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51fE1GMfMASTfiR CEATIFIATE SOME Or THE PRODUCTS THAT WE SEL COULD COJrAw CONTROL NO. 30381 <br /> p, ONE OR MORE CHEMICALS KNOWN TO THE STATE OF <br /> THIS IS TO CERTIFY Ihel_.kla following tlB9Uibatl commodity was walgM1etl,meaaJred, y CAL1"00.NIAT0 CAUSE CANCER,aIRTk DEFECTS OR OTHER �'" LODI READY MIX AND DRIVER OF TRUCK are released from any <br /> co�MeO,>gYtWIgMMS wM1ose aig�•lJre is on lhla ceHiSirw[°,wba is a iBG°gniz REPRODUCTIVE HARM. <br /> aumolnv of.ocJ.a,;y:•a P.eaatlb°d ny cnavfa.T(commancing wun secron 12701 of responsibility of addition to colors due t%variations in cement an <br /> Division s of Ina c•nm.nla Dumne s and Pwlesalona toes.adminlal°,•d W ma Dlwiamn CAUTION:FresHly mixed concrete may cause aggregate materials or admixtures, and for damagesiwhich may be <br /> olM°aa°�e tSl d•,da&N,eo in,M,oeP°Hmen'ofF—d and A9^=°I'' skin irrilatlan on ~Dion ad ex usure.Avoid <br /> Q g p incurred inde6veringmaterialsacross the curb orproperty hne.Claims or <br /> Lodi Ready Mix direct contact"where possible and wash shortage will not be allowed unless made at the time this material was <br /> exposed skin areas promptly with waterJf any delivered. <br /> TRANSIT MIX&BUILDING MATERIALS cementious materials get into the eye,rinse ADDITIONAL WATER ADDED TO THIS CONCRETE WILL REDUCE <br /> ITS STRENGTH. ANY WATER ADDED IS AT CUSTOMER'S OWN <br /> 851 E.LODI AVE. • P.O.BOX 3 • LODI;CA 95241 (209)3fifi-2794 prompt medical <br /> callrepeatedlywithwaterandgel RISK. <br /> SOLD TO: prompt medical attention" - <br /> Keep out of reach of children. I RECEIVED BY: <br /> L'ODI READY MIX JOB SITE CYLINDER TEST: ❑ NO <br /> IC R I I_.L T NG WEIGHMASTER water <br /> Added Gals.to full load YES <br /> WOOD ,RIDGE W I hll�i�0101) WEIGHED AT:. On Job <br /> At Gals.to 2!�load YES <br /> Customer's <br /> 051 E'� LODI <br /> A I� Request Gals,to 1/3 load YES <br /> BY: DI•`.NN I S 'i I"N9�EP7I TY <br /> AUTHORIZED BY: <br /> ENO.OF <br /> TE TIME JOR CODE TRUCK NO. DRIVER AND NUMBER TRUCK LIC.q MAX.ADD WATER GALS. <br /> 3f rf I'» '- WATER SLUMP <br /> LOADS ACCUM.YARDS <br /> CU.VDS,THIS LOAD MIX NO. MIX DESCRIPTION <br /> ;3 L i '. rte 4» t�t t ] `3. r> fCE! ` t IC`ID CASH SALE <br /> SPECIAL PRODUCT PRODUCT DESCRIPTION <br /> GU.YDS.THIS LOAD <br /> PRICE/CU.YARD <br /> PRICElLOAD <br /> MIN.LOAD CHG. <br /> •+� �' REASON FOR DELAY TIME: SUB-TOTAL <br /> J Leave Ram Time on Job Min, SALES TAX <br /> FTT y'' ❑ Job Not Ready <br /> 'k TOTAL FOB PLANT <br /> Arrive Job Overtime Min:. Job Broke Down ' <br /> ❑ Truck Broke Down SPEC.PRODUCTS <br /> Ij2 Start Pour Rate Ot X$ Per Min. TOTAL TAXABLE <br /> II ' ED Adding Water <br /> Stop Pour =$ �❑ Arrived Job Early SALESTAX <br /> Overtime Charge <br /> jf,--^•"' ❑ Slow Placing Method OVERTIME `5 <br /> "Leave Job Five(5)min.per ydfree unloading time allowed, _ S <br /> Additional unloading time charged at current ❑ Other(Explain) TOTAL <br /> hourly truck rate. <br /> Arrive Plant <br /> r RTt11 WYE <br /> r <br /> a <br /> P . <br /> INSPECTION COPY <br />