DR1201-LR130924 DISPATCH LOCATIONS TICKET NUMBER
N' p C CRE 331 N. Main
CONCRETE) Euless,TX 76039 �f i 1111111##i 817835-4020 i1 ? 1
a US CONCRETE company Iw — t i' .1
w mRITAl10NTO,HESRIWAADEYES:1`intains Fo Band Cement.Wear rubber - a _-_._ .
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and N PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.t (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 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 • 5t5t
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from x / �.„'iC:o �%• I.:
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, v !
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 �1'2EQUE TOR'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 sal conditions or that the concrete is ft for any particular use. public street Further,as additional consideration;the undersigned a rees to indemnify
Selection of the mix design and/or spedfication 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 SA J, lj �� - �)
responsibility of the Customer,and we assume no liability therefore.
PP y }� _
PLEASE NOTE:THIS.LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WffH all damage to the premises and/or adjacent property which may be claimed by anyone FULL LOAD %tEOAD ''/,L�SAD V.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)
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 foltewing 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(commenting with Section 12700)of NAME OF TESTING LAB:
s Division 5 of the California Business and Professions Code,administered by the Division
X Lpp` fi<-1�I! t of Measurement Standards of the California Department of Food and Agriculture.
CUSTOIVIEFr `CUtfeI7E DELIVERY ADDRESS
e
.. PROJECT CODE ROYAL. LN & CR REEK .I 4'J.. . ri.3F°'i•^rL L .-
CUSTOMER P.O.# - SPECIAL.INSTRUCTIONS - -
-**. W TCH SLUMP C( REFE.JL LY *—x.
CUSTOMER J9B ID# - •_.
•
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY - PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
I 0 v 017 2617.). 00 260. 00 1 OL1 1524 4l7_t00 PSI NP Al R .
ua
54;5 40 1., 00 L466 40 XIII 1 1 SITE FFIE1:1
E.„
' k ENERGY f NE ?C t FEE.
1 12.10 EENV 1. ENV I RONMEN t
.
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
12 L. 6Pi /1 '1 1 if / 13
TOTAL WAIT TIME PREVIOU CK LOAD# SLUMP MAP PAGE pTIME DUE ON JOB TAX RATE TAX
:128 / _
6 26 4 ! ., s J.
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
Lt.....Se pp'--13 . 11%3s2i 3 P259 137.., DIP WASTE i-i tEJi._F�: I
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY IGHMASTER ['' '''' '...CONTROL#
HIllIHhIIIHINMII
12701032
•
•
Cv% % tSVitvV �^
Div DISPATCH LOCATIONS TICKET NUMBER
331 vain
CONCRETE Euless' 039
817-835-4020 jqjj
a US CONCRETE company LI 5 • 1 u!iii!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
initation 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 I i( "" / r t
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
CONCRETEAS 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 for any particular use. public Street.Further,as additional consideration;the undersigned agrees to indemnify
Selection of the mix design and/or responsibility of the Customer,and specification ssume no thity verefore n parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and SA
all damage to the prerhises and/or adjacent property which may be claimed by anyone FULL LOAD %LOAD %LOAD 1/.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 - • j
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A fft.� (LLON ) (GAC'-R�,S) (GALLONS)
DECREASE IN STRENGTH. X - (BALL ) (GALLONS L10N
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 CONC.TEMP. 'I AIR%
RATE.ALL CAD.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 -ce..0
LOAD ECEIVED BY: Division of accuracy,
the a lif as prescribed and Chapter o 7(commencing s Cod mi with Section 12700)of NAME OF TESTING LAB: 'T^\�
X R Division 5 of the California Business and Professions Code,administered by the Division fJ
of Measurement Standards of the California Department of Food and Agriculture.
CUSTOMER... GROUP. CfitTelgireff DELIVERY ADDRESS
ROYAL t_.N & CREEKV 1E.y;'>„ i.�'_IPPE1....1
PROJECT NAME - PROJECT CODE _
CUSTOMER P.O.# SPECIAL INSTRUCTIONS 4* WATCH SLUMP CAREFULLY **
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION - UNIT PRICE EXTENDED PRICE
10. 00 260., 00 250. 00 1 OL 1 1524 4000 PSI NR AIR
56. 40 1.00 I.410a0 xUT11 SITE FRESH
1. 00 ENERGY ENERGY FEE
1. 00 EENV 1 ENVIRONMENT
•
BATCH TIME LEAVE PLANT /fARRRIVE JOB BEGIN POUR . FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
12: 1. 'r 1-�M /.Z; /7 7.
