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BILLING (209) 933-698 <br /> 1�4 KN I FE RIVER CENT ALODISPATCH: (800) 46406572 • (209) 933-6999 DELIVERY <br /> AN MDU RESOURCES COMPANY P.O. BOX 66001, STOCKTON, CA 95206 TAG \768029 <br /> # x <br /> t 1 l <br /> STOCKTON PLANT LODI PLANT MANTECA PLANT TRACY PLANT ELK GROVE PLANT AMADOR TRANSIT MIX <br /> 400 S.LINCOLN ST. 851 E.LODI AVE. 450 EAST WETMORE 1728 WEST LINNE ROAD 10260 WATERMAN ROAD 12480 RIDGE ROAD <br /> STOCKTON,CA 95203 LODI,CA 95240 MANTECA,CA 95337 TRACY,CA 95376 ELK GROVE,CA 95624 SUTTER CREEK,CA 95685 <br /> SOLD TO: SHIP TO: <br /> (:IID(. <br /> l <br /> TIME MIX NO. ICU.YDS.THIS LOADI YARDS ORDERED I ORDER# I DRIVER/TRUCK PLANT I PLANT# <br /> 17 <br /> DATE NO.OF LOADS •. DEL. BATCH# SLUMP TICKET NUMBER <br /> 7- <br /> KNIFE RIVER AND DRIVER OF TRUCK are released from any JOB SITE CYLINDER: I DYES KNIFE RIVER WEIGHMASTER CERTIFICATE <br /> responsibility of addition of colors due to variations in cement and THIS IS TO CERTIFY that the following described commodity was <br /> aggregate materials or admixtures, and for damage which may be weighed,measured, or counted by a weighmaster, whose signature is <br /> incurred in delivering materials across the curb or property line.Claims Water Gals.to full load DYES on the certificate, who is a recognized authority of accuracy, as <br /> for shortage will not be allowed unless made at the time this material Added prescribed by Chapter 7(commencing with Section 12700)of Division 5 <br /> of the California Business and Professions Code, administered by the <br /> was delivered. ADDITIONAL WATER ADDED TO THIS CONCRETE On Job Gals.to 2/3 load❑YES Division of Measurement Standards of the California Department of <br /> WILL REDUCE ITS STRENGTH. ANY WATER ADDED IS AT At Food and Agriculture. <br /> CUSTOMER'S OWN RISK. CONCRETE IS A PERISHABLE Customer'sDEPUTY <br /> COMMODITY AND BECOMES THE PROPERTY OF THE Request Gals.to 1/3 load❑YES <br /> PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR <br /> CANCELLATION OF ORIGINAL INSTRUCTIONS MUST BE AUTHORIZED BY: <br /> TELEPHONED TO OUR OFFICE BEFORE LOADING STARTS. <br /> ••• •• •• • •• <br /> RECEIVED BY: • • • • - <br /> • •• • 11 14 <br /> m7w, • • <br /> 'The mixes quoted are not warranted to be acceptable for any particular use,purpose or application,nor are they warranted to be acceptable for use in any particular <br /> environment or in conjuncture with any particular soil conditions.Buyer's selection of the quoted mix,unless otherwise acknowledged in writing by Knife River will be <br /> deemed to be without the advice,consultation,recommendation or suggestion of Knife River and Buyer assumes all risk related to the selection of the quoted product for <br /> any particular application:' <br /> • •= REASON FOR DELAY TIME: <br /> Time of Job Min. <br /> ❑ Job Not Ready <br /> Standby Min. ❑ Job'awke Down a <br /> COUNTPOUR STOP POUR <br /> Rate of X$ Per Min. El Truck Broke Down <br /> ❑ Adding Water <br /> _$ ❑ Arrived Job Early <br /> TIME ON •- LEAVE JOBARRIVE PLANT ❑ Slow Placing Method <br /> Five(5)min.per yd.free unloading time allowed. ❑ Other(Explain) <br /> Additional unloading time charged at a minimum •t t <br /> $1.50 per min. <br /> 76BU29 <br /> r <br /> t•:i1 If 2:435. �b? lii-t#14116M �b T i W: xq,-I �t <br /> r' 1441-,f ..i•: ,'�'t I:t ft] ""o g) <br /> r <br /> SITE COPY ,_ <br />