DR1201-LR131001 ID1 ' hJ2
C DI
DISPATCH LOCATIONS TICKET NUMBER
•RE T 331 N. Main
�NCIIE l E Euless, TX 76039
817-835-4020 Ill 11
a US CONCRETE company / ? s .r 4
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement Wear rubber PROPERTY.DAMAGE RELEASE
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and WATER ADDED AT CUSTOMER REQUEST
prolonged contact with Wet In case of contact with skin or eyes,flush thoroughly with water,s (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer-The size and weight of this truck could cause damage to the TO CONCRETE PERFORMANCE.
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish
PURCHASER UPON LEAVING THE PLANT ANY CHANGES OR CANCELLATION OF ORIGINAL to help you In every way that we can,but in order to do this we are requesting that you.
,INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from X
WE DO'NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks,
CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to REQUESTOR'S NAME
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels,of his vehicle so that it will not litter the
used in any paNalar enWmnment or soil conditions or that the concrete is fit for any particular use. p lic street Further,as additional consideration;the undersigned agrees to Indemnify sA
Selection.of the nee design and/or spedficatian of the nitr design Parameters are solely the ig g sd.
responsibility of the Customer,and we assume no liabifdy therefore. and hold harmless the driver of this truck and this supplier and its affiliates for any and
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH property which may be claimed by anyone FULL LOAD V.LOAD % ''h LOAD
all damage to the premises and/or adjacent p
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING .to have arisen out of delivery of this order.
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A _ _ � �✓ F
DECREASE IN STRENGTH. ....9 (GALLONS) (GALLONS)
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE THE HEALTH .ARMING SIGNED: X ) (GALLONS) (GALLONS)
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FO A0 ANY DAMAGE CA ED WHEN TEST RESULTS
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND C.••ITIONS ON
REVERSE SIDE.TIME IN EXCESS OF FREE TIME Wt(L BE CHAR . c J RR '-•-- WEIGHMASTER CERTIFICATE
RATE.ALL C.O.D.DELIVERIES MUST BE PAID INiADVANCE.L,-•1:0-4 r dCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured SLUMP CONC.TEMP. I AIR%
SIGNING THIS D !VERY ICKET BEFORE POURI��QjG ,/,,� / or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES ®'NO
LOAD RFf E r' /" '.m /`6-,,,� authority of accuracy,as prescribed by Ckfapter 7(commencing with Section 12700)of
�/` :. ! 1i(C/7 LJ ' F.° • Division 5 of the California Business and,(rofessions Code,administered by the Division NAME OF TESTING LAB:
/' f !! i� of Measurement Standards of the Califon is Department of Food and Agriculture.
CUttli AER1 1-,!IN L1p L-11.JIp..',t .JANt.: - 1 .L
tt'ig Tbflrlfy DE
DELIVERYADDRESS ti•.
PROJECT NAME d REEK h,1J lEr.bt DR c;. F 1{F_C t•(:f '7T FF34Y g CO
PROJECT CODE 1'PELL
CUSTOMER P.O.# SPECIAL,(NSTRU. T OATS
t:3 C. I.Pkt I_I f tiYki.... 1,_1<4 CND CRI .EKVIEW(
CUSTOMER JOB ID#
LQAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION
4. -.I0.- .i /4. ,I%9 Y_'� , c: UNIT PRICE EXTENDED PRICE
� t:- r ,.. s..-tF. ; Ztiy.. t .!.����I%fi rt�Elt�'sI{�',r t::rL:;I NR AI��
22. 56 t. ,. L4)ry' €:A,. 'l?-+:• �SY`• rX..i r 1. 1 s 1 t�tV. f..t l.--St,t
1. tr k't F 1E Rf.3'r' E\IE::RGy FEE:
1. 00 E_ :t•1Yt l :\IV I RONMEN
•
MlNIMt..UMi LOAD CHARGE
BATCH TIME LF_Al/E p I AR�IVpg I BEGIN POUR I FINISH POUR I LEAVE JOB I ARRIVE AT PLANT USAGE CODE SUB TOTAL
1. BATCH t /J Jj �`r
TOTAL WAIT TIME PREVI9 S TRUCK f j,OAD# SLUMP MAP PAGE TI
i_a A,.. I M.7[?UE ON JOB TAX RATE TAX
1. DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL
--Oc:t:-•..1,3 .1 ICI 1 2 P236. 1006 n Mc BR I DIE_ JE:MIA IN
ORDER GRAND:TOTAL TOTAL
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER
CONTROL#
I III III
12471998
•
•
p
DEIM DISPATCH LOCATIONS TICKET NUMBER
)
331 N. Main
CONCRETE Euless,TX 76039 111111 III 1 I iii
817-835-4020 ,
G. : .0 u C,,J P
a US CONCRETE company
WARNING:IRRITATION TO THE SKIN AND EYES:.Contains Portland Cement Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.I (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE,CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
imtation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer-The size and weight of this truck could cause damage to the TO CONCRETE PERFORMANCE.
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish
PURCHASER UPON LEAVING THE PLANT.ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from .14 y 1- f
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks,
CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and'that you also agree to REQUESTOR'S NAME
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the
used in any particular environment or soil conditions or that the concrete is fit for any particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify
Selection of the mix design and/or specification of the mw design parameters are sdey the and hold harmless the driver of this truck and this supplier and its affiliates for any and SA
responsibility of the Customer,and we assume no liability therefore. PP y
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE W ITN all damage to the premises and/or adjacent property which may be claimed by anyone FULL LOAD Y.LOAD '/a LOAD '4 LOAD
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING to have arisen out of delivery of this order.
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A
DECREASE IN STRENGTH. V - (GALLONS) (GALLONS) (GALLONS) (GALLONS)
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY SLUMP I CONC.TEMP. I AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET BEFORE POURING. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES [=1 NO
LOAD RECpVED BY: fir' authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB:
Division 5 of the California Business and Professions Code,administered by the Division
X ,r""�!i: J of Measurement Standards of the California Department of:Food and Agriculture.
CUSTOM R' --PI=v _•i�?. t.�i:1 .L s+�.. et,-3T+0MEFt C�6 DELIVERY ADDRESS
Rif: F-.....-1-: I E:W DR & F RE:EP01--1.-1 P€f'WY a C.",0
PROJECT NAME PROJECT CODE ID i7::'EL..L
CUSTOMER P.O.# E N$T T
r, 1 3 t RY.5 riL. , LN AND I REE:14, , r.EW
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
1 0 n 1230 2 Z ; 4 1 ? k_ S . NP A T P
56. 40 1,, IZli l'522x 80 XUT 1 S 1 ("E FRESH
1. 00 ENE R6Y ENE RI- FED
1 . v10 EE€NIV 1 ENV I Ri01\l1)1E.€,41'
BATE1-j::Tij1C;. LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB` ':ARRIVE AT PLANT USAGE CODE SUB TOTAL
TOTAL WAIT TIME PRE\(IQt TRUCK LOT". - . r SLUMP 7MAP PpGE .,TIME Q)JE,ON JOB TAX RATE TAX
3 1....v..a f 6_! i:.:. t't"1 ..."4 ...-�� .1 C. 'v ,..f C:..
,;'fl 1...._j ?4r-- ..-J' Q G:J 1RC 07:43'., 13 FRU$K1.# D€41S,E1 OFESSIM P..,i) ORDER GRAND TOTAL TOTAL
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTX 1N�G`HMASTER._l+LL.
CONTROL#
0111 11I11111IIII
)
' 12701316
n.
1 .
• Di....mul DISPATCH LOCATIONS . ;.',.:,TICKET NUMBER
,
, 81373-1 8 3N.5 M4a.i0n 2•0 -
•
•,
( — - CONCRETE ) • , . .
• '
11111111111111111113 ''
US CONCRETE company
.
.,..,...,
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If
irritation persists,get medical aftenton.KEEP CHILDREN AWAY. Dear Customer-The size and weight of this truck could cause damage to the TO CONCRETE PERFORMANCE.
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish
PURCHASER UPON LEAVING THE PtANT.ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you , .•
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS, sign this RELEASE relieving this supplier and its affiliates from any responsibility from x / ,.-e„--..-.7-, ''2
id .17 (
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage-that may occur to the premises and/or adjacent property,buildings,sidewalks,
REQUESTO 'S NAME . .
CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE dove-ways,curbs,etc.,due to the delivery of this material,and that you also agree to
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that It will not litter the .....
used in any particular environment or sou conditions or that Ihe concrete is fit for any particular use. public street Further,as additional consideration;the undersigned agrees to indemnify SA /
Selection of the mix design and/or soecrfics• ton of the mix design parameters are solely the- the - -.-- Y-- and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no liability therefore. FULL LOAD %gOAD '%LOAD %LOAD
-, all damage to the premises and/or adjacent property which may be claimed by anyone
PLEASE NOTE THIS LOAD OF CONCRETE IS PRIIIIIUCED IN ACCORDANCE WITH to have arisen out of delivery of this order
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING f'r
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A , .
DECREASE IN STRENGTH. s., (GALLONS) (GALLONS), (GALLONS) (GALLONS)
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: A TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME IN EXCESS OF FREE TIME VVILL BE CHARGED AT CURRENT DELAY SLUMP CONC.TEMP. AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured 1
SIGNING THIS DELIVERY TICKET BEFORE POURING, or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ID YES Ei NO
LOAD45. CEIVED BY: authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB: _
Division 5 of the California Business and Professions Code,administered by the Division
X ' c,>. 4, 7(71/ of Mea#rement Standards of the California Department of Food and Agriculture.
•
CUSTOM . I""Hi.1'4 0 U..11—, I.14 i.: dus.1as2ri&1St - DELIVERY ADDRESS '
•
dREEK V JEW. DR & F R E E P 0 R T 1-7/1*1 CO.
PROJECT NAME PROJECT CODE
_........
...,
CUSTOMER P.O.# SPECIAL INSTRUCTIONS .
f
'30 I N ON RU)Y Ai_ Li\I AND C f E E:V.V I EW
CUSTOMER JOB ID# 1'
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE , EXTENDED PRICE
10. 00 270, 00 26 0„ 00 1 CIL.1 1 .1ifli 4 ti-ri..i 00 P..31. NR r)1 R- . i . ..
