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TRUCK ID <br />Driver User <br />DATE: <br />22 <br />KN I FE RIVER <br />LEAVE JOB AT PLANT <br />REQUESTED DELIVERY TIME: <br />15:04 <br />15:04 <br />AN MOU RESOURCES COMPANY <br />STOCKTON <br />ORDER NUMBER: <br />Size Mix Code <br />CUSTOMER ACCT ID <br />Billing OFFICE (209) 933-6980 <br />TICKET NUMBER: <br />1080513 <br />www.kniferiver.com <br />Dispatch: (800) 464-6572 / (209) <br />933-6999 CYDSDEL: <br />27.00 <br />Safetv First! <br />P.O. BOX 66001, Stockton, CA <br />95206 LOAD#: <br />3 <br />TRUCK ID <br />Driver User <br />DRIVER I PLANT ID <br />LEAVE PLANT <br />ARRIVE JOB START POUR END POUR <br />LEAVE JOB AT PLANT <br />5503414321 <br />1081513 <br />DANIEL CAZARES STOCK <br />14:22 2/23/22 <br />Dad <br />Size Mix Code <br />CUSTOMER ACCT ID <br />CUSTOMER P.O. / PROJECT NO. <br />Mix Age Seq <br />PROJECT NAME <br />LOT & BLOCK <br />PREVIOUS TRUCK <br />378044 <br />D <br />56 <br />1550341539 <br />Design Qty Required <br />>OLD TO: <br />VALLEY DRILLING <br />% Var% Moisture <br />Actual Wat Tot.Wat <br />DELIVERY ADDRESS/LOCATION: ADDRESS VERIFIED? OCheck <br />VALLEY DRILLING; 3146 NEWTON ROA <br />STOCKTON <br />4UDII ZONAL DELIVERY INSTRUCTIONS: <br />NTRANCE 20FT SOUTH OF BOBCAT CENTRAL, PREPAID C/C <br />DRUM REVOLUTIONS <br />qty this Load Qty Ordered Qty Dlvd Product Code Product Description UOM Unit Price <br />9.00 36.00 27.00 504 10.3 SK. SAND SLURRY yd 157.50 <br />9.00 55EFS EMERGENCY FREIGHT SURCHARGE CY 10.00 <br />i I TOTAL <br />EXT Amount <br />1, 417 . 5( <br />90.00 <br />WATER ADDED / ESTIMATED SLUMP STANDBY AND UNLOADING TIME OVERTIME MINUTES SUB TOTAL 1,507.50 <br />-till Load: GAL SLUMP Excess truck time will be assessed by dispatch at the current SALES TAX $116.83 <br />?/3 Load: GAL SLUMP rate per minute for orders exceeding five (5) minutes per ADDITIONAL TIME FEE TICKET TOTAL $1,624.33 <br />L/3 Load: GAL SLUMP cubic yard. GRAND TOTAL $4,872.99 <br />DESIGN SLUMP REQUESTED SLUMP ACKNOWLEDGEMENT OF RECEIPT, WATER ADDED, & TERMS AND CONDITIONS ON WEB SITE <br />0.00 8.00 <br />Signature: Printed Name: <br />USE OF CONCRETE, AS PLACED: 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.KNIFERIVER.COM/NCA FOR PROP 65 INFO WWW.P65WARNINGS.CA.GOV <br />"ESTED BY AIR/SLUMP/TEMP/CYL'S <br />Signature: Printed Name: <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 />1081513 <br />110127 <br />14:22 2/23/22 <br />Dad <br />Size Mix Code <br />Returned <br />Qty <br />Mix Age Seq <br />Load ID <br />.00 <br />CYDB 504 <br />D <br />56 <br />terial <br />Design Qty Required <br />Batched <br />% Var% Moisture <br />Actual Wat Tot.Wat <br />Trim <br />PEII-V <br />968.0 Ib 8712.0 Ib <br />8930.0 Ib <br />+ 2.50% <br />.ND <br />1936 Ib 18349 Ib <br />18360 Ib <br />0.06% 5.31% A <br />926 Ib 1234 <br />rY <br />609 Ib 2677 Ib <br />2674 Ib <br />-0.13% <br />2674 Ib 2674 -25.00 gl <br />tual <br />Num Batches: <br />1 <br />ad <br />29964 Ib Design W/C: 0.629 <br />Water/Cement: <br />0.614 T Design <br />5480.3 Ib Actual <br />3599.8 Ib To Add: 1880.5 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 />