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KN I FE DATE : 10900 1 <br /> REQUESTED DELIVERY TIME : 144 : 00 <br /> AN MDU RESOURCES COMPANY STOCKTON ORDER NUMBER : 55031 <br /> Billing OFFICE ( 209 ) 933 - 6980 TICKET NUMBER : 1076188 <br /> vvww . kniferiver . com Dispatch * ( 800 ) 464 - 6572 / ( 209 ) 933 - 6999 <br /> p CYDS DEL : 1 . 50 <br /> Safety First ! P . O . BOX 66001 , Stockton , CA 95206 LOAD # v 1 <br /> TRUCK ID DRIVER PLSNT LEAVE PLANT ARRIVE JOB START POUR END POUR LEAVE JOB AT PLANT <br /> 550341822 ARTURO SANDOVAL ST <br /> CUSTOMER ACCT ID CUSTOMER P . O . / PROJECT N0 , PROJECT NAME LOT & BLOCK PREVIOUS TRUCK <br /> 427484 / 8MILERD EIGHT MILE RD 550341430 <br /> TOLD TO : DELIVERY ADDRESS/ LOCATION : ADDRESS VERIFIED ? Check <br /> FOX LOOMIS , INC . WEST EIGHT MILE RD ,1 / 4 MILE WES <br /> 5901 MC COMBER STREET <br /> SACRAMENTO STOCKTON <br /> 4DDITIONAL DELIVERY INSTRUCTIONS : DRUM REVOLUTIONS <br /> BEGINNING ENDING TOTAL <br /> aty this Load Qty Ordered Qty Divd Product Code Product Description UOM Unit Price EXT Amount <br /> 1 . 50 1 . 50 1 . 50 65 22 . 75 SK NEAT CEMENT yd <br /> 1 . 50 55EFS EMERGENCY FREIGHT SURCHARGE CY <br /> WATER ADDED / ESTIMATED SLUMP STANDBY AND UNLOADING TIME OVERTIME MINUTES SUB TOTAL <br /> = u11 Load : GAL SLUMP Excess truck time will be assessed by dispatch at the current SALES TAX <br /> ? / 3 Load : GAL SLUMP rate per minute for orders exceeding five ( 5 ) minutes per ADDITIONAL TIME FEE TICKET TOTAL <br /> 1 / 3 Load : GAL SLUMP cubic yard . GRAND TOTAL <br /> DESIGN SLUMP REQUESTED SLUMP ACKNOWLEDGEMENT OF RECEIPT, WATER ADDED, & TERMS AND CONDITIONS ON WEB SITE <br /> 0 . 00 10 . 00 <br /> Signature : Printed Name : <br /> USE OF CONCRETE , AS PLACED ; RELEASE : Contractor or Owners agree to indemnify and save harmless Knife River Corporation from liability imposed as a <br /> result of any damage caused to the property of others as a result of such delivery . FOR ADDITIONAL RELEASE <br /> INFORMATION : SEE WWW . KNIFERIVER . COM / NCA FOR PROP 65 INFO WWW . P65WARNINGS . CA . GOV <br /> " ESTED BY AIR/SLUMP /TEMP/CYL ' S <br /> Signature : Printed Name : <br /> Cnife River Weighmaster Certificate <br /> ' HIS IS TO CERTIFY that the following described commodity was weighed , measured or counted by a weighmaster , <br /> chose signature is on the certificate , who is a recognized authority of accuracy , as prescribed by Chapter 7 <br /> , commencing with section 12700 ) of Division 5 of the California Business and Professional Code , administered by <br /> : he Division of Measurement Standards of the California Department of Food and Agriculture . <br /> Deputy <br />