Laserfiche WebLink
CUSTOMER <br /> WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity <br /> was weighed,measured,or counted by a weighmaster,whose .� <br /> signature is on this certificate,who is a recognized authority of <br /> accuracy,as prescribed by Chapter 7(commencing with Section 4 L 6­73 3 5�- 5 <br /> 12700)of Division 5 of the California Business and ProfessionsZZCC_MC_X <br /> Code,administered by the Division of Measurement Standards <br /> of the California Department of Food and Agriculture. <br /> I,. I t <br /> , Excess water is detrimental to concrete quality. Increased water in concrete mix reduces strength and durability and increases shrinkage. <br /> NOTE <br /> Buyer accepts responsibility for water added on job site,which exceeds accepted water/cement ratio and workability specifications. <br /> Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: <br /> I(o'ilU ,U() <br /> Total Amount for This Ticket Not Including Standby Charges: <br /> Cash Check#/Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect <br /> Check Without Standby Charges: <br /> Charge <br /> Customer Code: Customer Name: Customer Job Number: Order Code/Date: <br /> CALWATER DRILLING CO tr\IC <br /> Project Code: Project Name: Deputy Weighmaster: Order P.O.Number: <br /> Ticket Date: Delivery Address: Map Page: <br /> MCI'PAI. EN At,/ y. E b•1001NJAW.) Aid <br /> Delivery Instructions: Ticket Number: <br /> Due On Job: Slump: Load: Truck Number: Driver Number: Driver Name: End Use: <br /> LOAD CUMULATIVE ORDERED <br /> QUANTITY QUANTITY QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT <br /> 6 ' L +3` i�U f IG �I_� G SAND ycOn ° 40) _ ; <br /> GSI, IAO 1247! 1. r FLIEL_ SURCHr=tRGL <br /> 1. 00 0. INA 1202,749 ENVIRONMENTAL CHARGE EFI <br /> 14--kALWAYS GET DUT MD L.00_i'r, PIEFORE DAC*K11,10 YOLIR TRUCK*i, <br /> T)r^uM `01_1Y)ter^,; i I::::/sr! rete Dispo wa1 Fee <br /> III,eviGITAS Pa+v.,tJ.a Fu 1. 1 l._il;ad <br /> Water Added Curb Line Crossed At Owner's SUB TOTAL <br /> IN GALLONS: Agent's Request: <br /> AUTHORIZED SIGNATURE <br /> TAX <br /> Print Name: Date <br /> l Ill <br /> (X)_ Signature above signifies receipt and acceptance of the listed materials and acknowledge- TOTAL <br /> INITIALS INITIALS ment of and agreement to the CEMEX terms and conditions. <br /> BATCH DATA: 4267350- 5 267351 1 <br /> I^t_(C'I D r"'J. ., k.'. r.C; L_a'x t:.1 w U fTl p.t t-. L.e i; <br /> 1.1;10,, 9 1'4.1 4.4c,91 :_, <br /> I,_.is c3 t:'l : 1 �e rel i ?e C.;o CI e <br /> lyl4teV'.i tI1)eSiQtV,lpr-5R.etll-l,:tI'F�+_:I Fli:�I.r_h U,tY''r=�I tY'' r°ic;iti l.ir'�1.::�: Ll;-a�l��'i icit k'Jr. I1-•1.ip <br /> NSC(P.. 2175.00 l b 215K.65 l b 21600.00 1b 4 93.35 0.411: 9.87% A 232.4,", g l 234.48 <br /> GEMENT 958.-00 1b 8712.00 1b 8720.00 . 8.00 0.@t3� <br /> WATER 60,041 t� . 22;'.5 ai ,,A&!..00 t�11 f;47 1,�%` <br /> :-fart N'Ia Ba-i ;e;' 1c` r M Ilal 1` 53.0v <br /> ?aa ictal: 3,^,3 D3 p 17 WatIiCefa_tlt 3.r443w` f D>' igg540;VVg f' Act'sial/ c; gi To RO;: T'.5 9 <br /> luApa 9.00 ,Adju3t E1athc '0`g.1 lad TrimElates: 9.k 9i / C <br /> ., <br /> 80UNIVERSAL Rev 4/12 <br />