Laserfiche WebLink
(� N ' CE RIVE <br />DRIVER <br />DATE: <br />21 <br />" r <br />AN MDU RESOURCES COMPANY <br />ELK GROVE <br />REQUESTED DELIVERY TIME: <br />12:30 <br />12:30 <br />106 <br />Billing OFFICE (209) 933-6980 <br />ORDER NUMBER: <br />55029 <br />1679039 <br />vvww.kniferiver.com <br />PROJECT NAME <br />TICKET NUMBER: <br />LOT & BLOCK <br />PREVIOUS TRUCK <br />Dispatch: (800) 464-6572 / (209) <br />933-6999 CYDS DEL: <br />9.00 <br />Safety First! <br />P.O. BOX 66001, Stockton, CA <br />952C6 LOAD#: <br />1 <br />TRUCK ID <br />DRIVER <br />PLANT ID <br />I LEAVE PLANT <br />RR T T OUR END POUR LEAVEJOB <br />AT PLANT <br />550341536 <br />JOHN ABLEY <br />106 <br />11:59 7/1/21 <br />Load Size <br />Mix Code Returned <br />CUSTOMER ACCT ID CUSTOMER P.O. / PROJECT NO. <br />PROJECT NAME <br />Load ID <br />LOT & BLOCK <br />PREVIOUS TRUCK <br />378504 /DAVISAVE <br />DAVIS AVE <br />35297 <br />Material <br />Design Qty Required Batched <br />SOLD TO: <br />PURVIANCE DRILLERS INC <br />PO BOX 64 <br />LINDEN <br />Actual Wat <br />DELIVERY ADDRESS/LOCATION: ADDRESS VERIFIED? Check <br />16940 DAVIS AVE <br />LINDEN <br />AUUI I IUNAL UtLIVtKY INb 1 KUL I IUNN: <br />C/S ARCHERDALE <br />Qty this Load Qty Ordered Qty Dlvd Product Code <br />9.00 18.00 9.00 504 <br />9.00 55EFS <br />DRUM REVOLUTIONS <br />Product Description UOM Unit Price <br />10.3 SK. SAND SLURRY yd <br />EMERGENCY FREIGHT SURCHARGE CY <br />TOTAL <br />EXT Amount <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 />USE OF CONCRETE, AS PLACED: Signature: <br />TESTED BY JAIR/SLUMP/TEMP/CYL-S <br />Printed Name: <br />RELEASE: Contractor or Owners agree to indemnify and save harmless Kni`e 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.I(NIFERIVER.COM/NCA FOR PROP 65 INFO WWW.P65WARNINGS.CA.GOV <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. <br />Deputy <br />Truck <br />Driver User <br />Disp Ticket <br />Num Ticket ID <br />Time Date <br />550341536 <br />46539 user <br />1679039 <br />33663 <br />11:59 7/1/21 <br />Load Size <br />Mix Code Returned <br />Qty <br />Mix Age Seq <br />Load ID <br />9.00 CYDE <br />504 <br />D <br />35297 <br />Material <br />Design Qty Required Batched <br />% Var% Moisture <br />Actual Wat <br />TYPEII-V <br />968 Ib 8712 Ib 8670 Ib <br />-0.48% <br />SAND <br />1935 Ib 18327 !b 18400 Ib <br />0.40% 5.24% A <br />110 gl <br />WATER <br />60.0 gl # 430.6 gl 430.0 gl <br />-0.14% <br />430.0 gl <br />Actual <br />Num Batches: 1 <br />