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WEIGJASTER CERTIFICATE THIS IS TO CERTI'that the following described commodity was weighed,meured,iccounted byaecgnized r,whose CONCRETE PRODUCTS, INC. signature is on IS certificate,who is a recognized authority of accuracyy,airescribed by Chapter 7(commencing with Seclior.*7 O,cf Division 5 of the California Business and P & 1900 Roosevelt Avenue, Escalon, CA 95320 Professionsde,administered by the Division of Measurement p Standards r e California department of Food and Agriculture. 209-8,38-1 448 WEI HMA TER SIGNATURE TICKET NO. NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, WAITING TIME: INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE.WE MAKE DELIVERIES INSIDE CURB LINES AND ON LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES $ per hr.unloading charge. RESULTING FROM SUCH DELIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND P&L CONCRETE LEAVE PLANT PRODUCTS, INC.FOR.FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF REMOVING MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OF ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST.WE DO ARRIVE JOB NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING, FINISHING OR CURING OF CONCRETE AND DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED,INCLUDING CRACKING. CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE LEAVE JOB PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE,ON CUSTOMER'S PROPERTY, FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE ARRIVE PLANT OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. SEE TERMS AND CONDITIONS ON REVERSE SIDE.READ FRONT AND REVERSE CAREFIULLY WATER ADDED CYLINDERS TAKEN BY: CUSTOMER SIGNATURE AT CUSTOMER'S REQUEST GALLONS ❑YES ❑NO CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET ('ll-1SELL i IS D R I L.L.1 i 4L, i i'di_ 0 DRIVER ' SOLD TO DELIVER T .119 AL_BE.FSS FID iiODESTO TERMS QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE 0 . 012 1 $50. 01?) TRUCK PLANT SLUMP 7OB_USE OF CONCRETE WAITING TIME SUB TOTAL SPECIAL INSTRUCTIONSTAX - TOTAL GRAND TOTAL TICKET NO. Tr-I.1.-C1; 1_;1 1v r <: i i c t<e t N I_I nl 1'i cL-e .: IA) Dat t 48 RIDGEL..10 F•-IH I i...I P 10774 9:36 11/19 Load Si e til,iw Carle Retl_tr,ned oty Mix Age =,elf L.o3.d ID 5. 00 yd SANDOCA1031 D 1186-7 Material Desi n Dt Re wired Batched % Var % Moisture Actual Wat SAND 1101 ?050 1� 15105 lb 15M 1b -0.10% 6.00% M 1+02 gl CEl4ENT 968.0 lb 4040.0 lb 4865.0 lb 0.52% WATER 40.00 gi 142.54 gl 142.00 gl -0.38% 142.00 gl Actual Nun Batches: 1 Load Total: 21140 lb Design 0.345 Water/Cesent 0.419 A Design 200.0g1 Aetuai 244.4 gl To Add: 0.0 gl Slump: 7.00 in # Water in Truck: 0.0 1 Adjust mater: 0.0 gl .1 Load Trim Water: 7.0 g1/ yd Actual W/C Ratio: 0.419 Actual Water: 244 gl Batched Cement: 4865 lb Allowable Water: 0 lb