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CAL.A VERAS Delivery Tag CUSTOMER COPY 2 <br /> HEIDELBERGeEMENTGroup Weighmaster Certificate <br /> Calaveras Materials Inc. PLAN( a4 MAN I LL:A <br /> 7673 N. Ingram Avenue 1945 L.ATHROP RD <br /> Fresno,CA 93711-5838 900--676—3201 <br /> Phone 559-277-7060 <br /> Toll Free 800-726-5615 <br /> Load Leave Plant Arrive Job Start Pour End Pour Leave Job Arrive Plant <br /> 1030: 02 w (G // Z� <br /> Water Added on Job at Customer <br /> Customer's Request Gallons Signature X <br /> WEIGHMASTER CERTIFICATE: THIS IS TO CERTIFY that the following described commodity was weighed,measured,or counted by a weightmaster,whose <br /> signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the <br /> California Business and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> INSTRUCTIONS.CAUTION: PORTLAND CEMENT IS INJURIOUS TO EYES: CAUSES SKIN IRRITATION. READ WARNING ON REVERSE SIDE OF THIS FORM FOR <br /> DETAILED <br /> Plant TicketNg225 Oril"o. Cut I. 1123 Sold To: REhtNINGS BROS. DR IL L IN Atlq- 2 <br /> Delip�ryAgdr DINE RD STOCKTON Zone Dr 114AHIT , ANTHONY <br /> U.i <br /> f <br /> Special lnstructiOR)" Sl-4J IP/I-205.3 WEST NORTHON TRACY BLVD RT W. HOWARD RD Project No. <br /> 7, L 1 <br /> Special Instructions Job Number <br /> Truck No. Load Size Mix Conr7, Slump %Air %Call. Project Name: <br /> Load Cumulative Ordered Unit of Product Product Unit Amount <br /> Quantity Quantity Measure Code Description Price <br /> �a CA,LARR LA. L;ARRIENVi.RON T <br /> LOAD r' ,IGES <br /> CALAVERAS MATERIALS INC.ASSUMES NO CERTIFICATE OF COMPLIANCE: WE CERTIFY that the <br /> RESPONSIBILITY FOR DAMAGE INCURRED IN portland cement,chemical and mineral admixtures contained in <br /> DELIVERING MATERIALS INSIDE THE CURB LINE. the material described below are brands stated and comply with <br /> specifications: <br /> CALAVERAS MATERIALS INC. CEMENT BRAND: Sub total <br /> TYPE: II MILL LOCATION: Tax <br /> Sieve Willson CHEMICAL ADMIX BRAND: TYPE: <br /> By MANUFACTURER: <br /> MINERAL ADMIX MANUFACTURER: <br /> CLASS: <br /> CONTROL <br /> 4 9 7 010Total <br /> NO. DO NOT USE FOR TICKET NO.' <br /> FORM#WC(Rev.5/06)X289327 <br /> U12111 Design ft Bakhed %Vnr%l lire Acta_, 04a, <br /> DMO 1409 It, ti 16� ' -0.78% 206%E 6 gi <br /> Ti:FSi 55.0 pl <br /> �= <br /> rERI12 10013% .0 of <br /> WATERS 0 % � 0 00 91 <br /> �aRt 96.?Ib 568 Ib sm Ib azi% <br /> !al Num ll 1 <br /> 3410 Ib DeslgnV*AC E474 Wat-viCernent 0.473 T Design 55.0 gi Actual 6.0 gl To Add 20b O <br /> nW id00 In S Water frrTn►cK: 3A0 4 Adlrig Water: 1110 gi J Load Trinrl -117.0 gi/ Cf I Nctc Mame feed occured <br />