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KNIFE RIVE <br />DATE: <br />21 <br />AN MDU RESOURCES COMPANY <br />ELK GROVE <br />REQUESTED DELIVERY TIME: <br />12:30 <br />12:30 <br />CUSTOMER ACCTID <br />Billing OFFICE (209) 933-6980 <br />ORDER NUMBER: <br />55018 <br />1678652 <br />wvvw.kniferiver.com <br />LOT & BLOCK <br />TICKET NUMBER: <br />378044 <br />section 12700) <br />Dispatch: (800) 464-6572 / (209) <br />p <br />933-6999 CYDS DEL: <br />9.00 <br />Safetv First! <br />P.O. BOX 66001. Stncktnn. CA <br />g52ne Inanit. <br />1 <br />TRUCK ID <br />DRIVER PLANT ID <br />LEAYE PLANT A RIVE 10B START POUR END POUR LEAVE JOB AT PLANT <br />550341610 <br />THIS IS TO CERTIFY <br />RICHARD J 06 <br />following described <br />CUSTOMER ACCTID <br />measured or counted by a weighmaster, <br />CUSTOMER P.O. / PROJECT N0. <br />is on the certificate, <br />PROJECT NAME <br />LOT & BLOCK <br />PREVIOUS TRUCK <br />378044 <br />section 12700) <br />/ <br />the California Business <br />and Professional Code, administered by <br />the Division of <br />Measurement <br />SOLD TO: <br />VALLEY DRILLING <br />Department of <br />Food and Agriculture. <br />DELIVERY ADDRESS/LOCATION: ADDRESS VERIFIED? Check <br />VALLEY; 10921 CALIFORNIA 12 <br />LODI <br />HVL1 111 UNAL LJr LIVtKT I IV..) I KUL I I UNb: DRUM REVOLUTIONS <br />WEST OF THRETHEWAY, ASPHALT DRIVEWAY, PREPAID CC <br />BEGINNING ENDING TOTAL <br />Qty this Load Qty Ordered Qty Dlvd Product Code Product Description UOM Unit Price EXT Amount <br />9.009.00 9.00 504 10.3 SK. SAND SLURRY yd 157.50 1,41?.50 <br />WATER ADDED / ESTIMATED SLUMP STANDBY AND UNLOADING TIME OVERTIME MINUTES SUB TOTAL 1,417.50 <br />Full Load: GAL SLUMP Excess truck time will be assessed by dispatch at the current SALES TAX $109.86 <br />2/3 Load: GAL SLUMP rate per minute for orders exceeding five (5) minutes per ADDITIONAL TIME FEE TICKET TOTAL $1,527.36 <br />1/3 Load: GAL SLUMP cubic yard. GRAND TOTAL <br />$1,527.36 <br />DESIGN SLUMP REQUESTED SLUMP ACKNOWLEDGEMENT OF RECEIPT, WATER ADDED, & TERMS AND CONDITIONS ON WEB SITE <br />4.00 8.00 <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 65 INFO WWW.P65WARNINGS.CA.GOV <br />TESTED BY AIR/SLUMP/TEMP/CYL'S <br />Knife River <br />Weighmaster Certificate <br />THIS IS TO CERTIFY <br />that the <br />following described <br />commodity was weighed, <br />measured or counted by a weighmaster, <br />whose signature <br />is on the certificate, <br />who is a <br />recognized authority <br />of accuracy, as prescribed by Chapter 7 <br />(commencing with <br />section 12700) <br />of Division 5 of <br />the California Business <br />and Professional Code, administered by <br />the Division of <br />Measurement <br />Standards of the California <br />Department of <br />Food and Agriculture. <br />Deputy <br />Truck <br />Driver <br />User <br />Disp Ticket Num <br />Ticket ID Time Date <br />550341610 <br />575662 <br />user <br />1678652 <br />33286 12:04 6/16/21 <br />Load Size <br />Mix Code <br />Returned <br />Qty Mix <br />Age Seq Load ID <br />9.00 CYDS <br />504 <br />D 34912 <br />Material Design Qty Required Batched % Var% Moisture Actual Wat <br />TYPEII-V 968 Ib 8712 Ib 8760 Ib 0.55% <br />SAND 1935 Ib 18340 Ib 18200 Ib -0.77% 5.31% A 110 gl <br />WATER 73.6 gl 506.3 gl 506.0 gl -0.07% 506.0 gl <br />Actual Num Batches: 1 <br />