Laserfiche WebLink
KN I Fc RIVERDATE: <br />SUB TOTAL <br />DRIVER <br />21 <br />Lr G <br />AN MOU RESOURCES COMPANY <br />ELK GROVE <br />REQUESTED DELIVERY TIME: <br />13:00 13:00 <br />$1,082.89 <br />Billing OFFICE (209) 933-6980 <br />ORDER NUMBER: <br />55023 <br />1681159 <br />www.kniferiver.com <br />Returned <br />TICKET NUMBER: <br />Mix Age Seq <br />CUSTOMER P.O. / PROJECT NO. <br />Dispatch: (800) 464-6572 / (209) <br />933-6999 CYDS DEL: <br />6.00 <br />Safetv First! <br />P -c)_ Rny ririnni Ctnnktnn (`n <br />or7nF InAnff. <br />, <br />TRUCK ID <br />SUB TOTAL <br />DRIVER <br />PLANT ID <br />LEAVE PLAT ARRIVE JOB <br />START POUR END POUR LEAVE JOB <br />AT PLANT <br />550341718 <br />$1,082.89 <br />JOHN ABLEY <br />106 <br />$1,082.89 <br />Size Mix Code <br />Returned <br />CUSTOMER ACCT ID <br />Mix Age Seq <br />CUSTOMER P.O. / PROJECT NO. <br />6.00 <br />PROJ CT FQAME LOT & BLOCK <br />PREVIOUS TRUCK <br />378044 <br />D <br />/ <br />Material <br />Design Qty Required <br />Batched <br />SOLD TO: <br />VALLEY DRILLING <br />Actual Wat <br />DELIVERY ADDRESS/LOCATION: ADDRESS VERIFIED? Check <br />VALLEY DRILLING; 14098 E TOKAY C <br />LODI <br />DRUM REVOLUTIONS <br />C/S JACK TONE RD, PREPAID C/C <br />BEGINNING I ENDING I TOTAL <br />Qty this Load Qty Ordered Qty Dlvd Product Code Product Description UOM Unit Price EXT Amount <br />6.00 6.00 6.00 504 10.3 SK. SAND SLURRY yd 157.50 945.00 <br />6.00 55EFS EMERGENCY FREIGHT SURCHARGE CY 10.00 60.00 <br />WATER ADDED / ESTIMATED SLUMP STANDBY AND UNLOADING TIME <br />Full Load: GAL SLUMP Excess truck time will be assessed by dispatch at the current <br />2/3 Load: GAL SLUMP rate per minute for orders exceeding five (5) minutes per <br />1/3 Load: GAL SLUMP cubic yard. <br />DESIGN SLUMP REQUESTED SLUMP ACKNOWLEDGEMENT OF RECEIPT, WATER ALW�W, W I LSnIVIJ MIVL! %.VIVLJ1I IVIVJ VIV VVLVu JI I t <br />4.00 7.00 <br />OVERTIME MINUTES <br />SUB TOTAL <br />1,005.00 <br />Num Ticket ID <br />SALES TAX <br />$77.89 <br />ADDITIONAL TIME FEE <br />TICKET TOTAL <br />$1,082.89 <br />35726 <br />GRAND TOTAL <br />$1,082.89 <br />USE OF CONCRETE, AS PLACED: <br />TESTED BY I 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.KNIFERIVER.COM/NCA FOR PROP 65 INFO WWW.P65WARNINGS.CA.GOV <br />Signatu <br />Printed Name: <br />Knife River Weighmaster Certificate <br />THIS IS TO CERTIFY that the following described commodity was weighed, measured or counted by a weighmaster, <br />whose 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 />the Division of Measurement Standards of the California Department of Food and Agriculture. Deputy <br />Truck <br />Driver User <br />Disp Ticket <br />Num Ticket ID <br />Time Date <br />550341718 <br />46539 <br />user <br />1681159 <br />35726 <br />12:23 9/23/21 <br />Load <br />Size Mix Code <br />Returned <br />Qty <br />Mix Age Seq <br />Load ID <br />6.00 <br />CYD.c 504 <br />D <br />37414 <br />Material <br />Design Qty Required <br />Batched <br />% Var% Moisture <br />Actual Wat <br />TYPEII-V <br />968 Ib 5808 Ib <br />5780 lb <br />-0.48% <br />SAND <br />1935 Ib 12223 Ib <br />12280 Ib <br />0.47% 5.28% A <br />74 gl <br />WATER <br />50.0 gl # 214.4 gl <br />215.0 gl <br />0.26% <br />215.0 gl <br />Actual <br />Num Batches: <br />1 <br />Load <br />19852 Ib Design W/C: 0.430 <br />Water/Cement: <br />0.433 T Design <br />300.0 gl Actual <br />288.9 gl To Add: 11.2 gl <br />Slump: <br />7.00 in # Water in Truck: <br />0.0 gl Adjust <br />Water: 0.0 gl /Load Trim Water: -2.0 gl / <br />CYD£ <br />