40 1,, 00 I.4 0 6. 40 X UT 1 1.
. .
1. 0(1.1 ENERGY ENERGY FEE
1„ :Do F.:EN V 1. ENV T.Fc`.1"11\1 11 E T
. ,
rs .
oxrcri"NE VE PLAN -- ARRIVE JOB,.. BEGIN POUR FINISH POUR' ' , LEAVE JOB ARRIVE AT PLANT USAGE CODE S 1.1B TOTAL
.r.,.. 1 ktli 1
/2 2 i
TOTAL WAIT TIME PRETQUVLICK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE • - TAX
P. I)A—1 Y 1;,....=.!:3.,.:::
. .
;.
DATE .. ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TQTAL TOTAL
0 1.--(5c-_,.t.—13 -4-- 10 1 2 P23 1 2.'7,7 A I 11 -
; ,.. _
DRUM REV-AT PLANT DRUM REV-START DRUM'REV-FINISH DEPUTY WEIGHMASTER CONTROL#
.
. .
.
F--
,....
HI 011111111110111
12701314
.. i
•■
5 .
. ...i. .
RDIMI1cDISPATCH LOCATIONS TICKET NUMBER
331:4. Main
CONCRETE ` EuiegpTX 76039
817-835-4020 111111111 1 1 till
a US CONCRETE company a _ .
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.H TO CONCRETE PERFORMANCE.
irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer—The size and weight of this truck could cause damage to the
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish
PURCHASER UPON LEAVING THE PLANT.ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from x
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, REQU TOR'S NAME
CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concretecan be help the driver remove mud from the wheels of his vehicle so that it will not litter the
used in any particular environment or sou conditions or that the concrete is fit for any particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the roe design and/or specification of the mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no liability therefore. all damage to the premises and/or adjacent property which may be claimed FULL LQAD %LOS 'A LOAD '/.LOAD
by anyone �; _
PLEASE NOTE:THIS SPECIFICATIONS OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order.
STANDARD SPECIFICATIONS"-.FOR READY MIX CONCRETE ASTM.ANY DE-ICING
MATERIALS,IMPROPER FINISHI§G AND LACK OF CURING WILL CAUSE DAMAGE OR A
DECREASE IN STRENGTH. X (GALLONS) (GALLONS) (GALLONS) (GALLONS)
X
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: - TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN - . .
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY SLUMP - CONC.TEMP. I AIR%
RATE.ALL C.O.D..DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured f
SIGNING THIS DELIVERY TICKET BEFORE POURING, or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES NO
LOAD RECEIVED BY: authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of X t NAME OF TESTING LAB:
T Division 5 of the California Business and Professions Code,administered by the Division
I �' of Measurement Standards of the California Department of Food and Agriculture. IL)
c f
CUSTOMI: :. R(!4 Jt; [ ROI JP. J.N1 QU$ eW DELIVERY ADDRESS
'r y j r- r' c ) {
CREE,1�.V I EI` DR {. r-.PE..E'C'r0R! T'IK JAI i . CO
PROJECT NAME PROJECT CODE. -- -ir'rI'rF='I IJ - _
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
f:30 I ON ROYAL_ EN AND f.R J_'KV If_J..f
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
i.+r. CI 171 ;:.:*6.t, tVI(%I ; '%ttL, 00 10L11`5 4 441c'Qi PSI NR (ziT.R
5F-,., 14._1 3 _ 0171 141ID, Ili@ X.1111 J. S T F I':RESH
1 r, O'n''I ENERGY ENERGY FEE
:(. t70 EENV 1 ENV I i• ONIYIEN`I
BATCH TIME LEAVE PLANTT7 ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
. 1. ;40(21M+>E,"lM //.-n-.. /j :/S*'
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
t
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
09:--(.�R.,.(;: 1.3 !.7l'1 .-. I..te._,5 286 A_ i z 3 t":tF ti.':
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEt^IGHMASTER _ CONTROL#
HA I 1111111111111
12701313
•
DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE Euless,TX 76039
81 -835-4020 11111 1141111
111111 11
2 "' 6 i
a US CONCRETE
WARNING:IRRITATION.TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber 'PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE)` EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.K i TO CONCRETE PERFORMANCE.
irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer—The size and weight of this truck could cause damage to the
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish
PURCHASER UPON LEAVING THE PLANT.ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you // 2
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibifd x y from f/TJ
WE DO NOT GUARANTEE FINISHED.RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, R UESTd NAME
CONCRETE AS MANY IMPORTANT FACTORSAFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agreeto
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the
used in any particular environment or soil conditions orthafthe Concrete is fn fur any Particular use. public street Further,as additional consideration;the undersigned agrees to Indemnify SA
Selection of the mbc design and/or specification of the iris design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no liability therefore. - all damage to the premises and/or adjacent property which may be claimed by anyone FULLLQAD D �LQAp
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order. ,!p l l}) I ' i2
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A /
DECREASE IN STRENGTH. }e/x ( NS) ONS) 1V) )
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X /X.. TEST RESULTS
NOTICE AND SUPPLIER WILL NQT BE.RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE.CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE
REVERSE SIDE:TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY - SLUMP CONC.TEMP. AIRS
RATE.ALL C.0,).DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET BEFORE POURING. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES a, NO-.
LOAD RECEIVED BY: authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF,TESTING LAB:
Division 5 of the California Business and Professions Code,administered by the Division / 1
X of Measurement Standards of the California Department of Food and Agriculture. !{,r^�F "`.
CUST6 - FA I N I3ROIJP, INC; CiUyS°T.�Q1'FRITOPIX DELIVERY ADDRESS /'
CREEKV=IE.W DR & FREEPORT PKWY R CO
PROJECT NAME PROJECT CODE
E rL�!= - .
F-.• LL.
CUSTOMER P.O.# SPECIAL INSTRUCTIONS - -
GO I N ON ROYAL L.N fahln C:REEvv I EW
CUSTOMER JOB ID# ..
LOAD QUANTITY ORDERED QTY_ CUMULATIVE QTY PRODUCT ID DESCRIPTION . - UNIT PRICE EXTENDED PRI it'
:l O. 00 260. 1210 240. 1,,'t 17..1 101_11504 4 l�l'.17161 PS I F,1 Fa Ft I F? t
56. 1+1?) 1. 1 U71 (3`.?i , 60 XLI 1 .1 SITE FRESH }`
1. 00 ENERGY ENERGY FEE ,';
1:. 0171 Ef. NV 1. ENV I R01111Eh':1T
BATCH TIME L VE PL907� ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
-,.e.- ec - " 1E::I-.1
DATE ORDER# PLANT - TRUCK# DELIVERY PROFESSIONAL - ORDER GRAND TOTAL TOTAL
I7.11.....f"jf•^ -13 1012 ir;:'!i 1.=F21 .fl I I\ISoN, STEVEN
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
F-11 t I NES, JOE
llI III MIII HII 111it
12701312
D� MZX DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE 8175835-4020 1! 1 •
a US CONCRETE-company
c 7 176
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If
irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer-The size and weight of this truck could cause damage to the 7, TO CONCRETE PERFORMANCE.
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish J
PURCHASER UPON LEAVING THE PLANT.ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you I) //(' -/ /
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from x
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, REQUESTORS NAME
CONCRETEAS MANY IMPORTANT FACTORSAFFECTING THE ULTIMATE DUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not lifter the
used in any particular environment or soil conditions or that the concrete is fit for any particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the mix design and/or specification of the mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no liability therefore. all damage to the premises and/or adjacent property FULL LOAD %LOAD ? LOAD ''A LOAD
PLEASE NOTE THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH g 1 P PertY which may be claimed by anyone
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM. ANY DE-ICING to have arisen out of delivery of this order.
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A -
DECREASE IN STRENGTH. (GALLONS) (GALLONS) (GALLONS) (GALLONS)
X NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE-TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE •
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY SLUMP 1 CONf'CTEMP. I AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET BEFORE POURING or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES ❑ NO
LOAD ECEfj ryED - authority of accuracy,as prescribed B Business and Professions(commencing s Comi with e ed by the 12700)of NAME OF TESTING LAB:
Division 5 of the California Business and Professions Code,administered by the Division
of Measurement Standards of the California Department of Food and Agriculture.
iti
CUSTo . F.ri..r.( f3 R[1OP y INC.: (l,JWhitiFT DELIVERY ADDRESS
CREEK VIEN DR & FRE.EPORT PI-'.i4 „ r.o
PROJECT NAME PROJECT CODE '
l`(vr 1`i .L
CUSTOMER P.O.# . SPECIAL INSTRUCTIONS
bf') IN ON ROYAL f.:A=I AND €e::RE'E1 Vf I EW
CUSTOMER JOB ID# - -
•
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID f- DESCRIPTION UNIT PRICE . EXTENDED PRICE
10. 00 260., 00 _ �.1., l It1 O!._' 1504 t x0121 PSI R NR s 1 I Ei ,
`; ,,, `}4L'I 1 01 ,G::97„ ;.'�Ct "4 UT 1 1 S I TE 'E'E:. H _
1. 00 ENERGY ENERGY FEE:
1r. €u€ E.ENV1 • ENV IRONMENT
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
11 <3 'f1 ( i •(.dw Z nc 1 .;0c
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP r MAP PAGE TIME DUE ON JOB TAX RATE TAX
1269 ,_., ") --1—Y 1 .1 .•:.'16, •
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL F ORDER GRAND TOTAL TOTAL
1 0I"-0C.:!: j ,:., 10j.2 Pi::':fir,) '1235 )cV IS, JOHNNY V]C
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL #
H I NE S., JOE llI III I II I IIII(IIII)
12701311
•
DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE Euless,TX 76039
Y 817-835020 1111111.111111 11111
a US CONCRETE company J r s _ i
•
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Poland Cement Wear rubber - -PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water"If TO CONCRETE PERFORMANCE
irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer The size and weight of this truck could cause damage to the
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire It is our wish `/tit „)PURCHASER UPON LEAVING THE PLANTANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you X I,4 �•/ ti f i
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS: sign •
this RELEASE relievin this supplier and its affiliates from any responsibility from ) /
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, REQUESTOR•S NAME
CONCRETE AS MANY IMPORTANT FACTORSAFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also.agree to
COMPLETED JOB ARE;QUT OF OUR CONTROL We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the
used In any particular environment or soil conditions orthatthe concrete is fit for any particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the mix design.N/ar specifiratIon of tie mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility d the"Custpmer,end we assume no liability therefore. all damage to the premises and/or adjacent property which may be Gaimed by anyone FULL LO V.LOAD V LOAD V.LOAD
PLEASE NOTE,THIS LOAD.OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order. a,,.,,_
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING .'
