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W A R N I N G IARITATING,TO THE SKIN AND EYES Contains Poriland Cement. Wear Rubber Boots and Gloves. PROLONGED CONTACT MAY CAUSE BURNS. Avoid Contact With Eyes and Prolonged Contact With Skin In Case of Contact With Skin or Eyes, Flush Thoroughly With Water. If Irritation Persists, Get Medical Attention. ROE WEIGHMASTER CERTIFICATE LEAVE PLANT THIS IS TO CERTIFY that the following described commodity was weighed, measured, START UNL or counted by a weighmaster, whose signature is on this certificate, who is a recognized LEAVE JOB authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of OVERTIME Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture ■ NOTICE: Cement, fine and coarse aggregate contains chemicals known to the State of California to cause cancer or birth defects The Company shall have no liability for and hereby excludes warranties or merchantability and or other reproductive harm. NOTE: fitness for any purpose, and all other warranties express or implied, with respect to reactive KEEP OUT OF REACH OF CHILDREN. aggregate, and popping (Pop -Outs), checking, discoloring of surface cracking of concrete. CONTROL NUMBER 5f' -'u1735 TICKET NUMBER LOADING LEAVE PLANT ARRIVE JOB START UNL FINISH UNL LEAVE JOB ARRIVE PLANT OVERTIME WATER ADDED DRIVER: I have verified the specific slump for this job to be: REASON FOR DELAY TIME I verify that this load will meet the slump sec on the job X Please initial)CUSTOMER: E3 JOBSITE DELAY ❑ 75 % OF LOAD READ IMP 0 R T A N T F THIS FORMUR RIGHTS. SIGNATURE BELOW ES RMS,FORE ICONDIT OINS S ON & WAIVERLL ACCEP ANCE OF ALBET PRINTED FRONT & BACK , El PLACEMENT 1] 50 /o OF LOAD ALL INVOICES SHALL BE PAID IN FULL ON OR BEFORE THE LAST DAY OF THE MONTH FOLLOWING THE DATE OF DELIVERY. CUSTOMER AGREES TO PAY A SERVICE CHARGE 1 1/2% PER MONTH ON ALL INVOICES WHICH ARE PAST DUE. IN ADDITION, CUSTOMER AGREES TO PAY ❑ EARLY ARRIVAL ❑ 25% OF LOAD ALL COSTS AND EXPENSES FOR COLLECTION OF ANY AMOUNTS DUE HEREUNDER, INCLUDING ACTUAL ATTORNEY'S FEES INCURRED. El EQUIPMENT WATER ADDED EQUIPMENT FAILURE ❑ AFTER BEING ON JOB II�� I) � �� I �) II I� �II I ❑ 100% OF LOAD FOR 30 MIN OR MORE rI fj TIME: (I 925 PHONE # SOLD TO P.O. # CUSTOMER # ❑ C.O.D. ❑ DATE CASH CHECK DELIVERY ADDRESS MAP PAGE ZONE TIME DUE CROSS STREETS PROJECT# ORDER # MIX LOAD SIZE LOAD # USE PLANT TRUCK # DRIVER j,,X i , WEIGHMASTER i i t t L.i .t_ ; L. _L.II 'I 'L_ rl! II -TO ni' - !1) l?� M -ti I t r a j�t c• r .f -.,; (: •I. Icy.- 1—r' rlr '-Inn 5 LOAD QUANTITY CUMULATIVE QTY. ORDERED QTY. PRODUCT CODE PRODUCT DESCRIPTION UNIT PRICE AMOUNT JrJi060 D S>LURRY 10. 14 1],.,0 t) 1* 00 1 ' T RONMENTAL. FEE 15.00 1' �. 00 E. ; ;L-RGY SURCHARGE. 10. Ij 0 10. 00 --[IN EXCESSIVE TIME ON JOB WILL RESULT MIN. LOAD CHG. Rev / Start Rev / Stop ADDITIONAL PER MINUTE CHARGES. TAX SUB TOTAL OVERTIME TOTAL D U E WATER ADDED AT PLANT % MOISTURE F.M. T.A. SLUMP Returned checks may subject maker, in addition to the amount owing, treble the amount owing, up to a maximum of $1500.00 (Civil Code Sect. 1719). A returned check charge of $20.00 will ho rhn rnori ITL is nn arfrfifin—I R35 no fnr env mechanics lien. RECEIVED BY The terms and conditions on the reverse side of this Delivery ticket and any attachments thereto are a part or the agreement Detweer Company and Customer. Acceptance of this order constitutes agreement to all terms and conditions shown on the face and back. X READ FRONT ANO M1 RSE SIDES CAREFUUY The above signee is over the age of eighteen It 8) years and has authority to execute this Agreement on behalf of Customer. MINUTES OF UNLOADING TIME PER YARDS OF CONCRETE FREE OF CHARGE, ADDITIONAL UNLOADING TIME CHARGED AT CURRENT HOURLY TRUCK RATE.