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TRUCK ID DRIVER <br />PLANT ID LEAVE PLANT ARRIVE 10B START POUR END POUR LEAVE 10B <br />DATE: <br />/16/21 <br />12:00 <br />KN I FE RIVERELK <br />U „ C - <br />REQUESTED DELIVERY TIME: <br />12:00 <br />AN MDU RESOURCES COMPANY <br />GROVE <br />ORDER NUMBER: <br />55019 <br />/MACKVILI <br />Billing OFFICE (209) 933-6980 <br />TICKET NUMBER: <br />1682968 <br />www.kniferiver.Com <br />Dispatch: (800) 464-6572 / (209) <br />933-6999 CYD5DEL: <br />9.00 <br />Safetv First! <br />P.O. BOX 66001, Stockton, CA <br />95206 LOAD#: <br />1 <br />TRUCK ID DRIVER <br />PLANT ID LEAVE PLANT ARRIVE 10B START POUR END POUR LEAVE 10B <br />AT PLANT <br />550341642 WALLY W. <br />06 ..�� <br />U „ C - <br />48502 user <br />CUSTOMER ACCT ID <br />CUSTOMER P.O. / PROJECT NO. <br />PROJECT NAME <br />LOT & BLOCK PREVIOUS TRUCK <br />378504 <br />/MACKVILI <br />MACKVILLE <br />Load ID <br />9.00 <br />SOLD TO: <br />PURVIANCE DRILLERS INC <br />PO BOX 64 <br />LINDEN <br />DELIVERY ADDRESS/LOCATION: ADDRESS VERIFIED? OCheck <br />30222 MACKVILLE RD <br />GALT <br />ADDITIONAL DELIVERY INSTRUCTIONS: <br />NORTH OFF OF LIBERTY RD <br />DRUM REVOLUTIONS <br />TOTAL <br />Qty this Load Qty Ordered Qty Dlvd Product Code Product Description UOM Unit Price EXT Amount <br />9.00 18.00 9.00 504 10.3 SK. SAND SLURRY yd <br />9.00 55EFS EMERGENCY FREIGHT SURCHARGE CY <br />WATER ADDED / ESTIMATED SLUMP STANDBY AND UNLOADING TIME OVERTIME MINUTES SUB TOTAL <br />Full Load: GAL SLUMP Excess truck time will be assessed by dispatch at the current SALES TAX <br />2/3 Load: GAL SLUMP rate per minute for orders exceeding five (5) minutes per ADDITIONAL TIME FEE TICKET TOTAL <br />1/3 Load: GAL SLUMP cubic yard. GRAND TOTAL <br />DESIGN SLUMP REQUESTED SLUMP ACKNOWLEDGEMENT OF RECEIPT, WATER ADDED, & TERMS AND CONDITIONS ON WEB SITE <br />4.00 6.00 <br />Signature: Printed Name: <br />USE OF CONCRETE, AS PLACED: RELEASE: Contractor or Owners agree to indemnify and save harmless Knife River Corporation from liability imposed as a <br />result of any damage caused to the property of others as a result of such delivery. FOR ADDITIONAL RELEASE <br />INFORMATION: SEE WWW.KNIFERIVER.COM/NCA FOR PROP 65 INFO WWW.P65WARNINGS.CA.GOV <br />TESTED BY �AIR/SLUMP/TEMP/CYL'S <br />Signature: Printed Name: <br />Knife River Weighmaster Certificate <br />THIS IS TO CERTIFY that the following described commodity was weighed, measured or counted by a weighmaster, <br />whose signature is on the certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 <br />(commencing with section 12700) of Division 5 of the California Business and Professional Code, administered by <br />the Division of Measurement Standards of the California Department of Food and Agriculture. Delouty <br />Truck <br />Driver User <br />Disp Ticket <br />Num Ticket ID <br />Time Date <br />550341642 <br />48502 user <br />1682968 <br />37482 <br />11:12 12/16/21 <br />Load <br />Size Mix Code <br />Returned Qty <br />Mix Age Seq <br />Load ID <br />9.00 <br />CYDE 504 <br />D <br />39227 <br />Material <br />Design Qty Required <br />Batched <br />% Var% Moisture <br />Actual Wat <br />TYPEII-V <br />968 Ib 8712 Ib <br />8680 Ib <br />-0.37% <br />SAND <br />1935 Ib 18809 Ib <br />18800 Ib <br />-0.05% 8.00% A <br />167 gl <br />WATER <br />50.0 gl # 282.8 gl <br />283.0 gl <br />0.08% <br />283.0 gi <br />Actual <br />Num Batches: <br />1 <br />Load <br />29838 Ib Design W/C: 0.430 <br />Water/Cement: <br />0.432 A Design <br />450.0 gl Actual <br />450.2 gl To Add: 0.1 gl <br />Slump: <br />6.00 in # Water in Truck: <br />0.0 gl <br />Adjust Water: 0.0 gl / Load Trim Water: 0.0 gl / <br />CYDr <br />