CO0053063 - Laserfiche WebLink

Home Browse Search

IF WE1GHMASTER CERTFICATE —1 THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose 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 California Business and Professions Code, administered by the Division 1 of Measurement Standards of the Cali!omla Deparment of Food and Agriculture j CONTROL NUMBER TICKET NUMBER WA'RNING IRRITATING'TO THE SKIN AND EYES Contains Portland Cement. Wear Rubber Boots and Gloves. PROLONGED CONTACT MAY CAUSE BURNS. Avoid Centact With Eyes and Prolonged Contact With Skin. In Case ot Contact With Skin or Eyes, Flush Thoroughly With Water. If Irritation Persists, Gel Medical Attention. NOTICE: Cement, fine and coarse aggregate contains chemicals known to the State of California to cause cancer or birth defects The Company shall have no liability for and hereby excludes warranties or merchantability and or other reproductive harm. NOTE: fitness for any purpose. and all other warranties express or implied, with respect to reactive KEEP OUT OF REACH OF CHILDREN, aggregate, and popping (Pop-Outs), checking, discoloring of surface cracking of concrete. LOADING LEAVE PLANT ARRIVE JOB START UNL FINISH UNL LEAVE JOB ARRIVE PLANT OVERTIME WATER ADDED DRIVER: I have verified the specific slump for this job to be: DRIVER NOTES 0 JOBSITE DELAY 0 100%0F LOAD gal I verify that this load will meet the slump spec on the job X (Please initial) IMPORTANT CUSTOMER: READ BEFORE SIGNING, WILL AFFECT YOUR RIGHTS. SIGNATURE BELOW CONSTITUTES ACCEPTANCE OF ALL TERMS, CONDITIONS & WAIVERS PRINTED ON FRONT & BACK OF THIS FORM. 0 PLACEMENT 0 75% OF LOAD gal 0 EARLY ARRIVAL 0 50% OF LOAD gal 0 EQUIPMENT FAILURE 0 25% OF LOAD . _gal 0 ADM_ WATER ADDED 0 WAS WATER ADDED BY CUST/INSP/PUMPER AFTER BEING ON JOB FOR 30 MIN OR MORE LOAD TIME: ALL INVOICES SHALL BE PAID IN FULL ON OR BEFORE THE LAST DAY OF THE MONTH FOLLOWING THE DATE OF DELIVERY. CUSTOMER AGREES TO PAY A SERVICE CHARGE 1 1/2% PER MONTH ON ALL INVOICES WHICH ARE PAST DUE. IN ADDITION. CUSTOMER AGREES TO PAY ALL COSTS AND EXPENSES FOR COLLECTION OF ANY AMOUNTS DUE HEREUNDER. INCLUDING ACTUAL ATTORNEY'S FEES INCURRED. ' , PHONE a • SOLD TO P.O. # CUSTOMER # 0 C.O.D. 0 CASH CHECK DATE DELIVERY ADDRESS MAP PAGE ZONE TIME DUE CROSS STREETS 111. PROJECT# ORDER # MIX LOAD SIZE LOAD If USE PLANT TRUCK # DRIVER J WEIGHMASTER LOAD QUANTITY 61 CUMULATIVE QTY ORDERED QTY. PRODUCT CODE PRODUCT DESCRIPTION UNIT PRICE AMOUNT Rev / Start Rev / Stop EXCESSIVE TIME ON JOB WILL RESULT IN ADDITIONAL PER MINUTE CHARGES. MIN. LOAD CHG. TAX SUB TOTAL OVERTIME Om Q Full load returned 1J Partial load returned TOTAL DUE WATER ADDED AT PLANT % MOISTURE F.M. TA. SLUMP Returned checks may subject maker, in addition to the amount owing, treble the amount owing, up to a maximum of $1500.00 (Civil Code Sect. 1719). A returned check charge of $35.00 will be charged plus an additional $100.00 for any mechanics lien. .. RECEIVED BY The terms and conditors on the reverse side of the Delivery ticket and any anachments thereto are a part of the agreement between Company and Customer. Acceptance of this order constitutes agreement to an terms and °ordinals shown on the face and back. v READ FRONT AND REVERSE SIDES CAREFULLY. MINUTES OF UNLOADING TIME PER YARDS OF CONCRETE FREE OF CHARGE ADDITIONAL UNLOADING TRAE CHARGED AT CURRENT HOURLY TRUCK RATE The above signee is Over the age of eighteen (18) years and has authority to execute this Agreement on behalf of Customer. 0 - ) i 171