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EXBILLING OFFICE: (209) 933-6980DELIVERYCENTRAL DISPATCH: (800)464-6572 • (209) 933-6999 4`: tDP.O. BOX 66001, STOCKTON, CA 95206 TAG <br /> STOCKTON PLANT STOCKTON PLANT LODIPLANT MARYSVILLE PLANT <br /> 400 S.LINCOLN ST. 749 S.STANISLAUS 851 E.LODI AVE. 4629 SKYWAY DRIVE <br /> STOCKTON,CA 95203 STOCKTON,CA 95206 LODI.CA 95240 MARYSVILLE,CA 95901 <br /> CONCRETEINC. MANTECA PLANT TRACY PLANT ELK GROVE PLANT <br /> 450 EAST WETMORE 1728 WEST LINNE ROAD 10260 WATERMAN ROAD <br /> A Subsidiary o/KRC Holdings, Inc. MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE,CA 95624 `�t <br /> SOLD TO: SHIP TO: �(� �� �• per'/�,`"/ E <br /> TIME I MIX <br /> • ICU.YDS. ••• . • • <br /> CONCRETE INC. AND DRIVER OF TRUCK are released from anyJOB SITE CYLINDER: DYES CONCRETE INC. WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity was <br /> responsibility of addition of colors due to variations in cement and 9 tY <br /> aggregate materials or admixtures, and for damage which may be weighed, measured,or counted by a weighmaster,whose signature is <br /> incurred in delivering materials across the curb or property line.Claims Water Gals.to full load DYES on the certificate, who is a recognized authority of accuracy, as <br /> a will not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> for shortage of the California Business and Professions Code, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job Gals.to 2/3 load❑YES Division of Measurement Standards of the California Department of <br /> WILL REDUCE ITS STRENGTH ANY WATER ADDED IS AT At Food and Agriculture, <br /> CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer's DEPUTY <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load OYES <br /> PURCHASER UPON LEAVING THE PLANT ANY CHANGES OR <br /> CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: <br /> TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br /> V X • • <br /> RECEIVED BY: X • • • • • <br /> environment <br /> mites quoted are not warranted to be acceptable for any particular use.purpose or application.nor are they warranted to be acceptable for use in any particular <br /> deemed 10 or in conjuncture with any particular sod contlihons.Buyer's selecLon of the quoted mit,unless otherwise acknowledged in writing by Concrete, Inc will be <br /> deemed to be without the advice,consultation,recommendation or suggestion of Concrete,Inc and Buyer assumes all risk related to the selection of the quoted product for <br /> any particular application.' <br /> COUNT •: Time of Job Min. REASON FOR DELAY TIME: <br /> ❑ Job Not Really <br /> Standby Min, ❑ Job Broke Down <br /> IREV.COUNT START POUR • POUR Rate of X$ Per Min. ❑ Truck Broke Down <br /> ❑ ADDITIONAL CHARGE 1 <br /> Adding Water <br /> • <br /> _ _$ ❑ Anivetl Job Early <br /> TIME ON JOB LEAVE JOB ARRIVE PLANT ❑ slow Placing Method ADDITIONAL CHARGE 2 <br /> Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) , , <br /> Additional unloading time charged at$1 per min. <br />