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kit ILLING IVER CENTRALOFFICE: (800) 464-6572 • (209) 933-6999 6980 DELIVERY KNIFE �t741434 AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG t STOCKTON PLANT LODI PLANT MANTECA PLANT TRACY PLANT ELK GROVE PLANT AMADOR TRANSIT MIX 400 S.LINCOLN ST. 851 E.LODI AVE. 450 EAST WETMORE 1728 WEST LINNE ROAD 10260 WATERMAN ROAD 12480 RIDGE ROAD STOCKTON,CA 95203 LODI,CA 95240 MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE,CA 95624 SUTTER CREEK,CA 95685 SOLD TO: ,`��. SHIP TO: TIME MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK PLANT PLANT# ATE . OF LOADS 06t tok KNIFE RIVER AND DRIVER OF TRUCK are released fr9rJ anyKNIFE RIVER WEIGHMASTER CERTIFICATE responsibility of addition of colors due to variations in cement and JOB SITE CYLINDER: DYES THIS IS TO CERTIFY that the following described commodity was aggregate materials or admixtures, and for damage which may be I� weighed, measured,or counted by a weighmaster, whose signature is incurred in delivering materials across the curb or property line.;Claims Water Gals.to full load DYE on the certificate, who is a recognized authority of accuracy, as .. prescribed by Chapter 7(commencing with Section 12700)of Division 5 for shortage will not be allowed unless made at the time this rn vial 'I Added of the California Business and Professions Code, administered by the was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job Gals.to 2/3 loadD Division of Measurement Standards of the California Department of WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and Agriculture. CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE I Customer's DEPUTY COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 loadryES PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OA 1 CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <' RECEIVED BY: X X • • . • • fa "The mixes quoted are not warranted to be acceptable for any particular use,purpose or application,nor are they warranted to be acceptable se in any particular environment or in conjuncture with any particular soil conditions.Buyer's selection of the quoted mix,unless otherwise acknowledged in writing y Knife River will be deemed to be without the advice,consultation,recommendation or suggestion of Knife River and Buyer assumes all risk related to the selection of the quoted product for any Particular application." COUNT •: REASON FOR DELAY TIME: • Time of Job Min. ❑ Job Not Ready Standby Min. ❑ Job Broke Down REV.COUNT START POUR STOPPOUR Rate of X$ Per Min, El Truck Broke Down - ❑ A g Water ❑ Job Early TIME ON _ LEAVE JOB ARRIVE PLANT ❑ acing Method Five(5)min.per yd.free unloading time allowed. ❑ xplain) Additional unloading time charged at a minimum $1.50 per min.