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
1 238 25 c 12:51
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
24—Sep—13 1008 P259 1286 -iERNcNDE'Z, JESUS
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL #
INN II IIII II
12701031
, ..
IE„,,....,,,x,,
DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
Euless,TX 76039
CONCRETE)
817-835-4.020 ,
. .
iiiiitioiii loll
a US CONCRETE-W company 6 0 17
- .
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.ff
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,
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 / / _e) 02
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. FULL LOAD .V.LOAD V5 LOAD %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
-DECREASE IN STRENGTH. (GALLONS) (GALLONS) (GALLONS) (GALLONS)
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X TEST RESULTS
I 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 CONC.TEMP. I AIR%
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
SIGNING THIS DELIVERY TICKET BEFORE POURING, or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: Cl YES NO
LOAD RECEIVED BY: authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of
X I • i.:4 . Division 5 of the California Business and Professions Code,administered by the Division
,
of Measurement Standards of the California Department of Food and Agriculture. NAME OF TESTING LAB:
CUSTOpft v.:.
i A IN GROUP, INC.: Tmerer DELIVERY ADDRESS
PROJECT NAME PROJECT CODE ROYAL 1_N c- C REEK V I,FW COPPEL.L.
CUSTOMER P.O.if SPECIAL INSTRUCTIONS '
4* WATCH SLUMP CAREFULL.Y **
CUSTOMER JOB ID# •
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
,
1 e t 1 1524 4I2Ø PG I NR A I R
.... .
,1 353„ C.:;0 X UT 1 1 SITE: FRESH
-' 1. 130 . ENERGY ENERGY FEE
. ,
1„ 1192.1 EENV 1 ENV I R[DAMEN T ..
, .
. .
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL .
.,
t : -'PM ilt " ff
TOTAL WAIT TIME PREVIOUS TRUCK RUCK LOAD# ,SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
DP'-1-X 12 t 4 4
DATE ORDER# PLANT TRUCK if DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
4 ,z3 C1—i 3 1 i7.1 08 P259 1238 CHO I C.;E.„ KEIL.W I N
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER' r-- CONTROL#
HA I NES, JOE
1111111111111111
12701029
•
,....,,-,,,...:-.•.:-
-•...,:4-4,;:..-.
DIM DISPATCH LOCATIONS TICKET NUMBER
�3.EC ''''r.':-::,:::j:',.._
331 N. Main
-_�� CONCRETE Euless,TX 76039 ,
�. 817-835-4020 6
i USCONCRETE company
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE.. WATER ADDED AT CUSTOMER REQUEST
hoots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DEktIVERY 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.N 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 PLANI'.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 I
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, UESTOR'S NAME
CONCRETEAS 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 fin&any particular use. public street.Further,as additional consideration;the undersigned ag s to indemnify SA
Selection of the ma 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 a rta s for any and
responsibility of the Customer,and we assume no liability therefore. all damage to the premises and/or adjacent property which may beclaimed by anyone FULL LOAD '/.LOAD '/x 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 I 1r/t,
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A. ry GALLONS) (GALLONS) (GALLONS) (GALLONS)
DECREASE IN STRENGTH. v r/VJ NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X y @ - TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN l, CIj
DELIVERING INSIDE CURB LINE AND AGREE TO E THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE //((
REVERSE SIDE.TIME IN EXCESS OF FREE TI NIktBHARGED AT CURRENT DELAY SLUMP CONC.TEMP. AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE P D IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TI BEFORE URING. 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 Business and Professions Code,administered by the Division ' �
X ' of Measurement Standards of the California Department of Food and Agriculture. /A-//144''
CUSTO UST E DELIVERY ADDRESS
PROJECT NAME PROJECT CODE ROYPL L.N & C.'FREEK V IEW. C'oPC'EI...l....
CUSTOMER P.O.# SPECIAL INSTRUCTIONS t'- t+
•1•* WATCH SLUMP CARi..F4 UL.L.Y *44. w
CUSTOMER JOB ID#
R
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID - DESCRIPTION UNIT PRICE EXTENDED PRICE
1 V. oo 3ofzi. oe1 231-6. oo 117.1L1152-1 4 iL iZl PSI NR A I R ,
56, 410 1. Mt ,.;?97. 217.1 Xt,;..f 11 S tTE. FRE::%-:, -i
1. orb ENERGY ENERGY FEE
1. 4'tt7 FEi`.W 1 ENV l RONI/ENT
BATCH TIME Lj�P.V 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
1257 DA--1x 12p 28
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
mil.}...i GY t.J-13 1 tZIOf3 j°t25'-> 12,56 r.'.HOR F'(lik , PAUL..
