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WEIGHMASTER CERTIFICATE <br />THIS IS TO CERTIFY that the following described commodity <br />was weighed, measured, or counted by a weighmaster, whose <br />signature is on this certificate, who is a recognized authority CONCRETE PRODUCTS INC. <br />of accuracy, as prescribed by Chapter 7 (commencing with <br />Section 12700) of Division 5 of the California Business and 1900 Roosevelt Avenue, Escalon, CA 95320 <br />Professions Code, administered by the Division of Measurement P & <br />Standards of the California department of Food and Agriculture. 209-838-1448 <br />W I HMA TER SIGNATURE <br />INVOICE/TICKET NO. <br />NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, <br />WAITING TIME: <br />INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE. WE MAKE DELIVERIES INSIDE CURB LINES AND ON <br />LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES <br />$ per hr. unloading charge. <br />RESULTING FROM SUCH DELIVERIES. CUSTOMER SHALL INDEMNIFY, HOLD HARMLESS & DEFEND P & L CONCRETE <br />LEAVE PLANT <br />PRODUCTS, INC. FOR, FROM & AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY. EXPENSE OF REMOVING <br />MIRED TRUCK PAYABLE BY CUSTOMER. WE ARE NOT RESPONSIBLE FOR THE STRENGTH, SLUMP, OR QUALITY OF <br />ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST. WE DO <br />ARRIVE JOB <br />NOT GUARANTEE THE COLOR OF THE CONCRETE. WE HAVE NO CONTROL OVER THE PLACING, FINISHING OR <br />CURING OF CONCRETE AND DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED, INCLUDING CRACKING. <br />CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE <br />LEAVE JOB <br />PLANT. ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE <br />LOADING STARTS. CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE, ON CUSTOMER'S PROPERTY, <br />FOR DRIVERS TO WASH CHUTES AS NECESSARY. ANY CLEANUP COST OF CUSTOMER -PROVIDED WASHOUT SITE <br />ARRIVE PLANT <br />OR REMOVAL OF TRACKED -MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. <br />SEE TERMS AND CONDITIONS ON REVERSE SIDE. READ FRONT AND REVERSE CAREFIULLY <br />CYLINDERS TAKEN <br />WATER ADDED <br />BY: <br />CUSTOMER SIGNATURE ATCUSTOMER'SREQUEST <br />GALLONS [I YES [11 NO <br />CUSTOMER ID <br />P0. NUMBER <br />LOAD NUMBER <br />JOB NUMBER <br />TIME <br />DATE <br />TICKET <br />SOLD TO <br />DELIVER TO <br />DRIVER <br />TERMS <br />QUANTITY <br />QUANTITY <br />PRODUCT <br />PRODUCT <br />UNIT OF <br />UNIT <br />EXTENDED <br />THIS LOAD <br />DELIVERED <br />CODE <br />DESCRIPTION <br />MEASURE <br />PRICE <br />PRICE <br />TRUCK <br />PLANT <br />SLUMP <br />DUE AT JOB <br />USE OF CONCRETE <br />WAITING TIME <br />SUB TOTAL <br />TAX <br />SPECIAL INSTRUCTIONS <br />TOTAL <br />GRAND TOTAL <br />INVOICE/TICKET NO. <br />Trl_tc:k Dr --i t?r-. Ui�E,r U.i _,la I ic.,ket 111 -fin I Icket Ill <br />59 JO 3E; T tril"I I L I P <br />L_o«,A l Si ze Mix Cade Returned Qt V <br />9.00 vd ,ANL>001188 <br />Material Design Qtv Required 9atched % Var <br />SAM1101 2194 lb 20931 Ib 20848 lb -0.43% <br />CEMENT 1117.0 Ib 10053.0 lb 10030.0 lb -0.23% <br />HATER 53.50 gl 348.53 gl 349.00 gl 0.14% <br />Actual Num Batcheb: 2 <br />Load Total: 33782 lb DeBign 0.408 Water/Cement 0.4% A <br />gglum gg in # Wat r in T u It: 0.8 Adjust ter; 0.0 1 <br />i tua�� WlC� atio: 0.488 dual �a1er: 430 gl BaNed Cemen�: <br />4116-8 <br />Nlix Age Seq <br />I'1 <br />% Moisture Actual Wat <br />6.00% M 141 g 1 <br />349.00 g 1 <br />I i me 1)Z-kt e <br />.12x59 <br />r' <br />Design 481.5 1 Actual 490.4 gl To Add: 0.0 <br />10030 <br />lb <br />Trim �lowable ier: ad 0 1b <br />