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7/11 MATERIALS,INC. WEIGHMASTER CERTIFICATE WEIGHMASTER THIS IS TO CERTIFY that the following described commodity was weighed,measured, or counted by a weighmasteq whose signature is on this certificate,who is a recognized uthority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of P.O.BOX 4770 a Division 5 of the California Business and Professions Code,administered by the Division MODESTO,CA 95352 of Measurement Standards of the California Department of Food and Agriculture. + (209)529-4050 a) CONTROL NO. SOLD TO: SHIP TO: TIME MIX NO. LOAD SIZE CU YD/METERS ORDT SLUMP PLANT/TRANSACTION TRUCK# DRIVER DATE CONTACT NO OF LOADS ACCUM CU YO/METERS ZONE P.O.JOB# LICENSE# TICKET NUMBER QUANTITY CODE DESCRIPTION PRICE CU YD METER EXTENDED PRICE SUBTOTAL SALES TAX TOTAL PREVIOUS STANDBY 1 WEIGHED AT: DEPUTY 1 ' REV JOBrARIVPLNT LEFT JOB FIN POUR JOB NOT READY TRUCK BROKE DOWN Time AllowedJOB SITE CYLINDER TEST❑YES EjNO 5 413 SLOW POUR OR PUMP ACCHIENT Water Added Gals to full load ❑YES TRUCK AHEAD ON JOB CITATIONTime DueLEFT PLNT ARIV JOB ST.POUR On Job 2 C35- CONTRACTOR UNAVAIL OTHER At Gals to 2/3 load ❑YES ADDED WATER Customer's H' TTL @ JOB POUR TIME Request Gals to 1/3 load YES FIN POUR ITL RD TR JOB DELAY EXPLANATION Delay Time Five(5)minutes per yd/meter free unloading time allowed. AUTHORIZED BY: Additional unloading time charged at current hourly rate. NOTICE:MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TAG INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE WE MAKE DELIVERIES INSIDE CURB LINES AND ON LOTS OR PROPERTY AT CUSTOMER S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES RESULTING FROM SUCH DE- LIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND 7/11 FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE of REMOVING MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OFANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER S REQUEST.WE DO NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING,FINISHING OR CURING OF CONCRETE AND DO NOT GUARANTEE THE FINISHED WORK IN WHICH IT IS USED,INCLUDING CRACKING.CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PRO- VIDING A SUITABLE PLACE,ON CUSTOMER S PROPERTY,FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. RECEIVED BY: