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Ac <br /> J ,. Calaveras Materiels/tic. Delivery Tag <br /> 3451 West Sh&Avenue Weighmaster Certificate <br /> rrasno, Calffomla 937114204.,:. <br /> y ° Telephone 559-277-7060 <br /> Fax 559-277-7934 CUSTOMER COPY 2 <br /> Too Free 800-726-5695 ° <br /> 5$ <br /> W_ Toady MQJF�4 t�Thome Ave.FJesdy Mx FLud Thome Ave.Ready M be Plein Ryer Ready Mix Plant Saba Ready MN Plen1 <br /> S IM E.La�rop Road , 81 B1_W.11 tit street 410 M Thorne Avenue #61 414 M Thoma Avenue #62 1400 W.Nene Avenue #63 147s whftDn <br /> I Lett op,CA'96 V ; Tracy,CA MWe Fresno,CA 83700 Fresno.CA 83708 Plr+edale,CA 83800 Sake,CA 83882 <br /> Load : Leave Plant Arrive Job Start Pour End Pour Leave Job Arrive Piarrt <br /> ' 11 � ' <br /> -Water Added on Job at Customer <br /> Customer's Request Gallons Signature x ° <br /> WEIGFIMASTER CERTIFICATE: THIS IS TO CERTIFY that the following described commodity was wel hed,measured,or counted by a weighbmaster,whose <br /> signature Is on this opitificate,who Is a recognized authority of accuracy as prescribed by Chapter 7 (commenciV Wi'rh Section 12700),of division 5 of the <br /> California Btisfness and Professions Corte,administered by the Division of Measurement Standards of the Cafifomla Department of Food. d Agriculture. <br /> CAUTIOW PORTLAND CEMENT IS INRIOIJSTO EYES: CAUSES SKIN IRRITATION. READ c DE OF FORM FOR <br /> DETAILED INSTRUCTIONS. <br /> Ptar11. Tloket No., Order No. Customer•No. Sold To: Dat <br /> I P J. 's6 C:U4,ATEfi DRILL,IM03 COMPANY, 161C• 4� l^tLt cq—Fd . <br /> Dallvery Address Zone Driver - PJO.Number <br /> P U�:tC I_Pl4E. OFI or t-t r,w ru) 30 ! f=1GL�,1•If1v RICK <br /> Special lnstrudlorie Protect No. <br /> Special Instruegons Job Number <br /> Trull,N�. Load$lee. Mix Code Slump %Air %Call. Project Nerrra <br /> Load C+gnu1ativeOrt 'rt3d Onitof' Product -_;�t Product U It <br /> Quantity Quantity Qua�tfty,, I�fe3aaure Code Macrlption Pace Ampunt , <br /> E - . <br /> 3 a 00 ! > � .� " '� aW'F-L E=LIEL SURCI-IFIfiGE <br /> Q, ., <br /> h <br /> CAE AVERAS MATJrRIALB INC,ASSUMES NO CERTIFICATE OF COIIAPLIANCE: WE CERTIFY that the <br /> RESPONSIBILITY FOR DAMAGE INCURRED INpordand cement,chemical and rntneral admixtures contained In <br /> DELIVERING MATERIALS INSIDE THE CURB LINE-. the material desdhbed below arebrands dated and comply wM <br /> speoiHcatiops: <br /> CALAVEFRAS MATERIALS INC. CEMENT BRAND: Sub total I <br /> TYPE: II MILL LOCATION: _ <br /> a 1=6 IEI�:I Itl%�, f'1.[�+i" FI u CHEMICAL ADMIX BRAND: TYPE Tax <br /> By MANUFACTURER: <br /> MINltRVDMIX MAINUFACTURER: <br /> CLASS: <br /> "7 TOW <br /> i 1.44 <br /> t <br /> �7 <br /> a <br />