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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 CONCRETE PRODUCTS INC. of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business and 1900 Roosevelt Avenue Escalon CA 95320 Professions Code,administered by the Division of MeasurementP > > Standards of the California department of Food and Agriculture. 209-838-1448 WEIGH%aSTER SIGNATURE INVOICE/TICKET NO. NOTICE: MY SIGNATURE BELOW INDICATES THAT I ACCEPT THE TERMS AND CONDITIONS OF THIS DELIVERY TICKET, WAITING TIME: INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE.WE MAKE DELIVERIES INSIDE CURB LINES AND ON LOTS OR PROPERTY AT CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHATSOEVER FOR ANY DAMAGES $ per hr.unloading charge. RESULTING FROM SUCH DELIVERIES.CUSTOMER SHALL INDEMNIFY,HOLD HARMLESS&DEFEND P&L CONCRETE LEAVE PLANT . i PRODUCTS,INC.FOR,FROM&AGAINST ALL CLAIMS FOR DAMAGES OR PERSONAL INJURY.EXPENSE OF REMOVING / MIRED TRUCK PAYABLE BY CUSTOMER.WE ARE NOT RESPONSIBLE FOR THE STRENGTH,SLUMP,OR QUALITY OF ANY CONCRETE TO WHICH WATER OR ANY OTHER MATERIAL HAS BEEN ADDED AT THE BUYER'S REQUEST.WE DO ARRIVE JOB NOT GUARANTEE THE COLOR OF THE CONCRETE.WE HAVE NO CONTROL OVER THE PLACING,FINISHING OR CURING OF CONCRETE AND 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 LEAVING THE LEAVE JOB PLANT ANY CHANGES OR CANCELLATIONS OF ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO OFFICE BEFORE LOADING STARTS.CUSTOMER IS RESPONSIBLE FOR PROVIDING A SUITABLE PLACE,ON CUSTOMER'S PROPERTY, FOR DRIVERS TO WASH CHUTES AS NECESSARY.ANY CLEANUP COST OF CUSTOMER-PROVIDED WASHOUT SITE ARRIVE PLANT OR REMOVAL OF TRACKED-MUD FROM STREETS AND ROADS WILL BE BILLED TO CUSTOMER. SEE TERMS AND CONDITIONS ON REVERSE SIDE.READ FRONT AND REVERSE CAREFIULLY WATER ADDED r CYLINDERS TAKEN BY: CUSTOMER SIGNATURE ATCUSTOMER'SREQUESTGALLONS El YES 71 NO CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIMEDATE TICKET i _ F?.ri I 1 �.t. l' SOLD TO DELIVER TO DRIVER HENN I NGIS 1.AN01 HE.FSS DR I LL T NI.:i f4RI*1ANDO 1930 LADD RD. — -- TERMS leIC:IDE:STO QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE 4 50 SAND012410-3 100. 3 SACK SAND SLURRY 1 0(71 FF ENVIRONMENTAL- F=EE TRUCK PLANT SLUMP 76-B USE OF CONCRETE WAITING TIME I i 4."•. - SUB TOTAL SPECIAL INSTRUCTIONS TAX L , 1 TRUCITOTAL DRI Al_.L. ,THE WAY TI: GRAND TOTAL LO K FOR RIG WAT INVOICE/TICKET NO. Dr-i v e r- U s e r- L:.t L.I i .t i (:t--, 1'4 o=u i s C.:k'c'L ID i 1 File 1)cl U V 49- ARMANDO PHILIP. 32880 12: 12 8/16/21 1_.o._Ad i Z e Mix Curie Ret,l_tr-roed otu Mix Age Seq Load ID SAND00103 D 35107 hater ial Design Qty ReWred Batched % Var Y Noisture Actual Nat SAND 1101 285@ lb 25679 lb 25640 lb -0.15% 6.00% N 174 gl CEMENT 968.0 1b 8228.0 1b 8240.0 1b 0.15% WATER 4@.@@ g1 233,82 gl 834.00 91 @.08% 234.00 gl Actual Nur Batches: 2 Load Total: 35833 lb Design 0.345 Water/Covent 0.413 A Design 340.0 g1 Actual 407.9 91 To Add: 0.@ gl Slurp: 1@.00 in B Water in Truck: 0.0 gl Adjust Water: 0.0 1 / Load Trim Water: 3.0 g1/ yd Actual WIC Ratio: 0.413 Actual Water: 408 gl Batched Cement: 8240 Ib Allowable Water: 0 lb