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See Reverse for <br /> Terms&Conditions <br /> AMERICAN TRANSIT MIX CO., INC. WEIGHMASTER CERTIFICATE TICKET NUMBER <br /> i THIS lS TO CERTIFY mal the Following described oommoci ty was weighed <br /> rnsasured Or Counted by a weighirm3let whose sowture fs OR Vo Certificate , - <br /> • I who is a rocognizod authority of accutaty as pmscnbW by Chapter 7 <br /> CAUSES S-N IRFVTATION-INJURIqus TO EYES (commencing with Sectlon 12700)of Division 5 of the Cafdomis Business and <br /> cEMEe(r FRESFRY YAIXEO CEMENT MD1fTAR CANCREfEOR GROUT MAY CAUSE SKIN INJURY Pralessions Code administered by the Division of Measurement Standards Of LV PLANT ARR J013 <br /> Am CONTACT WITH Ism w"ERE POSSIBLE AND WASH EXPOSED SYUN AREAS PROMPTLY WITH WATER the CaWwriki Deparhnsnt of FoW and App ttUre ) r <br /> SF ANY CEMENT OR CEMENT MuMiRES GET INTO THE EYE RINSE(MUMIATELY AHP REPEATEDLY WTFH *LOCATION WHERE WEIGHED .� f f n�- <br /> INPIM FOR 4S UNU ES AND GET PROMPT MEOICAL ATTENTION �� <br /> KEEP Otff Of R"ZH Of CNLDREN (SEE REVERSE FOR PLANT I D) 5T RT POUR EN POUR <br /> SOLA TO SHIP TO <br /> ,t , P. Y +S I i {'` LV JOB ARR PLANT <br /> TRUCK# BATCH TIME <br /> Ll <br /> CUST# PROJECT# SHIP DATE *PLANT ORDER# CUSTOMER PO JOB 1 LOT# <br /> MIX# UNiTS LOAD# QTY ORD D QTY SHIWD SLUMP USE DRIVER <br /> i <br /> MtX O£SCR(PTiON CASH SALE <br /> UNIT PRICE UNIT AMOUNT <br /> '+ f {F'- 6 <br /> r�( <br /> PRODUCT OUANTfTY UNIT DESCRIPTION r�f <br /> O <br /> z <br /> O <br /> Cri <br /> WATER ADDED AT START REV CERTIFICATE OF COMPLIA14CP <br /> SUB-TOTAL <br /> PLANT WE CERTIFY that the portland ownent chemical aixl minerel admixtures contained fn Do material <br /> —_cw.5 <br /> described below are brands stated and comply with spedficab"for SALES TAX <br /> rYAfws FINISH REV <br /> JOB SITETOTAL <br /> r � CEMENT BRg1+fD TYPE b MILL LOC <br /> 6A71 <br /> wmua CHEM ADMIX as1AND TYPE STAND BY TIME <br /> CYL'S TAKEN - SLUMP METER MANUFACTURER GRAND TOTAL <br /> MINERALADMIXMFG Ft, CLASS CUM TOTAL <br /> REMARKS 1 (Y It 7 a1-I1 I i1 fV ''rs 11 1-14 !'f i'U 101 <br /> 0 <br /> 0 <br /> AMERICAN TRANSIT MIX CO, INC WEIGHMASTER CUSTOMER AGREES TO TERMS A CONDITFONS ON REVEPSE SIDE <br /> gY DEPUTY RECD BY X <br /> -�- <br />