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CALAVERAS TRANSIT MIX TUOLUMNETRANSIT.MIX LVPLNT ARIV JOB ST. POUR <br /> P.O. BOX 457•SAN ANDREAS,CA 95249 P.O. BOX 548•SONORA;CA 95370 —� <br /> (209)754-4291 (209)984-5370 f <br /> II• / r <br /> s <br /> WEIGHED/MEASURED A7•: WEIGHED/MEASURED AT., � <br /> #1 270 George Reed Dr. #3. 6000 O'Byrnes Ferry Road FIN POUR LV JOB ARIV PLNT <br /> San Andreas, CA Jamestown, CA <br /> I #2 4470 Linebaugh Road <br /> Arnold, CA WEIGHMASTER <br /> State contractor's License No.21137 A P.O.BOX 4760 <br /> A DIVISION OF GEORGE REED,INC. MODESTO,CA"95352 TRUCK# LOAD# <br /> (209)523-0374 <br /> S- DATE: a' .F �I .a .� -.,. • - := .,,�,.. *r { <br /> 1'2118 06 1. 1 :`s7PAI > ( �7J� � �"'.3 '-.•� <br /> SOLD T0: DRIVER TOTAL ON JOB I <br /> PROJECT: ..ALLE1\1 i-.Li.f)MY 7. 00 <br /> I <br /> OF <br /> DELIVERY INSTRUCTIONS: 07 Oj 4 f. 00 <br /> P01- <br /> PE-EDRDI_11NOf.�I� <br /> �F'f" i"�7i�I�ER0 [�I_I RD <br /> SLUMP JOB ADDED WATER P.O.# ZONE LOT BLOCK <br /> OUANTITY UlmIT <br /> DESC11 ,; N RACE AMOUNT <br /> 6��. <br /> I f 'y'C1 l ::f SL It" ,� 564 <br /> L, <br /> " �. <br /> 7. QgrA a.)� DEI..-VO- DEL. 111 ( 1 HQUIR i ) 0. 00 <br /> 4 _ _ <br /> f• f i <br /> tN <br /> 4 DEPUTY BRAD BURTON z �. ,.. PLANT NO. <br /> SUBTOTAL <br /> WEIGHk4ASTERCERTIFICATE ; 0 ' -SALESTAX- <br /> THIS ISTD CERTIFY that the following described commodity was weighed,measured,or counted by a welghmastef, R <br /> whose signature is on this certificate,who Is a recognized authority of accuracy,as prescribed by Chapter 7 <br /> j. fcommencing with Section 12700)of Division 5 of the California Business and Professions Cade,administered by the , <br /> Division of Measurement Standards of the California Department of Food and Agrloutture. �:�•., STAND BY <br /> WARNING <br /> Ready mixed concrete or cement maybe harmful to the skin,eyes or mucus membranes.Avoid direct contact where <br /> possible and wash exposed areas promptly with water.if irritation persists,seek prompt medical#ttention. TOTAL <br /> NOT GE:We make deliveries inside the curb line at customer's risk only,and accept no responsibility whatsoever fordarreges resulting from <br /> such deliveries.The driver of this truck,in requesting the additional sigrralure below,is of the opinion that the sae and weight of the truck may possibly <br /> cause damages to the premises and/or adjacent property it the dwer places the material in this bad where you desire ft.lt is our Wish to help you in every ACCUMULATED <br /> way we can,but in order to do this,the driver is requesting that you or your representative sign below indicating you have released the driver and lhrs <br /> x com mpany froall responsibilly for arty damage that may oocurlo the premises andler adjacent property,buildings,sidewalks,driveways,Curbs,ate.by the TOTAL <br /> delivery of this material Furlher,as addlional consideration,you agree to heo the driver remove mud from the wheels of the,doors vehicle so that the <br /> driver will not Inver the public street,and you agree to indemnify and hold harmless the driver of this Into <br /> and this company for any and all liabilities and r <br /> 4 damages m the premises and/or adjacent property which may be clamed by anyone to have adsen out of delivery of this order, <br /> R <br /> 5'nature: ^` TICKET NO. 6002505 <br /> f_�i� -Chi WEIGHT T'CKET M. 11301-30i <br /> RECEIVED BY <br />