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
1'-11-1INES, 3t1E.
flU fl 11011111III
. 12701028
R.EDIMI.X DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE Euless,TX 76039 .. 11111 jiii 1111111 iI
a US CONCRETE company
RNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
•ts 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
.tinged contact with skin.In case of contact with skin or eyes;flush thoroughly with water.If CONCRETE PERFORMANCE.
ationpersists,get medical attention.KEEP CHILDREN AWAY. - Dear Customer The size and weight of-this truck could cause damage to the
*CRETE 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
IRCHASER 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
3TRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS: sign this RELEASE relieving this supplier and its affiliates from any responsibility from X
/E DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, REQUilETOR'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 sal 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 %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.
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 B PAID IN ADVANCE••0 LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET FO POURING. I or counted by a weghmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES.:. ❑NO
LOAD RECEIVED BY: 1 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:
rr`°� of Measurement Standards of the California Department of Food and Agriculture. - -
CUSTO GROUP, INC TWN5YOF DELIVERY ADDRESS
PROJECT NAME - PROJECT CODE ROYAL I,..N 6, C...F;EEKV I EW5 COPPE:.L..L.
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
4* WATCH SLUMP CAREFULLY **
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
10. €210 312ii1 itli i 220 0 0. 10L 1 1 24 41000 PSI. NR A I F?
`aE•,:, 40 1. 00 L240. 80 .XUT 1 1 S I"t E FRESH
1. 00 ENERGY ENERGY FEE
1, 00 I EENV 1 ENV I RONMENT
j
BATCH TIME EA E PLANT, ARRIVE JOB BEGIN P OF FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL•
JY l . ''Lt.r
1 1 �si%al kirk 1 u ! �1`
TOTAL WAIT TIME d PREVIOUS TRUCK - LOAD# - SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
1265 L°c c. 14--1--X 12: 11
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
;2F4 ep--'1;3 1i 08 x- 25 1257 r fill-WO, HTl.._ARIN
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER - CONTROL#
HAINES, � O
llIllhIllhIIflhIIllhII
12701027
. ,
DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
I !DI1IX
ON Euless,"N 76039
817-835-4020 I �
a US CONCRETE company
WARNING:IRRITATION TO THE SKIN AND.EYES:Contains Portland Cement Wear ribber 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.N - - 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 III
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 t
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from (it
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, `.( RQ@ UST
/JET-ORS 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 - t`.J
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 ma design and/°`specification of the ma 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 LOAD %LOAD %LOAD %LOAD
alt 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 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 FREEZE WILL BE CHARGED AT CURRENT DELAY '- SLUMP CONC.TEMP. AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE js DUN.ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKE-BEFORE URING. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES ❑ NO
LOAD RECEIVED BY: I 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:
of Measurement Standards of the California Department of Food and Agriculture.
CUSTpMFR- _ i},.ai GROUP, CUT DELIVERY i t'tC. C"�-•!�"�t i71�).��_S�n �i�=iC_` 1. K.+U�.i CStfl
PROJECT NAME PROJECT CODE R0Y AL LN -& CREi-�K()IF=WI COPPELL_.
CUSTOMER P.O.# SPECIAL INSTRUCTIONS - -
. •*- WATCH SLUMP CAREFULLY •*
CUSTOMER:JOB ID# - -• .
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID - DESCRIPTION UNIT PRICE EXTENDED PRICE
1el. el 0 30.10. 00 210. 00 101.11524 +000 PSI NR AI Rt
56. 40 1.'00 . . 184. 40 X UT 11. s t T'E F EGH
1 e�rZ►it( ENERGY . ENERGY FEE
1». O EENV 1 ENVIRONMENT
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
1 1 f:28AM. f f ;
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# . SLUMP ‘ MAP PAGE TIME DUE ON JOB TAX RATE TAX
.1.269' ;::7`.1 DAa-1 : 12 r,el (
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
24—Sep—13 1008 P259 1265 '--)OTTER JAMES
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
. 11III 1111
12701026
•
11rIONOM IX DISPATCH LOCATIONS TICKET NUMBER
) 331 N. Main
COEuless,TX 76039
NCRETE
817-835-4020 1111111411j11111111j11
1
a US CONCRETE-_ company 'c.. ,..1 .., 1 5 ..
