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KN I FE RIVER I E BILLING OFFICE: CH: ( 0)464- ( ) DELIVERY 662015 6 2 01 5 V tt CENTRAL DISPATCH: 800 464-6572 • 209 933-6999 '�7 E3 lJ 'AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG STOCKTON PLANT LODI PLANT MANTECA PLANT TRACY PLANT ELK GROVE PLANT AMADOR TRANSIT MIX 400 S.LINCOLN ST. 851 E.LODI AVE. 450 EAST WETMORE 1728 WEST LINNE ROAD 10260 WATERMAN ROAD 12480 RIDGE ROAD STOCKTON,CA 95203 LODI,CA 95240 MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE,CA 95624 SUTTER CREEK,CA 95685 SOLD TO: SHIP TO: I I TIME MIX NO. ICU.YDS.THIS LOAD� YARDS ORDERED!" ORDER# DRIVER/TRUCK PLANT PLANT# NO.OF LOADS YARDS DEL. BATCH# SLUMP TICKET NUMBER 7 KNIFE RIVER AND DRIVER OF TRUCK are released from any KNIFE RIVER WEIGHMASTER CERTIFICATE responsibility of addition of colors due to variations in cement and JOB SITE CYLINDER: ❑YES THIS IS TO CERTIFY that the following described commodity was aggregate materials or admixtures, and for damage which may be weighed, measured, or counted by a weighmaster,whose signature is incurred in delivering materials across the curb or property line.Claims Water Gals.to full load❑YES on the certificate, who is a recognized authority of accuracy, as for shortage will not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business and Professions Code, administered by the was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job Gals.to 2/3 load DYES Division of Measurement Standards of the California Department of WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and Agriculture. CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer'sDEPUTY COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load❑YES PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. RECEIVED BY: X • • • - • •s . • "The mixes 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 environment or in conjuncture with any particular soil conditions. Buyer's selection of the quoted mix,unless otherwise acknowledged in writing by KnifeRiver will be deemed to be without the advice,consultation,recommendation or suggestion of Knife River and Buyer assumes all risk related to the selection of the quoted product for any gglicular application." COUNT •= Time of Job Min. REASON FOR DELAY TIME: ❑ Job Not Ready Standby Min. ❑ Job Broke Down REV.COUNT START POUR • •• Rate of X$ Per Min, El Truck Broke Down ❑ Adding Water _$ ❑ Arrived Job Early TIME ON • •: ARRIVE PLANT ❑ Slow Placing Method Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) .: Additional unloading time charged at a minimum $1.50 per min. 662015 1.J1 l Jti�r � � L`�4j1(�s•4��4 t.A' e. f l l i ' ii.'`fl 1-7 7 lyl2�: C'.QCaEa 1Z4?t.LIP"ifrq W4 n rl : late'rial Design Qty Required Batched Nhiiiture Actual Wat it°ir f 11*"1!-lit %8.N '1 b 3872.0 lb 3848.0 l b0.830 ` 19:11 lb 80 lb 81x4 lb C 01%' 4.911; A 3Nlb 09 1b 1121 1h 1138 lb Q,ell�{ 1130 it -28 gl AC U, "1 h111f tr!}es: i Owl 12:38:32 I.dafti Utai:. 1001 lb Desip 121.1219' Water/Cerent d.Q4 ? 1lesign 24.;5,. 1b kluallbia.N lb To Add: 9-5.6 lb Cz -, �+ in P Ilater in Track: 0.P gi Adjust Water: 0,0 NI / Coad- Tris WAer:-3.6 g1./ ryo. SITE COPY