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D _., `AN MDU RESOURCES COMPANY ORDER NUMBER: 55023 0 C) D <br /> Billing OFFICE (209) 933-6980 <br /> www.kniferiver.com TICKET NUMBER: 106751 0 W Q <br /> O / Dispatch: (800) 464-6572 / (209) 933-6999 CYDSDEL: 18.00 3 <br /> Z) SO et First. P.O. BOX 65001, Stockton, CA 95206 LOAD a: 2 (D <br /> TRUCK ID DRIVER PLANT ID LEAVE PLANT ARRIVE JOB START POUR END POUR LEAVE JOB:' O (n <br /> 0550341812 ANTONIO GARCIA I STOCK <br /> CUSTOMER ACCTID,. CUSTOMER P.O./PROJECT NO. PROJECT NAME LOT&BLOCK PREVIOUS Ca <br /> Q <br /> r378504 /E.KETTLE20550 E KETTLEMAN 55039195" (D <br /> : DELIVERY ADDRESS/LOCATION: ADDRESS VERIFIED (DQANCE DRILLERS INC 20550 E KETTLEMAN r N3 64 O )v LODI r <br /> ITl ADDITIONAL DELIVERY INSTRUCTIONS -DRUM REVOi Q <br /> C/) ACROSS FROM BOETHING NURSEY O CD <br /> (D r <br /> BEGINNING ENOI' (D Q <br /> Qty this Load Qty Ordered _: Qty blvd_,;.kroduct Code Product Description UOM' Unit Price <br /> 9.00 18.00 18.00 504 10.3 SK. SAND SLURRY yd U) <br /> C <br /> (D <br /> n <br /> (D <br /> U) <br /> WATER ADDED/ESTIMATED SLUMP STANDBY AND UNLOADING TIME OVERTIME MINUTES SUB TOl Cl <br /> Full Load: GAL SLUMP Excess truck time will be assessed by dispatch at the current SALES 1 <br /> 2/3 Load: GAL SLUMP rate per minute for orders exceeding five(5)minutes per ADDITIONAL TIME FEE TICKET TO <br /> 1/3 Load: GAL SLUMP Icubic yard. GRAND TO W <br /> DESIGN SLUMP REQUESTED SLUMP ACKNOWLEDGEMENT OF RECEIPT,WATER ADDED,&TERMS AND CONDITIONS OI <br /> 0.00 6.00 01 <br /> TI <br /> (D <br /> (D <br /> USE OF CONCRETE,AS PLACED: Signature: Printed Name: <br /> RELEASE:Contractor or Owners agree to indemnify and save harmless Knife River Corporation fro <br /> result of eny damage caused to the property of others as a result of such delivery.FOR ADDITION, 0 <br /> INFORMATION:SEE WWW.KNIFERIVER.COM/NCA FOR PROP 65 INFO WWW.P65WARNINGS.CA., <br /> TESTED BY AIR/SLUMP/TEMP/CYL'S <br /> C <br /> v <br /> Si nature: Printed Name: n <br /> Knife River Weighmast(o <br /> THIS IS TO CERTIFY that the following described commodity was weighed, measured or counted by <br /> whose Signature is on the certificate, who is a recognized authority of accuracy, as prescribe 0- <br /> (commencing with section 12700) of Division 5 of the California Business and Professional Code (D <br /> the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> Truck Driver User Disp Ticket Num Ticket ID Time 1 <br /> 550341812 46534 user 1067517 96670 11 : 11 <br /> oad Size Mix Code Returned Qty Mix Age Seq Load <br /> 9. 00 CYDIC 504 <br /> D 85 <br /> O <br /> Material <br /> Design Qty Required Batched %Var%Moisture Actual Wat Tot.Wat Q <br /> TYPEII-V 968.0 Ib 8712.0 Ib 8880.0 Ib 1.93% Trim <br /> SAND 1936 Ib 18337 Ib 18360 Ib 0.12% 5.24%A0 <br /> CITY 609 Ib 2689 Ib 2656 lb -124% 915 Ib 1223 <br /> � 2656 Ib 2656 -25.00 gl C <br /> CsD O <br /> (D O <br /> Actual Num Batches: 1 <br /> O <br /> +1 00 <br /> N C7 <br />