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W A K N I N G 0 CONTROL NUMBER IRRITATING TO THE SKIN AND EYES WEIGHMASTER CERTIFICATE IIS IS TO CERTIFY that the fallowing described commodity was A measured. 251- 7278�1 1��O Contains GEDPortlCONTACT Cement.Wear Rubber Boots and Gloves. r counted by a weighmaster,whose signature is on this certificate,am ,s a recognized I o PROLONGED CONTACT MAV CAUSE BURNS. authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Avoid Contact Withpas and Prolonged Contact With Skin. Division 5 of the California Business and Professions Code,administered b the Division In Case of Conrad W'in Skin or Eyes,Flush Thoroughly With Y W!., If Initiation Persists,Get Medical Attention. of Measurement Standards of the California Department of Food and Agriculture TICKET NUMBER NOTICE:Cement,fine and coarse aggregate contains chemicals known to Ne Slate of California to cause cancer or birth defects The Company shall have no liability for and hereby excludes warranties or merchantability end or other hrPrVqucUJT hafT. I NOTE:fitrun i..for any purpose, and all other warranties express or Implied,with respect to resolve 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 PLANTOVERTIME WATER ADDED 1 DRIVER:I have verified the specific slump for this job to be: I verify that this load will meet the slump Spec on the job X Please initial REASON FOR DELAY TIME EPAER:READ CWILL& AVRIGHTS.SIGNATURE BELOW THTIRESIMPORTANTACCTANCE OF ALL TERMS,CONDITIONS ONS AFFECT YOUR PRINTED ON FRONT&BACK OIS FOM ❑ JOBSITE DELAY ❑ 75%OF LOAD ALL INVOICES SHALL BE PAID IN FULL ON OR BEFORE THE LAST DAY OF THE MONTH FOLLOWING THE DATE OF 13 PLACEMENT ❑ 50%OF LOAD DELIVERY.CUSTOMER AGREES TO PAY A SERVICE CHARGE 1 112%PER MONTH ON ALL INVOICES WHICH ARE PAST DUE, IN ADDITION, CUSTOMER AGREES TO PAY ALL COSTS AND EXPENSES FOR COLLECTION OF ANY AMOUNTS DUE HEREUNDER, INCLUDING ACTUAL ATTORNEY'S FEES INCURRED. ❑ EARLY ARRIVAL ❑ 25%OF LOAD ❑ EQUIPMENT FAILURE ❑ WAS WATER ADDED AFTER BEING ON JOB SAG RAMEN I Ut L;I-4 7:_it5c'fO ❑ 100%OF LOAD FOR 30 MIN OR MORE TIME: SOLD TD PO a CUSTOMER# C.O.D. .nIw'l DATE SPL-"CTRLIM EXPI_ORAI .T.014 11\11. l:IIII 11'/Avi111 CA❑sw' 4GECK - ut DELIVERY ADDRESS MAP PAGE ZONE TIME DUE DEL MON I'E CAN PI._AiVT 1. 1 : 13 CROSS STREETS PROJECT# ORDER N POCKET# F11.HERT A IFIFNOR I MIX SACK LOAD SIZE LOAD# USE PLANT TRUCK# DRIVER 3210300 219 KEN DRAPER WEIGHMASTER _ . - I mu Y, I i. .._ .t: jllj . 1,. I 1 : .. I-IICKTCIi`!t 1;1.1 ,-.I`);',G.,... LOAD QUANTITY CUMULATIVE OTY ORDERED OTY. PRODUCT CODE PRODUCT DESCRIPTION UNIT PRICE AMOUNT 1 . 0Vn `ic:k :',!T RONIHF_Pll' 4=EL-: MIX INGREDIENT WEIGHTS - MIN.LOAD CHG. TAX SUB TOTAL OVERTIME TOTAL D U E WATER ADDED AT PLANT %MOISTURE F.M. T.A. SLUMP Returned checks may subject maker,in addition to the amount u`3 LSI '79. 1 G �{('iF>. LI,I([i Utf-i owing,treble the amount owing,up to a maximum of$1500.00 (Civil Code Saoreturned t.1719). A retuetl check charge of$20will RECEIVED BY The srtrr and condtf ra on the Jesse ads of the DLIII ticket and arty etlalxnmb tlBleb ere a paM1 of the ageemert heMa:n charged Plus an additional$35.00 for any mechanics Ilan. Canpanyand Customer.AcopencedtlsamrmmAw+eaagreert 10Ialtemsand mrdOac sllavn an maimxs aril baa. yy Ii 1.. hi I.IV x READ MONT AND REVERSE SIDES CAREFULLY.I aINUTHOFUs-00INGTINE The above 5 over,tre age of eighteen(18)yearn and has aWrorty to execuld this reement on behalf of Customer. PFAYAP➢S Ci WlMRtTEFaEEa GeaaE algnaa A9 1➢nagWLIMLWpNGMff CNN1atD PT WPHEMfgUW.V1aUfA4 MIE.