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v o W <br /> o 3 6D 9- <br /> cn <br /> w <br /> Qh CD (�D <br /> KNIFE RIVER N1 -IN h <br /> \AN NOU RESOURCES COMPANY O CD <br /> ST�f_ RE DATE: 04/30/21 h IV <br /> Bill inn OFEICF. Ie091 KTON QUESTED DELIVERY TIME: 12:21 <br /> WWw.knlfBriV2LCOm Dlo .33-6980 ORDER NUMBER: 12:sso23 <br /> T� '.Il: 1-�,' ) 964-6572 / (209) 933-6539 TICKET NUMBER: 1067527 (D <br /> Safety First! P,U. BOX ,6001, Stockton, CVDSDEL: 27.00 v <br /> CA 95206 r <br /> TRUCK ID DRIVER PLANT 10 LEAVE PLANT ARRIVE JOB START POUR END POUR LD LEAVE JOB AT PLANT v <br /> rTl 55039,05x, 2hNIEL SOMMER.S STOCK < <br /> = CUSTOMER ACCT ID CUSTOMER P.O,/PROJECT NO. PR bA CT NAM <br /> 3,�-;04 /E.KETTLE 20550 EKETTLEMAN LOT&BLOCK PREVIOUS TRUCK <br /> O <br /> 550391812 O <br /> SOLD TO: DELIVERY ADDRESS,LOCATION: ADDRESS VERIFIED? ChecY. E Q <br /> PURVIANCE DRILLERS INC 20550 E KETTLEMAN <br /> PO BOX 64 r r <br /> UNDEN <br /> LODI c <br /> ADDITIONAL DELIVERY INSTRUCTIONS: .� <br /> ACROSS FROM BOETHING NURSEY Uh►REVQlU1{pL`. <br /> (D <br /> 0 <br /> (D <br /> QtY is Load Qty OrderedQtyDlvd` Product Cade Product Descri tion BEGINNING ENDING TOTAL <br /> 9.0 2 7.00 2 7.C 0 P UOM Unit Prl[e IXTAriioL'nf -3 O <br /> 504 10.3 %. SAPID SLURRY vd <br /> (D <br /> v <br /> UJ <br /> W <br /> v <br /> CT1 <br /> ADDED/CTT fMATFD SLUMP STANDBY—1 UNLOADING TIME 71 <br /> OVERTIME MINUTES SUBTOTAL <br /> Excess truck time will be assessed by dispatch at the current <br /> d: --AL - 'o-1?;rate SALES TAX rrt <br /> Per minute for orders exceeding five(5)minutes per ADDITIONAL TIME FEE TICKET TOTAL <br /> d: GAl SLUtt1l :ubic yard. <br /> N SLUMP REQUESTED SLUMP GRAND TOTAL (D <br /> ACKNOWLEDGEMENT OF RECEIPT,WATER ADDED,&TERMS AND CONDITIONS ON WE SITE O <br /> 0 6.00 <br /> F CONCRETE,q5 PLACED: Signature: U) <br /> C <br /> RELEASE:Contractor or Owners agree to indemni <br /> Printed Name: <br /> result any damagfy and save ha ml ss KM Mile River Corporation from liability Imposed <br /> INFORMas a <br /> M e caused to the Property of others as a result of such delivery.FOR ADDITIONAL RELEASE <br /> AIR/SLUMP/TEMP/CPL <br /> INFORMATION:SEE WWW,KNIFERIVER.COM/NCA FOR PROP6S INFO WWWNINGS.CA <br /> ,P6SWAR .GOV 1 (D <br /> 'S <br /> CQ <br /> Si nature: <br /> .1ver Printetl Name- <br /> TG CEFTIFY Char the fellsw:c; ommcdi ty was weighed, measured oz oenghmbstea, COIIt]EL,,arte (D <br /> gnature is on the certificate, >. __ recognized authority of measured <br /> y weiahmastez, <br /> ting with section 127401 '.if - accuracy, as prescribed by Chapter 7 <br /> -:vis-cm 5 of the California Business and Professional Code, administered by <br /> vision of Measurement stanjards of the California Department of Food and Agriculture. <br /> Deputy <br /> Truck Driver User Disp Ticket Num Ticket ID Time Date <br /> 550392056 547548 user 1067527 <br /> 96681 12:55 9/30/21 <br /> Load Size Mix Code Returned <br /> 9.00 CYDE 509 QtY Mix Age 5eq Load ID <br /> ""'E!IV Design Dry Required Batched Wo D 9 5 ((D <br /> 95801b Var°<Moislure Actual Wal Tot Wal T36 lbrim (") <br /> •'.x10 8772.0 Ib 8580.01b -152°�; <br /> 190A Ib 18324 lb 18320 lb -0 02% 5.17%A 900 1b O <br /> a7i 4580 1b 45521b _039 1208 <br /> 4562 Ib 4592 91 <br /> 0 <br /> �- <br /> 4a�,a, . <br /> Num Batches <br /> CQ CD <br /> (D CD <br /> N � <br /> O <br /> t, W <br /> W 0) <br />