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WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weigheq,measured,or counted by a weighmaster,whose signature is on this certificate,who is recognized authority CONCRETE PRODUCTS INC. • of�accuracy,as prescribed by Chapterr 7(commencing with � Section 12700)of Division of the California Business and 1900 Roosevelt Avenue Escalon CA 95320 Professions Code,administered by the Division of MeasurementP > > Standards of the California department of Food and Agriculture. 209-838-1 448 WEIGHMASTER I NATURE 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. 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 BY: CUSTOMER SIGNATURE WATER ADDED CYLINDERS TAKEN AT CUSTOMER'S REQUEST GALLONS ❑YES ❑NO CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET l FS S SOLD TO DELIVER TO DRIVER il.-Ii�L. , TERMS NFIT230 EMAIL. QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE 0 r\11. C101 c::.,;; 10 E3E; EiAND F;t_.tIRRY 1 � ,aE-,. 0L71 1111f�1 :5 1_.0CAL. — t o .._. 5 C yd t: 1. 1;']1 l„ 01*11 ENV I RONMENTAL- f=E<E= 121. QICA au30. 00 CEMENT SI-40RTAGE FEE 00 TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE WAITING TIME SUB TOTAL SPECIAL INSTRUCTIONS TAX TOTAL GRAND TOTAL INVOICE/TICKET NO. _f r ttc�F: Driver- U__>er ir,i _A Ticket Ni-tat I i c k e t Tl:i -rime Dat1_ (:;tl BOBBY PHI[._IP A 'I1831 11 :5 B 8/1, ': 2L" I._ur:tr_I F3ize Mix Code f:eI,..tr,cIed OtV Mix rage t eq l._ocAd ID 0C yd SAND��O10,-' D t 74 4 Material Design� at yy Reqquired Batched % Var % Moisture Actual Wat SAND 1101 2850 1b E�042 lb 6010 lb -0.53% 6.00% M 41 91 CEMENT %8.0 lb 1936.0 lb 1940,0 lb 0.21% WATER 40.00 g1 39.02 g1 39.00 v_1 -0,04% 39.00 gl Actual Num Batches: 1 Load Total: 8275 lb Deign 0.345 WaterlCeaent 0.344 T Design ,0 al Actual 79.8 gl To Add: kI.L: gi Slump: 5.00 in Water in Truck: 0.0 g1 Adjust Water: 0.0 gg1 / Load ris pater: 0.0 gl/ yd Actual WiC Ratio: 0.343 Actual Water: 80 gl Batched Cetent: 1940 lb Allowable Water: 3 lb