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TRUCK ID <br />DRIVER PLANT ID <br />DATE: <br />21 <br />KN I FE RIVE <br />LEAVE 10B <br />REQUESTED DELIVERY TIME: <br />12:57 <br />12:57 <br />AN MOU RESOURCES COMPANY <br />ELK GROVE <br />ORDER NUMBER: <br />55029 <br />Qty <br />Billing OFFICE (209) 933-6980 <br />TICKET NUMBER: <br />1679042 <br />www.kniferiver.com <br />Dispatch: (800) 464-6572 / (209) <br />933-6999 CYDS DEL: <br />18.00 <br />Safetv First! <br />P.O_ ROX 66001. Stockton, CA <br />95206 LOAD#: <br />2 <br />TRUCK ID <br />DRIVER PLANT ID <br />LEAVE PLANT <br />ARRIVE JOB I START POUR <br />END POUR <br />LEAVE 10B <br />AT PLANT <br />5503418081 <br />MARCUS 06 <br />12:30 7/1/21 <br />Load <br />Size Mix Code Returned <br />Qty <br />Mix Age Seq <br />CUSTOMER ACCT ID CUSTOMER P.O. / PROJECT NO. <br />PROJECT NAME <br />LOT & BLOCK <br />PREVIOUS TRUCK <br />378504 /DAVISAVE <br />DAVIS AVE <br />Material <br />550341536 <br />SOLD TO: <br />PURVIANCE DRILLERS INC <br />PO BOX 64 <br />LINDEN <br />DELIVERY ADDRESS/LOCATION: ADDRESS VERIFIED? Check <br />16940 DAVIS AVE <br />LINDEN <br />ADDITIONAL DELIVERY INSTRUCTIONS: <br />C/S ARCHER DALE <br />Qty this Load Qty Ordered Qty Dlvd Product Code <br />9.00 18.00 18.00 504 <br />9.00 55EFS <br />UKUIVI KtVULU I IUIV.'j <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: Printed Name: <br />RELEASE: Contractor or Owners agree to indemnify and save harmless Knife 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.KNIFERIVER.COM/NCA FOR PROP 6S INFO WWW.P65WARNINGS.CA.GOV <br />TESTED BY FAIR/SLUMP/TEMP/CYL-S <br />Pri <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 />550341808 <br />483105 user <br />1679042 <br />33665 <br />12:30 7/1/21 <br />Load <br />Size Mix Code Returned <br />Qty <br />Mix Age Seq <br />Load ID <br />9.00 <br />CYDB 504 <br />D <br />35300 <br />Material <br />Design Qty Required Batched <br />% Var% Moisture <br />Actual Wat <br />TYPEII-V <br />968 Ib 8712 Ib 8700 Ib <br />-0.14% <br />SAND <br />1935 Ib 18328 Ib 18240 Ib <br />-0.48% 5.24% A <br />109 gl <br />WATER <br />60.0 gl # 430.5 gl 429.0 gl <br />-0.35% <br />429.0 gl <br />Actual <br />Num Batches: 1 <br />