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WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity <br /> wasWeighed,,measured,orcounted by recognized <br /> r,whose CONCRETE PRODUCTS INC. <br /> signature Is on this certificate,who is a recognized authority <br /> of accuracy,as prescribed by Chapter 7(commencing with 7 <br /> Section 12700)of Division 5 of the California Business and 1900 Roosevelt Avenue Escalon CA 95320 <br /> Professions Code,administered by the Division of MeasurementP > > <br /> Standards of the California department of Food and Agriculture. 209-838-1448 <br /> WEI HMA TER SIGNATURE INVOICE NO. <br /> NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, WAITING TIME: <br /> INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE.WE MAKE DELIVERIES INSIDE CURB LINES AND ON <br /> LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES $ per hr.unloading charge. <br /> RESULTING FROM SUCH DELIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND P&L CONCRETE LEAVE PLANT <br /> PRODUCTS,INC.FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF REMOVING <br /> MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OF <br /> ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST.WE DO ARRIVE JOB <br /> NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING, FINISHING OR <br /> CURING OF CONCRETE AND DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED,INCLUDING CRACKING. <br /> CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE LEAVE JOB <br /> PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE <br /> LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE,ON CUSTOMER'S PROPERTY, <br /> FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE ARRIVE PLANT <br /> OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. <br /> SEE TERMS AND CONDITIONS ON REVERSE SIDE.READ FRONT AND REVERSE CAREFIULLY <br /> BY: CUSTOMER SIGNATURE WATER ADDED CYLINDERS TAKEN <br /> AT CUSTOMER'S REQUEST GALLONS ❑YES ❑NO <br /> CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET <br /> SOLD TO DELIVER TO DRIVER <br /> TERMS <br /> QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED <br /> THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE <br /> TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE WAITING TIME <br /> SUB TOTAL <br /> SPECIAL INSTRUCTIONS TAX <br /> TOTAL <br /> GRAND TOTAL <br /> - - 4543 - <br /> INVOICE NO. <br /> Tt-i-tck Driver User Disp Ticket Nt.tm Ticket, 10 1 iIne bate <br /> 53 CARY PHILIP 4543 11 :50 11/9/17 <br /> Load Size Mix Cade Returned Oty Mix Age Seq Load ID <br /> 4. 130 yd SnND00103 D 5103 <br /> Material Design Qt yy Reqquired Batched % Var % Moisture Actual Wat <br /> SAND 1101 2850 1b 12084 lb 11990 lb -0.78% 6,00% M 81 gl <br /> GEMENT 968.0 lb 3872.0 lb 3835.0 1b -0.%% <br /> WATER 40.00 gl 118.04 gl 118.00 gl -0.03% 118.00 gl <br /> Actual Nur Batches: 1 <br /> Load Total: 16810 lb Design 0.345 Water/Cement 0.434 A Design 160.0 g1 Actual 199.3 gl To Add: 0.0 gl <br /> Slump: 7.06 in # Mater in Truck: 0.0 gl Adjust Water: 0.0 91 1 Load Trim Water: 7.0 gl/ yd <br />