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A
(GALLONS) •(GALLONS) (GALLONS) (GALLONS)
DECREASE IN STRENGTH. v
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN - .,,,. "r�..J
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON - WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY SLUMP CONC.TEMP. AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET BEFORE POURING. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: 0 YES 171 NO
LO RECEIVED BY: 1 authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB: `�`
Division 5 of the California Business and Professions Code,administered by the Division
X . C ) of Measurement Standards of the California Department of Food and Agriculture. ()111, e•;s
CUSTC71h )7Er4IN 'GT01IPs 1.1`IL. 011jSTOt)1,R E; • DELIVERY ADDRESS
,i CREEK k,,'.I_E.:.W. DR a- I•".R .I»,P 0 P T 17I14..LI Yr . t-.:
PROJECT NAM ,:_ .- PROJECT CODE --- - - "
PPE1.-L.. _
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
GO 1 N OH R tl•Yc:1i-:_ L.N ANT) C P.E EKV:C EW
CUSTOMER JOB ID# -
LOAD QUANTITY. . ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
Yryr. 00' 260. =J{Z l 220 a 00 1, €1..s 1 504 1 000 •E'i N P Pt I R
56„A,0 1. 00 1 24 0. 8 :4.LIT TE F-RES`H
1. :f. �.� 1!.w
1.. i ENERGY Y ENERRG< FEE
1.. 00 1;=E`•1U.z ENV1PONMENi •
•
BATCH TIME LEAVE PLANT RIVE J B BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
1 1 , 1 lZf ii'1 /jfr
TOTAL WAIT TIME f PREVIOUS TRUCK ff LOAD# SLUMP MAP PAGE - TIME DUE ON JOB TAX RATE TAX
r * 1.-r`38 -:-..,-.:, h..: DP-'-I—'V 1 1 "40
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
It91..--Oo -...L,3. 1.01.E ' 9 i `.E�,�� z;^�,�, �-,-,.� ,rr.r� y I.,t-fRrr11:�;1
DRUM REV-AT PLANT- DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER - CONTROL#
iIIIlIillIIUlfIIlIIIII
12701309
EDFMI$ DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE Euless,TX 76039
817-8354020 1111 I1IJ1I
a US CONCRETE company
•
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement Wear rubber PROPERTY DAMAGE RELEASE - WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If TO CONCRETE PERFORMANCE.
irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer—The size and weight of this truck could cause damage to the
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE: premises and/or adjacent property if this load is placed where you desire.It is our wish .
PURCHASER UPON LEAVING THE PLANT ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you !// �'"
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from x f:r A /
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, FIEQ'UESS,QR:SiJAME
CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the / � �
used in any particular environment or soil conditions or that the concrete is fit for any particular /adar use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA t'7 0 11 L'
Selection of the mix design and/or specification of the mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
_responsibility of the Customer,and we assume no liability therefore. all damage to the premises and/or adjacent property which may be claimed by anyone FULL LOAD %LOAD %LOAD V.LOAD
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order.
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM. ANY DE-ICING
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A
DECREASE IN STRENGTH. (GALLONS) (GALLONS) (GALLONS) (GALLONS)
X NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X :TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY SLUMP I CONC.TEMP. AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET EFORE POURING. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: El YES NO
LOAD FirCEIVED.Y d l - authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB:
/�' Division 5 of the Califomia Business and Professions Code,administered by the Division
X r � / I of Measurement Standards of the California Department of Food and Agriculture. .
CUSTOiE Wd 17:144.hj fl RtII, pr, 1'!'1f'.� qiUMgrF.c.eg DYE+LIVER[Y ADDDRESS'{ 1 5 p_ [^� Y ID t(' y� { (°�
CREEKV LEw t:lF `:i €' f:. or: i pKw 1� N �_o
PROJECT NAME PROJECT CODE .F,i_r .
CUSTOMER P.O.# SPECIAL INSTRUCTIONS . - -
GO IN ON ROYAL LN AND 1 F=.I ,-gib••.VIi".1' .
CUSTOMER JOB ID# -
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
i.caw 00 ?'60„ 00 210a O)Z 1IiL_11504 4000 PSI NR, a:IP
:56.. 40 1.,, 00 11'84. 40 XUT 1 1, SITE FRESH
1.. I,?IIZ ENERGY ENERGY FEE
1,. 00 F.'EN')I, ENV 11°EONMEN 4
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
I.I.0 R50(41 //f.00I //:z r
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
DATE ORDER# PLANT TRUCK# DELIVERY rP°ROFESSIONAL ORDER GRAND TOTAL TOTAL
'�` i�"4i.•rr ryf �,i'`.,�',• '�HO A�.:E,, iil'.F_t`,I It
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
. 011011111111111
12701308 .
•
DISPATCH LOCATIONS
TICKET NUMBER
331 N. Main
-,---------'s CONCRETE ...._. .,
Euless,TX 76039— '
11111111111 1111111I 1 11
817-835-4020
•
/67)a US CONCRETE ccunPanY •
, .
L. 5 7 66 1 1 -7
r
\ .
ARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement Wear rubber PROPER (DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELI f RY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If
irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer—The size and weight of this truck could cause damage to the TO CONCRETE PERFORMANCE.
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property Kihis load is placed where you desire.It is our wish
PURCHASER UPON LEAVING THE PLANT.ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we cad,but in order to do this we are requesting that you
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS, sign this RELEASE relieving this sbpplier and its affiliates from any responsibility from
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks,
. REQUESTOR'S NAME '•''
CONCRETE AS MANY IMPORTANT FACTORSAFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to COMPLETED JOB JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the
used in any particular environment or soil conditions or that the concrete is lit for any particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the mix design end/or specification of the mN design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no liability therefore.
all damage to the premises and/or adjacent property which may be claimed by anyone FULL LOAD %LOAD %LOAD %LOAD
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order. .
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING TH - I AL
I'
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A )t/ LIONS) (GALLONS) (GALLONS) (GALLONS)
DECREASE IN STRENGTH. t
NOTICE:MY SIGNATURE BELOW INDICATES THAT t HAVE READ THE HEALTH WARNING SIGNED: X It //, TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN ,
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE ' I,
REVERSE SIDE.TIME IN EXCESS OF FREE 11ME WILL BE CHARGED AT CURRENT DELAY ., SLUMP . CONC.TEMP. ,' AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured .
SIGNING THIS DELIVERY TICKET BEFORE POURING, or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: LI YES E]NO
LOAD ECEIVED BY: authority of accuracy,as prescribed'by Chapter 7(commencing with Section 12700)of
Division 5 of the California Business and Professions Code,administered by the Division NAME OF TESTING LAB:
r .4 of Measurement Standards of the California Department of Food and Agriculture.
CUSTOVRE i f17
t7-1 1 N GROUP,, I NC q!Jr?rilATSeg DELIVERY ADDRESS ..
CREEKVIEW DR & FREEPORT PKWY ,ICO
PROJECT NAME PROJECT CODE
PPELL_
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
GO IN ON RCYAL LN AND OREEKVIEW
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE ' EXTENDED PRICE
1 0. elo 260. 00 200. 00 1 01.1 1'504 4000 PS I NR CA I R
56. 40 1. Q 1128. 1710 XI, -r J1 SITE' FRESH
:L 00 ENERGY ENERGY FEE
1. V.$0 EEN V 1 ENV I RONMENT
. ;
i
BATCH TIME VE PLAN _ ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
11,7.I .:38( I.111 Ic 1
TOTAL WAIT TIME PREVIO S TRUCK LOAD# SLUMP MAP PAGE ' TIME DUE ON JOB TAX RATE TAX
1.266 20 2 DA-1--Y 11 :07
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
,
101$ P259 1237 -KIR-FON:, PAUL
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
1-4Iq I NES,, JOE
ERNE /
12701307
,.
....,..
• , -_,:..:,,-..",;:z,- '
,..
, . .
D*,�, 7 DISPATCH LOCATIONS TICKET NUMBER
. _ 33 1.::Main
CONCRETE ... ` .817-35 402o I� t' (r77�lijili
2 5 I I W
a US CONCRETE company
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If TO CONCRETE PERFORMANCE.
it tatlon persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer—The size and weight of this truck could cause damage to the ,7
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish {{ '.r !!l
PURCHASER UPON LEAVING THE PLANT ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you X `
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from j ,1��//..
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that occur to the premises and/or adjacent property,buildings,sidewalks, V ° REQUE T.OR'S NAME
CONCRETE AS MANY IMPORTANT FACTORSAFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the
used in any particular environment or soil conditions or that the concrete is ft for any particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the mix design and/or specification of the mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no liability therefore. all damage to the premises and/or adjacent property which may be claimed by anyone FULL LOAD %LOAD %LOAD '/.LOAD
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order. /
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING /
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A (GALLONS) (GALLONS) (G ONS) (G NS)
DECREASE IN STRENGTH. - v
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN '.