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 TORE MADE INSIDE CURB LINE) EXCESSIVEPATER 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 frorriny 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
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 conditions or that the concnste 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 mom 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 LOAD %LOAD %LOAD %LOAD
all damage to the premises and/or adjacent properly which may be claimed by anyone
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE:WITH to have arisen oil)of delivery of this order. i
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM. ANY DE-ICING .
MATE&LS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A -
A11
; ,.
LL , (GALLONS) (GALLONS) (GALLONS)
DEC SE IN STRENGTH. ,
1- 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 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 URING. or counted by 4 weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: 0 YES a NO
LOAD RECEIVED BY: Lii‘JAI - authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of A
X . I Division 5 of the California Business and Professions Code,administered by the Division
of Measurement Standards of the California Department of Food and Agriculture. NAME OF TESTING LAB:
''1"/(jKI'. ,----
.
cusTTF-577:. ,,.N GROUP 11\11"' Cf Feit5'MY DELIVERY ADDRESS
ROYAL 1...14 e,, CREE.K V I EW, COPPELL .
PROJECT NAME ' PROJECT CODE
, -
CUSTOMER P.O.# SPECIAL INSTRUCTIONS _.
4* WATCH SLUMP CAREFULLY *k
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION .UNIT PRICE EXTENDED PRICE
1 0. too 300. 00 2Ø@,. ØI 101_11524 4000 PSI NR AIR
56. 40 1. 00 .128, 00 XUT 1 1 SITE FRESH
1. 00 ENERGY ENERGY FEE
1. 00 EENV 1 ENV I R.01\IMENT
,
,
•
. .
BATCH TIME *LEAVE PLANT RRIVE;)B BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
I
I.91:4M / 1,1-if2-9 ) "t(
TOTAL WAIT TIME j PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
1375 20 ,.., DA—1--X 1151
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
E`.4--S e p.-1:3 LIZI08 P259 1269 1-70•STER et icifFraiCE
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
HAINES JOE'
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12701024
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D��MZX DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE Euless,TX 76039
CONCRETE
R G E 817-835-4020 JflJUJJJJIJ,Jflu1flf
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.
initation 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, 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 nor.ability 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 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 YELL BE CHARGED AT CURRENT DELAY SLUMP I CONC.TEMP. I AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE P LOAD IN ADVANCE AND LOA ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TI KET BEFORE-ING. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES ❑NO
LOAD RECEIV ?B authority of accuracy,as prescribed by Chapter 7(commendng with Section 12700)of NAME OF TESTING LAB:
Division 5 of the California Business and Professions Code,administered by the Division
X j A f_, r! of Measurement Standards of the California Department of Food and Agriculture.
CUSTOMER-
THE FAIN s O� Y7 INC lusivirvagur DELIVERY ADDRESS
PROJECT NAME PROJECT CODE ROYAL LION & CRE.E.KV JEW., CCJPPE"1_.L.
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
c* JL _
CUSTOMER JOB ID#. - - rf.
LOAD QUANTITY ORDERED QTY- CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
10. 00 300. 00 190. 00 10L11524 4000 PSI NR AIR
6. 40 1. 00 1071„ 6 XU# 11 SITE FRESH
1. 00 ENERGY ENERGY FEE
1. 00 EENV1 ENVIRONMENT
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
1. 1v1root I ( . i' t // 4(3
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
1286 19 i{ DA.._:I--X 11 :43
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
24—Sep- '-1.5 1008 P259 1375 TEMP WASTE HP€.JLE_
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
HA I NE , JOE IIIIllIllIThlIIIlIIIL
12701022
'. TICKET NUMBER
, ',,,DIERIMIlt DISPATCH LOCATIONS ti.
., .
33ty. Main -: ,
" -ONCRETE , 817-835-4020
. :
11111 IIIIIIlihIlIIJffIII
ArteciN CRETE company . 5 7 3 1 5 2.
