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,LING TO THE SKIN AND EYES WEIGHMASTER CERTIFICATE CONTROL NUMBER ms Ponlanb Cement Wear Rubber Boots and Gloves. HIS IS TO CERTIFY that the following described commodity was��ad,measuretl, C i ys .BONGED CONTACT MAY CAUSE BURNS. r countetl by a weighmaster,whose signature is on this certificate,w is a recognizetl J i d 1 oM Contact With Eyyes and Prolonged Contad With Skin. authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of ase of Contact VJNh Skin or Eyes,Flush Thoroughly With Division 5 of the California Business and Professions Code,administered bythe Division Water.If Ini s on Persists,Get Matlicel Attention. of Measurement Standards of the California Department of Food antl Agriculture TICKET NUMBER NOTICE:Cement,fine and coarse aRg,Qg're'ga'"te� contains chemicals known to thef9 - f C"orniatd FipgNT. tisk bi(!g {g1 . - - or oNer reprrooddudlve harm. Tlid parry shall have no liability for and hereby excludes warranties or merchantability and DREN. NOTE:fitness for any purpose, and all other warranties express or implied, with respect to reactive KEEPOUT OF REACH OF CHILaggregate,antl popping(POPOuta),checking,diacolan 9 of surface cracking of concrete. LOADING LEAVE PLANT ARRI E JOB START UNL FINISH UNL LEAVE JOB ARRIVE PLANT OVERTIME WATER ADDED /r DRIVER:I have verified the specific slump For this jo610 be: v I veri that this load will meet the slum sec on theob X Please initial REASON FOR DELAY TIME IMPORTANTA��E°MN�Eo ALL o o ONS8WAIVERSPRNEDON ROMBCOFORMES BACKOFS ❑ JOBSITE DELAY ❑ 75%OF LOAD ALL INVOICES SHALL BE PAID IN FULL ON OR BEFOflE THE LAST DAY OF THE MONTH FOLLOWING THE DATE OF DELIVERY.CUSTOMER AGREES TO PAY A SERVICE CHARGE 1 1/2%PER MONTH ON ALL INVOICES WHICH ARE PAST ❑ PLACEMENT ❑ 50%OF LOAD DUE. IN ADDITION, CUSTOMER AGREES TO PAY ALL COSTS AND EXPENSES FOR COLLECTION OF ANY AMOUNTS DUE H REUNDER- INCLUDING ACTUAU•ATTOH Y'S FEES INCURRED. ❑ EARLYARRIVAL ❑ 25%OF LOAD d4T_ ITFiI.-.I`i . l : I.1-4 : '13 ❑ EQUIPMENT FAILURE ❑ WAS WATER ADDED AFTER BEING ON JOB ❑ 100%OF LOAD FOR 30 MIN OR MORE SOLD TO TIME: I PI IN EXPI-01RAT I ON IN( [3,794'41.3M DarE__Jan-11,3 DELIVERY ADDRESS CASH CHECK CAN PLAN 1 9 TKN MAP PAGE ZONE Ty" glUil 1/t. i,i CROSTpEETS F' Al..k'., NIINU{: PROJECT# ORDEqk7 _.� POCKETx MI% SACK LtOAD.SIZE LOT USE r(i 11 PLANT TIT 4 DRIVER WEIGHMASTER 1 - LOAD QUANTITY FCUMULATIVE ORDEREDQTY. PRODUCT CODE PRODUCT�E$CRIPTION UNIT PRICE AMOUNT I.rdi-) 1.tb.INlirIEN I FFJ MIX INGREDIENT WEIGHTS MIN.LOAD CHG. TAX SUB TOTAL OVERTIME TOTAL D U E WATER ADDED AT PLANT %MOISTURE FM. TA. SLUMP Returned checks may subject maker,in addition to the amount J 4t-J6. 00 :1, too owing,treble the amount owing,up to a maximum of$1500.00 (Civil Cotte Sad.1719). A returned check charge of$20.00 will RECEIVED RY �' ieme and oxxlNDrs at tle 2Yarse sitle d Nis Dewey Was antl arty attachments ttrxe0 are a pari d The agreenwx heMeen be charged plus an edtlttional$35.00 for an mechanics lien. Cpryiery and Cuslancr.Pn-apterxe dttvs oNaz constitutes agmtemsardmtlEdeyiumonlhetare agreement ardbadc "t ... .. x - RFAO FRONT AND REVERSE SIDES CAREFULLY. MINUTES Or UNLOADING TIME The above signesi w4bgr the age of eighteen(16)years and has aultloriy to execute this Agreement on behatt of Customer PERyAIes GFwNcnEIE FREE re . MOTION.UNLWDING Tea CHARGED AT CbRAW EcoeLYTPW,k,MM