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FP , cIGHMASTER CERTIFICATE ERTIFY that the following described commodity measured,or counted who is areeignized ut hose CONCRETE PRODUCTS, INC. ,,re is on this certificate,who is a recognized authority .ccuraey,as prescribed by Chapter 7(commencing with erection 12700)of Division 5 of the California Business and 1900 Roosevelt Avenue, Escalon, CA 95320 Professions Code,administered by the Division of Measurement P & Standards of the California department of Food and Agriculture. 209-838-1448 WEIGHMASTER SIGNATURE 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 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. L L. 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, 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 CYLINDERS TAKEN BY: CUSTOMER SIGNATURE ATCUST AT CUSTOMER'S REQUEST GALLONS ❑YES ❑NO CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET x SOLD TO DELIVER TO DRIVER Mt-aE(_L.H) X�F7 T LL i 1 iu i NC 119 AL-BEi?Ss RD TERMS 110E)EEISTO l..n QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE 0(j 16,, 00 .BANE?001 Ch.s t I _. '31/.. C3ANI) 5L_UF2F7`i' `.1'•: . 0ti7 t:. 1.: I-~1c . 00 EE ENV t RONMENrAL. FEE ,'1- $.:0. 00 TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE WAITING TIME SUB TOTAL SPECIAL INSTRUCTIONS TAX ih0 TOTAL $3.5 1 . 12)2 GRAND TOTAL C 1. t37•7. 4`f;' INVOICE/TICKET NO. Dir,.ivti?r'' Ur' l:ri. _P Tic:k—at NI_tln TickNt 11) •Tim, 1'1t.Lt�1E PHIL.lF`..' 512. 7(S IC1-. 3k:i Mix C o ci e f 7;:3 t 1_l r^n r2 cl Cl t:y M.i. : PI ci E� S t-cl L cr a d T J) 555 4�. 012.1 �:ci 4:)F�NUs`�+G_`tlt7.+:•; C) ,:_.G . Material Design Qtv Required Batched % Var % Moisture Actual Wat SAND 1101 2854 16 24168 lb 24rA lb -0.49% 6.00`: Mi 163 g 1 CEMENT 9M.0 lb 7744.0 Ib 7795.0 lb -0.50a / WATER 40.N g l 164.07 a] 164.00 91 -0.04% 164.0Y+ g I Actual Nur Batches: 2 ' Load Total: 33124 lb Design 0.345 Water/Cesent 0.354 A Desion 320.0 1 Actua: 3x'27.1 of 7o Add: 0.0 gl Slurp: 6.00 in if Water in Truck: 0.0 ggl Adjust Water: 0.0 ql i Load Trig Bahr: 0.0 ql/ yd t4'' Manual feed oc I Actual WIC Ratio: 0.354 Actual Water: 327 gl Batched Cerert: 7705 lb Allowable Water: lb