•:*.:..:.',,:,,---.:,:-..,„,...:
WARNING:IF(R/10010{)INESIgN.Aip EYES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST
boots and gloveiTitXONWILIGONTACI,7 MAY CAUSE BURNS.Avoid canted with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contackhrtifflObibbiserotbontjict with skin or eyes,flush thoroughly with water.If
irritation persists,gerffiedrobratertilen.KEEF.BHILDREN 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 LF-AVAGTI-JE PLANT Ahlsi 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•TELEPHON50 TWHE 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, REQUESTOR'S NAME
CONCRETE AS MANY IMPORI-N4TFACTORSAFFECTING 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 OLITiOF OUR CONTROL.We do not warrant that the concrete can be heip the driver remove mud from the wheels of his vehicle so that it will not litter the .-
used in any Particular emmonMeNtv soil conditions mthat ON Pcnmete is tit Am anY limrlroular vsfli public street.Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the mix design and/or specification ion 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 LOAD %LOAD %LOAD %LOAD
all damage bb the premises and/or adjacent properly which may be claimed by anyone
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE VVIT1-1 to have arisen out of delivery of this order.
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING
AND
MATERiALS,IMPROPER FINISHING D LAGZ
ISF CURING WILL DAMAGE OR A
DECREASE IN STRENGTH. ,,,/ (GALLONS) (GALLONS) (GALLONS) (GALLONS)
NOTICE:MY SIGNATURE BELOW !CATES THAT I HAVE READ THE HEAL....' ARNING SIGNED: X TEST RESULTS
NOTICE AND SUPPLIER WILL BE RESPONSIBLE FOR ANY DAMAGE' SED WHEN
DELIVERING 1IIIS1 D CURB NE AN6 AGREE TO THE TERMS AND ..NDITIONS ON WEIGHMASTER CERTIFICATE
REVERSE SJSE.TINE IN XCESS OF FREE TIME WILL BE CHARGED i URRENT DELAY SLUMP CONC.TEMP AIR%
RATE.AL C.O.D. EL RIES OUST BE PAID IN ADVANCE AND ,AD ACCEPTED BY IS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNIN HIS DELIVERY TICKET BEFORE POURING. ..- ,r counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: p YES
.1
LOA RECE!yE. .Y.:,„, i .
Frr
. authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of I
' / Division 5 of the California Business and Professions Code,administered by the Division NAME OF TESTING LAB:7
X ( .I'ait . -- / of Measurement Standards of the California Department of Food and Agriculture. 1,:) rt-1\
,---i - - .
CUSTOM,i /-" - 1.-"-:. FAIN GROUP-. INC cluaaintsamE DELIVERY ADDRESS
. . .
PROJECT NAME PROJECT CODE Rcric:11... Li\I 8- CREEK V IEW, COPPELL
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
4* WATCH SLUMP CAREFULLY **
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
1 et,, 00. 300. 00 lao. tile 1oL1ts24 4000 PSI NR AIR
5E.,. 40 1, Ø .015. 20 XL1T11 SITE FRESH
1., 00 ENERGY ENERGY FEE
1. 00 EENV 1 ENV I RONMENT
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL .
11. IM //:// /i4 ,3511
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# ..- ,SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
1237 18. _ DA--1--X 11 4 34
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
24--S p--1 3 1008 P259 1286 ,-1ERNANDEZ, JESUS
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
1-1A INES, JOE 111111111111111
12701020
• .
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• .
. . .
:,....;:.,,..:.
. 1.;-.., -: .,..,,z.....-
--•:.?.,..•.;.',..::-
DiMIX DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE Euless,TX 76039
817-835-4020 i 114-1� �1
a US CONCRETE hompany N 1
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 Cr eyes,flush thoroughly with water.If 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
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
CONCRETEAS 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 sot conditions or that the concrete is fit for any partimsar 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 V.LOAD ''/LOAD V.LOAD
PLEASE NOTE:THIS LOAD OF'60NCRETE IS PRODUCED IN ACCORDANCE WfTH
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING to have arisen out of delivery of this order J -•
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A .�,
DECREASE IN STRENGTH. X
- GALL9k1 ) GA„yT,.)
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED:X L�rt� �.
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN -... - TEST RESULTS
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
RATE.ALL.C.O.D.DELIVERIES MUST BE PAID IN-r'• CE AND LOAD ACCEPTED BY THIS-IS-TO CERTIFY that the following described commodity was weighed,measured SLUMP CONC.TEMP. AIR%
SIGNING THIS DELIVERY TIC.ET'EFORE POUR! . or counted by a weighmaster whose signature is on this certificate,who is a
LOAD RECEIVED BY: - recognized CYLINDERS TAKEN: ❑YES �] NO
authority 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:
X J . f, ,,, of Measurement Standards of the California Department of Food and Agriculture.
