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SOME OF THE PRODUCTS THAT wE SELL COl1LD GDNTAIN CONTROL NO. 30375 <br /> WEIG.MMASTER CERTIFICATE f ONE oR MORE CHEMICALS KNOWN TO THE STATE OF <br /> THIS IS TO CERTIFY that the bllowing tl¢lcribetl commodity wes weighed.measured. CALIFORNIA TO CAUSE Cieiiedo <br /> ANCER,SkRTH DEFECTS OR OTHER � LODI READY MIX AND DRIVER OF TRUCK are released from any <br /> untad by!t weigh-.;w,whose signetwo ie on this C¢rlificale,who'iS 9 recognized REPRODnCTIVEHARM- <br /> mm�odly of a�nera!go av preenrmed by cnePler r Icommencing waN section,Hoot al responsibility of addition to colors due tR variations in cement an <br /> oiYiaion s til me carmrnla aeelnas9 end Proleasiona code.admm�stared by me ONiglan CAUTION:Freshly mixed concrete may cause aggregate materials or admixtures, and for damagesT.which may be <br /> of Moe rement Smndarda of the Galilvrnia Deparlmant of Food and Ag,,Cultlae skin irritation on prolonged exposure.Avoid incurredin delivering materials across the curb or property line.Claimsfor <br /> Lodi Ready Mix direct contact where possible and wash shortage witl not be ailowed unless made at the time this material was <br /> exposed skin areas promptly with water.II any delivered. ' <br /> TRANSIT MIX&BUILDING MATERIALS cementious melerials get into the eye,rinse ITS ADDITIONAL WATER AWATE DDED <br /> TO THIS IS A CUSTOMER'S <br /> REDUCE <br /> @ ITS STRENGTH. ANY WATER.ADDED IS �STOMER'S OWN } <br /> 851 E.LODI AVE. • P.O.BOX 3 • LODI,CA 95241 • (2U9)368-2794 immediately and repeatedly with wafer and get RISK. ✓//] <br /> prompt medical altentian. y ✓ y t <br /> 7T10): Keep out of reach of children. RECEIVED BY'XLODI READY MIX JOB SITE CYLINDER TEST: ❑ NO <br /> 4EI.l_ D rq T l_.1—I I*11:) wE16NMASTER water <br /> Added Gals.to Lull loatl YES <br /> E�G�['.. Frr W T INIDWO D WEIGHED AT:. On Job <br /> At Gals.to 2/3 Iced YES <br /> Customer's <br /> E I0D T}} 4 r..Request Gals.to 1/,,load <br /> YES <br /> n_ <br /> By DENNIS F�li"�A�"NEPUTY AUTHORIZED 8V: <br /> DATE <br /> TIME JOB CODE TRUCK NO. DRIVER AND NUMBER TRUCK LIC.N MAX.ADD WATER GALS. <br /> � ' WATER SLUMP <br /> NO.OF LOADS RGGUM,YARDS CU.YDS.THiS LOAD MIX NO. MSX DESCRIPTION <br /> 9. 0 CII)AU-11 SAN <br /> tt¢ CASH SALE <br /> SPECIAL PRODUCT PRODUCT DESCRIPTION er _ <br /> CU.YDS.THIS LOAD <br /> t 1 PRICE/GU.YARD <br /> k PRICE/LOAD <br /> II MIN.LOAD CHG. <br /> REASON FOR DELAY TIME: SUB-TOTAL <br /> �1 <br /> < <br /> Leave Plant Time on Job Min. ❑ Job Not Ready SALES TAX <br /> I REV.COUNT '` tom` <br /> J) Arrive Job Overtime Min. ❑ Job Broke Down TOTAL FOB PLANT <br /> REV.COUNT /i� +r� Truck Broke Down SPEC.PRODUCTS <br /> tf��V"-Starour Rate of X$ Per Min. TOTAL TAXABLE <br /> ❑ Adding Water <br /> TIME ON JOB !Q _ <br /> r f Stop Pour =$ F7 Arrived Job Early SALES TAX <br /> Overtime Charge <br /> ' ❑ Slaw Placing Method OVERTIME <br /> Leave Job Five(5)min.per yd.free unloading time allowed- ❑ Other(Explain) TOTAL <br /> Additional unloading time charged at current <br /> hourly truck rate. <br /> Arrive Plant <br /> I_RIM WATaP <br /> WnT!C Fm ri n-r x . Cr. ��st <br /> INSPECTION COPY <br />