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BILLING OFFICE: (209) 933-698 <br /> KNIFE RIVER CEN RAL DISPATCH: (800) 46406572 • (209) 933-6999 DELIVERY <br /> 6 Q <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 <br /> 161 <br /> STOCKTON PLANT LODI PLANT MANTECA PLANT TRACY PLANT ELK GROVE PLANT AMADOR TRANSIT MIX <br /> 400 S.LINCOLN ST. 851 E.LODI AVE. 450 EAST WETMORE 1728 WEST LINNE ROAD 10260 WATERMAN ROAD 12480 RIDGE ROAD <br /> STOCKTON,CA 95203 LODI,CA 95240 MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE,CA 95624 SUTTER CREEK,CA 95685 <br /> SOLD TO: SHIP TO: <br /> TIME MIX NO. U.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK PLANT PLANT# <br /> DATE NO.OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: []YES KNIFE RIVER WEIGHMASTER CERTIFICATE <br /> responsibility of addition of colors due to variations in cement and THIS IS TO CERTIFY that the following described commodity was <br /> aggregate materials or admixtures, and for damage which may be weighed, measured, or counted by a weighmaster,whose signature is <br /> incurred in delivering materials across the curb or property line.Claims Water Gals.to full load EYES on the certificate, who is a recognized authority of accuracy, as <br /> for shortage will not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> of the California Business and Professions Code, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On JobGals.to 2/3 load❑YES Division of Measurement Standards of the California Department of <br /> WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and Agriculture. <br /> CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer'sDEPUTY <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load DYES <br /> PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR <br /> CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: <br /> TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br /> RECEIVED BY: X /� • - <br /> 'The mixes quoted are not warranted to be acceptable for any particular use,purpose or application,nor are they warranted to be acceptable for use in any particular <br /> environment or in conjuncture with any particular soil conditions.Buyer's selection of the quoted mix,unless otherwise acknowledged in writing by Knife River will be <br /> deemed to be without the advice,consultation,recommendation or suggestion of Knife River and Buyer assumes all risk related to the selection of the quoted product for <br /> any particular application:' <br /> • LEAV PLANT ARRIVE JOB Time of Job Min. REASON FOR DELAY TIME: <br /> ❑ Job Not Ready <br /> Standby Min. ❑ Job Broke Down <br /> COUNTPOUR STOP •• El Truck Broke Down <br /> Rate of X$ Per Min. <br /> ❑ Adding Water <br /> =$ ❑ Arrived Job Early <br /> TIME ON •B LEAVE JOB ARRIVE PLANT ❑ Slow Placing Method <br /> Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) <br /> Additional unloading time charged at a minimum • , <br /> $1.50 per min. <br /> 67J161 <br /> s}r';,f�1 .k.:}_�,r..t(!t!, ci'•F ( ttr' 1V f'1 k� i� �,lr'�' f,� '+1+-.�t��If3 t �t 04 .I0 + 1 .' <br /> Lt Ea r1 ;;i. , e hli >: I..tiiia kAR + td 1;l1;y 1�5:"t x 4?rae e�r1 L.i1 tci :11) <br /> Material Design Rty Requit-0 \j' tched Var % ftistul Actual Nat Tr=io <br /> TY El I-V W...A 1h sm.0 1b 5830.0 1 b k 3&1% <br /> CAMI 1936 1 b 12269 lb I10-M 1 b 0.0% 5.62N A 653 1 b <br /> CITY 689 Ib 1649 lb 1636 lb -A.77% 166 lb -27 yl <br /> 'Actual Ntre Batches: I Auto 14:04:a4 Manual 14:04:44 <br /> i.oad Total: 19746 Ib Dtsip 0r��, WateriCeaent 0:6.°7 T Design 3653. Ib n Actua12289,4 lb To Add:1354.8 16 <br /> SpiAi �.AQ in A 1 ,t�r? Frulfl:1` .0 gl Adjust Water, 0.0 01 ! 1_nad Tri■ Water:�-c7.0 gl/ CYD <br /> SITE COPY <br /> •r <br />