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►►'Ii1GHkIASTF.R CFR'IIFI(AI E <br /> 7/11 MATERIALS,INC. THI%Iti TII(.'F.RTIF'Y(hat Ihr rolk-ingde+rrihed commodit)aa+ ,"ghed.mea+und• <br /> y HASTF.R or countcA by a ereilthmaatrr,whine+IAnntum on thl+crrtificatr.who h a recounitrd <br /> P.O. ^M 4770 authority of accuracy,a+prr crllwd by(bapter 11r 1unMOrina with Scvt")n 1:7tab of <br /> WEIGHM <br /> Ulrhhm 3 O(the('allfnrnla ttu+im•++and I'mfa inn+0de,adminimemd by thr M,Won <br /> MOUE.STO.CA 95352 of Ntra+urrmenl Standard,of thr California Delnrrtment of Fuad and Aarknitme. <br /> <&(209)529-4050 CONTROL NO. 3806 , <br /> � <br /> SOLD TO'. -- SHIP TO: <br /> T RET'HPWH I' RD. , l_OD I <br /> E. V T CTOR RD. , 5. T RE:THAWAY, <br /> I <br /> 171r -r1? ,JOB IS APPROX ! %E WAY BTWN, KE1' <br /> L EMAN PiND Y I _TOM RE. <br /> ORDt_:R <br /> ---... - - - <br /> nME MIX NO. uvD SIZE CU YDIMETERS ORO'D SLUMP PLANT/TRANSACTION TRUCK e DRNER <br /> iiN'�T ice_ <br /> � .. (BITE CONTACT NO Oi LOMS ACCUM CII YDIMETERS ZONE P.O.JOB i L4.'EHSE a TXJ(ET NUMBER <br /> OLIANTry CODE _.. .--.r --DESIXTIPTXIN PRICE CU YD METER EXTFJIOED PRICE <br /> I <br /> SUBTOTAL <br /> SALES TAX -- <br /> TOTAL <br /> PREVIOUS <br /> STANDBY <br /> P#` 5TA(3FCn.P.,:F. _;-1 OCK i ON MA TT HUMPH RE. <br /> ICHED AT: DEPUTY <br /> ARI►'Pt.NT I.EF r JOB FIN POUR JOB NOT READY TRUCK BROKE DOWN Tlme Albwed JOB SITE CYLINDFR TEST[:]YES [3NO <br /> SLOW POUR OR PUMP :►CCIDENT Water I <br /> Added Gal-In full load El YFS <br /> El TRUCK AHEAD ON JOB CITATION <br /> I.E JtLNT' I.F.FT PINT ARIV J08 ST.PO[B Time Due On Job <br /> IONCRAC-rORUNAVAIL ortIER - -- Al GalatoLzload []YES <br /> ADDED RATER Customer's <br /> Request Ga[s to 1/4 bad [:]YFS <br /> FIN FOUR I'1. TRIP TTL�JOB POItRTIME ,JOB DELAY EXPLANATION Delay Time <br /> tTar isi minatec per y& " <br /> mrr free unbrlltdR time allowed. AUTHORIZED BY: <br /> Additional unlwdlna time charu"I at current hurl),rale. <br /> NOTICE MY.SIGNATURE BELOW INDICATES THAT_IACCEPSTHE TERMS_.COJIQQIQftS_OF_TH*_2EUYM_T&(L INCL1tDM%THE.TERMS AND COHRITLOHS ORTHE REVERSE.WE MAKE 1 <br /> DELIVERIES INSIDE CURB LINES AND ON LOTS OR PROPERTY AT CUSTOMERS RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES RESULTING FROM SUCH DE- <br /> LIVERIES CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS 3 DEFEND 7/11 FOR,FROM R AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF <br /> REMOVING MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE STRENGTH.SLUMP,OR QUALITY OF ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS <br /> BEEN ADDED AT THE BUYER S REQUEST WE DO NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING.FINISHING OR CURING OF CONCRETE AND <br /> DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED INCLUDING CRACKING CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON <br /> LEAVING THE PLANT,ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PRO. <br /> VIDING A SUITABLE PLACE ON CUSTOMER S PROPERTY,FOR DRIVERS TO WASH CHUTES AS NECESSARY ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE OR REMOVAL OF <br /> TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. <br /> UFS I GN 01-y sl=UU i RE_D FAA TCHUDi, �)AR ,0101 SI URL ACTUAL. t' Ij;j <br /> 968. 0 ).J 4 35E.. 0 lb 4360. 44 �0. 12113% ._..�,. - _ � _� t_._ <br /> L R '0. 00 g 1. 0. 00 g). 0. 00 IZI. 0121: <br /> 12110. 00 1 4-E. 31 g? 146. 6; 0. 2'5/ 1..j 6 f,'' <br /> T <br /> 0. 00 y 1. #fi 0. 00 q i 0. 12t0 0. 00% <br /> "J--S Fr.UL.ATF_- NUM BATCHES: 1 <br /> i-Ci D TOTAL; 147b4 Ib DESIGN W/C: 0.031 WATER/CEMENT: 0.484T DESIGN WATER: X25.0 gl ACTLOL 6ATER: 2111. gl TO ADD: 11 ? gl <br /> V: 8.0 a4 ADJLIST WATER: 0.0 g, Chad TRIM WATER: -1.0 gi Ivd <br />