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON •' WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY SLUMP I CONC.TEMP. I AIR%
RATE.ALL C.O.D.DELIVERIE rMuST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIyE TIC/ BEFORE POURI G. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES_,., NO
LOAD RECEIVED EN: authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB:
I
/ Division 5 of the California Business and Professions Code,administered by the Division qq{
X ( / of Measurement Standards of the California Department of Food and Agriculture. t�\ 1 y ,
+=/ ' E'r£rf T'-t7l DELIVERY ADDRESS �„e / :
CUSTO v1PR ' a I N [:.y R 1.31,.JP_ 1 Ni i; C I f�t Y ,t Cr f^ t t v r t- - f
CR EEK V I EN r:. & ! v EEpoR- PRLN g C1
PROJECT NAME PROJECT CODE r f_j
CUSTOMER P.O.# SPECIAL INSTRUCTIONS -
130 I N ON ROYAL LN AND CREEK V I LA
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID. DESCRIPTION UNIT PRICE EXTENDED PRICE
101.. 1 11,%1 26 0. 021 1'3ei„ es vi 1 OL:1 '1504 4000 .PSI NR A I R
',.56. 40 1. ft ?l 1071.. 6121 XUT 1 1 SITE. FRESH
1, 00 ENERGY ENERGY FEE
1 , j I T EENV 1 ENV I RONMENT
BATCH TIME LEAVE PLANT ARRIVEJB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
1.0 ''1=)t=! /a....4z
/ --: 3/
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP +� MAP PAGE TIME DUE ON JOB TAX RATE TAX
i'
1321 ` 19 2 D i '1Y 1035r
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
01..._0t':1.;—13 1012 ; PTi::5,39 1286 '1E.R1Nt=1NDEa:.y JESUS
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
i'-
IF)INEB, JOE
lUffilOhlIllI Hill
12701306
•
•
IE?1hMIX DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
NCRETE Euless,TX 402
817-835-4020
a US CONCRETE company
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.K TO CONCRETE PERFORMANCE.
irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer-The size and weight of this track could cause damage to the
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent properly if this load is placed where you desire.It is our wish
PURCHASER UPON LEAVING THE PLANT.ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from x
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, R QUESTOR'S NAME
CONCRETEAS MANY IMPORTANT FACTORSAFFECTING THE ULTIMATE DUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the
used in any particular environment or soil=dittos or that the concrete is fit for any particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the mix design and/or specification of the mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no liability therefore. all damage to the premises and/or adjacent property which may be claimed by anyone FULL LO D V LO D % may.s
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order.
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING •
•
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A ( LO ( LON (GALL S)ONS)
DECREASE IN STRENGTH. X ,��L//
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X Y Y / TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN !�
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE -_-
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY SLUMP CONC.TEMP. AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET BEFORE POURING. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES r •
LOAD RECEIVED BY: authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB:
Division 5 of the California Business and Professions Code,administered by the Division /
X 9 el !G4 , of Measurement Standards of the California Department of Food and Agriculture. /
CUSTCTRE FAIN GROUP, INC � 0� DELIVERY ADDRESS /// ,
PROJECT NAME PROJECT CODE CREEKVIEW DR & FREEPORT PKWY , CO
PPELL
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
GO IN ON ROYAL LN AND CREEKVIEW
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
10. 00 260. 00 180. 00 10L11504 4000 PSI NR AI R
56. 40 1. 00 1015.20 XUT11 SITE FRESH
1. 00 ENERGY ENERGY FEE
1. 00 EENV1 ENVIRONMENT
BATCH TIME LEAV PLANT 'I E OB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
10: 12AM V r•g�
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
1371 18 2 DA-1—Y 10:42
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
01—Oct-13 1012 P259 1321 ROBINSON. STEVEN
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
HR I NES, JOE liii IIIIII I II IIIII II IIII
12701305
DISPATCH LOCATIONS . TICKET NUMBER
D�~ - 331 N. Main
CONCRETE Euless,TX 76039
817-835-4020
a US CONCRETE i company
WARNING:.IRRITATION TO THE SKIN AND EYES:Contains Portland Cement Wear rubber PROPERTY'DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.H - TO CONCRETE PERFORMANCE.
irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer—The size and weight of this truck could cause damage to the
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish
PURCHASER UPON LEAVING THE PLANT.ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you 14
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADINSSTARTS. ,sign this RELEASE relieving this supplier and its affiliates from any responsibility from x 1` `.j '='
CO
WE DO R NOT GUARANTEE FINISHED
CT RESULTS ECTING OBTAINED FROM THIS LOAD OF
damage that may occur to the premises and/or adjacent property,buildings,sidewalks, p 1 ! REQUESTOR'S NAME -
CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not waeam that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the
used in any particular environment or soil conditions or that the concrete isfitfor any particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the mrs design and/or specification of the mitt design parameters are solely the and hold.harmless the driver of this truck and this supplier and its affiliates for any and FULL LOAD '/.LOAD LOAD I %LOAD
responsibility of the Customer,and we assume no liability therefore. - all damage to the premises and/or adjacent property which may be claimed by anyone
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order.
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING (GALLONS) (GALLONS) (GALLONS) (GALLONS)
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A V
DECREASE IN STRENGTH. HEALTH TEST RESULTS
NOTICE:MY SIGNATURE BELOW INDICATES TIffAT I HAVE READ THE HLTH WARNING X
SIGNED:
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE SLUMP ICONC.TEMP. AIR�O
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET BEFORE POURING. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES ❑NO
LOAD CEIVED BY: authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB:
Division 5 of the California Business and Professions Code,administered by the Division
X C. of Measurement Standards of the California Department of Food and Agriculture.
CUSTOT:A • }-"A I N GROUP,tr I NCB C1J7ret@FMW DELIVERY ADDRESS
CPEEKV IEN DR & R EPORT PKWY K cn-
PROJECT NAME PROJECT CODE r I:t - t
r- E i....E.
CUSTOMER P.O.# - SPECIAL INSTRUCTIONS
GO IN ON ROYAL laid AND t C. Cr 1 i!.t E Iii i •
CUSTOMER JOB ID it
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY. PRODUCT ID DESCRIPTION 'UNIT PRICE EXTENDED.PRICE
1 0.,.47t0 260. 00 170. 00 1IZIL1154a4 4000 PEI NR A.I p .
!'id.;;._ 40 1,, 00 958. 80 XUT11 S 1'E FRESH
1. 147: ENERGY ENERGY FEE
1.., U l E.E,NV 1 ENi)I RONMENT
•
BATCH TIME L�PLANT ARRIVE JOGINljs ' FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL.
1.0.:IZI3 nil L (le) . //6) (S(,
TOTAL WAIT TIME PREVIOUS 1 TRUCK LOAD# - SLUMP y YE
MAP PAGE TIME DUE ON JOB TAX RATE TAX
1,269 17 -_1—Y !0:'3 3
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
01. 0:'t---13 1012 PAW' Y-) 1 371 3I Vr---pc;y ARMANDO
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
HtIi1E , JOE liii III 1111111 111111 I II
12701304
Dti�r DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE) -Euless,TX 76031111111 t
1835-4020 Ai
a US CONCRETE :,company
WARNING:IRRITATION.TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST-
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If TO CONCRETE PERFORMANCE.
irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer-The size and weight of this truck could cause damage to the J
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent properly if this load is placed where you desire.It is our wish ` ,F
PURCHASER UPON LEAVING THE PLANT.ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from fl ) C-b =1 ,,
damage that may occur to the premises and/or adjacent property,buildings,sidewalks, X ^��- 7
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF REQUESTOR'S NAME
CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree'to
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the „
used in any particular environment or soil conditions or that the concrete is fit for any particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the mix design and/or specification of the mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no liability therefore. all damage to the premises and/or adjacent properly which may be claimed by anyone FULL L D s LOAD %LOAD %LOAD
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order. —r'-" Y-^"
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A (GAL ONS) (GALLONS) (GALLONS) (GALLONS)
DECREASE IN STRENGTH.
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN - .,,�..__.. ^^'^-'- =-^"•*---
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY SLUMP CONC.TEMP. AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET BEFORE POURING. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES 4.NO
LOAD ECEIVED BY: authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB:
Division 5 of the California Business and Professions Code,administered by the Division �}
X T of Measurement Standards of the California Department of Food and Agriculture. /-/0 r,r Y
cusTTPIE FAIN IN GROUP. INC )ST/t?Pg TV-Pg DELIVERY ADDRESS
CREEK VIEW IEW DR & FREEPORT i° PKWY CO
PROJECT NAME PROJECT CODE
1`I{-
riELI._
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
GO IN ON ROYAL 1,_N AND I..,RE ER.V I EN
CUSTOMER JOB ID# ,I
li
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID - DESCRIPTION UNIT PRICE °-i EXTENDEDPRICEi-
10. 00 260. 00 i.60, 00 10L 1 i 504 4000 PSI NP AIR
56. 40 1. 00 `0 . 40 XUT11 SITE TE 1F RESFi
1. 00 ENERGY ENERGY FEE
1. 00 EENV 1 EN VV I R1) NEIIENT _
•
BATCH TIME. LLE',AVE P T ARRIVE JO BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
9 11 41-1-1-11Y1 t.n s f 1 4 r
TOTAL WAIT TIME ►PREVIOU-S�yTRUCK LOAD# SLUMP - MAP PAGE TIME DUE ON JOB TAX RATE TAX
1:3r.3 1f=. 2 DA--1--Y. 14el: 14
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
tii 1 ._.Ort _13 1012 F, ,e;;,-; 126'3 'OSi'EER, C1....r•;REN( E
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
11111.1111111111111111
`12701303
IDIMI.X DISPATCH LOCATIONS TICKET NUMBER
331 N. Main llhJIiII1JlI l$
Euless,TX 76039
NCRETE 817.835.4020 UI!
a c bpi company US CONCRETE
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear lubber PROPERTY DAMAGE RELEASE ,. WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If - TO CONCRETE PERFORMANCE.
irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer—The size end weight of this truck could cause damage to the
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish ('''',/
PURCHASER UPON LEAVING THE PLANT.ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you X i 1 , ff/ 7
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from l --/--
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, REQUESTOR'S NAME .
CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not fitter the
used in any particularenvironment or soil conditions or that the concrete is fit for any particular use. public street Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the mix design and/or specification of the mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no liability therefore. all damage to the premises and/or adjacent property which may be claimed by anyone FULL LOAD '/.LOAD 'A LOAD '/.LOAD
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order.
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM. ANY DE-ICING
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A (GALLONS) (GALLONS) (GALLONS) (GALLONS)
DECREASE IN STRENGTH. V TEST RESULTS
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY SLUMP -I CONC.TEMP. I AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE.AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET BEFORE POURING. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES ❑NO
LOAD RECEIVED BY: authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB:
Division 5 of the California Businesls and Professions Code,administered by the Division
X �` - of Measurement.Standards of the Califomia Department of Food and Agriculture.
