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Kh�1 FE RIVER DATE: 12:00/22 <br /> ELK GROVE REQUESTED DELIVERY TIME: 12:00 <br /> ArlMDURESOURCES COM I Billing OFFICE (209) 933-6980 ORDER NUMBER: 55015 <br /> 1687171 <br /> g TICKET NUMBER: <br /> www.kniferiver.com Dispatch: (800) 464-6572 / (209) 933-6999 CYDSDEL: 6.00 <br /> _ Safety First! P.O. BOX 66001, Stockton, CA 95206 LOAD#: 1 <br /> TRUCK ID DRIVER PLANT ID I LEA IVE JOV1 P R END POUR LEAVE JOB I AT PLANT <br /> 550342056 DANIEL SOMMERS 106 <br /> CUSTOMER ACCT ID CUSTOMER P.O./PROJECT NO. PROJECT NAW LOT&BLOCK PREVIOUS TRUCK <br /> 378044 / <br /> SOLD TO: DELIVERY ADDRESS/LOCATION: ADDRESS VERIFIED? 0 Check <br /> VALLEY DRILLING VALLEY; 28600 N ELLIOT RD <br /> GALT <br /> ADDITIONAL DELIVERY INSTRUCTIONS: DRUM REVOLUTIONS <br /> MEETING AT GATE! <br /> BEGINNING ENDING TOTAL <br /> Qty this Load Qty Ordered Qty Dlvd Product Code Product Description U0M Unit Price EXT Amount <br /> 6.00 6.00 6.00 504 10.3 SK. SAND SLURRY yd 162.50 975.00 <br /> 6. 00 55EFS EMERGENCY FREIGHT SURCHARGE CY 10.00 60.00 <br /> WATER ADDED/ESTIMATED SLUMP STANDBY AND UNLOADING TIMEI OVERTIME MINUTES SUB TOTAL 1,035.00 <br /> Full Load: GAL SLUMP Excess truck time will be assessed by dispatch at the current SALES TAX $85.39 <br /> 2/3 Load: GAL SLUMP rate per minute for orders exceeding five(5)minutes per ADDITIONAL TIME FEE TICKET TOTAL $1,120.39 <br /> 1/3 Load: GAL SLUMP cubic yard. GRAND TOTAL $1,120.39 <br /> DESIGN SLUMP REQUESTED SLUMP ACKNOWLEDGEMENT OF RECEIPT,WATER ADDED,&TERMS AND CONDITIONS ON WEB SITE <br /> 4.00 8.00 <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/TEIVIP/CYUS <br /> Signature: 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 /> 550342056 547548 user 1687171 41563 11: 17 6/20/22 <br /> Load Size Mix Code Returned Qty Mix Age Seq Load ID <br /> 6. 00 CYDE 504 D 43427 <br /> Material Design Qty Required Batched %Var%Moisture Actual Wat <br /> TYPEII-V 968 Ib 5808 Ib 5785 lb -0.40% <br /> SAND 1935 Ib 12313 Ib 12280 Ib -0.27% 6.06%A 84 gl <br /> WATER 50.0 gl # 215.6 gl 217.0 gl 0.64% 217.0 gl <br /> Actual Num Batches: 1 <br /> Load 19873 Ib Design W/C: 0.430 Water/Cement: 0.434 A Design 300.0 gl Actual 301.1 gl To Add: 0.0 gl <br /> Slump: 8.00 in # Water in Truck: 0.0 gl Adjust Water: 0.0 gl /Load Trim Water: 0.0 gl / CYDE <br />