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W�tGIMASTER CERTIFICATE' FOALIFORNIATO <br /> E pRDDucrs THAT wE SELL cou�D CONTPIN 1 CONTROL NO: <br /> 30380 <br /> i RE CHEMICALS KNOWN TO THE STATE OF *a✓ <br /> THIS IS TO CERTIFY Shape YUllowmg de-cribed 4 modlly'-s weighed,m,dS,,,d '�yr�r TO CAUSE CANCER,BIRTH DEFECTS OR OTHER LODI READY MIX AND DRIVER OF TRUCK are released from any <br /> mn ted'iy e`w�i9lrTf�a9Ser.whose signature is on this ce dicat�,who is a recognized wE'HARM, responsibility of addition to colors due t�.vai481iOn5-in cement and <br /> authority of 9CCpracy':as Pr09G rid sy Ch0pt0r T Ica nng ilh Section 12700)o}D7 I.—5 W Ina celtlprnla 801-11-end Prolafelons Cde.naaminletaretl by the D;-1- :Freshly mixed concrete may cause aggregate materials or admixtures, and for damlageSwhich may be <br /> p1Mee9wememslanda,d9ollhaC.Lf.,NpammentolFnndandAgrmmwra. ation on prolonged exposure.Avoid incurred in delivering materialsacrossthecurborpropertyline,Claimsfor <br /> Lodi Ready Mix ontact where possible and wash shortage will not be allowed unless made at thetime this material was <br /> exposeskin areas promptly with water.II any delivered" <br /> TRANSIT MIX&BUILDING MATERIALS Cementfevs materials gel into file Bye,rinse ADDITIONAL WATER ADDED TO THIS CONCRETE WILL REDUCE <br /> ITS STRENGTH. ANY WATER ADDIS AT CUSTOMER'S OWN <br /> 851 E.LODI AVE. • P.O.BOX • LODI,CA 95241 • (209)368-2794 immediately and repeatedlywith water and get RISK. t , <br /> SOLD TO: prompt medical attention. j <br /> Keep out of reach of children. RECEIVED BY:X <br /> LODI READY MIX JOB SITE CYLINDER TEST: ❑ NO <br /> C;i �JLf WEIGHMASTER water <br /> Added Gals.to full load ❑ YES <br /> I:1L�3Oril,1`1 � L7I t�1D4�1C)LtU WEIGHED AT: On Job <br /> > At Gals.to 2/a load YES <br /> Customer's ❑ YES <br /> 51 E. LODI ��,� iteyoeat Gays.to 16 load <br /> ,} i•J :'3 (1{"'IF f• i'yIOEP4. AUTHORIZED BY: <br /> BY: <br /> .i <br /> • ETRUCK LIC.# MAX.ADD WATER GALS. <br /> DATE TIME JOB CODE TRUCK NO. HDE <br /> UMBER <br /> 539 1) <br /> NO.OF LOADS ACCUM.YARDS CU.YDS.7H15 LOAD MIX NO. TIONWATER SLUMP <br /> f4,. i >'t :)1 NE <br /> : IS�litl] CASH SALE <br /> 'SPECIAL PRODUCT PRODUCT DESCRIPTION <br /> CU.YDS.THIS LOAD <br /> PRICE/CU-YARD <br /> PRICE/LOAD <br /> II MIN.LOAD CHG. <br /> "? REASON FOR DELAY TIME: SUB-TOTAL <br /> R <br /> Leave Plant Time on Job Min. SALES TAX <br /> REV.COUNT j ' ❑ Job Not Ready , <br /> Arrive Job Overtime Min; F7Job Broke Down TOTAL FOR PLANT <br /> REV.COUNT '"� SPEC.PRODUCTS . <br /> Truck Broke Down <br /> ❑ <br /> 'Start Pour Rate of X$ - Per MinAdding Water. TOTAL TAXABLE <br /> TIME ON JOB � �" <br /> Stop Pour =$ ❑ Arrived Job Early SALES TAX <br /> Overtime Charge ;;II <br /> LJ Slow Placing Method OVERTIME <br /> Leave Job Five(5}min-per yd.free unloading time allowed. TOTAL <br /> Additional unloading time Charged at current ❑ Other(Explain) <br /> hourly truck rate- <br /> Arrive Plant <br /> i' <br /> TRIM UJfITER <br /> J. <br /> , : <br /> I INSPECTION COPY <br />