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H/ w ' ^ CONTROLNUMBEH FICATE IRRITATING TO THE SKIN AND EYES WEIGHMASTEcended commodity 2517275 HIS IS TO CERTIFY that ihq following tlescribed commodity was s a measured. COraahla Portland Cement.Wear Rubber Boots add Gloves. r counted by a va ighmaster.whose signature is on this certificate'Maris a recognized PROLONGED CONTACT MAY CAUSE BURNS. authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)Of Avoid Contact With Eyes and Prolonged Contact With Skin Division 5 of the California Business and Professions Code,administered by the Division TICKET NUMBER In Case of Contact J Skin or Eyes,Flush Thoroughly With of Measurement Standards of the California Department of Food and Agriculture W},;e,If Indianan Persists,Get Madical Attention. NOTICE:Cement,fine and coarse aggregate contains chemicals 0 known to the^Mate of California to cause cancer or birth detach, Tire.Company Shell have no liability for and hereby excludes warranties or merchantability and or other repr ety6 he". NOTE:1{ Sea for any purpose, and all other warranties express or implied, with respect to reactive KEEP OUT OF REACH OF CHILDREN, aggregate,and popping(Pop-Outs),checking,discoloring Of Surface cracking of concrete. LOADING LEAVE PLANT ARRIVE JOB START UNL FINISH UNL LEAVE JOB ARRIVE PLANT OVERTIME WATER ADDED 1. DRIVER: I have verified the specific slump for this job to be: REASON FOR DELAY TIME I verif that this load will meet the slum Sec on lite ob X Please initial CUSTOMER:READ BEFORE SIGNING,WILL AFFECT YOUR RIGHTS.SIGNATURE BELOW CONSTITUTES JOBSITE DELAY ❑ 75/OF LOAD IMP 0 R T A N T ACCEPTANCE OF ALL TERMS,CONDITIONS&WAIVERS PRINTED ON FROM&BACK OF THIS FORM. ALL INVOICES SHALL BE PAID IN FULL ON OR BEFORE THE LASo DAY OF THE MONTH FOLLOWING THE DATE OF ❑ PLACEMENT ❑ 50%OF LOAD DELIVERY.CUSTOMER AGREES TO PAY A SERVICE CHARGE 1 1/2%PER MONTH ON ALL INVOICES WHICH ARE PAST i DUE. HNRE DNDOR, CUSTOMER AGREES 7 PAY RNEYLL COS NAND EXPENSES FOR COLLECTION OF ANY AMOUNTS ❑ EARLY ARRIVAL ❑ 25%OF LOAD BERRY iiVFNLIF.' .ir` ❑ EQUIPMENT FAILURE ❑ AFTER BEWATIR ADDED NG ON JOB SACRAMENTO, CA -)b8;28 ❑ 100%OF LOAD FOR 30 MIN OR MORE TIME: SOLD TO PO.# CUSTOMER# C.0 L i.7�tPll7l :an--101: SPk i:IRUM EXF`LI:IRFtTTUN I1+11':. (6..i P.RL130A TIME DUE DELIVERY ADDRESS DE-1- PiOIV TE CNN i`L.AN I 1'KN fb:alb POCKET# CROSS STREETSFILNFRF tt IYO NOR MIX SACK LOAD SIZE LOAD# USE PLANT TRUCKS DRIVER 321w300 9. 5111 1 [3F:IUF:1?NL. 268 ELIAy SLLVA WEIGHMASTER I l I Jt-1117:.A I .'! I i It '_ it 11 I 11 1'1 r 1011E0 FII 'i Vi , ; l::: ido-iN 11!i1•'iN , I Of 11_Ii'l, LOAD QUANTITY CUMULATIVE QTY ORDERED CITY. PRODUCT CODE PRODUCT DESCRIPTION UNIT PRICE AMOUNT 9. `;Ib (IY SL7 aa, +tt0 32103fbtnIb. 351' S1..URRY 1. 410Lt; i . k90 I , bL 926 ENVIRONMENT FF--E MIX INGREDIENT WEIGHTS MIN.LOAD CHG. TAX SUB TOTAL OVERTIME TOTAL D U E WATER ADDED AT PLANT %MOISTURE FM. TA. SLUMP Retuned checks may subject maker,in addition to the amour UI 1,-t I,h owing,treble the amount owing,up to a maximum of$1500.0 kiln - r C . .- (Civil Code Sect 1719). A retuned check charge of$20.00 wi r be charged plus an additional$35.00 for any mechanics lien. RECEIVED BY The as"S and mn�as on Nle re.Erse sde d Nvs DdNery NckH and arty'a111adrreriN NEmtO are a pad d Nx:agreerrwnt between Conparyab Cusbmar.ytaroe olNes atlarmrmkaes at,TenrerNb ltemis and condibrS si»wn an NlekceaM iwck. READ FRONT AND REVERSE SIDES CAREFULLY. 101141IIE5OFONLDadINGTME X PmY ONN.UW(W)INGM EO-AWED AT The above sigree is war the age of eighteen(15)years and hes alModly to execute this Agreement on behalf of Condenser. goomaku uls_owINGnMeauROm xrclnaNMr HOURLY Truck rulc