CUST°W2fF.7. Fin{TN GRO..P, 114C, s ,' ct-WitgrreQg DELIVERY ADDRESS
CRE:E}"?IEW DR & €FREE_PtORT PKWY ., CO
PROJECT NAME PROJECT CODE F,oPt:`.;'"
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
130 IN ON ROYAL L..I:N AND -CRE-1ERV IEN
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
1z,� !DO 150. 00 1M 1 1 0: 40 PSI NR AIR
ai,. 40 1. 17.1 13 f.1•`+(=,,, 17: XLail SITE FRESH
!
1. ENERGY ENERGY FEE
1 _ 11.10 EENV 1 ENV I RONMENT
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH.POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE ' TAX
1238 1 J [;.. D14--1.--`r 1(?.1:tCl6
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
LL 122 P259 1377 r "M -Yop I-11 LA R IN
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
}it=s 1`.NESA JOE
111111 1 11111111111111111
12701302
•
DISPATCH LOCATIONS TICKET NUMBER
p 331 N. Main
CONCRETE Euless TX 76039
817-835 1i1
-4020
a US CONCRETE company
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber ' PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and - (TO BE SIGNED IF DEUVERY TO BE MADE INSIDE CURB LINE) - EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If CONCRETE PERFORMANCE.
inflation persists,get medical attention.KEEP CHILDREN AWAY. - Dear,Customer-The size and weight of this truck could cause damage'to the X
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish
PURCHASER UPON LEAVING THE PLANT.ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and.its affiliates from any responsibility from
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, R QUESTOR'S NAME
CONCRETE AS MANY IMPORTANT FACTORSAFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to ,
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the
used in any particular environment Or soil conditions cr that the concrete Is fit for any particular use. public street Further,as additional consideration:the undersigned agrees to indemnify SA
Selection of the mix design and/or specification of the mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no liability therefore. all damage to the premises and/or adjacent property which may be daimed by anyone FULL LOAD s/s LOAD ''A LOAD %LOAD
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order.
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM. ANY DE-ICING
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A - (GALLONS) (GALLONS) (GALLONS) (GALLONS)
DECREASE IN STRENGTH. X NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED:X TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY SLUMP I CONC.TEMP. I AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TIC, >'FORE P or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES ❑NO
LOAD RECEIVE`T= : / i r authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700).of NAME OF TESTING LAB:
r Division 5 of the California Business and Professions Code,administered by the Division
X I/ f '/; i of Measurement Standards of the California Department of Food and Agriculture.
MS-1141W. FAN GFSGUP, j1t(G; Teg DELIVERY ADDRESS •
CR.EEKVIEW DR & FREEPORT PKWY , C0
PROJECT NAME PROJECT CODE PPELL
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
470 IN ON ROYAL LN AND CR{ EK.V I EW
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
•
10. 00 260. 00 140. 00 10L%41,504 4000 PSI NR AIR
5 . 40 1. 00 787. 60 NUT 11. SIT6: F.RE_f:IA •
a 0(Z ENERGY ENERGY FEE
1. ; EENV 1 ENV 1 PONNEN'1"
•
•
•
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
S M 9' ;jam , 5-9`
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# /'_ry
SLUMP MAP PAGE TIME DUE ON JOB TAX RATE - TAX
DATE ORDER# PLANT `■-____,•°'TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
01-0d._:j---1,i:5. 1012 P259 1238 :PIO 17Ey R1.:.1__W IN
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER _ CONTROL#
llhIllIllhIIIIlIIflhIIIt
12701301
1FDI 'M DISPATCH LOCATIONS TICKET NUMBER
331 N. Matri -_
CONCRETE Euless,TX 76039 }}{{ )
fl: 817-835-4020
'C-
\C a US CONCRETE Wcompany
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and - (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If TO CONCRETE PERFORMANCE.
irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer-The size and weight of this truck could cause damage to the.
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wist `
fly
PURCHASER UPON LEAVING THE PLANT ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that yowl / !
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliate m any responsibility from" X -ref"/i 2j�r-„t
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent 'gopery,buildings,sidewalks, ° REO1,lESTOR'S NAME
CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the
used in any particular environment«soil conditions or that the concrete is fit for any particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the mix design and/or specification of the mix design parameters are solely the and hold harmless the driver of Phis truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no liability therefore. all damage to the premises and/or adjacent property which may be claimed by anyone FULL LOAD %LOAD LOAD Ye LOAD
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order.
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM. ANY DE-ICING
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A (GALLONS) (GALLONS) (GALLONS) (GALLONS)
X
DECREASE IN STRENGTH. X f f).
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: Jtlk TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN //
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY SLUMP CONC.TEMP. I AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET BEFORE POURING. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES ❑NO
LOAD-ECEIVED BY: authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB:
J • Division 5 of the California Business and Professions Code,administered by the Division
of Measurement Standards of the California Department of Food and Agriculture. - -
GUST FA I tf.D^i-Ji E.11 r'E 1'NC G.Fraig FrEff DELIVERYADDRESS
CREEK(%I EW DR & F EEPtORT PKWY co
PROJECT NAME PROJECT CODE FrFtl"h n E
-_ .,
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
i30 I N ON ROYR{i_ lLN AND CREEK V I EIS
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
10„ 0 IZI E'6(ZL 67t 1., . 1210 1131.-1 1 r." 4► 4 +0+ PSI NBC A 1:r •
56e 40 1, 1J0 733.. $?I Xi.1"1141 SITE FRESH
1. !?(VA ENERGY ENERGY FEE
1.. filei E:EN►.►I. ENV I RONMENT 2T
0
•
BATCH TIME LEAVE P_LANT7 rA 2 y�Jg81 BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL.
TOTAL WAIT TIME PREVIOUS TRUCK ' LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
1.286 13 i? DA-1-Y 09:41
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
1_:..%7(::t--I 3 1 iZ∎12 P 2 5th 1237 °IORTON. 'PAUL,.
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL# `
BIIIIIIIHII
HA INES, JOE
i. 12701300
•
ktt is
A
at'
t
tiltAy DISPATCH LOCATIONS TICKET NUMBER
CONCRETE) 33 Main .
EuleSS TX 76039 �817435-4020
a US CONCRETE company n'' b ` _r 0
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE - WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If TO CONCR E:Ef3FORMANCE.
Irritation persists,gel medical attention.KEEP CHILDREN AWAY. Dear Customer–The size and weight of this truck could cause damage to the r/
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish I>
PURCHASER UPON LEAVING THE PLANLANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you f
INSTRUCTIONS MUST BE TELEPHONED.TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from X f/��
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, REQUESTOR'S NAME -
CONCRETEASMANY_IMPORTANTFACTORSAFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery,of this material,and that you also agree to
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the
used in any particular environment arsal conditions or that the concrete is fit for any particular use. public street Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the mix design end/or specification of the mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no liability therefore. all damage to the premises and/or adjacent property which may be claimed by anyone FUL L LQAD 'A LQAD 'A LOAD ''A LOAD
PLEASE NOTE:THIS LOAD OF-CONCRETE.IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order. !C/.✓� c�..� C
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A - (GALLONS). (GALLONS) (GALLONS) (GALLONS)
DECREASE IN STRENGTH. - V
NOTICE MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X TEST RESULTS
NOTICE AND SUPPLIERWILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL CHARGED AT CURRENT DELAY - SLUMP CONC.TEMP. AIR%
RATE.ALL C.O.D..DELIVERIES MUST:BE PAID IN AgDDDVVV�¢¢ANNNCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following descnbedcommodity was weighed,measured
SIGNING THIS DEUVERY TIC ET FO/RE POURING. / or counted by a weghmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: El YES
LOAD RECEIVED BYj I f. fJ authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB(
f _ Division 5 of the California Business and Professions Code,administered by the Division r%>
X J of Measurement Standards of the California Department of Food and Agriculture. '{.'�
CUSTOI iEW. FAIN 3 ROU } INC
, SkreTiZpF DELIVERY ADDRESS 11
CREEK VIEW DR & FREEPORT! PKWY . CO
PROJECT NAME - PROJECT CODE
PPE L:.!_
CUSTOMER P.O.# - SPECIAL INSTRUCTIONS
GO IN ON ROYAL LN AND CREEK V I EEW
CUSTOMER JOB ID#- -
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE . EXTENDED PRICE
•
10,-, 0e jj+rr7'yy� 2601._01 120. 00. :i. L. 1. 1,"_'I 4 4IZR?J0l PSI NR AIR
RJ S;Fe-f'�'rY.r Z» Nr 6�' '1u COY+ .R t.!2 Z Z t i.TE FRESH
1; !it?I ENERGY ENERGY FEE
1. EENV 1. ENV I RONMENT
BATCH TIME LEAVE PLANT_ ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
'34 10AM .. .. / 9' a i
TOTAL WAIT TIME PREVIOUS TRUCK _ LOAD# �'•'"'5�UMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
1 ,21. 1i ( t . DA-1--S 17.19 29
DATE - a ORDER# PLANT -l ,<-„TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
01:-0 t..-13 10 12 P259 1286 6 HERNANDEZ JESUS
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
Hht:l:ftlhE;, J7E
HIIIIIIIIIIIUIUIIUII,:. .
12701299
%
Div DISPATCEI LOCATIONS TICKET NUMBER
33? N silein
CONCRETE Eulessso39 � III IJj l I
817835-4020
a US CONCRETE company 2 y
WARNING:.IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE- • WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If TO CONCRETE PERFORMANCE.
irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer The size and weight of this truck could cause damage to the
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish
•
PURCHASER UPON LEAVING THE PLANT.ANYCHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you ,l'f/ p
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS.- sign this RELEASE relieving this supplier and its affiliates from any responsibility from ,� , -
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, x I
CONCRETE AS MANY IMPORTANT FACTORSAFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to REQUESTOR'S'NAME
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the
used in any particular environment or soil conditions or that the concrete is fit for any particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the mix design and/or specification of the mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no liability therefore. all damage to the premises and/or adjacent property which may be claimed by anyone FUL,,(q ID '/.LO '/a LQAQ. %LOAD
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order. r /� r y'"-'�
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING / f,.r± ^,� j 111 j —'�rT
MATERIALS,IMPROPER FINISHING AND LACK OF CU' ' WILL CAUSE DAMAGE OR A p (GAttOFJS) (GALLON$) ''(GALLONS) GALLONS)
DECREASE IN STRENGTH. V ''F
NOTICE MY SIGNATURE BELOW INDICATES • I HAVE READ THE HEALTH WARNING SIGNED: X / r et TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPON`.BLE FOR ANY DAMAGE CAUSED WHEN .---- ....-.... -- -
DELIVERING INSIDE CURB UNE AND AGR TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE
REVERSESIDE.TIMEINEXCE 0 FREE T E WILL BE RGED AT CURRENT DELAY SLUMP,: CONC.TEMP. AIR%.
