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DATE: 05/01/24 <br /> � KN I FE RIVER KRPR - LODI REQUESTED DELIVERY TIME: 11:30 <br /> ORDER NUMBER: 55027 <br /> Billing OFFICE (209) 933-6980 TICKET NUMBER: 1332689 <br /> www.kniferiver.com Dispatch: (800) 464-6572 / (209) 933-6999 CYDSDEL: 8.00 <br /> Sia et First! P.O. BOX 66001 Stockton CA 95206 LOAD#: 1 <br /> TRUCK ID DRIVER PLANT ID LEAVE PLANT ARRIVE JOB START POUR END POUR LEAVE 10B AT PLANT <br /> 1 c� <br /> CUSTOMER ACCT ID CUSTOMER P.O./PROJECT NO. PROJECT NAME LOT&BLOCK PREVIOUS TRUCK <br /> 378044 / <br /> SOLD TO: DELIVERY ADDRESS/LOCATION: ADDRESS VERIFIED? Check <br /> VALLEY DRILLING VALLEY; 5136 W. HWY 12 <br /> LODI <br /> ADDITIONAL DELIVERY INSTRUCTIONS: DRUM REVOLUTIONS <br /> ENTER FROM N.FLAG CITY RD IST LEFT, PRAPAID CC <br /> BEGINNING ENDING TOTAL <br /> Qty this Load Qty Ordered Qty Dlvd Product Code Product Description UOM Unit Price EXT Amount <br /> 8.00 8. 00 8 .00 504 10.3 SK. SAND SLURRY yd 197 .50 1, 580.00 <br /> 1.00 554015 FUEL SURCHARGE EA 40.00 40.00 <br /> 8.00 55EFS CEMENT FREIGHT SURCHARGE CY 10. 00 80.00 <br /> WATER ADDED/ESTIMATED SLUMP STANDBY AND UNLOADING TIME OVERTIME MINUTES SUB TOTAL 1,700.00 <br /> Full Load: GAL SLUMP Excess truck time will be assessed by dispatch at the current SALES TAX $131.75 <br /> 2/3 Load: GAL SLUMP rate per minute for orders exceeding five(5)minutes per ADDITIONAL TIME FEE TICKET TOTAL $1,831.75 <br /> 1/3 Load: GAL SLUMP cubic yard. $2 . 50/min GRAND TOTAL $1,831.75 <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 /> ruck Driver User Disp Ticket Num Ticket ID Time Date <br /> 50341950 575661 user 1332689 23348 10 : 50 5/1/24 <br /> Dad Size Mix Code Returned Qty Mix Age Seq Load ID <br /> . 00 CYD: 504 D 25023 <br /> terial Design City Required Batched %Var %Moisture Actual Wat <br /> ND 1936 Ib 15938 Ib 15920 Ib -0.12% 3.10%A 480 Ib <br /> PEII-V 968.0 Ib 7668.0 Ib 7585.0 Ib -1.08% <br /> \TER 350 Ib 2309 Ib 2316 Ib 0.29% 2318 Ib <br /> tual Num Batches: 3 Manual 10:50:14 <br /> id 26043 Ib Design W/C: 0.362 Water/Cement: 0.362 T Design 2800.0 Ib Actual 2798.2 Ib To Add: 1.8 Ib <br /> mp: 8.00 in # Water in Truck: 0.0 gal Adjust Water: 0.0 gal /Load Trim Water: 0.0 gal / CYDE <br />