Laserfiche WebLink
-- KN I FE RIVE DATE: 09/23 <br /> 13: <br /> REQUESTED DELIVERY TIME: 13:00 <br /> AN MDU RESOURCES COMPANY ELK GROVE ORDER NUMBER: 55036 <br /> Billing OFFICE (209) 933-6980 TICKET NUMBER: 1696573 <br /> vvww.kniferiver.com Dispatch: (800) 464-6572 / (209) 933-6999 <br /> p CYDS DEL: 6.00 <br /> Safety First! P.O. BOX 66001, Stockton, CA 95206 LOAD#: 1 <br /> TRUCK ID DRIVER PLANT ID EA <br /> LVE PLANT ARRIVE JOB START POUR END POUR LEAVE JOB AT PLANT <br /> 550342057 ANTONIO GARCIA 106 c" <br /> CUSTOMER ACCT ID CUSTOMER P.O./PROJECT NO. PROJECT NAME LOT&BLOCK PREVIOUS TRUCK <br /> 378044 / <br /> SOLD TO: DELIVERY ADDRESS/LOCATION: ADDRESS VERIFIED? Check <br /> VALLEY DRILLING VALLEY; MAGNOLIA PL & COLLIER R <br /> ADDITIONAL DELIVERY INSTRUCTIONS: DRUM REVOLUTIONS <br /> WEST OF 99 BEFORE WHITE FENCE CT, GATE CODE 3222# <br /> BEGINNING ENDING TOTAL <br /> Qty this Load Qty Ordered Qty Divd Product Code Product Description M "- UOM Unit Price EXT Amount <br /> 6. 00 6.00 6. 00 504 10.3 SK. SAND SLURRY yd 192. 50 1, 155. 00 <br /> 1. 00 554015 FUEL SURCHARGE E'. 40. 00 40. 00 <br /> 6.00 55EFS CEMENT FREIGHT SURCHARGE CY 10. 00 60.00 <br /> WATER ADDED/ESTIMATED SLUMP STANDBY AND UNLOADING TIME OVERTIME MINUTES SUB TOTAL 1,255.00 <br /> Full Load: GAL SLUMP Excess truck time will be assessed by dispatch at the current SALES TAX $97.26 <br /> 2/3 Load: GAL SLUMP rate per minute for orders exceeding five(5)minutes per ADDITIONAL TIME FEE TICKET TOTAL $1,352.26 <br /> 1/3 Load: GAL SLUMP cubic yard. GRAND TOTAL $1,352.26 <br /> DESIGN SLUMP REQUESTED SLUMP ACKNOWLEDGEMENT OF RECEIPT,WATER ADDED,&TERMS AND CONDITIONS ON WEB SITE <br /> 4 . 00 6.00 <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 /> TESTED BY AIR/SLUMP/TEMP/CYL'S <br /> Signature: V Printed Name: <br /> Knife River Weighmaster Certificate <br /> THIS IS TO CERTIFY that the following described commodity was weighed, measured or counted by a weighmaster, <br /> whose 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 /> the Division of Measurement Standards of the California Department of Food and Agriculture. Deputy <br /> Truck Driver User Disp Ticket Num Ticket ID Time Date <br /> 550342057 46534 user 1696573 50701 12 : 43 8/9/23 <br /> Load Size Mix Code Returned Qty Mix Age Seq Load ID <br /> 6. 00 CYDB 504 D 52829 <br /> Material Design Qty Required Batched %Var%Moisture Actual Wat Tot.Wat <br /> TYPEII-V 968 Ib 5808 Ib 5780 Ib -0.48% <br /> SAND 1935 Ib 12255 Ib 12320 Ib 0.53% 5.56%A 78 gl 109 <br /> WATER 50.0 gl # 204.6 gl 204.0 gl -0.29% 204.0 gl 204.0 <br /> Actual Num Batches: 1 <br /> Load 19800 Ib Design W/C: 0.430 Water/Cement: 0.433 T Design 300.0 gl Actual 281.8 gl To Add: 18.3 gl <br /> Slump: 6.00 in # Water in Truck: 0.0 gl Adjust Water: 0.0 gl /Load Trim Water: -3.0 gl / CYD: <br />