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T O 2CL <br /> O 3 19L <br /> 3 . . cD <br /> CD 0 Cn <br /> O <br /> CLOW <br /> (D , N � <br /> 3 O O <br /> c N 3 <br /> 3 ' v <br /> CD <br /> M <br /> Cn N <br /> KN1FE RIVER DATE: 04/30/21 CD r <br /> 4H YUU RESOUpbES rOYnaNY [.c<r q _ L,-,P REQUESTED NUM:ETIME: 11:00 CD O <br /> _ _ ORDER NUMBER: 55023 3 Q <br /> �xtisw kndenvar.com TICKET NUMBER; 1325510 CD _. <br /> CYDS DEL: 9.00 <br /> yFlrst! LOAD p: I <br /> O i• <br /> _TRUCK ID�etDRIVER PLANT ID LEAVE PLANT ARRNE JOB START POUR ENDPOUR LEAVEJOB AT PLANT Cl) <br /> E` .._,-_ -: :1D LCL' 1 _ <br /> CUSTOMER ACRID CUSTOMER PO/PROJECT N0. I , E <br /> PROJECT NAME LOT&BLOCK PREVIOUSTRUCK. <br /> y /E.',77T,- =.o E ..ET71-tJArl <br /> SOLD TO: <br /> ADDRESS VERIFIED? C4e-1. CD <br /> PURVIANCE DRILLERS INC DELIVERY ADDRESS/LOCATION: CD <br /> 20550 E KETTLEMAN C) <br /> CD <br /> LODI <br /> N <br /> (ADDITIONAL DELIVERY INSTRUCTIONS: <br /> ACROSS FROM BOETHING NURSEY DRUM REVOLUTIONS <br /> CD <br /> __ BEGINNING ENDING TOTAL <br /> Qty the Load Qty Ordered Qty Dlvd Product Code Product Description UOM Unit Price EXT Amount W• <br /> Cn <br /> CD <br /> CD <br /> CS <br /> CD <br /> /ESTIMATED SLUMP STANDBY AND UNLOADING TIME OVERTIME MINUTES SUB TOTAL O <br /> GAL SLUMP Excess truck time will be assessed by dispatch at the current SALES TAX <br /> oad: GAL SLUMP rate per minute for orders exceeding five(5)minutes per ADDITIONAL TIME FEE TICKETTOTAL <br /> !3 Load: GAL SLUMP cubic yard. GRAND TOTAL <br /> DESIGN SLUMP REQUESTEDSLUMP ACKNOWLEDGEMENT OF RECEIPT,WATER ADDED,&TERMS AND CONDITIONS ON WEB SITE Cll <br /> 0.00 6.00 0 <br /> CD <br /> USE OF CONCRETE,AS PLACED; Signature: Printed Name: <br /> RELEASE:Contractor or Owners agree to Indemnify and save harmless Knife River Corporation from liability imposed as a Q <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 CD <br /> TESTED BY AIR/SLUMP/TEMP/CPL'S <br /> J <br /> Signature: Printed Name: <br /> FCnife River Weighmaster Certificate <br /> THIS IS TG CE:' <br /> that the fc1lowing described co=od-ty was weighed, measured or countec by a weigbmaster, <br /> whose signature is un the certificate, who is a recognized authority of accuracy, as prescribed by Chapter T <br /> fccmrnencing 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. <br /> Deputy <br /> Truck Driver User Disp Ticket Num Ticket ID Time Date <br /> 550341953 46664 user 1325510 16356 10:40 4/3 <br /> CD <br /> Load Size Mix Code Returned Qty Mix Age Seq Load 0 <br /> 9.00 CYDE 504 D 1-7659 O <br /> a <br /> Material Design City Required Balched %Var%Moisture Actual Wat <br /> SAND 1936 Ib 18086 Ib 18100 Ib 002% 3.86%A 672 Ib <br /> EIRV 86 0 It, 8712 Ib 8730 0 1b 0.21% <br /> WA <br /> WATER 3550 Ib 21033 Ib 2102 Ib -003% 2102 Ib <br /> C:1 <br /> CD Actual Num Batches: 3 Manual 10: C) <br /> W Load 28832 ib Design W/C 0.882 WaledCemenl: 0.361 T Design 3150.0 Ib Actual 2774 1 Ib To <br /> al Adjust Water 0 0 <br /> O Slump 6 00 In p Water in Truck: 0 0 <br /> p pal!Load Trim Water: -5 0 gel!CYDE <br /> 00 <br /> W (� <br />