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CENTRAL MAILING ADDRESS: MAINPLANT SOUTH PLANT NORTH PLANT PL VALLEY AN 3823 N.HWY 59 MERCER 3823 N.HWY 591512 BRANTLEY 3371 N.HWY 59 MERCED,CA 95348 DENAIR PLANT CHOWCHILLA PLANT TURLOCK PLANT CONCRETE (2209)723-8846 09)384-2395(FAX) 4200 LESTER RD. 745 S 5TH STREET 800 PAULSON RD. NEWMAN PLANT ( 3407 W.STUHR ROAD PLANT TIME DATE ACCOUNT TRUCK DRIVER TICKET CUSTOMER NAME DELIVERY ADDRESS PURCHASE ORDER SALES ORDER TAX CREDIT SLUMP LOAD QTY. PRODUCT DESCRIPTION ORDERED DELIVERED UNIT PRICE AMOUNT ORDERED SCHEDULED WATER ADDED SUBTOTAL BY TIME ON JOB gal DISCOUNT TAX LEAVE PLANT ARRIVE JOB SITE START DISCHARGEFINISH DISCHARGE ARRIVE PLANT TOTAL PREVIOUS TOTAL CENTRAL VALLEY CONCRETE, INC I SLUMP TEST TEST CYLINDER ( )MIN STANDING TIME IN EXCESS OF( )MIN= MIN WEIGHMASTER EI ❑NO ❑YES ❑NO MIN LOAD CHG BY DEPUTY ❑YES ❑NO GRANDTOTAL WEIGHMASTER CERTIFICATE CAUTION: THIS IS TO CERTIFY that the following described commodity was weighed,measured, Avoid direct contact where possible and wash exposed skin areas promptly or counted by a weighmaster,whose signature is on this certificate,who is a recognized with water. NOTICE: UNLOADING TIME ALLOWED-5 MINUTES PER YARD. authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of We do not guarantee finished results obtained from this load of concrete Division 5 of the California Business and Professions Code, administered by the Divi- as many important factors affecting the ultimate quality of the completed sion of Measurement Standards of the California Department of Food and Agriculture. job are out of our control. • Not responsible for peeling or scaling on any exposed concrete. • If requested to leave road,we assume no responsibility for damage SIGN HERE X incurred by our truck. BY • This company will only recognize tests done in accordance with ASTM THE MIXES QUOTED ARE NOT WARRANTED to be acceptable for any particular use,purpose or application, standards. nor are they warranted to be acceptable for use in any particular environment or in conjunction with any particular TERM : Credit is extended with the understanding that all accounts will be paid by the soil conditions.Buyer's selection of the quoted mix,unless otherwise acknowledged in writing by Central Valley 10th of the month following delivery.A finance charge of 11/2%per month or Concrete,will be deemed to be without the advice,consultation,recommendation or suggestion of Central Valley 18%per annum,will be charged on outstanding balances.Buyer will pay rea- Concrete and Buyer assumes all risk related to the selection of the quoted product for any particular application. CUSTOMER sonable costs of collection and attorney's fees.