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i <br />J Calaveras Materiels Inc. <br />3451 West Sh&Avenue <br />rcesno, Calffomla 937114204.: <br />° Telephone 559-277-7060 <br />Fax 559-277-7134 <br />Too Frail 8000-72a-5695 <br />W_ T ally MQJF�4t� Thome Ave. FJ�dy Mlx PIaM Thome Ave. Ready M be Plein <br />S #54 1895E. Lohrop Road 81 B1 _ W. 1 1 til street 410 M Thorns Avenue #61 410 M Thoma Avenue <br />Lsthnop, CA'W&V ; Tracy, CA 88878 Fresno, CA 83108 Fresno. CA 83708 <br />Delivery rag <br />Weighmaster Certificate <br />CUSTOMER COPY 2 <br />Ftker Reetly Mix Plant Selina Ready Mss Plain <br />#62 1000 W. Now Avenue #63 147s Whitson <br />PlrxKlale, CA 93M Seem, CA 83882 <br />Lead : <br />Leave Plant <br />Arrive Job <br />Start Pour <br />End Pour <br />Leave Job Arrive Plant <br />JTicket <br />10rd6r!Vo.,, <br />MP3 C:'LRATlrrR.DR11-L,1i,IC; f.:C2lhPA14Y, INC. <br />iW�4�I�L�cq—Fd <br />Dailvery Address <br />Zone <br />Driver <br />PJO. Number <br />3 <br />2:0 <br />r A6L11-4Qtti 3f:K <br />-Water Added on Job at Customer <br />Customer's Request Gafam Signature x ° <br />WE161-IMASTER CERTIFICATE: THIS IS TO CERTIFY that the following described commodity was weighed. measured, or counted by a weighbmaster, whose <br />cc <br />signature Is on this Certificate, who Is a recognized authority of auracy as prescribed by Chapter 7 (commencing wl'ih Section 12700) ,of division 5 of the <br />California Btlsfness and Professions Corte, administered by the Division of Measurement Standards of the California Department of Food .pd Agriculture. <br />Plant. <br />No., <br />Customer•No. Sold To: <br />Dat �s <br />JTicket <br />10rd6r!Vo.,, <br />MP3 C:'LRATlrrR.DR11-L,1i,IC; f.:C2lhPA14Y, INC. <br />iW�4�I�L�cq—Fd <br />Dailvery Address <br />Zone <br />Driver <br />PJO. Number <br />Lf --1114E. [Gir=l= or t�1-.,cw r ) <br />2:0 <br />r A6L11-4Qtti 3f:K <br />Special lnstrudloris <br />Protect No. <br />(Jul J o p 17. b r <br />Special Irtstruegone <br />Job Number. <br />Truck N�. Load $Ise. Mix Code Stump <br />%Air <br />%Call. <br />Project Nerrra <br />�..8 2ti 105Fa aa, 6o I" ,p " <br />Load <br />Quantity <br />C+gnujative <br />Quantity <br />Or'rt3d <br />Qua <br />Ijnft of <br />loe3asure <br />Product <br />"_; �t " 'Product <br />UIt - <br />A» u�t <br />ttty <br />Code <br />Description <br />Pace <br />lo <br />1. 00 <br />! > �� <br />.� <br />" ./1 <br />aW'F-L <br />ELIEL SURCI-rJA Gr'. <br />�f <br />h <br />CAE AVERAS MATERIALS ASSUMES NO CERTIFICATE OF COIIAPLlANCE: WE CERTIFY that the <br />REsPONSIBiLITY FOR DAMAGE INCURRED IN <br />Portland cement, chemical and rnineral admixtures contained In <br />DELIVERING MATERIALS INSIDE THE CURB LINE". the matelot desdhbed below arebrands stator and comply with <br />speoiHcatiops: <br />CALAtlERA3 M47-ER14Lc fNC.CEMENT BRAND: Sub totalI <br />TYPE: II MILLLOCATION: <br />a _ i=6 IEI�: I I,I►�, f'l :i t+ i" FI u CHEMICAL ADMIX BRAND: TYPE Tax <br />By MANUFACTURER: <br />MINEgpADMIX MAINUFACTURER: <br />Total <br />, <br />#4 <br />°} hitt i <br />�7 <br />a <br />