RATE.ALL C.O.D.DE IVERIE j .: BE- 0 IN ADVAN E AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELN'-Y C . —ORE_.•URING. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES 03:110--LOAD RECEIVED.c r - authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB:
4 Division 5 of the California Business and Professions Code,administered by the Division
X t of Measurement Standards of the California Department of Food and Agriculture. ,j `r
cusToPME tg.AIN GROUP y I NC cluvr, ,Tew DELIVERY ADDRESS
CREEivf-'IEW DR & FREEPORT PKWY ,.CO
PROJECT NAME - PROJECT CODE _
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
GO IN ON ROYAL LN END CREER.VfIEi1
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
11.1. 11.1 ;.::F0., 00 110. 00 1.01..1154'14 4000 PSI NP AIR
56 40 1, 00 621?-I. 40 XUT11. SITE FRESH
i
1» 0+71 ENERGY ENERGY FEE
1,„ 01D EE NV 1 ENV I(RONMEN'I •
BATCH TIME V PL T I J jGI UR i FINISH.POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
rl< 4' 1.M i f '✓j "tl,f ,-1
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# LUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
t
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
rat-..0C:t--•1.:= 1012 P259 1321 iOBINS1JN, STEVEN
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
ill 1111111111111 hill Ill
12701297
DIMI . 5,
- TICKET NUMBER
DISPATCH LOCATIONS ‘ ,-•... ,:
•-• ' • .
_. ,
331 N. Main
CONCRETE Euless,TX 76039
817-8354020 11111111111111111111
a US CONCRETE.... company ,... (..) ,':.( (..1 .V 6
. -
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If
irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer—The size and weight of this truck could cause damage to the TO CONCRETE PERFORMANCE.
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property If this load is placed where you desire.It is our wish
PURCHASER UPON LEAVING THE PLANT.ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS, sign this RELEASE relieving this supplier and its affiliates from any responsibility froth x ), ?9."7 / /
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks,
REQUESTOR'S NAME
CONCRETE AS MANY IMPORTANT FACTORSAFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to ,
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the
used in any particular environment or soil conditions or that the concrete is fit for any particular use, public street.Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the iris design and/or specification of the mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no liability therefore. FULL ' OAD %LOAD V.LOAD
all damage to the premises and/or adjacent property which may be claimed by anyone
PLEASE NOTE THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order.
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A r
DECREASE IN STRENGTH. , . ONS) (GALLONS) (GALLONS) (GALLONS)
X
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: — TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON• -, WEIGHMASTER CERTIFICATE .
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY SLUMP I CONC.TEMP. I AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following describetli commodity was weighed,measured
SIGNING THIS DELIVERY TICKET BEFORE POURING. . - or counted by a weighmaster whose signature is fip this certificate,who is a recognized CYLINDERS TAKEN: 0 YES p NO
LOAD CEIVED BY: authority of accuracy,as prescribed by Chapter 7 tcommencing with Section 12700)of
Division 5 of the California Business and Professions Code,administered by the Division NAME OF TESTING LAB:
X -•7. ,/ of Measurement Standards of the California Department of Food and Agricditure.
CUSTOVIRE FA I N cRoup, INC qt.j7reteTtlY2P DELIVERY ADDRESS
CREEK V I EW DR & FREEPOR"r PKWY . CO
PROJECT NAME ' PROJECT CODE
PPEL.L
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
(30 IN ON ROYAL.. LN AND CU...I.:EV I EW
CUSTOMER JOB ID# .
•
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID 9SCRIPTION ' UNIT PRICE • EXTENDED PRICE
i
OD 260., 00 100. 00 /.OL...1 1504 400t7.1 P.F.3.r INIR A I R
56.40 1. 00 564. 00 XU T11 1. 1 '.:.-31:TE FRES1-i
1. 00 ENERGY ENERGY FEE
1. 00 EF:N V1 ENVIRONMENT
..-
BATCH TIME egYSP7T r,E.2 BEGIN POUR FIf' SH POUR LEAVE JOB " ARRIVE AT PLANT USAGE CODE SUB TOTAL
8;:39AM
TOTAL WAIT TIME PREVI US TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
1269 10 2: DA--1Y ei91-;09
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
1012 P P59 1..-s:71 ;Z I VERA, ARMANDO
H I N E G
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
fr.) . J 0 E"
:
011111111111111111
. .- 12701296
•
- .. .
DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE Euless,TX 76039 jJi,[tfltI i }
817-835-402 . ,
1...... ,..I 6 3 94 r
a US CONCRETE company .
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DEUVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin,In case of contact with skin or eyes,flush thoroughly with water.If TO CONCRETE PERFORMANCE.
irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer—The size and weight of this truck could cause damage to the
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish ^�
PURCHASER UPON LEAVING THE PLANT.ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from X 1 j ���/7 `
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, °RE�UESTOR'S E
CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to
COMPLETED JOB ARE OUT OF OUR CONTROL We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the
used in any particular environment or soil conditions or that the concrete is fa for any particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the mie design and/or specification of the me design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no liability merefore. all damage to the premises and/or adjacent property which may be claimed by anyone FULLL ,D s/.LOAD LOAD V.LOAD
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order. ""—STANDARD SPECIFICATIONS FOR"'READY MIX CONCRETE ASTM.ANY DE-ICING
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A
X (GALLONS) (GALLONS) (GALLONS) (GALLONS)
DECREASE IN STRENGTH. L. -' V
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN s"—"
DELIVERING INSIDE C'RB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME I CURB 2F EBEF TIME WILL BE CHARGED AT CURRENT DELAY SLUMP I CONC.TEMP. I AIR%
RATE.ALL C.O.D.DELNERIES MUST81=PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET.BEFORE POURING. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES E N0
LOA RECEIVED BY: 1 - authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of j
Division 5 of the California Business and Professions Code,administered by the Division NAME OF TESTING LAB: �!
X c�otf Measurement Standards of the California Department of Food and Agriculture. /:"i':Ift/a.X
CUSTOMER F'^3_iIN- `±GROUP,. INC t t t. T+ DELIVERY ADDRESS �^i _""
• ``:REF"RVTfmW DR & FRFEPOR'i' PKWY . C:isE
PROJECT NAME - PROJECT CODE
PPELL_
PPEL.L.
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
GO IN ON ROYAL L LN AND CREERV I EEl l
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
■
1.63 7 t 260. i71ef, 90. 00 10L11504 4000 PSI NR AIR
„.16. 40 1. 00 507. 60 XUT11 SITE FRESH .
1 . 00 ENERGY ENERGY FEE. .
1.. 00 EENV1 ENVIRONMENT
3 .
BATCH TIME E �b-FL ISJ BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
8-t r�`..f PM " / dr
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
137 i 0 2 DA-1--Y 08:57
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
:1.:..-Oct i.; 1012 P259 1269 i O STER, CLARENCE
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
III 1 111 l 111 111 l ll ill/
12701295
•
,.4
9
D=... DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE Euless,: TX 76039
817=835-4020 IIII �fl l�l ill1111llll
a.US CONCRETE.company 2 5 7 3 ,J 8 1 4
•
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If
irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer—The size and weight of this truck could cause damage to the TO CONCRETE PERFORMANCE.
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load Is placed where you desire.It is our wish s �! //?
PURCHASER UPON LEAVING THE PLANT ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you !'//!� ✓J�_/
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from X C/1_
WE DO.NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF. damage that may occur to the premises and/or adjacent property,buildings,sidewalks,
CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to REOUESTOR'S NAME
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not titter the
used many particular environment or soil conditions or that the concrete is fit for any particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify
Selection of the me design and/or specification of the mix design parameters are solely the SA
responsibility of the Customer,and we assume no liability therefore. and hold harmless the driver of this truck and this supplier and its affiliates for any and
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH all damage to the premises and/or adjacent property which may be claimed by anyone FULL LOAD '/.LOAD '/z LOAD ''h LOAD
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING to have arisen out of delivery of this order.
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A
DECREASE IN STRENGTH. - X (GALLONS) (GALLONS) (GALLONS) (GALLONS)
EA
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE -
REVERSE SIDE:TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY SLUMP I CONC.TEMP. I AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET BEFOREfiOURING. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES ❑NO
LOAD RECEIVED BY: J j authority of accuracy,as prescribed by Chapter 7(commencing-with Section 12700)of NAME OF TESTING LAB:../
//(/! Division 5 of the California Business and Professions Code,administered by the Division
X of Measurement Standards of the California Department of Food and Agriculture.
CUSTOMER_ FAIN GROUP- , 3:NC 5USO r,QE DELIVERY ADDRESS - -
PROJECT NAME PROJECT CODE CREERVIEW DR & FR'' 'EPORT PKWy+. , C0
PP 1.,I.,..
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
•
CUSTOMER JOB ID# - - -
i LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
•
10. 00 260. 00 10. 00 101_ 11504 400 s PSI NR AIR
44 1.. 00, 56. 40 XUT11 SITE FRESH •
1»00 ENERGY ENERGY FEE
1.. Q)121 i:ENV 1 ' ETV I RONMENT
I
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL ..
ca:3:3F1M -
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# UMP - MAP PAGE TIME,DUE ON JOB TAX RATE TAX
1 2 DA-1—Y 07.' 3
DATE ORDER# PLANT ,„I UCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
01.>7^0 r 1.'°-1.3 1.012 Par l9 13%-1 3I VERA, 1RMt NDO -
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER - CONTROL#
f-AINE , JOE
Hi III IIII III III IIII I II
12701287
•
)
II ] 1hhM11C DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE .. Euless,TX 76039 11111J1411JL1111J11t11
817-835-4020
a US CONCRETE Wcompany
WARNING:IRRITATION To THE SKIN AND EYES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE
prolonged contact with skin.In case of contact with skin or.eyes,flush thoroughly with water.If LINE) EXCESSIVE WATER IS DETRIMENTAL
irritation persists,get medical attention,KEEP CHILDREN AWAY. Dear Customer-The size and weight of this truck could cause damage to the TO CONCRETE PERFORMANCE.
