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I <br /> CAL 4 VERA5 {� Calaveras Materials Inc. Delivery Tag <br /> -,IEIDEtBERGCEMENTGroup 3451 West Shaw Avenue Weighmaster Certificate <br /> Fresno, California 93711-3204 <br /> J Telephone 559-277-7060 CUSTOMER COPY 2 <br /> Fax 559-277-7134 r <br /> 1'1 :0t*-) Toll Free 800-726-5615 <br /> Manteca Ready Mix Plant Tracy Ready Mix Plant Thorne Ave.Ready Mix Plant Thorne Ave.Ready Mix Plant River Ready Mix Plant Selma Ready Mix Plant <br /> #54 1945 E.Lathrop Road #53 28983 S.Mac Arthur #60 410 N.Thorne Avenue #61 410 N.Thorne Avenue #62 1000 W.Nees Avenue #63 1475 Whitson <br /> Lathrop,CA 95330 Tracy,CA 95376 Fresno,CA 93706 1 Fresno,CA 93706 Pinedale,CA 93650 Selma,CA 93662 <br /> } Load Leave Plant Arrive Job Start Pour End Pour Leave Job Arrive Plant <br /> 11 :04.03 <br /> Water Added on Job at Customer <br /> Customer's Request Gallons Signature x <br /> WEIGHMASTER CERTIFICATE: THIS IS T(D"CERTIFY that the following described commodity was weighed, measured,or counted by a weightmaster,whose <br /> signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the-,, <br /> California,Business and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> CAUTION: PORTLAND CEMENT IS INJURIOUSTOIRRITATION. a WARNING ON OF FORM FOR <br /> DETAILED INSTRUCTIONS. <br /> Plant Ticket No. Order No. Customer No. Sold To: Date <br /> F _ <br /> a.r J,.r 1.<.6 s=� '5 i;:k'J'�2 HE•C�I1�3:ttdtarr...��C�S.' �)R�� ,I��G Cv l•':„ '- <br /> Delivery Address ZoneDriver P.O.Number <br /> f-'�I 210 S. NAC PIRTf-1UR, TRACY -3 HERMANFa1JSEIVICI <br /> Special Instructions Project No. <br /> r <br /> CIM ,101B 1 100 1/4M I. S OF i 1 sr, e "I"pricy C0I__1) wi`f"C: RACE l;>UMC-I.NC-3 <br /> Special Instructions a Job Number <br /> T tin t.. C(�1-D :�-I�n l:�f=�t:�I: Im=(�r�f t z�ar3 <br /> Truck No. Load Size Mix Code Slump %Air %Call. Project Name: <br /> 1,13. 122 04. 01-21 G1.,:.�fz 05 i4�r' tZl. k34� t�. <br /> a t @ss+*a x3x�a ;sm,°# ; - <br /> S±t!l118 'TtB �el1}4t�j ° ' � 8%r a S a� Tf3t�U �. l�,t'il .,y ar�`°01 <br /> =�.tt <br /> q <br /> s "I$Q a 1,? e t sy ss$.2a s4 a �': '�'P` ,'*s a , S PF►CIR <br /> t? ans.� a &aa 1 eey kis. 4 EJ .,sA.s,�%s* aKm.�ea..3 .......... IF <br /> 40. <br /> 04. 00 '+a -1r',-ID S 613005-} 10 -3 SK Sv r .. <br /> a <br /> � f^ <br /> MINIMUM L..C'MA CI"A i4%t:iL.,S <br /> CALAVERAS MATERIALS INC.ASSUMES NO CERTIFICATE OF COMPLIANCE: WE CERTIFY that the <br /> RESPONSIBILITY FOR DAMAGE INCURRED IN , <br /> Portland cement,chemical and mineral admixtures contained in <br /> DELIVERING MATERIALS INSIDE THE CURB LINE. the material described below are brands stated and comply with <br /> specifications: <br /> CALAVERAS MATERIALS INC. CEMENT BRAND: <br /> m TYPE: II MILL LOCATION: {° Sub total s <br /> 4.wd?-'li�jAL.0 ;, 1:51~.I!I�Ih"�tRD R. CHEMICAL ADMIX BRAND: TYPE: Tax <br /> MANUFACTURER: <br /> By MINERAL ADMIX MANUFACTURER: <br /> CLASS: <br /> CONTROL Total <br /> NOr ) l lr t DO NOT USE FOR TICKET NO. <br /> I'. (Rev.1/2004) <br /> •f'1_.r. ---------------= -------------------__----•------=------- <br /> f�q regal �> Tart; et Aet,ua1. Cntt:31:u si Mo i,st (1dii i,x Targetf�c t I_ta! sf kuus <br /> a Tare Zero <br /> TE I C;}-SD ll 1-b 1.0,1,61?; 1 n To 6 15i <br /> i > > Tarf- Zero Tare 2 e r a � <br /> CerMtwnt. 17ar gs—t. Act 1.,ta•1 rSt tu <br /> Watf er• 1 ar t ed Actual '- <br /> ---ab "._._...... �_. .at is <br /> 1�Fi'i�E R#I 1 1 G7A' E.-b 1168 I n To <br />