIVE JOB <br />START POUR END POUR LEAVE JOB AT PLANT <br />550341432 <br />641618 user <br />DANIEL CAZARES STOCK <br />13. cc-] <br />11:46 2/23/22 <br />CUSTOMER ACCT ID <br />CUSTOMER P.O. / PROJECT NO. <br />PROJECT NAME <br />LOT & BLOCK PREVIOUS TRUCK <br />378044 <br />/ <br />.00 <br />CYDS 504 <br />TOLD TO: <br />VALLEY DRILLING <br />D <br />DELIVERY ADDRESS/LOCATION: ADDRESS VERIFIED? Check <br />VALLEY DRILLING; 3146 NEWTON ROA <br />STOCKTON <br />4UDII IUNAL DELIVERY INSTRUCTIONS: <br />ENTRANCE 20FT SOUTH OF BOBCAT CENTRAL, PREPAID C/C <br />qty this Load Qty Ordered Qty DIvd Product Code Product Description UOM <br />9.00 9.00 9.00 504 10.3 SK. SAND SLURRY yd <br />9.00 55EFS EMERGENCY FREIGHT SURCHARGE CY <br />DRUM REVOLUTIONS <br />ENDING I TOTAL <br />Unit Price EXT Amount <br />157.50 1,417.5( <br />10.00 90.00 <br />WATER ADDED / ESTIMATED SLUMP STANDBY AND UNLOADING TIME OVERTIME MINUTES SUB TOTAL 1,507.50 <br />=ull Load: GAL SLUMP Excess truck time will be assessed by dispatch at the current SALES TAX $116.83 <br />2/3 Load: GAL SLUMP rate per minute for orders exceeding five (5) minutes per ADDITIONAL TIME FEE TICKET TOTAL $1,624.33 <br />1/3 Load: GAL SLUMP cubic yard. <br />GRAND TOTAL $1,624.33 <br />DESIGN SLUMP REQUESTED SLUMP ACKNOWLEDGEMENT OF RECEIPT, WATER ADDED, & TERMS AND CONDITIONS ON WEB SITE <br />0.00 8.00 <br />USE OF CONCRETE, AS PLACED: <br />"ESTED BY AIR/SLUMP/TEMP/CYL'S <br />Signature: Printed Name: <br />RELEASE: Contractor or Owners agree to indemnify and save harmless Knife River Corporation from liability imposed as a <br />result of any damage caused to the property of others as a result of such delivery. FOR ADDITIONAL RELEASE <br />INFORMATION: SEE WWW, KN IFERIVE R.COM/NCA FOR PROP 65 INFO WWW.P65WARNINGS.CA.('nv <br />Signature: <br />Printed Nam <br />Cnife River Weighmaster Certificate <br />'HIS IS TO CERTIFY that the following described commodity was weighed, measured or counted by a weighmaster, <br />chose signature is on the certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 <br />;commencing with section 12700) of Division 5 of the California Business and Professional Code, administered by <br />:he Division of Measurement Standards of the California Department of Food and Agriculture. <br />Deputy <br />ruck <br />Driver User <br />Disp Ticket <br />Num Ticket ID <br />Time Date <br />50341432 <br />641618 user <br />1081504 <br />110118 <br />11:46 2/23/22 <br />Dad <br />Size Mix Code <br />Returned <br />Qty <br />Mix Age Seq <br />Load ID <br />.00 <br />CYDS 504 <br />D <br />47 <br />terial <br />Design City Required <br />Batched <br />% Var% Moisture <br />Actual Wat Tot.Wat <br />Trim <br />PEII-V <br />968.0 Ib 8712.0 Ib <br />8700.0 Ib <br />-0.14% <br />NO <br />1936 Ib 18321 Ib <br />18360 Ib <br />0.21% 5.15% A <br />899 Ib 1208 <br />fY <br />609 Ib 2705 Ib <br />2702 Ib <br />-0.12% <br />2702 Ib 2702 -25.00 <br />gl <br />ival <br />Num Batches: <br />1 <br />3d <br />29762 Ib Design W/C: 0.629 <br />Water/Cement: <br />0.630 T Design <br />5480.3 Ib Actual <br />3601.2 Ib To Add: 1879.1 Ib <br />imp: <br />8.00 in # Water in Truck: <br />0.0 gl Adjust Water: 0.0 gl /Load Trim Water: -25.0 gl / <br />CYDS <br />