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WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity INC.wgsweighed,measured,iccounted byaecognized r,thosy CONCRETE PRODUCTS, I si natLre is on this certificate,whois a reco nized authority of accuracy,2s 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 209_838_1448 Standards of the California department of Food and Agriculture. WEI HMA T R I NA URE 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 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 CYLINDERS TAKEN BY; CUSTOMER SIGNATURE AT CUSTOMER'S REQUEST GALLONS ❑YES ❑NO CUSTOMER ID P.O.NUMBER LOAD NUMBER JOB NUMBER TIME DATE JTICKET SOLD TO DELIVER TO DRIVER DR T I_L.:I.NG i i%J(- 119 AL..BERS RD ',10DE ATO TERMS QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE I �'. 4':k" iANDlilkllk7:, int. F: SAf,ID SL.IJRRY vi.i tom. 4.1 1. I0C) : HC)C3-I- 6 DI'�'TAVICE'. - 1 to 2. 75 Cycis !1- Zl+<7» 01' 1. 00 E'-_F E:NV I ftf]F•IIT1E N'TA1_ FEE i L- `J» ?!:` TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE WAITING TIME SUB TOTAL SPECIAL INSTRUCTIONS hhl�! TAX TOTAL GRAND TOTAL INVOICE/TICKET NO. Tk Dr`.iver L.I_>er• Di p 'fi.cket Num '('icket ID -f ime D.---.kt e i JAIME r1L11•B it 36762 11 :c'_5 1 1/2c'' Sizt? Mix rode Ret!_:I--rIej Oty Mix Age SE,cl Load 11) C_ 00 ?d SAND0010 D Material Deii n Qty Required batched Var % Moisture Actual Wat SAND i101 28% 1b 6042 1b 5990 lb -0.86% 6.00% M 41 91 CEMENT 968.0 lb 1936.0 lb 1'3'35.0 1 b -0.05% WATER 40.00 gl 433.02 gl 43.00 gl --0.04% 43.00 gl Actual Nus dtChen: LoLoad T,tai: 8284 lb Design 0.345 Water/Cesent 0.361 P Design 80.0 1 Actual 83.6 ul To Add: 0.0 Q1 oad � in Wat K in TN6; 0.0 1 ` Ad.iust Water: 0.0 gl ! Load Tree Water: 0.0 g1/ yd uai Wl!<v`Ratio: 0.311 84 gl Batched Cesent: 1935 Ib Allowable Water: 0 lb