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MAILING ADDRESS: PLANT i CENTRAL 3823 N.HWY59 MERCED38231N.HWY59 15028RANTLEV 37711 N.HWY59 PLANT VALLEY MERCED,CA 95348 DENAIR PLANT CHOWCHILLA PLANT TURLOCK PLANT CONCRETE (2209)723-8846 09)384-2395(FAX 4200 LESTER RD. 745 S.WMAN PLANT STREET 800 PAULSON RD. NE ( ) 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 SUB TOTAL BY TIME ON JOB gal DISCOUNT TAX LEAVE PLANT ARRIVE JOB SITE START DISCHARGE FINISH DISCHARGE ARRIVE PLANT • • • • • TOTAL • • • • • PREVIOUS TOTAL CENTRAL VALLEY CONCRETE, INC SLUMP TEST TEST CYLINDER ( )MIN STANDING TIME IN EXCESS OF( )MIN= MIN WEIGHMASTER ❑YES ❑NO DYES ONO MIN LOAD CHG GRANDTOTAL BY DEPUTY ❑YES ❑NO 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. authorityof accuracy,as prescribed b Chapter 7(commencing with Section 12700 Of NOTICE: UNLOADING TIME ALLOWED-5 MINUTES PER YARD. y. P Y P ( 9 ) 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 ValleyCUST®MR 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. sonable costs of collection and attorney's fees.