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<br />Calaveras Materials inc.
<br />3451 West ShAv Avenue
<br />Fresno, CaliTornle 93711-3204
<br />Telephone 559-277-7060
<br />Fax 559-277-7134
<br />Toll Free 800-726-5615
<br />Delivery Tag
<br />Weighmaster Certificate
<br />
<br />CUSTOMER COPY 2
<br />Marregr,q,Wfit,A1.41WE Teialaiiagy Mfillarntig Thorne Ave. F)earty hex Plant Thorne Ave. Ready Mx Plant
<br />#54 1645 E Lathrop Road 8161 11thSlreet 0 410 Ti. Thorne Avenue #61 410 N. Thome Avenue
<br />Leinco, cAL15:1:k0 , Tracy, CA 85376 Fresno, CA 83706 Fresno, CA 93706
<br />River Ready 641x Plant
<br />#62 1000W. Nem Avenue
<br />Pfixide1o. CA 93850
<br />SAM& Ready Nix Plant
<br />#63 1475 Whtteon
<br />Selma, CA 93662
<br />L011,cl Leave Plant Arrive Job Start Pour IT End Pour Leave Job Arrive Plant
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<br />Customer's Request "Gallons Signature x
<br />WEIGHMASTkR CERTIFICATE: THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weigIltrnaster, whose
<br />signature is on this wtlfIcate, who la a recognized authority of fumiracy, as prescribed by Chapter 7 (commencing-with Section 12700) of Division 5 of the
<br />California Business and Professions Ode, administered by the Division of Measurement Standards of the California Department of FoOci d Agriculture.
<br />CAUTION: PORTLAND CEMENT IS INJURIOUS TO EYES: CAUSES SKIN IRRITATION. READ WARNING REVERSE SIDE OF THIS FORM FOR
<br />DETAILED INSTRUCTIONS.
<br />Plant
<br />5--:.
<br />Ticket No.
<br />5425393
<br />Order No.
<br />121
<br />Customer No.
<br />3..r7.%6
<br />Sold To: .
<br />CO,LOATER DRILLING COMPANY, INC.
<br />Date
<br />.8:41tAup-H:
<br />Datlyary Address
<br />,POCK LANE OFF OF ARCH Rp
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<br />Driver
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<br />P/C. Number
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<br />Special InaIruetfone , Job Number,
<br />Truck Np:
<br />...:18.4::2.
<br />Load Size,
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<br />tMIx Code,
<br />650061
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<br />CALAVtRAS MATERIALS INC ASSUMES NO
<br />RESPONSIBILITY FOR DAMAGE INCURRED IN
<br />DELWEFIINGI MATERIALS INSIDE THE CURB LINE.
<br />CERTIFICATE OF COMPLIANCE: WE CERTIFY that the
<br />ponland cement, chemical and mineral admbituree mrttelned In
<br />the material desabed below anS• breeds stated and cnrriplywith
<br />spoon:atom:
<br />CALAVERAS MATERIALS INC. CEMENT BRAND: Sub IOW
<br />TYPE: II MILL LOCATION:
<br />I EHERIN KE 0., 11 E PI. CHEMICAL ADMIX BRAND- TYPE Tax
<br />By MANUFACTURER:
<br />MINERVDMIX MANUFACTURER:
<br />CLASS: i N • - - ,-- / Total . , -5." .4") Q '7 1 4Q-- '7
<br />Water Added on Job at
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