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*_ r- 524�I;From: To. 7599759 ; 2099434709 <br /> 7/11 MVUA A1NU. TIUS iS TO CCRTTPY that ore toao..l"aeaertbed tannndity wax w*Wwtl,mtmi <br /> WEIGEUdASTER or counted by a wdghmurtrr,whom signature B on thk cettlncate,wha k a rotORaE <br /> P.O.BOX 4770 authority of accuracy,am pmcribed by Chapter 7(onmmcncing with StOkm 12701); <br /> Dirtsbn 5 of the California Bnsinm and Pmfc%Aons Cndc,admtnlstercA hy tht DI. <br /> MODESTO.CA 95352 MAT RtALS INC of Mcusunment Standard!of the Culifornio Deportment of f nod andsAAeicultum <br /> (209)529-4050 CONTROL NO. 353881 <br /> SOLD TO: """"-�----------- -------- SHIP TO: ---- - ---- - <br /> KEITH GROSS 17059 N. TRETHAWAY RD. , <br /> PO BOX 178 <br /> WOODBRIDGE 95258 <br /> ORDER: 4.9 <br /> TATE MIX NO. LOAD SIZE CUYD/METERSOPVD SLUMP.:., PlANF7TRWSACnON TRUCK! DRNEn <br /> 11 :47AM 10. 3SF'. <br /> E,. 00yd 6. 00yd 8. 00 0199 TIN STIEHR <br /> DATE CONTACT MOOT LOADS.;..,_ ;.ACCUM W YWMEfERS ZONE P.O,JOB 10 LICENSE r TK W NUMBER <br /> 08/05/14 1 6. 00y SJ215 609-914.0 523429 <br /> QUANTM CODE D6 (YI, PRICE CU YD Mm;I EXTENDED PRICE <br /> 6. 00yd 10. 3SK 10. 3 WELL SEAL 0. 00 <br /> I <br /> SUBTOTAL <br /> SALES TAX <br /> TOTAL <br /> PREVIOUS <br /> STANDBY <br /> . t <br /> WE(cHEDAT: P#5 STAGECOACH STOCKTON IDI;PUTY MATT HUMPHREYS <br /> A31 V IT VT LLi 1 JOIi FIN I`OIJRz;, F-1 100 NOT READY 1:3TRUCK BROKE DOWN TLnW Allows JOTS SITE CYLINDER TEST❑YES EINO <br /> It <br /> SLOW POUR OR PUMP ACCIDENT Water <br /> I El Addcd _Gab to full butt 11 YL'ti <br /> TRUCK AHEAD ON JOB �CITATION <br /> LEFTPLNT. 7.EFTPLNi ARIV.JOB, iS1:7!OIIw, tlYrneAuc On Job <br /> t -- COM1TRACTOR UNAVAfI p771F,R At ___Gnla t0 2/3 load E]YFS <br /> ADDED WATER Clo:dxncr's <br /> Request Galr to 113 In" E3YU <br /> FTN)POUR TTI.RD TRIP_rrLIR108, YOUR TIME JOB DELAY EXPLANATION w>? <br /> 17re(S)minutes per yd/meter tree unioadlnF time allowed. AUTHORIZED BY: <br /> Addtlloaai unlaAdlne thio clurgod at Gamont hourly rat,, <br /> NOTICE'MY SiQmATURE BELOW INDICATES THAT I ACCEPT THE TEAMS AND CONDITION4 OF TH1a DELIVERY TAC- INGLl D1NC.TME TERMS pND cONDMIONS CIN THE REVERSE WE MAI <br /> DELIVERIES INSIOE CVRB LINES AND ON LOTS OR PROPERTY AT CUSTOMER S RISK ONLY AND ACCEPT NOR ESPONS IBILITY WHATSOEVER FOR ANY DAMAGE8 RESULTING FROM SUCH L <br /> LIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND 7/11 FOR.FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE I <br /> REMOVING MIRED TRUCK PAYABLE BY CUSTOMER.WEARS NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OF ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL H, <br /> BEEN ADDED AT THE 13VYER S REQUEST WE DO NOT GUARANTEE THE COLOR OF THE CONCRETE,WE HAVE NO CONTROL OVER THE PLACING,FINISHING OA CURING OF CONCRETE At <br /> DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT 18 USED,INCLUDING CRACKING.CONCRETE ISA PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UP( <br /> LEAVING THE PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS,CUSTOMER IS RESPONSIBLE FOR PR <br /> VIDING A SUITABLE PLACE,ON CUSTOMER S PROPP-AT'Y,FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CLISTOMER•PROVIDED WASHOUT 817E OR REMOVAL I <br /> TRACKED-M <br /> €UD <br /> RFROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. <br /> �J.r"1 DESIGN <br /> QTY RER 1 RED T rT _-- ./ 11/1 h.11'9 T/' T- RE AGT-f 1/11 I A <br /> �-�� >cTrrsr-rte-EFA-T-EH>rrr- �.--vrr�--SGT n��t-arcs-r2�-rn�wrrT <br /> SAND 1936 lb 12387 lb 12,330 -. 46% 6. 64 M 91. 98 g I <br /> CEMENT 968. 0 1h 5808. 0 lb 5769. 6 -. 68% <br /> WATER 50. 00 q). 0. 00 g 1 0. 00 0. 00% <br /> WATER c 100. 00 % #189 60 g X 168. 58 -. 54/ 188. 58 g1 <br /> HOT 0. 00 91 # 0. 00 g 1 0. 00 0. 00% <br /> SIMULATED NUM BATCHES: 1 <br /> LORD TOTAL: 1%73 1b DESIGN W/C: 0,431 WATER/CEMENT: 0.406T DESIGN WATER: 300.0 g ACTUAL WATER: 280.6 91 TO ADD: 19.4 91 <br />