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WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity �7 was weighed,measured,is counted by a ec g nixed r,whose CONCRETE PRODUCTS, INC. . signaturr 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 California Business and 1900 Roosevelt Avenue, ESCaIOn, CA 95320 Professions Code,administered by the Division of MeasurementP rf Standards of the California department of Food and Agriculture. 209-838-1 448 INVOICE/TICKET NO. NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, WAITING TIME: INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE.WE MAKE DELIVERIES INSIDE CURB LINES AND ON LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES $ per hr.unloading charge. RESULTING FROM SUCH DELIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND P&L CONCRETE LEAVE PLANT PRODUCTS,INC.FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF REMOVING / /(` S" MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OF / / ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST.WE DO ARRIVE JOB NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING, FINISHING OR CURING OF CONCRETE AND DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED,INCLUDING CRACKING. CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE LEAVE JOB PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE,ON CUSTOMER'S PROPERTY, Ir - FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE ARRIVE PLANT OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. SEE TERMS AND CONDITIONS ON,REVERSE SIDE.READ FRONT AND REVERSE CAREFIULLY �/ WATER ADDED i CYLINDERSTAKeN BY: CUSTOMER SIGNATURE ATCUSTOMER'SREOUEST GALLONS El YES E2 NO CUSTOMER ID —7.0,-74 .O. UMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET SOLD TO DELIVER TO DRIVER TERMS QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE TRUCK PLANT SLUMP 7DUE AT JOB USE OF CONCRETE r WAITING TIME SUB TOTAL SPECIAL INSTRUCTIONS TAX TOTAL GRAND TOTAL INVOICE/TICKET NO. f'r I_Ic,k Dr'iVwr.. U. _:L,r 1)1 -4) N.tm ' ficl:r't: TD Tim 0att:, aL, lrlEl._I'FIOF? F+4, L- +"i '>F4I 10.4':) 1.2.'1'_i,'L=. : L.(:1._t(J S'i Z c- lrl i.:; C,.)U e P F I;I.(r 1-1 F.:?CJ f.;?I-, y Mi ()ye s W c=1 L-0-AC] ID . I Il�fi d _3)CMD001O_:s 1Ci I;"8.':slh Material Deign Qty Required Batched % Var % Moisture Actual Wat SAND 1101 2850 lb 12084 lb 11970 lb --0.94% 6.00% M 81 gl CEMENT %8.0 lb 3872.0 lb 3875.0 lb 0.08% WATER 40.00 gl 82.04 gl 82.00 gl -0.04% 82.40 gl Actual Nur Batches: 1 Load Total: 16529 lb Design 0.345 Water/Ceoent 0.351 A Design 160.0 gl Actual 163.2 gl To Add: 0.0 gl Slurp: 6.00 in # Water in Truck: 0.0 gg1 Adjust Water: 0.0 yy1 / Load Trio Water: 0.0 gU vd Actual W,T Ratio: 0.3351 Actual Water: 163 gl ` Batched Cerenf: 3875 lb Allowable Wafer: 0 lb r i