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_ 9 R CERTIFICATE was u measnized ` <br /> — ' w ured <br /> WEIGHMASIE <br /> W R N Y GEPTIFY that the lollowm describednommodit w' ona12700)of NUMBER <br /> ND EYES nS IS iOb a weighmaster,whose signature is on this <br /> g1e ti the Division TICKET NU <br /> TO THE SKIN A counted Y as rescribed by Chapter 7 e C administered Y <br /> IRRITATING' artment of Food and Agriculture <br /> authority d by a ranY� P <br /> ��,,00ddr�aa��a PontaCOCuAie"'We CAUSE 13URNSantl Glove- Division 5 of the G8"OMta Business and Professionsne e, . <br /> Pp*LONGED es MAYand Prolonged COnlact With of Measurement Standards of the Galdomia Dep <br /> Flush Thoroughty Wnhstles erchaldabillly and <br /> AINd Contact <br /> "in Eyes Gat Medkal Attention. b ea c Ive <br /> I ase of Contact Wtth Skin or Eyes, <br /> M1e,nave no Ilebllil for eatl here Y <br /> W e Ii If Comemedics Persists, kals Y re c u8 eoarwmPe <br /> r ate contt.ho Chem el Tna,4omPenY s ur oae, god all Other In dlacolorPlis suAecaloa <br /> i���',S� wgh respect to ree <br /> 9 ecldng of concrete. OVERTIME WATER ADDED <br /> NpTICE:Cement,ii Can coarstoe ppap@gu9saa9ccaanoc�Brr ��(( fitness for anY P Pin PoP.0 '). LEAVE JOB ARRIVE PLANT <br /> kunown to the�t i.A .T`,Int Irl=. l I` K" aggregate.and PO 9l <br /> ,.the'reprddUR A h 3TgRT UNL FINISH U <br /> KEEP OUT OP REACH OF CHILDREN. ARRIVE JOB <br /> LOADING LEAVE PLANT ' <br /> ' REASON FOR DELAY TIME <br /> DRIVER:I have verified the Spec' slump for this lob to be:�� <br /> Please initial ❑ JOBSITE DELAY ❑ 75%OF LOAD <br /> Ivan that this load will meE RECD BEFORE SIGNING,WALL A� FF RIGED SIGNATURE BELOV'1 THE ATE ES ❑ PLACEMENT <br /> ❑ 50%OF LOAD <br /> M P O RT AN T <br /> CU R. <br /> .E OF ALLTERMS,CONDITIONS&WAIVERS PRIMED ON FROM✓£BACK OF THIS FOR ❑ EARLY ARRIVAL ❑ 7.5°/OF LOAD <br /> PER MONTH ON ALL INVOICES WHICH ARE PAST <br /> DE INVOIVERYCESS HALLOME AG BE PAID <br /> IN F PAY ON ERV C ICECHARGE1L12;DAY OF THE MONTH FOLLOWING THE DATE 0 WAS WATER ADDED <br /> DUE I E N R-1 ACTUAL 70RNEY - ES INCURRED. ❑ EQUIPMENT FAILURE ❑ AFTER BEING ON JO <br /> DUE. IN ADDITION, CUSTOMER AGREES TO PAY ALL COSTS AND EXPENSES FOR COLLECTION OF ANY AMOUNT FOR 30 MIN OR MOR <br /> f5272 BERRY HVENUt <br /> ❑ 100=/,OF LOAD TIME'. <br /> SACRAMEN'TOY C'Ip) COD. DATE <br /> CUSTOMER% y�C�r"•� <br /> P.O.% 1. I. (j.l+hl'I CASH'r3C�.CHECK <br /> (cel FiRF:..INII)(I ZONE TIME DUE <br /> SOLD TO MAP PAGE N.,-10 SPEGTRUN E.XF'LORiI F ION IIJC. <br /> Vii)N+N ORDER% POCKET% <br /> DELIVEPY ADDRESS PROJECT% I -,4y { /QI <br /> _ iMONTE CAN PLANT <br /> CROSS STREETS <br /> PLANT TRUCK DRIVE <br /> F'ILABE.RT ON F'21 '.�IUt,: OF '.._I LOAD# usE + �.,c) .iG+e.e CxntElra+ <br /> SACK LOAD SIZE L11=:NE:RAI_ �-c`- <br /> mix <br /> ?_1. 3Q1Fd <br /> WEIGHMASTER l <br /> 1,0 1 I'll)It Y;TiP ,ICfllUi�Nl,IT PRICE <br /> AMOUNTi <br /> F;' <br /> PRODUCT DESCRIPTION <br /> '.1VE i'9.. (Alli : :'].M IhpA i171 .�.F, `•1 llhkY <br /> LOAD QUANTITY CUMULATIVE QTY. ORDERED OTY PRODUCT CODE <br /> , CY .. ;.r.t?r P.Off I Rt:)NNt NT 1''1:1-- <br /> 1A i <br /> �1. iAiD 1 V161 <br /> II <br /> Q w 1 <br /> N <br /> MIN.LOAD CIAG. I <br /> TAX <br /> MIX INGREDIENT WEIGHTS SUB TOTAL <br /> OVERTIME <br /> TOTAL D U E <br /> Retumed cheeks may subleet maker.In so' <br /> SLUMP <br /> 1,41-,I owing,treble the amount owing,up to a m <br /> il <br /> F.M. 4rlf-1. jlPI ,t• (Civil Code Sect 1719). Aremmedsnack <br /> WATER ADDED AT PLANT %MOISTURE e1 ci, �. 'f T A be charged plus an additional$35.00 for a, <br /> ;~..;• [,:i, side d tlra De'Nery miwt and arN anadxrnnb de,as are a Carl m Ine a9learner^6eMaar' <br /> The Pad mrldticlw on the revrmm4hnas agisen%,+^m a111amsard oxknus shmvn mthelas and l>xk. -t <br /> RECEIVED BY rsSrT/a/snit Cldnrec AoxVter✓re READ FRONT AND REVERSE SIDES CAREFULLY. inmrs of UNLOODING11ME <br /> PEN YPAaS OF W MNEIE RFC DF D W GE <br /> x on behaR of Customer. s111lpN40NLWUVarnFCIPA3EDaT <br /> The above sVw is over the age of eighteen 06)Yaws entl hes aWtortty b execute Mis Agreement _— _ - - <br />