F - -- - —
CUSTOMER CUTOM R CODE DELIVERY ADDRESS
THE FAIN GROUP, INC 1700780
PROJECT NAME PROJECT CODE ROYAL L.N & CREEKvIEwq COPPE1__L.
CUSTOMER P,O.# SPECIAL INSTRUCTIONS
4..* WATCH SLUMP CAREFULLY **•
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE - EXTENDED PRICE
10. 00 300. 00 170. 00(F.I. 10L 1 15 4 40I0I0 PSI NR AIR
56. 40 1. 00 958. 80 XUT11 SITE FRESH
1 00 ENERGY F•NER('''/ FEE
' 1. 00 EENU 1 ENVIRONMENT
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
6 /1j7
1.nls �:7�al�l (fir/°yyJj/ � � �'�' �,
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
1256 17 ':' 1"DA--1--:X 11 : 12
DATE . ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
24—Se l7—13 1008 P259.5r: 1 , .l ?I NT!_..r'Y . E. N,.
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER
CONTROL#
liii III III I IIII I III I II
12701017 -
Li
DIIIM IX 331 NI kr DISPATCH LOCATIONS
' TICKET NUMBER
a i n
CONCRETE) Euless,TX 76039
817-835-4020
11111111 I 11 I 1 11 It'll
1 -3
/ aUSCONCRETEgcomparly ,
: ,...7 , 1
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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 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, ''
1 `1REQUESTOR'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 i.
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 SOliconditions 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 ma design parameters are solely Be 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 LULL LOAD %LOAD V0 LOAD Y.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 ,
... LIONS) (GALLONS) (GALLONS) (GALLONS)
DECREASE IN STRENGTH.
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: Xii-1/4
TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITION g ON
WEIGHMASTER CERTIFICATE .
7v Fr I ' ,r-A,
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL HARGED AT CURRENT EtLAY
SLUMP II CONC.TEMP. AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN VANCE AND LOAD ACCEPTS BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET BEFORE POUR! . or counted by a weighmaster whose signature is on this certificate,who is a recognized ' CYLINDERS TAKEN: El YES 1=I NO
LOAD RECEIVED BY:1/ I 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:
X ' of Measurement Standards of the California Department of Food and Agriculture.
l
CUSTOMER CUSTOMER CODE DELIVERYADDRESS
THE: ERIN GROUP, INC ., 1700780
PROJECT NAME PROJECT CODE ROYAL. LNI & CREEK V I Ew.: COPPE::LL
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
4,* WATCH SLUMP CAREFULLY **
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
I
'
10.. 00 30 .0 (210 160. ee :101..11524 4000 PSI NR AI R '. •
56,. 40 fl. 00 902. 40 nal 1 SITE FRESH
1. 00 ENERGY ENERGY FEE
1 00 EEN V 1 ENV I RONMENT
BATCH TIME k_EAVE PLANT ARRIVE JOB, BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
.1 LI: 1 9Ari „Icr,.3 ic5
TOTAL WAIT TIME PREVIOUS TRUCK f . LOAD* SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
1265
16 OA- 1--X 1ii
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
1008 PF39 j; 56 Ancirrml, P Al 11
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER
CONTROL#
..., HAINES, JOE
111011111 II 011
•
.. 12701015
.
- ,
•
, .
•
D=� DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE Euless, TX 76039 •
a US CONCRETE company 817-835-4020 lIt� � # �
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 (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE WATER ADDED AT CUSTOMER
RNT
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.K ) EXCESSIVE WATER IS S DETRIMENTAL ETRIMENTAL L
irritation persists,get medial 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 anyresponsibility 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
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 environmeat orsoil conditions or that the concrete is fit for any particular use. public streeL Further,as additional consideration;the undersigned
Selection of the mix design and/OP.specification of the mix design parameters are solely the 5 agrees to indemnify
responsibility of the Customer,and kle assume no liability therefore. and hold harmless the driver of this truck and this supplier and its affiliates for any and _
Pt FoSE 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 '/a LOAD 'h LOAD '/s 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 WILLg,NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON
REVERSE SIDE TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY WEIGHMASTER CERTIFICATE
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 SLUMP CONC.TEMP. AIR%
SIGNING THIS DELIVERY TICx ET Bf<FORE POURING. _ or counted by a weighmaster whose signature is on this certificate,who,is a
L0415 RECEIVEDBY:
/ , authority of as prescribed Chapter recognized CYLINDERS TAKEN:. ❑YES ❑NO
�I -.( ,A r 1 ',., ' accuracy, P by Peer o(commencing with Section 12700)of
XX f f j I I I' J - L•, �', Division 5 of the California Business and Professions Code,administeredbytha Division NAME OF TESTING LAB:
- r a P.l,{�..JL ^„n f' •----of Measurement Standards of the California Department of Food and Agriculture.
