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w_ 11 G:^V;Prom: To:7599759 : 20994247n9 7/11 MAIL IAI,b,INC. t icfatlowingn., rfbedcamna.a THIS 15 TO CLRnPY thot li,c foQmrirtp de.crfbed coo,modtty wan wWChL'd,nteael WEIGFIlVSASTER or counted by r welldtmusle,whose%*nature u on dtU eertifleate,vAm 4 a rook P.O. OX 4770 authority of accuracy,w prescribed by t3uapter 7(rrimneacing wlth lcokn 129% • Dlvitikn 5 or the California BcAnmi and Trofmions Code,admialricred hr the D4% MODESTO,CA 95352 MATERIALS,INC of Mvu%ure:menl Standard%of the Caliromtn Dcpanmcnt of rood and ARrlcultum (209)529-4050 CONTROL NO. 353881 SOLD TO: SHIP T0: - - - _-- KEITH GROSS 1.7059 N. TRETHAWAY RD. , PO BOX 178 WOODBR I DGE 95258 ORDER: 49 TINE Nv NO LOAD SIZE CUYDIMETERS 08 DD - SUllup. PL=TMWtSACnOfi TRUCK li CIWER 11 :47AM 10. 3SK E. 00yd 6. 00yd 8. 00 05 0199 TIN STIENR DATE CONTACT NO OF LOADS ACCUM CU YOMElERS ZONE P.O.JOB Y UCENS6 s TICKET NUMBER 08/05/14 . 1 6. 00yd S,7c 15 609-9140 523429 QUARRY CODE DESCR6'RON PPX>F CU YO METr Fl O TMED PW 6. 00yd 10. 3SK 10. 3 WELL SEAL 0. 01 i I i I SUBTOTAL SALES TAX TOTAL PREVIOUS STANDBY w'EJcmDAT.- P#5 STAGECOACH STOCKTON DEPUTY MATT H_UMPHREYS ANIVYWI AIUV PINT LEF'rJOIs t-YN POUR JOB NOT READY TRUCK BROKE DOWN TLriw Allov.od JOB SI Try CYLINDER TEST❑YES E]NO :I, SLOW POUR OR PUMP ACCIDENT Water TRLCK AltE•AD ON JOB CITATION Added --G�to full loot) 1'E'� LEFTPLTT LEFTPLhT ARIYJOB ST.POIIR TlmeDue On Job t - p ---- CONTRACTOR LNAVAIL pnlrR At ______CPIs to 2/3lottd YF5 1 I ADDED WATER C,uutumcr's FIN POUR TTI.RD TRIP TTL*JOB.TVOUR TIME JOB DEL"EXPLANATION DelayTlme:• Request GalseoUJluud �XES ...v I Tlvc(3)minutes per yd/ander free unloading time allowed. AUTHORIZED BY: AAAitlonal ualooAlaE rune clwccd at oarrent Iwuriy rate. NOTICE MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONR OF TRI¢OELIVE}tY TQG INGLUDiNC-TME TERMc AND CONDLTIONS OB TIE REVERSE WE MA DELIVERIES INSIDE CURB LINES AND ON LOTS OR PROPERTY AT CUSTOMER S RISK ONLYAND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES RESULTING FROM SUCH f LIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND 7/11 FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY,EXPENSE 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 R BEEN ADDED AT THE BUYER S REQUEST WE DO NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING,FINISHING OR CURING OF CONCRETE Al 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 UPI LEAVING THE PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS,CUSTOMER IS RESPONSIBLE FOR PR VIDING A SUITABLE PLACE,ON CUSTOMER S PROPERTY,FOR DRIVERS TO WASH CHUTES AS NECESSARY ANY CLEANUP COST OF CVSTOMER•PROVIDED WASHOUT BITE OR REMOVAL TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. DESIGN'QYY rER}1 RET L9mTGi'-t'E'E' ---* --%MG!ST RE RaTUA WAT SAND 1936 lb 12387 lb 12330 —. 46%% 6. 64 M 91. 98 91 CEMENT 966. 0 lb 5808. 0 lb 5768; F, —. FIB% WATER 50. 00 91 0. 00 g 1 0. 00 0. 00% WATER c 100. 00 % #189. 60 g 1 188. 58 —. 54% 188. 58 g 1 HOT 0. 00 91 # 0. 00 g 1 0. 00 0. 00% SIMULATED NUM BATCHES: 1 LOAD TOTAL: 19673 lb DESIGN W/C: 0.431 WATER/CDM: 0.406T DESIGN WATER: 300.0 gl ACTUAL WATER: 280.6 91 TO ADD: 19.4 91