CONCRETE IS A PERISHABLE';
COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish
PURCHASER UPON LEAVING THE PLANT.ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from X
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, `✓rT�(/ ��C��c,,,,,,zz�s55'
CONCRETE AS MANY IMPORTANT FACTORSAFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to Y� 'S NAME
COMPLETED JOB ARE OUT OF OUR CONTROL We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the
used,inany particular environment ofSON conditions or that the concrete Is fit for any particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify
SA
S8184'1101 of the mix design and/or specification of the mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
re sppnsioilily of the Customer,and we assume no lability therefore. all damage to the premises and/or adjacent properly which may be claimed by anyone FULL '/.LQ� %LOAD _ LOAD
'PL'EASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order. �I)
STANDARD-SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A
DECREASE IN STRENGTH. - '.' (GALL ) (GALLONS) (GALLONS) (GALLONS)
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE.RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN /
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE 1 }�/
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY S I CMP. IR°
RATE.ALL COD.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured �I iL�LJJ.
SIGNING THIS DELIVERY TICKET BEFORE POURING. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDE S TAKEN: YES
LOAD"RECEIVED BY: / - authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB:
Division 5 of the California Business and Professions Code,administered by the Division
X If i of Measurement Standards of the California Department of Food and Agriculture.
CUSTOM , F1 1 I GROUP ,INC eit tsfF DELIVERY ADDRESS t�1 DR & t-� p-'r' i^t.1-5 i� PKWY t COCe 4. CREERV�,EW DR & Y'RE EPOR 7 PKW4� ,. CO
PROJECT NAME PROJECT CODE
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
CUSTOMER JOB ID# -
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY. PRODUCT ID DESCRIPTION UNIT PRICE ` EXTENDED PRICE
10. 0.17l 260. 00 20. !DO.' 101_1 1 04 4000 PSI NR (II Ft
6.,, 40 1. 00 11E. 80 XUT11: a1TE FRESH
1. IZs) ENERGY ENERGY FEE ;
1. PSIZi ., [ ENV 1 ENV I I'CiNr1E.IV`r
•
BATCH TIME LE)VE PLAN ARRIVE JOB ' BEOIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
(-.a rl ,Arr1 to '''7 'Z . --+/�y t7
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# 1" LUMP MAP PAGE TIME DUE ON JOB TAX RATE - TAX
'1371 _. -2'_' DA-1-Y 07 d 16
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
0.I.-"Or_.1 _'1..3 112112 P259 137 TAr AYO, H:[I._.ARIN
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER - ' CONTROL#
' P.' iiit/ HA I NE S, .1.OF
HhIllIfflhIillhIllUII
12701288
•
DISPATCH LOCATIONS TICKET NUMBER
��++ CCTC 331 N. Main
CONCRETE G EulessrTX 76039 flhJIJItjJIJIjIHhlIII
817-835-4020
aUS CONCRETE..... company i1J7 „I 41
•WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.tl. - - TO CONCRETE PERFORMANCE.
irritation persists,get medical attention.KEEP CHILDREN AWAY. - Dear Customer-The size and weight of this truck could cause damage to the
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/oradjacent property if this load is placed where you desire.It is our wish /
PURCHASER UPON LEAVING THE PLANT ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you e /;M1
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from X V /Yl
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, f� REOUtSTOR'S NAME r
CONCRETEAS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE drive-wa ,curbs,etc.,due to the delivery of this material,and that you also agree to
COMPLETED J08 ARE OUT OF OUR CONTROL.We do not warrant t aNhe concrete can be help the-driver remove mud from the wheels of his vehicle so that it will not litter the
used in any particular environment or soil conditions or that the concrete is fit for any particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the mix design and/or specipcation-ot the mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no liability therefore. all damage to the premises and/or adjacent properly which may be claimed by anyone FULL LOAD %LOAD %LOAD '/.LOAD
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order. - t
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING /' J
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A'EA X (BA 40NS) (GALLONS) (GALLONS) (GALLONS)
DECREASE IN STRENGTH. y Jb j
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: ('JJ TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN DELIVERING INSIDE CURB LINE ANDAGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME IN EXCESS OF FREE.TIME WILL BE CHARGED AT CURRENT DELAY - SLUMP I CONC.TEMP. I AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET BEFORE POURING. - or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES ( ..NO
LOAD RECEIVED BY: authority of accuracy,as prescribed Chapter o 7(commencing with Section 12700)of NAME OF TESTING LAB:
Division 5 of the California Businl3ss and Professions Code,administered by the Division
X r f of Measurement Standards of the California Department of Food and Agriculture. z
CUSTOMEE FA IN C ROLL, I NC wremPreef 1". DELIVERYADDRESS - -
PROJECT NAME PROJECT CODE _
ti ' i_..i_.
CUSTOMER P.O.# - SPECIAL INSTRUCTIONS
'(30 IN ON ROYAL L.N AND C REEK VIEW
CUSTOMER JOB ID# -
LOAD QUANTITY ORDERED QTY . CUMULATIVE QTY PRODUCT ID- DESCRIPTION UNIT PRICE EXTENDED PRICE
l+'D n 211/1 260. (2II,?j 1D. stret 1 in.11504 4 eiee PSI NR AT
58'. . 1. 00 1669. 20 XUT11 SITE FRESH
1.:I N( • ENERGY ENERGY EEE
1. CIO r E:NV 1 ENV I RONMENT
r.
•
BATCH TIME LEAVE P NT ARRIVE JOB B7 P.U FINISH POUR LEAVE JOB - ARRIVE AT PLANT USAGE CODE SUB TOTAL
•
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
1377 3 DA—1—Y 25
DATE ORDER# PLANT -UCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
ID 1,--0C w_...1,: 1 0 12 P259. -. 1321 CB I N SON. ST E:
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
HAINESw JOE i iillllllllIIIIPIII
12701289
•
,„.... DISPATCH LOCATIONS
331 N. Main TICKET NUMBER
CONCRETE 817EUiess- ,835 TX-4 76030209 �I I III
c. t.J f-
..r +.J
a US CON CRETE company
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE - WATER ADDED AT CUSTOMER REQUEST.
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged"contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If TO CONCRETE PERFORMANCE.
irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer-The size and weight of this truck could cause damage to the
CONCRETE.IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish PURCHASER UPON LEAVING THE PLANT.ANY.CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you
,ify
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from X WE DO NOT GUARANTEE FlNISHED"RESULTS OBTAINED FROM T is LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks,CONCRETEAS MANY IMPORTANT FACTORSAFFECTINGTHE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to STOR'S NAME
COMPLETED JOB ARE OUT OF OUR CONTROL We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the .f
I used in any particular environment or soil conditions or that the concrete is fit for arty particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the design and/or specification the mix design parameters are solely the
I e mix of and hold harmless the driver of this truck and this supplier and its affiliates for any and PiD
responsibility of the Customer,and we assume no liability therefore. FULL LO ' LOAD %LOAD Y LOAD all damage to the premises and/or adjacent property which may be claimed by anyone V\
PLEASE NOTE THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order. 1 ...,...---- .�+"*I STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING {�!
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A ( LLONS) (GALLONS) (GALLONS) (GALLONS)
DECREASE IN STRENGTH. -
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE .o..."."_
REVERSE SIDE TIME IN EXCESS QF FREE TIME r. AE CHARGED AT CURRENT DELAY SLUMP CONC.TEMP. AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAI r AD ANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICK T BEFORE P! RING. - or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES ,NO
LOAD RECEIVED BY: authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of
i / l� Division 5 of the California Business and Professions Code,administered by the Division NAME OF TESTING LAB:
X j -Al J` of Measurement Standards of the California Department of Food and Agriculture.
CUSTO I FA I N GROUP.. INC (iUU 'r IT' Df DELIVERY ADDRESS
1 CREEP VIEW DR & FREEPORT PKWY-., CO
PROJECT NAME PROJECT CODE
i=PE1._1...
.
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
GO IN ON ROYAL LN AND CREE.F<VIE'(:?
CUSTOMER JOB ID#
T-4''Ir TC4E4 IJ�C.
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY. PRODUCT ID DESCRIPTION i, nn.c 10. 00 •
260. 00 40. 00 1 IL.1 1 JO4 4000 PSI NR AIR
rfr.. +4' 1. 00 225. 60 YUT11. aITE FRESH
1. 0 V ENERGY ENERGY FEE
1. 00 EENV 1 ENVIRONMENT
•
•
BATCH TIME -AV EP etTl BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE. SUB TOTAL
TOTAL WAIT TIME PREVIOUS TRUCK - LOAD# LUMP ppM/A',P PAGE TIME DUE ON JOB TAX RATE TAX
1321 J. ..j. l DA—1—V �.`,n..t u 3.F.�.
'
q.
DATE ORDER# PLANTT UCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
01- Q"i-_..13 1012 P259 1269 0STER, CLARENCE
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER" CONTROL#
iHATNESe JOE
HI HI H I II III I III
12701290
.4 DISPATCH LOCATIQNS ^—- ' TICKET NUMBER
Main 7 ,'
CONCRETE 'Eu • TX 76039
MEIJI lull j• 817-835-4020
a US CONCRETE-. company •
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots sod gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB UNE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If TO CONCRETE PERFORMANCE.
inflation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer-The size and weight of this truck could cause damage to the
CONCRETE IS A PERISHABLE COMMODITY AND:BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish _/7(2 PURCHASER UPON LEAVINGTHE PLANT ANY CHANGES bR CANCELLATION OF ORIGINAL to help you in every way Mat we can,but in order to do this we are requesting that you
INSTR TIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from
WE D NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, AM
CONC AS MANY IMPORTANT FACTORSAFFECTING E ULTIMATE DUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree b EQUESTOR'S NAME
COMPLETED JOB ARE OUT OF OUR CONTROL.We do t warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the
used in any particular environment or soil conditions or that the crate isfnforany particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA.
