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#1 RIVERSIDE - 6120 20th ST. #2 MORENO VALLEY- 14250 Oki 215 frontage Road #3 REDLANDS -8353 ALABAMA ST. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST #16 ANAHEIM - 201 E. COMMERCIAL ST. #17 SANTA ANA - 310 N. TOWNSEND ST. www.rrmca.com OPEN 7 DAYS OM FONTANA .03792 SLOVER AVE. #18 LAKE FOREST -25931 TOWN CENTRE DR. k29 EL CAJON -215 CYPRESS LA. #5 POMONA -2470 POMONA BLVD. #19 ADFLANTO - 12203 VIOLET RD #30 CORONA- 1540 SHERBORN ST. #40 ARTESIA -139496, STAGE ROAD #53 SAN JUAN CAPISTRANO -31511 GIBBY ROAD #6 HEMET/SAN JACINTO -1675 STATE ST #20 SAN CLEMENTE - 116 RINCON CT #31 HESPERIA - 9661 CAVE. 041 MOJAVE - 140 E. MY 58 k54 TEMESCAL VALLEY -25050 MAITRI ROAD #7 BEAUMONT - 452W. LUIS ESTRADA RD. #21 IRVINE- 16081 CONSTRUCTION CIR. WEST #32 CARROLL CANYON -10050 BLACK MOUNTAIN RD. 042 VICTORVILLE -169529.0 ST. #55 OXNARD - COMING SOON #8 SUN CITY - 27050 WATSON RD. #22 NO. HOLLYWOOD -03132 RHYMER ST. #33 MIRAMAR -5692 EASTGATE DR. #43 BAKER -56500 BAKER BLVD. 056 STOCKTON - COMING SOON #9 ARROWHEAD - 29750 I-NW 18 #23 PARAMOUNT- 72770. ROSECRANS AVE. #34 LUCERNE- 36555 HWY 18 #44 FT. IRWIN -56025 FORT IRWIN RD. #57 FRENCH CAMP -10500 HARLAN ROAD #10 SANTA FE SPRINGS - 12311 GREENSTONE AVE. #24 RIALTO - 2601 N. ALDER AVE. #35 BIG BEAR LAKE -42025 GARSTIN DR. #45 BARSTOW - 2700 E. MAIN ST. #58 TRACY -374005. BIRD ROAD #11 CABAZON 13990 APACHE TRAIL #25 GARDENA -301 W ROSECRANS AVE. #36 ESCONDIDO - 1310 SIMPSON WAY #46 CAL-CITY- 7900 MOSS AVE. #59 BAKERSFIELD - COMING SOON #12 SAN BERNARDINO - 1955W. 9114 ST #26 THOUSAND PALMS - 72460 VARNER RD. #37 INDIO - 88110 FARGO CANYON RD. #47 PORT OF LONG BEACH, 1602W. PIER SOT. #60 SACRAMENTO - COMING SOON #13 IRWINDALE - 13631 LIVE OAK LANE #27 MURRIETA - 26190 ADAMS AVE. #38 RIDGECREST - 21571NYOKERN RD. #49 SIMI VALLEY - 400 W. LOS ANGELES AVE. MULTIPLE LOCATIONS IN NEVADA #14 PASADENA - 1420 N. LINCOLN AVE. #28 STAY MESA -7601 AIRWAY RD. #39 PALMDALE -37790 75TH ST. EAST #52 CHULA VISTA - 2275 HARDROCK ROAD MULTIPLE LOCATIONS IN PHOENIX - COMING SOON I' THIS IS NOT A TICKET NO. CONTROL NUMBER is) i C.5 Phone 800/834 -7557 San Diego 800/870-1220 ROBERTSON'S PLANT DATE CUSTOMER NO: SOLD TO: MAP PAGE TICKET NO. D< CD DELIVERY ADDRESS & INSTRUCTIONS CUSTOMER P.O. / JOB OR LOT # ORDER NO. LOAD NO. TO JOB METER READING SLUMP DRUM REVS: TIME TYPED TRUCK LIC NO. • TRUCK DRIVER Job-site Cylinder Test: 111 Yes Water added on job at TIME ON JOB MIN. CHECK # ON JOB STAND BY MIN. CHECK El START POUR Customer's request: gals to Full Ld. AMOUNT BY RATE OF X $ PER MIN. CASH NISH POUR gals to 2/3 Ld. AMOUNT BY PLANT MGR SIG gals to 1/3 Ld. EAVE JOB OVERTIME CHARGE 4 min. per yd. unloading time allowed. Additional unloading time charged at current hourly truck rate. ADJ. Meter RIVE PLANT Additional water added to this concrete will reduce its strength. Any water added exceeding the design water is at customer's own risk. ignature certifying under penalty of perjury that the information contained in this written time record is true and correct. MPJ# SIGNATURE TERMS AND CONDITIONS OF SALE ustomer agrees that the described material has been chosen solely by Customer without Robertson's direction, or review of any plans or specifications relating to the project(s) where the material is to be used. ustomer further agrees that it shall be solely responsible for the delivery location, and discharge/placement of material on the lob site, including the on-site direction of Robertson's vehicles to the designated 'location. Customer s review and approval the described material shall be evidenced by Customer's signature and/or placement of the described material on the job site. In consideration of the above. Customer 'releases and agrees to defend, Indemnify and hold Robertson's and its employees and agents harmless from any and all losses, damages, liabilities, costs and claims asserted by Customer or any third party, ,9rising from material being inappropriate, incompatible, improper or inconsistent with plans and specifications, or with the ground soils or conditions on the land where the material is utilized, and (n) the movement of Robertson's vehicles upon or about the delivery location, Solely to the extent Customer fails to timely pay for the described materials, in the event Robertson's retains the services of an attorney, Customer agrees to pay such reasonable attorney's fees incurred by Robertson's in furtherance of such collection efforts. Robertson's and Customer disclaim attorney's fees arising from any other context. Customer agrees to pay a time price differential of 1 ,/z % per month on any amounts owed to Robertson's for more than thirty (30) days. Color Disclaimer Due to irregularities and/or inconsistency of materials Robertson's is not responsible for the results of any concrete where the coloring agent has been added at the request of the customer, either at our plant or on the job site. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the Califomia Department of Food and Agriculture. ROBERTSON'S WEIGH MASTER TAX PREVIOUS BALANCE SUB TOTAL STAND BY CHARGE BY DEPUTY UOM CONVERSION CY=YARDS3 #=POUNDS GL=GALLONS FO:OUNCES CU=METERS3 KG:KILOGRAM LAITERS ML-MILLILITERS CONCRETE DELIVERY TICKET TOTAL PO BOX 3600 CORONA, CA 92878-3600 AGREED TO AND RECEIVED BY CUSTOMER