CUSTOM_ F'AIN•.GROUP, INC: Frar DELIVERY ADDRESS
PROJECT NAME PROJECT CODE ' r OVAL_ l...N L' CRF.EP'V'JE_W, i:_OPPEL.L;
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
-* WATCH c i...UMP CAREFLJL.."_.Y ,r.
CUSTOMER JOB ID# 1
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
itr Y
1(Zrle (0t ,2-300. 00 150. 00 101.1 152 4 ` `40011.1 PSI NR f= IR
56. 40 1. 00 846. 00 XUT11 f'1ITk FRESH
1. 0(11 ENERGY ENEMY./ FEE
1. 00 LEN V,1 ENV I RONMENT
•
BATCH TIME LEAVE PLANT, ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
tIZltQI1PiM t
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
1321 15 - DA-. 1.•--X 10. r 36
DATE ORDER# PLANT ; TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
24.-Se I--13 1008 P259 126 POT TEAR., JAMES
'DRUM REV AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER '
CONTROL#
llhIIIIIJiIIIHIIIllhII
12701012
EDiamix . DISPATCH LOCATIONS
Cr
331 N. Main
Euless, TX 76039 '
817-835-4020 TICKET NUMBER
11
ONCRETE) 1111.1111(111111(111111
a US CONCRETE..... company i-..., 1 £ 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
initation 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 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 were 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 y Ai 74..
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, 's
REOUESICA'S MAIIE
CONCRETEAS 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 forsoY 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.
FULerdtAk.D Y.LOAD „M-LCIAD %LOAD
all damage to the premises and/or adjacei properly 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.' C: .,;,,- •A\ ,„.-A'''''.;
...,
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING
' 1.. t„." ,,,, - -
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A ,
DECREASE IN STRENGTH.
(GALLONS) i(GALLONO ,....(GALLQNS), (GALLONS)
..
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X .fl TEST RESULTS ----"--------""
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN , •
DELIVERING INSIDE CURB LINE AND AGREE TO TI- TERMS AND CONDITIONS ON
WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILLIE rHARGED AT CURRENT DELAY .
SLUMP CONC.TEMP. AIR%
RATE.ALL C.O.D.DELIVE EQ.!.ST BE PAID IN VA CE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DEL C it EFORE OURI .
or counted by a weighmester whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: 0 YES 0 NO
LOAD RECEIV I authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of _
NAME OF TESTING LAB:
i -I i 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.
CUSTerFr FA I t,.,
I GROUP I 11 C. 9USTTRaMg1,7QME DELIVERY ADDRESS
t.....4.*
.....,e-,
ROYAL.. LN & CREEK V I EN,. 12.1)P P E Li..
PROJECT NAME
PROJECT CODE
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
•,* WATCH
CUSTOMER JOB ID# SLUMP C:::AREFUL..1..Y *-'h
-
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
1 f i t e 00 301;11. 00 140, 0121 10L 1. 153 •4 IFizielo P I NR A I R
716. 40 I.. 00 '78 -.3 (-10 x t LT 1, 1 S I TE F RUSH , • .
...
' - • ' ENE PC\'' ' ENE Re* FEE
• 1.'00 EEN v1 ENV I RENT
•
BATCH TIME ,,..LAVE PLANT 1 .ARRIVE J - 1 BEGIN/P011 ,..\I FINISH POUR I LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
9 g 44AM ( ...s
4--- ' /Ci / C.) I (.1/Li .
- ...J.. /
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
14 _ .
.
,
DA-1-X 10 19
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
117.100. P;E:".`59 1321 ,03B I N SON, STEVEN
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER
l7. .'CONTROL#
HA I NES •TOE- '
11111101N
...,
12701011
...
...
•
m4
REDIML7DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE Euless, TX 76039
817-8354.020 i11JII41JI1 111111111
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 MA.)E INSIDE CURB LINE)
prolonged contact with skin.In case of contact with.skin or,eyee,flush thoroughly with water.If
EXCESSIVE WATER IS DETRIMENTAL
irntation 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
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 T,,
CONCRETEAS 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 �CSIR'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 me 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
responsiGlity of the Customer,and we assume no liability therefore. all damage to the premises and/or adjacent properly PP FULL LOAD %LOAD %LOAD ''h LOAD
PLEASE NOTE: THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH p adjacent which may be claimed by anyone
to have arisen out of delivery of this orde
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING r.
