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CUSTOMER COPY 2« <br />Start Pour End Pour Leave Job Arrive PlantLoadLeave Plant Arrive Job <br />5B: E <br />/ <br />DateOrder No.Customer No.Plant <br />0 <br />P./O. Number <br />S <br />Project No.Special Instructions <br />■JG WEI <br />Job NumberSpecial Instructions <br />Project NameLoad Size Mix Code Slump % Air % Call.Truck No. <br />Amount <br />I 0% cm. <br />CALAVERAS MATERIALS INC.Sub total <br />TaxTYPE:.Tin <br />By <br />Total <br />fit Act u<r i e tT <br />1C108 <br />Delivery Tag <br />Weighmaster Certificate <br />CALAVERAS MATERIALS INC. ASSUMES NO <br />RESPONSIBILITY FOR DAMAGE INCURRED IN <br />DELIVERING MATERIALS INSIDE THE CURB LINE. <br />CAUTION: PORTLAND CEMENT IS INJURIOUS TO EYES: CAUSES SKIN IRRITATION. READ WARNING ON REVERSE SIDE OF THIS FORM FOR <br />DETAILED INSTRUCTIONS. <br />Load <br />Quantity <br />Cumulative <br />Quantity <br />Ordered <br />Quantity <br />Unit of <br />Measure <br />Product <br />Code <br />#61 410 N. Thome Avenue <br />Fresno, CA 93706 <br />Product <br />Description <br />Unit <br />Price <br />CMI <br />Sold To: <br />CALWATt <br />Zone <br />CERTIFICATE OF COMPLIANCE: WE CERTIFY that the <br />portland cement, chemical and mineral admixtures contained in <br />the material described below are brands stated and comply with <br />specifications: <br />CEMENT BRAND: <br />TYPE: II MILL LOCATION: <br />CHEMICAL ADMIX BRAND: <br />MANUFACTURER: <br />MINERAL ADMIX MANUFACTURER: <br />CLASS: <br />-egat <br />Calaveras Materials Inc. <br />3451 West Shaw Avenue <br />Fresno, California 93711-3204 <br />Telephone 559-277-7060 <br />Fax 559-277-7134 <br />Toll Free 800-726-5615 <br />Thorne Ave. Ready Mix Plant Thorne Ave. Ready Mix Plant <br />#60 410 N. Thorne Avenue <br />Fresno, CA 93706 <br />Water Added on Job at Customer <br />Customer's Request<Gallons Signature x <br />WEIGHMASTER CERTIFICATE: THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weightmaster, whose <br />signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the <br />California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br />River Ready Mix Plant <br />#62 1000 W. Nees Avenue <br />Pinedale, CA 93650 <br />Manteca Ready Mix Plant <br />#54 1945 E. Lathrop Road <br />Lathrop, CA 95330 <br />Selma Ready Mix Plant <br />#63 1475 Whitson <br />Selma, CA 93662 <br />Ticket No. <br />544£fle <br />Delivery Address <br />Tracy Ready Mix Plant <br />#56 8181 W. 11th Street <br />Tracy, CA 95376 <br />Driver <br />WEBB,