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ORIGINAL <br />WEIGHMASTER CERTIFICATE` w+ <br />r <br />THIS IS TO CERTIFY that ttie ,of wwiiti5 - - <br />was weighed, measured; orcounted by'. <br />Signature is on this certificate, Ch who Is a mm encin d authority of <br />accuracy, as prescribed by Chapter 7 (commenting with Section _ _ <br />12700) of Division 5 of the Califumia Business and Professions <br />Code, administered by. the Division of Measurement Standar) s <br />of the Califomla Department of Food aria Agriculture. <br />NOTE: Excess water is detrimental to concrete quality. Increased water in cnncfele mix reduces Wength and durability and Increases shrinkage. <br />Buyer accepts responsibility for water aaced on job site, which exceed; accepters watericement ratm and workability speciifications <br />42771092 <br />Plant: <br />Begin Loading: <br />To Job:_ <br />Arrive Job: <br />Start Unload: Finish Unload: <br />Leave Job: <br />Return Plant: <br />Maa Pa,^e: <br />i <br />icket. Number <br />Cue On .lob'.. <br />Total Amc;rnt <br />tar This Ticket Not inc;udwo S!endby Cha,4es: <br />-. .._ <br />Cash <br />Check # / A,;1l; i:oae< <br />`,'_ natun f J. -:ver R.cavjnq Cash, <br />Cash Ra ,.e...(Total <br />COD Order Amount to Cofloct <br />LOAD <br />CUMULAT1VE ORDERED MATER,Al- .ODE <br />PRODUCTION DESCRIPTION U,OM <br />UNIT PRICE AMOUNT <br />QANTITY <br />U <br />WCh <br />ithout Standby arges: <br />Check <br />— <br />- <br />Charge <br />1 <br />C,l Stcmer Ceoe: <br />CuglMaer Neem <br />Customer Joh Number <br />CNder, L'oGe,; 4atr <br />Project Code. <br />Project Nan:e. <br />Deputy Wejghmnstu, <br />OroerY, Q. Ch; mar <br />Tcicet Date:. .. <br />Dei CO'.9gdre.<, .. <br />Maa Pa,^e: <br />icket. Number <br />Cue On .lob'.. <br />Di eF Nan:•: E'utl Lam: <br />-. .._ <br />_. j S1,sr.p. f :. cau. T i,,�e:�. _. Ower Number: <br />II <br />LOAD <br />CUMULAT1VE ORDERED MATER,Al- .ODE <br />PRODUCTION DESCRIPTION U,OM <br />UNIT PRICE AMOUNT <br />QANTITY <br />U <br />aUAW ITY QUANTITY <br />— <br />- <br />14SIt; ,t,9IC)Lf�±17x343T� v�3.� <br />�Starldng TP <br />s <br />'—'— Curb Line Crossed At Owner's SUB l OTk1., <br />Water Added IN GALLONS. Agent's Request: ®--'-' -- AU'f1lOPIZED SIGNATLJ -- i ` <br />TAX <br />Print Name: �Dule <br />9nap�rH auOve stg0u6 r9 Ips and—Pt of the ll,ted n'�atedals and acktUv:i�ssryi TOTAL. <br />y --'---' I CEMEX ter <br />INITF,LS meat of and ag earner to ftms a d ct nditF;ns <br />INITIALS 4 2 7 <br />BATH DATA': <br />{BOUNIVERSAL ROVS/12 <br />0 <br />