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KN I FE RIVER DATE: 12:00 23 <br /> KRPR - LODI REQUESTED DELIVERY TIME: 12:00 <br /> AN MDU RESOURCES COMPANY ORDER NUMBER: 55008 <br /> Billing OFFICE (209) 933-6980 TICKET NUMBER: 1330163 <br /> vvww.kniferiver.com Dispatch: (800) 464-6572 / (209) 933-6999 CYDS DEL: 9.00 <br /> Safety First! P.O. BOX 66001, Stockton, CA 95206 LOAD#: 1 <br /> TRUCK ID DRIVER PLANT ID LE V T VE M START POUR END POUR LEAVE JOB AT PLANT <br /> 550342056 DANIEL SOMMERS LODI <br /> CUSTOMER ACCT ID CUSTOMER P.O./PROJECT NO. PROJE2"FINANTE LOT&BLOCK PREVIOUS TRUCK <br /> 378044 / <br /> SOLD TO: DELIVERY ADDRESS/LOCATION: ADDRESS VERIFIED? Check <br /> VALLEY DRILLING VALLEY; 18948 NORTH DAVIS RD <br /> LODI <br /> ADDITIONAL DELIVERY INSTRUCTIONS: DRUM REVOLUTIONS <br /> PREPAID C/C <br /> BEGINNING ENDING TOTAL <br /> Qty this Load Qty Ordered Qty Dlvd Product Code Product Description UOM Unit Price EXT Amount <br /> 9. 00 9.00 9. 00 504 10.3 SK. SAND SLURRY yd 192.50 1, 732. 50 <br /> 1 . 00 554015 FUEL SURCHARGE EA 40. 00 40.00 <br /> 9. 00 55EFS CEMENT FREIGHT SURCHARGE CY 10. 00 90.00 <br /> WATER ADDED/ESTIMATED SLUMP STANDBY AND UNLOADING TIME OVERTIME MINUTES SUB TOTAL 1,862.50 <br /> Full Load: GAL SLUMP Excess truck time will be assessed by dispatch at the current SALES TAX $144.34 <br /> 2/3 Load: GAL SLUMP rate per minute for orders exceeding five(S)minutes per ADDITIONAL TIME FEE TICKET TOTAL $2,006.84 <br /> 1/3 Load: GAL SLUMP cubic yard. GRAND TOTAL <br /> $2,006.84 <br /> DESIGN SLUMP REQUESTED SLUMP ACKNOWLEDGEMENT OF RECEIPT,WATER ADDED,&TERMS AND CONDITIONS ON WEB SITE <br /> 0.00 8. 00 <br /> Signature: Printed Name: <br /> USE OF CONCRETE,AS PLACED: 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 /> Signature: Printed Name: <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 Driver User Disp Ticket Num Ticket ID Time Date <br /> 550342056 547548 sa 1330163 20888 11 : 13 4/19/23 <br /> Load Size Mix Code Returned Qty Mix Age Seq Load ID <br /> 9. 00 CYDIS 504 D 22506 <br /> Material Design Qty Required Batched %Var%Moisture Actual Wat <br /> SAND 1936 Ib 18343 Ib 18300 Ib -0.24% 5.28%A 917 Ib <br /> TYPEII-V 968.0 Ib 8712.0 Ib 8695.0 Ib -0.20% <br /> WATER 350 Ib 2231 Ib 2228 Ib -0.12% 2228 Ib <br /> Actual Num Batches: 3 Manual 11:13:08 <br /> Load 29223 Ib Design W/C: 0.362 Water/Cement: 0.362 T Design 3150.0 Ib Actual 3145.1 Ib To Add: 4.9 Ib <br /> Slump: 8.00 in # Water in Truck: 0.0 gal Adjust Water: 0.0 gal /Load Trim Water: 0.0 gal / CYDE <br />