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WEIGHMASTER CERTIFICATE <br />THIS IS TO CERTIFY that the following described commodity <br />was weighed, measured, iccounted byaecgnized r, whose CONCRETE PRODUCTS, INC. <br />signature Is on this certificate, who is a recognized authority <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 MeasureryntP <br />Standards of the California department of Food and Agriculture. 209-838-1448 <br />EI HMA TER SIGNATURE INVOICE/TICKET NO. <br />NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET,rWAITING TIME: <br />INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE. WE MAKE DELIVERIES INSIDE CURB LINES AND ON I <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 />L)isp Ticket <br />MIRED TRUCK PAYABLE BY CUSTOMER. WE ARE NOT RESPONSIBLE FOR THE STRENGTH, SLUMP, OR QUALITY OF <br />lc'ke L) <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 />1�':19 V <br />LOADING STARTS. CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE, ON CUSTOMER'S PROPERTY, <br />Co(ie <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 />Mix <br />SEE TERMS AND CONDITIONS ON REVER§"1DE READ FRONT AND REVERSE CAREFIULLY <br />Load 11) <br />CYLINDERS TAKEN <br />GALLONS DYES ❑NO <br />t <br />i WATER ADDED <br />BY. fr-'�� CUSTOMER SIGNATURE ATCUSTOMER'SREQUEST <br />CUERSTOMID PO. NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET <br />SOLD TO DELIVER TO I DRIVER <br />TERMS <br />QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED <br />THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE <br />TRUCK I PLANT <br />. I_ I <br />INSTRUCTIONS <br />SLUMP I DUE AT JOB I USE OF CONCRETE <br />S. 1101 <br />WAITING TIME <br />SUB TOTAL <br />%,X <br />TOTAL <br />GRAND TOTAL <br />INVOICE/TICKET NO. <br />!r-t.tc:!. <br />Driver~ <br />1Jaer- <br />L)isp Ticket <br />N1.;.... <br />lc'ke L) <br />Tiro- 1' <br />-'t E.C11E1_CHC?R <br />F,HILIF� <br />42541! <br />1�':19 V <br />L_(J,�id Sizfi, Mix <br />Co(ie <br />Rel:Ltr~ned <br />Gtt <br />Mix <br />Age 4 ec1 <br />Load 11) <br />;.00 <br />yd SAND001188 <br />D <br />45115 <br />Material <br />Desiggn Qt <br />Reg�ired <br />Batcbed <br />% Var <br />% Moisture <br />Actual Wat <br />SAND 1101 <br />2I94 lb <br />6977 <br />lb <br />6930 1b <br />-8.67% <br />6.00% N <br />47 gl <br />CEMENT <br />1117.8 lb <br />3351.0 <br />lb <br />3388.0 lb <br />0.87% <br />WATER <br />53.50 gl <br />116,18 <br />gl <br />116.00 01 <br />-8,15% <br />116.08 gl <br />Actual <br />Nur Batches: 1 <br />Load Total: <br />urp• <br />11278 lb <br />in <br />Design <br />Watggr in Truck: <br />0.400 Water/Cement <br />0.8 Adjust <br />8.403 A <br />Water: 8.0 <br />De i n 160.5 1 Actual 163.0 gl To Add: 0.0 gl <br />! Trir ter: -2.0 yd <br />tua� W!. <br />�r 0. 4L <br />6al 3 <br />1 <br />tql <br />Batched Cemen lb <br />pl/ <br />A Towable Wa <br />0 lb <br />atio: <br />Hctual Nater: <br />gl <br />: <br />er: <br />