Selection of the mix design and/or specification of the mu'. ago parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no tabiliry - all damage to the premises and/or adjacent property which may be claimed by anyone FULL LOAD %LOAD %LOAD '/.LOAD
PLEASE NOTE THIS LOAD OF doNCRETE IS PROD CED IN ACCORDANCE WITH to have arisen out of delNery of this order. d ..-')
STANDARD SPECIFICATIONS r`FOR READY MIX CONCRETE ASTM.ANY DE-ICING L,,,,�,.
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A
DECREASE IN STRENGTH. (GALLONS) (GALLONS) (GALLONS) (GALLONS)
I i V
NOTICE:MY SIGNATURE BELO INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE.
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY SLUMP I CONC.TEMP. I AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET BEFORE POURING. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES ''NO
LOAD ECEIVED BY: v' authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB: T
Division 5 of the California Business and Professions Code,administered by the Division
X 1. ' - • of Measurement Standards of the California Department of Food and Agriculture. It'
CUSTO'PPIE, I N FA GROUP. 11\1E7, c.t,TrefitAIS2P ..ti DELIVERY ADDRESS
PROJECT NAME PROJECT CODE CREEKVIEW DR & FREEPORT PKWY y CO
'° 4 P.PEL.i__
a
CUSTOMER P.O.# - SPECIAL INSTRUCTIONS
60 IN ON ROYAL 1._N AND CREEIKVIE4d
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID - DESCRIPTION UNIT PRICE EXTENDED PRICE
1 0.1710 260. 0o '=717.1. 17.1 1IZtL 1.1517,14 . 4000 PSI' NR A I E
56. 40 1. 00 282. 00 XUT 1 1. SITE FRESH
!
1. 00 ENERGY ENERGY FEE
1.00 E:E NV I ENV I RONMENT
BATCH TIME LEAVE PLANT ARRIVE,SOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
1.6( P1 723 7........ 7 •
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# UMP - MAP PAGE TIME DUE ON JOB TAX RATE TAX
1269 a pH 1—Y 07"45
DATE ORDER# PLANT - CK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
011'-Ort--13 1.012 P259 1286 1.1ERNrrisiNNDE7q ..)E:3US
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
l'-'n J NE.„„ JOE
•
1111111 i l l/111111 l 1111 I
12701291
REDIMliCDISPATCH LOCATIONS TICKET NUMBER
T 331 I4: slain
CONCRETE E Euless,TX 76039 uiwi Jul iI
4 817-835-4020 1111 s
a US CONCRETE company
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement Wear rubber i PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and - (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If _TO CONCRETE PERFORMANCE.
inflation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer—The size and weight of this truck could cause damage to the
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish
PURCHASER UPON LEAVING THE PLANTANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from x ((11
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, R R'S NAME
CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to
COMPLETED JOB ARE OUT OF OUR CONTROL We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the
used in any particular environment or soil conditions or that the concrete is fitforany particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the mix design and/or specification of the mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no liability therefore. all damage to the premises and/or adjacent property which may be claimed by anyone FULL LOAD %LOAD %LOAD ' LOAD
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order.
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A (GALLONS) (GALLONS) (GALLONS) (GALLONS)
DECREASE IN STRENGTH. X X J� /}y' A
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: 7 / / TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE.
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY SLUMP . CONC.TEMP. I AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID N ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET BEFORE G. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES ❑NO
LOAD RECEIVED BY• r+, authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of
1 Division 5 of the California Business and Professions Code,administered by the Division NAME OF TESTING LAB:
X \ ( •+ of Measurement Standards of the Califomia Department of Food and Agriculture. _
CUSTO i z FIN GROUP, I INIC (1-11007V0 DELIVERY ADDRESS
C:REEF:.V IEU DR F-REEP'ORT- PkWY , CO
PROJECT NAME PROJECT CODE , I I
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
i31) IN ON ROYAL I_.N AND CREEK VIEli
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
•
101. CIO i ::C;0. I'DD@ 60. IZ19.1 let 115 +L( 401317,1 P 3I N P G-1 I R
F.J. 14.0 1e@12 338. Alli X UT 11
5'11E FRESH
1 n Ch O 1..NERf Y EWERS\i' FEE
1. fe-)0 EENV 1. ENV I RONIIENT
-
ki
BATCH TIME LE&E�PyAf ,_ IVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE. SUB TOTAL
7 ,:aflrl (% L�,j/1 (/j(}fig
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SL P MAP PAGE TIME DUE ON JOB TAX RATE TAX
1 286 6 EIS .. ....':T` 3/')f»;:t4
DATE ORDER# PLANT , 'TRUCK# DELIVERY PROFESSIONAL j' J ORDER GRAND TOTAL TOTAL
l?t1---Oc4 13 11312 P$39 1;'37 a fniil ?if0)-ZN.
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
12701292
DI. 'MIX DISPATCH LOCATIONS TICKET NUMBER
C 331 N. Main
CONCRETE Euless,TX 16039
817435-4020~
a US CONCRETE company ,,,.., _, 73 "�
WARNING:IRRITATION To THE SHIN AND EYES:Contains Portland Cement Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If - TO CONCRETE PERFORMANCE.
irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer—The size and weight of tilts truck could cause damage to the
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish j
PURCHASER UPON LEAVING THE PLANT.ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you
I INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. .sign this RELEASE relieving this supplier and its affiliates from any responsibility from X (f �'
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, REQUESTOR'S NAME
CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it wit not litter the
used in any particular environment or soil conditions or that the concrete is fit for any particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the ma design and/or specification of the mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and
responsibility of the Customer,and we assume no liability therefore. all damage to the premises and/or adjacent property which may be claimed by anyone FULL LOAD Y.LOAD 'A LOAD 'A LOAD
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order.
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM. ANY DE-ICING
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A
DECREASE IN STRENGTH. (GALLONS) (GALLONS) (GALLONS) (GALLONS)
X NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESP• .LE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND A E TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME IN EXCESS OF FRE': '.WILL BE CHARGED AT CURRENT DELAY '-- , SLUMP- CONC.TEMP. AIR%
RATE.ALL C.O.D.DELNERIE MUST B -AID A4VANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELVERY TIC - B-,0. ••URI G. or counted by a weghmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES ❑NO
LOAD RECEIVED gg Yi authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of
Division 5 of the California a Business and Professions Code,administered by the Division NAME OF TESTING LAB:
X IL \_.A. \ of Measurement Standards of the California Department of Food and Agriculture.
CUST {O I,^ Z N .j_7. y U1^s1 R ty q.urigeTiSVF DELIVERY ADDRESS
PKWY NAME - PROJECT CODE CREEL'iVIEW DR & F'REEPOR� KWY f7(,1
a•
PPE LL._
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
GO IN ON ROYPIL LN AND CREEF!.VIEW
CUSTOMER JOB ID#
LOAD QUANTITY ORDEREE:QTY CUMULATIVE QTY .PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
1 0. 0 0. 260 w'llrl 7 cal,. 210 10L.11504 4000 Pi3I NR Ai R
5'6,. 4 ei 1..41z1 sil, 394- 80 XL.1r11 SIT E FRESH
1.. jzst ENERGY ENERGY FEE E
1. @ i F.ENV 1 ENVIRONMENT
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
3` ICip'i 7 .c0 (g=?':i,2.
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# ,,''''Si, MP MAP PAGE TIME DUE ON JOB TAX RATE TAX
DATE ORDER# - PLANT �,, CK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
1. -OC.'t 17. 1012 1.2 P 259 1238 CHOICE, KELWII'!
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
HAINEGn ICori:.
llIUI III I III III I.I 111
12701293
•
DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE ) Euless,TX 76039 '
817-835-4020
a US CONCRETE company
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement Wear rubber '' PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If TO CONCRETE PERFORMANCE.
irritation persists,get medical attention.KEEP CHILDREN AWAY - Dear Customer—The size and weight of this truck could cause damage to the
CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish fjJ
PURCHASER UPON LEAVING THE PLANT ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way,that we can,but in order to do this we are requesting that you
INSTRUCTIONS MUST BE.TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. - sign this RELEASE relieving this supplier and its affiliates from any responsibility from x /. 1',.: ea,e
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property buildings,sidewalks, f . /REQUESTOR'S NAME
CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to
COMPLETED JOB ARE OUT OF OUR CONTROL We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the
used in any particular environment or soil conditions or that the canasta is fit for any particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA -
Selection of the mix design and/or specification of the mix design parameters are So ely the and hold harmless the driver of this buck and this supplier and its affiliates for any and. FULL LOAD '/.LOAD LOAD '/.LOAD
responsibility of the Customer,and we assume no Nabilily therefore. all damage to the premises and/or adjacent property which may be claimed by anyone
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to Maye arisen out of delivery of this order.
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING
MATERIALS,IMPROPER FINISHING AND LACK'OF CURING WILL CAUSE DAMAGE OR A X (GALLONS) ..(GALLONS) - (GALLONS) (GALLONS)
DECREASE IN STRENGTH. - v
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ-THE HEALTH WARNING SIGNED: TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY SLUMP I CONC.TEMP. I AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET BEFORE.POURING. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES ❑ NO
LOA RECEIVED BY: authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB:
,.�"j Division 5 of the California Business and Professions Code,administered by the Division
X 7 ( of Measurement Standards of the California Department of Food and Agriculture.
CUSTOlvw,i,M FAIN GROUP, INC,' I.STA DELIVERY ADDRESS
CREEK')IEW DR & FREEPORT PKWY , CO
PROJECT NAME PROJECT CODE
PPELL
CUSTOMER P.O.# - SPECIAL INSTRUCTIONS
(30 III ON ROYAL i__N AND I C_f:VIEW
CUSTOMER JOB ID# -
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
?21, din 6sQ ZI Eti I 1 '+1.1 1°C )4?++ �?I PSI MR AIR
56. 40 1. 00 451. ~_►b XUT 11 'J r i#=. r'RE.4.;r i
1. ENERGY ENERGY FEE
1a 00 1-EN'J1 ENV IR'.tiNNENT
BATCH TIME - L' AV P ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
e*R 17AM }lI . •
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# UMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
1238 8 ru DA--1Y 08:47
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL - ORDER GRAND TOTAL TOTAL
01. -0(� 9 FA MAYO.1012 P2 '13 � r ,illc=><o, HILARTN
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
HA l.:, ,I OE IIIIflhIIIIIIIIlILIl
• 12701294 -
F
F rT
r
fir,,.