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7/11 MATERIALS,INC. WEIGHMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the following described commodity was weighed,measured, <br /> WEIGHMASTER or counted by a wNghmaster,whose signature is on this certificate,who is a recognized <br /> rl,z 1*P.O.BOX 4770 authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of <br /> Division 5 of the California Business and Professions Code,administered by the Division <br /> MODESTO,CA 95352 MATERIAL JNC. of Measurement Standards of the California Department of Food and Agriculture. <br /> (209)943-4730 ' . ') b -L <br /> CONTROL NO. `1 `' <br /> SOLD TO: SHIP TO: <br /> TIME MIX NO. LOAD SIZE CU YD/METERS ORDT SLUMP PLANT/TRANSACTION, TRUCK# DRIVER <br /> DATE SCHEDULED ARRIVAL TIME NO OF LOADS ACCUM CU YD/METERS ZONE P.O.JOB# TRUCK AHEAD TICKET NUMBER <br /> QUANTITY CODE DESCRIPTION PRICE CU YD METER EXTENDED PRICE <br /> SUBTOTAL <br /> SALES TAX <br /> TOTAL <br /> PREVIOUS <br /> STANDBY <br /> M <br /> WEIGHED AT: DEPUTY' <br /> RARIVOUOBT ARIV PLNT LEFT FIN POUR ❑ JOB NOT BEADY TRUCK BROKE DOWN Time Allowed JOB SITE CYLINDER TEST[]YES NO <br /> © 5 <br /> SLOW POUR OR PUMP ACCIDENT Water <br /> Added Gals to full load YES <br /> TRUCK AHEAD ON JOB �CITATION <br /> LEFT PLNT LEFT PLNT ARIV JOB ST.POUR Time Due On Job <br /> O p g CONTRACTOR UNAVAIL OTHER At Gals to 2/3 load YES <br /> ADDED WATER Customer's <br /> FIN POUR TTL RD TRIP TTL Q JOB POUR TIME JOB DELAY EXPLANATION Delay Time Request Gals to I/3 load YES <br /> Five(5)minutes per yd/meter free unloading time allowed. AUTHORIZED BY: <br /> Additional unloading time charged at current hourh•rate. <br /> 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 <br /> DELIVERIES INSIDE CURB LINES AND ON LOTS OR PROPERTYAT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES RESULTING FROM SUCH DE- <br /> LIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND 7/11 FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF <br /> REMOVING MIRED TRUCK PAYABLE BY CUSTOMER.WEARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OFANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS <br /> 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 <br /> 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 <br /> LEAVING THE PLANT.ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PRO- <br /> 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 <br /> TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. <br /> RECEIVED BY: <br /> t � <br /> ,i <br /> I <br />