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WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity <br /> wasweighed,is measured,or counted who <br /> is a recognized <br /> ut hose CONCRETE PRODUCTS INC. <br /> signature Is on this certificate,who is a recognized authority <br /> of accuracy,as prescribed by Chapter 7(commencing with <br /> Sectign 12700)of Division 5 of the California Business and 1900 Roosevelt Avenue Escalon CA 95320 <br /> Professions Code,administered by the Division of MeasurementP > > <br /> Standards of the California department of Food and Agriculture. 209-838-1448 <br /> WEIGHMASTER SIGNATUREINVOICE/TICKET NO. <br /> NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, WAITING TIME: <br /> INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE.WE MAKE DELIVERIES INSIDE CURB LINES AND ON <br /> LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES $ per hr.unloading charge. <br /> RESULTING FROM SUCH DELIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND P&L CONCRETE LEAVE-PLANT <br /> PRODUCTS,INC.FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF REMOVING <br /> MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OF <br /> ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST.WE DO ARRIVE JOB <br /> NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING,FINISHING OR <br /> CURING OF CONCRETE AND DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED,INCLUDING CRACKING. <br /> CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE LEAVE JOB <br /> PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE <br /> LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE,ON CUSTOMER'S PROPERTY, <br /> FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE ARRIVE PLANT <br /> OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. <br /> SEE TERMS AND CONDITIONS ON REVERSE SIDE.READ FRONT AND REVERSE CAREFIULLY <br /> WATER ADDED CYLINDERS TAKEN <br /> BY: CUSTOMER SIGNATURE ATCUST <br /> AT CUSTOMER'S REQUEST GALLONS El YES ❑NO <br /> CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET <br /> SOLD TO DELIVER TO DRIVER <br /> TERMS <br /> QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED <br /> THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE <br /> 00 1. 188 1. 1. 88 S;K SAND SI-LIRRY <br /> NV T RONMENTAL FEE_' <br /> TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE WAITING TIME <br /> ,`F!Ci'�t�t 1 l tit3 SUB TOTAL <br /> SPECIAL INSTRUCTIONS 'TAX <br /> TOTAL <br /> GRAND TOTAL <br /> INVOICE/TICKET NO. <br /> r it.c�r I.J1seI Di p T:ic::krt: NI,ti,- 'i'ir: b;r?t; TT) 'f.im 0rlte <br /> JOSE T 1'FI T L.I f'' tii�::'=; '1. 1.0: 14 12 18 <br /> 1-.0.Jij Si.i 'E� Mix Code Re,i';•.trnc I`!hV Mix Arte LoFa(J ID <br /> 0 0 r:l SiANDOO 1188 I, 55011 7' <br /> i4aterial Desiggn @ty Re-uired Batched % !lar % Moisture Actual Wat <br /> �A% 1101 2194 1 b 13954 1b i 3840 l b {o.K% 6.801 M 94 gl <br /> CEMENT 1117.0 lb 6702.0 l b c:655.0 1 b 0.70 <br /> ',WATER 53.50 gl 232.35 gl 232.00 gl -0.15% 2^32.00 g1 <br /> Actual Nur Batches: 1 <br /> Load Total: 22431 ib Design 0.400 WaterlCement 0.409 A Design 321.0 gg1 Actual 325.9 1 To Add: 0.0 --al <br /> Slump: 6.00 in 11 Water in Truck: 0.0 91 Adjust Water: 0.0 gl / Load Trir 6later: 0.0 li ed g <br /> Actual W:C Ratio: 0.409 Actual dater: 325 gl Batched Cement: 6655 lb Allowable Wa�er: a lb <br /> f � <br /> _ AA <br />