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illillillillilllllll <br /> N�nOL0NGE0CONTACT MWear Rubber Boot h ose rcogmzetl <br /> amid Contact <br /> With E AY CAUSE B 0°ts and Glovas. ds IS TO CERTI WEIGNMASTE <br /> .Case of Contaq es end Proton URNS rcountetl b tat fheJolluiv d <br /> ■ <br /> Wafer,II Ird th Skin or E gid Contact With Skin. Y a�t9hmaste,wh <br /> CEgDRCq <br /> talion P Yes,Flush Thor aumori 9 °ure m-0 <br /> ®re101h 001 MBI oughly With N of accuracy,as proscribed bsignaNre is tliN was w 7-me <br /> dDalAttention. Dlvision5otthe CaliforniaBusindas oCOMrtRicate, i ,oc <br /> Y is](COMM(commend o a t Crea Wild <br /> CONTR <br /> to he St I,,if and cog of Measurement Standards o/ antl Professions Code, with Section 12]bg)or 2517312 <br /> OL NUMBER <br /> known N the State OI CBIIIOrgie fo aeuse cafe COrI the CaliroMIA Department or Food and Agriculture <br /> Or Other rep qi re ins cof fnela rlhe Division <br /> cancer or birth defects ■ <br /> N}hej�1. L,UIVI-.11i=`)1::. .,111- TICKET NUMBER <br /> KEEP OUT OF REACH DV C)iuogFN I1-11,634 <br /> �£Rmpany shall have no IIab11NY for and hereb ■ <br /> Nb}E;a # for any parpoae• and all other warranties y ex°Iude9 werramas or merchantability and <br /> LOADING LEAVE PLAryT 99regete,and popping(pop-Outs, exppress or im lied, <br /> ARRIVE JOB ) checking,of 10 of audace cracking of c�.tr to reactive <br /> /1 START UNE FINISH UNL <br /> LEAVE JOB ARRIVE PLANT OVERTIME WgTER ADDED <br /> DRIVER:I have verified the specitiolslliumP for this Job to be: <br /> I vOn that this load will meet the slum s on the ob- <br /> M P O R TA N T CUSTOMER:READ BEFORE SIGNING,WILL AFFECTYOUR RIGaHTS.SIGNATURE BELOW IPI <br /> CONSTITUTES REASON FOR DELAY TIME <br /> ACCEPTANCE OFALL TERMS,CONDITIONS&WAIVERS PRIMED ON FROM&BACK OF THIS FORM. ❑ JOBSITE DELAY ❑ 75%OF LOAD <br />_l rIN�OI eE sSvHmERA GREID INO PAYADS RV ICE COHARGEEI lA2 PER MONTH ON ALL INVO ICOE3 WHICHE DATE OF <br /> H ARE AST ❑ PLACEMENT ❑ 50%OF LOAD <br /> lE. IN ADDITION, CUS70MER AGREES TO PAY ALL COSTS AND EXPENSES FOR COLLECTION OF ANY AMOUNTS <br /> JE HEREUNDEA,,IN. LUDING A.CTU T7oRNEY'S FEES INCURRED. <br /> ❑ EARLY ARRIVAL ❑ 25%OF LOAD <br /> NItl-%'i 1i} lI HUE. 11EQUIPMENT FAILURE ❑ WAS WATER ADDED <br /> 5ACRAME1 109 GA 9088,;4 AFTER BEING ON JOB <br /> ❑ 100%OF LOAD FOR 30 MIN OR MORE <br /> TIME: <br /> iI TO P.O.# <br /> 1 ,t..tU l)(<j CUSTOMER# COD. PATE <br /> 5PV0RUN E::X6'LORATiON f,Nt . i'/ts0VI ` i ; <br /> C fT � L. �K , .1;311 .Q1.': <br />:LNERYADDRESS MAP PAGE ZONE TIME DUE <br /> DEL MCINTE CAN PLAN I 11 1 = <br /> OSSSTREETS PROJECT# ORDER. POI <br /> K m <br /> USE PLANT TRUCK# DRIVER <br /> e' 12.06 t.ril s id tobr tEIGHMASTER i UI•ly Y 1-1 ) b-I 13111-1 <br /> LOAD QUANTITY CUMULATIVE QTY. DE PRODUCT DESCRIPTIONUNIT PRICE AMOUNTCY aeT. _U '. L:Ie6 I MTRONME'.NT FF-E. <br /> u5c- <br /> MIN.LOAD CHG. <br /> MIX INGREDIENT WEIGIiTS TAX <br /> SUB TOTAL <br /> OVERTIME <br /> TOTAL D U E <br /> TA SLUMP Returned checks may sublod maker,in addition tc the amount <br /> VATER ADDED AT PLANT Mo MOISTURE EM. _ owing,treble the amount awing,up to a maximum of$1500.00 <br /> `;:!./ E h,p) -1, 1(11 (Civil Code Sect.1]19). Aretumetl check charge of$20.00 will <br /> be charged plus an evictions,$35.00 for any mechanics lien. <br /> ars mrcFticns an me reawss see a This LwX Y me aM�sacrMen�mrB,nas sthesso�hg+am np'"nmaa ew 11 4 �' 1 `'il>t/hl-i I� <br /> RECEIVED BYryy� pet.ppyme dtltis artlawrstCAes agreen,elrt <br /> `. READ FRONT AND REVERSE 8IDES CAREFULLY. Wh,1iESOF IIW.DPa,NG ONE <br /> x _ L PEAYNtlSOFfANCPEfEFM£pFCWPGE <br /> 18 ears antl hes autlarilyto execute this Agreement on beFwN of Cuslamer. _... wlm,oNu urawmr+a nNSGWWtLATcupRExt lwuwvmucx aniE. <br /> The above signeeladvorlthe agent aighteen( ___- <br />