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7/11 MATERIALS, INC. WEIGHMASTER CERTIFICATE <br />v THIS IS TO CERTIFY that the following described commodity was weighed, measured, <br />WEIGHMASTER or counted by a weighmaster, whose signature is on this certificate, who is a recognized <br />P.O. BOX 4770 authority of accuracy, as prescribed by Chapter 7 (commencing with Section 1270) of <br />Division 5 of the California Business and Professions Code, administered by the Division <br />MODESTO, CA 95352 MATERIAL of Measurement Standards of the California Department of Food and Agriculture. <br />(209)943-4730 <br />CONTROL NO. <br />SOLD TO: SHIP TO: <br />TIME <br />MIX N0, <br />LOAD SIZE <br />CU YD/METERS ORDT <br />SLUMP <br />PLANT/TRANSACTION <br />TRUCK # <br />DRIVER <br />DATE <br />SCHEDULED ARRIVAL TIME <br />NO OF LOADS <br />ACCUM CU YD/METERS <br />ZONE <br />P.O. JOB # <br />TRUCK AHEAD <br />TICKET NUMBER <br />QUANTITY CODE DESCRIPTION PRICE CU YD METER EXTENDED PRICE <br />SUBTOTAL <br />SALES TAX <br />TOTAL <br />PREVIOUS <br />STANDBY <br />I <br />WEIGHED AT: DEPUTY t ' <br />REVCOUNT <br />DBT <br />ARIV PLNT <br />LEFT JOB <br />FIN POUR <br />JOB NOT READY EITRUCK BROKE DOWN <br />Time Allowed <br />JOB SITE CYLINDER TEST ❑ YES []NO <br />© <br />5 <br />4 <br />❑ SLOW POUR OR PUMP ACCIDENT <br />Water <br />Added Gals to full load ❑ YES <br />1:1TRUCK AHEAD ON JOB CITATION <br />Time Due <br />LEFT PLNT <br />LEFT PLNT <br />ARIV JOB <br />ST. POUR <br />❑ CONTRACTOR UNAVAIL [j OTHER <br />On Jab <br />At Gals to 2_/3 load F] YES <br />O <br />p <br />g <br />ADDED WATER <br />Customer's ` <br />DELAY EXPLANATION <br />Request Gals to 113 load [:]YES <br />AUTHORIZED BY. - <br />FIN POUR <br />TTL RD TRIP <br />TTL @ JOB <br />POUR TIMEJOB <br />Delay Time <br />Five (5) minutes per yd/meter free unloading time allowed. <br />Additional unloading time charged abeurrent hourly rate. <br />NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TAG INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE WEMAKE <br />DELIVERIES INSIDE CURB LINES AND ON LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES RESULTING FROM SUCH DE- <br />LIVERIES. CUSTOMER SHALL INDEMNIFY, HOLD HARMLESS & DEFEND 7/11 FOR, FROM & AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY. EXPENSE of <br />REMOVING MIRED TRUCK PAYABLE BY CUSTOMER. WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP, OR QUALITY OF ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS <br />BEEN ADDED AT THE BUYER'S REQUEST. WE DO NOT GUARANTEE THE COLOR OF THE CONCRETE. WE HAVE NO CONTROL OVER THE PLACING, FINISHING OR CURING OF CONCRETE AND <br />DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED, INCLUDING CRACKING. CONCRETE IS A PERISHABLE COMMODITYAND BECOMES THE PROPERTY OF THE PURCHASER UPON <br />LEAVING THE PLANT. ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS. CUSTOMER IS RESPONSIBLE FOR PRO- <br />VIDING A SUITABLE PLACE, ON CUSTOMER'S PROPERTY, FOR DRIVERS TO WASH CHUTES AS NECESSARY. ANY CLEANUP COST OF CUSTOMER -PROVIDED WASHOUT SITE OR REMOVAL OF <br />TRACKED -MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. <br />RECEIVED BY: <br />