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GHMASTER CER71nCASE whose signature is on this CUSTOMER COPY WEt ed,measured,or counted by a vm�coon 1 er6 of the "- — w/�/ the fonovnng described commodity was weigh ter 7(comrnenang vain Section 12700)p rtment of Food and KN iFE E i■ -E THIS a TO CERTIFY a recognized authority df aca2aY, prescribed o by Chap certificate,who is n teco9 ADricultura California Business and Professions Cade,administered by the Division of Measurement Standards of the California Oe 357609 CONSTRUCTION pp Box 6099,Stockton,CA 95206 Ticket NO.: MMDURE50UR FSC°MPANY Vernalis Plant 209-830-5130 Location: DSS AGGREGATE 2 27 jam mnff 0912312020 Time: Date: JIM THORPE OiL INC. Customer: 632198 _ Yard Gross Order: 5125 -rare Cost Code: T�at� Net Vehicle: 19,06 Ton P.O.: Driver.x On _._. Product'. 2241303 318^PEA GRAVEL 1 a�1 g7 - 1-,qn r/�¢�ff Today Loads: _ Today Qty: 19.06 �� gQ to p(ace'rn a at where customer designates,but Company ass n° NOTICE our drivers vnll make every Knife River Construction responsibility fordamageinside of curb or ProP�Y kne. Deputy Received: � Weighmaster: Barbara Lantrip aliine silica as HEALTH HAZARD WARNING:THIS PRODUCT CONTAINS CRYSTALLINE SILICA disease plied silicosis.•Several sciemific otganizauons have classified cyrst EXCESSIVE DUST a and a Tung cancel can result in perr^anent Kuri or death. AVOID BREATHING EX lace can cause lung damaghill e Protection necessary to safeguard your health,Ti7°risk or Breathing silica containing dust for prolonged periods in the the s causing lung cancer in humans.- ry product to determine the appropriate ventilation or respiratory C stalline suGca is krtmvn to the State of Cat'domta to cause rrna3r.'St7cosis or •Read the Material Safety Data ShealiMSDS)before handling of sthis silicosis or lung cancer depends upon the duration and levels of silica exposure• t�ue•rnaaeo rnov __.__-•_--"='---- oij- he _ --- wdtt Section 12700)of dmei i of Foo _ and ter?{commencing —"— ( - -' ae rescnbed by Mea or file Catifatnia Depadm d ��, {�,V C'�'` - administered by the o1vision of Measurement Standards e` qta.wha is a recognized authority of accuraeY. A A�� AM Ceufomia Business and professions Code,edm 357776 -7\i-OC.STRUCTiON PO Box 6099,Stockton, CA 95206 Ticket No.: ANM°URSOURMC°MMW Vemalis Plant 209.830-5130 Location-. DSS-AGGREGATE Tfine: -11:00 am Pounds Tons Metric Date: 0912412020 JIM THORPE OIL INC. 38.50 34.93 Customer: 632198 Gross 77000 15.02 14.53 Order: '5125 Yard Tare 32040 Cost Code: Vehicle: 60285 JlM THORPE Net 44960 22.48 20.39 P.O.: 22.48 Ton Driver:x On `Off Product' 2241303 318"PEA criS Today Loads: 1 �Cr;2 22.48 /-11K4 G z�� /-1s Ic" .4 4)9- Today Qty: customer designates,but Comparry assumes no NOTICEOurdriverswili akeevery€ff to piecemalenaiwhare responsibility,for damage inside of curb or property Me. Knife River Construction Deputy Received: Weighmaster. Barbara Larttr►p damage and a lung disease ca4ed siticosis.'severai scientific organizations nava classi0ed v/rstauine s lice as HEALTH HAZARD WARNING: THIS PRODUCT CONTAINS CRYSTAWNE SLUG or death. a to cause canwSincosis or lung cancer can result in permanent inj safeguard your haalth.The risk of AVOID BREATHING EXCESSIVE DU ST eriods fn the workplace can pose lung date venulauonorrespitalory Protection necessary arealhingsilicacontainingdustforProlong Pslate of to to the causing lung cancer in humans'Crystalline sui lief r0 8°h handling his Product ford determine the aPWoP •Read the Material safety Data Sheat(MSOS) j silicosis or lung cancer depends upon the duration and levels fi silica exposure. c ' i