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WEIGHMASTER CERTIFICATE ' <br /> THIS IS TO CERTIFY that the following described commodity <br /> was weighed,measured,or counted by a weighmaster,whose <br /> .signature is on this certificate,who is a recognized authority CONCRETE PRODUCTS INC. <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 Measurement P & <br /> Standards of the California department of Food and Agriculture. 209-838-1448 <br /> W I HMA TER SIGNATURE TICKET 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 � Z. <br /> ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST.WE DO ARRIVE JO <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 ATCUSTOMER'TER S <br /> CYLINDERS TAKEN <br /> AT CER'S REQUEST GALLONS [I YES ❑NO <br /> CUSTOMER ID PO.NUMBER LOAD NUMBER JOB NUMBER TIME DATE TICKET <br /> SOLD TO DELIVER TO DRIVER <br /> i I 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 <br /> WAITING TIME <br /> SUB TOTAL <br /> SPECIAL INSTRUCTIONS TAX <br /> TOTAL <br /> GRAND TOTAL <br /> TICKET NO. <br /> I rI j, 1, Ci r i r, I J c_r C?i. z p CI..c k c�t N 1.t rn 7 <br /> PH IT 1_. :1 F l <br /> e Mix CnrJe F'F�-L1-tr ne'cl of y t11 <br /> -I„ 0I-ZI yCi SAN1_)OO10 ; <br /> ,iaterial Desiggn Cityy Reqwired Batched % Jar % Moisture Actual Wat <br /> SAND 1101 2850 lb 15105 lb 15880 1b -0.17% 5.00% M 102 gi <br /> CEMENT 958.0 lb 4840.0 lb 48330.0 lb -0.21% <br /> WATER 48.00 gl 122.54 gl 122.00 gl -0.44% 122.80 gl <br /> Actual Nus Batches: 1 <br /> Load Total: 20928 lb Design 0.345 Water%Cevent 0.398 A Design 200.0 g1 Actual 224.3 gl To Add: 0,0 gl <br /> 51uep: 7.00 in # Water in Truck: 0.0 y1 Adjust Water: 0.0 1 ! Load Tria Water: 3.0 yli yd <br /> Actual WIC Ratio: 0.398 Actual Water: 224 gl Batched Ce;ed: 4830 lb Allowable Water: 0 lb <br />