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�� Deliver <br />Calaveras Materials I Y Tag <br />HEII)EIBE,RG34,51 <br />CEMENTcroup' ; West ShauV Avenue Weighmaster Certificate <br />Fresno, California 93 71 1-3204 <br />Telephone 559-277-7060 CUSTOMER COPY 2 " <br />Fax 559-277-7134 <br />t<a =,!Iit�, Toll Free 800-726-5615 <br />Manteca Ready Mix Plant Tracy Ready Mix Plant Thorne Ave. Ready Mix Plantt Thorne Ave. Ready Mix Plant River Ready Mix Plant,, Selma Ready Mix Plant <br />#54 1945 E. Lathrop Road #53'28983 S. Mac Arthur #60 410 N. Thorne Avenue #61 410 N. Thorne Avenue #62 1000;W. Nees Avenue #63 1475 Whitson,,` , <br />Lathrop, CA 95330 Tracy, CA 95376 Fresno; CA 93706 Fresno', CA 93706 Pinedale, CA 93650 Selma, CA 93662 <br />'Load <br />Leave Plant ` <br />Arrive Job Start Pour <br />End Pour <br />Leave Job Arrive Plant <br />tt <br />Signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the <br />r <br />Water Added on Job at Customer . <br />Customer's Request <br />"" Gallons Signature x <br />WEIGHMASTER CERTIFICATE: THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weightmaster, whose <br />Signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the <br />California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br />Plant <br />Ticket'No. <br />Order No. <br />Customer No. <br />Sold To: <br />Date <br />.L5"Tt <br />04 <br />DeliveryAddress <br />Zone <br />Driver. <br />P.O. Number <br />,.... <br />t�., a <br />.. y <br />,, . ,1" <br />Special Instructions <br />Project No. <br />}... <br />f <br />..F ,t <br />Special Instructions <br />Job Number <br />Truck No. Load Size <br />Mix Code <br />Slump <br />% Air <br />% Cali. <br />Project Name: <br />11lyse <br />311"'M <br />Mill <br />.,7 <br />� m <br />t <br />CALAVERAS MATERIALS INC. ASSUMES NO <br />CERTIFICATE 'OFCOMPLIANCE: WE CERTIFY that the <br />RESPONSIBILITY FOR DAMAGE,INCURRED IN <br />portland cement, chemical and mineral admixtures contained in <br />DELIVERING MATERIALS INSIDE THE CURB LINE. <br />the material described below are brands stated and comply with <br />specifications: <br />CALAVERAS MATERIALS INC. <br />CEMENT BRAND: Sub total' <br />TYPE." II MILL LOCATION: <br />4 + . <br />j°., <br />CHEMICAL ADMIX BRAND; TYPE:' Tax <br />.�`t <br />By <br />MANUFACTURER:_ <br />MINERAL ADMIX MANUFACTURER: <br />CLASS: <br />Total <br />I . r p <br />! %� l : s , re ;i `^$ Fta> 1,+. .k .£ <br />d .,.. k. 1 1"r <br />r' �,{ to ::. r. .. figyS .I r� ?.,q =.?f.e .a s ,. w ' ,_¢� , i ,:.> <br />Jt.. <br />, <br />f , <br />!.s ... f. a/''y {y„ <br />s ,; <br />a,� <br />�. <br />y <br />d <br />yg <br />4.;r <br />V41-4 I'r <br />