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CALAVERAS Calaveras Materials a erials Inc. Delivery Tag <br /> d.b.a. Western Stone e' ducts f <br /> A CBR Company 1022 Woodland Avenue• P.D.Box,3171 Delivery <br /> Certificate <br /> Modesto, CA 95353 -• <br /> WEIGHED AT (209)523-5615 • Fax(209)521-1721 <br /> 1022 Woodland Ave n 3371 N Highway 59 711 S Madison I ti <br /> 51 Modesto.CA 95351 52 Merced.CA 95340 53 Stockton.CA 95203 Lathrop Rd 8 33 1800 Paulsen 5380 8181 W Bus Loop 205 <br /> 376 1 <br /> 54 Manteca.CA 95336 55 � Turlock CA 95380 56 Tracy. CA 95376 <br /> LOAD LEAVE PLANT ARRIVE JOB <br /> START POUR END POUR LEAVE JOB <br /> 0­1 �{—�� p /�`� ARRIVE PLANT <br /> Elir I <br /> WATER ADDED ON JOB AT CUSTOMER <br /> CUSTOMER'S REQUEST GALLONS SIGNATURE X } <br /> WEIGHMASTER CERTIFICATE: THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster. whose <br /> sionature 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. I } <br /> CAUTION: CONCRETE IS CAUSTIC. AVOID CONTACT WITH SKIN. <br /> PLANT TICKET NO SOLD TO � DATE <br /> DE gra-��ORDEIA:O <br /> I f <br /> DELIVERY ADDRESS (' <br /> ZONE DRIVER _C+C <br /> _ P/O NUMBER <br /> 11 7 TR <br /> SPECIAL INSTRUCTIONS <br /> PROJEC, NO <br /> Ohl ,7(7B 1�th01. <br /> SPECIAL INSTRUCTIONS' -� <br /> JOB NO <br /> rTRUCKNO LOADSIZE MIX CODE SLUMP ob q1R °/ CACPRUCTIONS CONT <br /> 7'; ��� 171, t2t:� <br /> LOAD CUMULATIVE ORDERED UNIT OF PRODUCT <br /> QUANTITY QUANTITY QUANTITY <br /> MEASUREPRODUCT UNIT <br /> CODE <br /> _ DESCRIPTION PRICE AMOUNT <br /> : 00 c, lT0 <br /> c, ON `ARD UG'l4_'IE;S00 i 4. 9 <br /> E;N. <br /> muri L- .d Chca I } <br /> F j <br /> WESTERN STONE PRODUCTS <br /> wEIGHnnsrER WESTERN STONE PRODUCTS ASSUMES NO SUB-TOTALr <br /> �// RESPONSIBILITY FOR DAMAGE INCURRED IN TAX <br /> BY DELIVERING MATERIALS INSIDE THE CURB LINE. <br /> B <br /> � DEPUTY _. <br /> i <br /> CUSTOMER TOTAL <br /> yr <br /> � 4 <br />