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A
DECREASE IN STRENGTH.
(GALLONS) (GALLONS) (GALLONS) (GALLONS) .
NOTICE:MY SIGNATURE BELOW INDICATES THAT!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
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 SLUMP I CONC.TEMP. I AIR%
SIGNING THIS DELIVERY TICKET B ORE 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
/ Division 5 of the California Business and Professions Code,administered by the Division NAME.OF TESTING LAB:
X of Measurement Standards of the California Department of Food and Agriculture.
CUSTO g GRa IP INC TT-121 E DELIVERY ADDRESS
PROJECT NAME PROJECT CODE ROYAL i..,i'• : Cr€ F.EF'V:CF: i, C"..I IF.L.L.
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
.4-* WATCH SLUMP CAREFUL L r • '
CUSTOMER JOB ID#
•
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
10. etlji 3ZUZL Gu2i 130. 001 101.11524 4000 PSI NR r
t-�t R
56. 40 1. 00 733. 20 xur11 SITE FRESH
1. 010 ENERGY ENERGY FE:
1. 00 EENV1 ENVIRONMENT
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
TOTAL WAIT TIME DEVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE - TAX
1231 13 r)( ..-1 -•"r". 10:03
DATE ORDER# - PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
-Sop- 1 1008 P259 1375 TEr P WASTE H ULE
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER
CONTROL#
IIII III III I III I III II III
12701009
• • DIAN'M DISPATCH LOCATIONS TICKET NUMBER
331 le
s N. 7 Main
:
Euless,TX 76039 Q
a US CONCRETE company 817-835-4020
257313891
wAtNNNO:1RMTATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber
boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and PROPERTY DAMAGE RELEASE
Prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.N (TO BE,SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) WATER ADDED AT CUSTOMER REQUEST
roton Irritation persists,get with sldn.attention.KEEP CHILDREN AWAY. Dear CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises Customer
nd/or adjacent property and weight of this truck could cause desire.It Is damage our the EXCESSIVE
TO CONCRETE PERFORMANCE.I AL
PURCHASER UPON LEAVING THE PLANT.ANYCHANGES OR CANCELLATION OF ORIGINAL to help I c n,this load d is r to do where
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from
ery:way that we can,but in order to do this we are requesting that you
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent X
CONCRETEAS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITYOF THE drive-ways,curbs,etc.,due to the delivery of this material,and that
COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be adjacent property,buildings,wll sideer the
used in any pankular ermmnmem w soil conditions or that the help the street.Further,remove mud from the wheels'of his under soth�tit will:t of litter the NAME
Selection of the mix design ant o 0...to is fit torany Particularuse.
spssume no of the mix design parameters are solely the PuL9ic street.Fuller,as additional consideration;the undersi nude 's
responsibility of the Customer,and we assume no liability therefore.
and hold harmless the driver of this truck and this supplier and Na,affiliates for ny and SA
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH all damage a the of delivery and/or adjacent property which may be claimed by anyone FULL LOAD Y.LOAD %LOAD '/.LOAD
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM. ANY DE-ICING ry
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR q to have arisen out of dative of this order.
DECREASE IN STRENGTH. .' _..GAL .•
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 / rlcAL +NS) GAL NS), GAL ONS)
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON TEST RESULTS
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY WEIGHMASTER CERTIFICATE
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 BEFORE$OUWRG• SLUMP
LOAD RECEIVE.,.: I// or counted by a weghmester whose signature is on this certificate,who is a CONC.TEMP. AIR%
authority of accuracy,as prescribed by Chapter 7(commencing with Section 1227g0a m CYLINDERS TAKEN: YES �N ,.
X Division 5 of the California Business and Professions Code,administered by the Division NAME OF TESTING LAB:
� _�,.r of Measurement Standards of the California Department of Food and
CUSTOMER. �pp� Agriculture.
i i1LI. -..I�(11IN GROUP', ,J.,c 5.1 TM,r`R(s_fk.F DELIVERY ADDRESS•
PROJECT NAME
PROJECT CODE YL LN e-RC:.i°Cv CE43et?I t4'E-.P_.f...
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
t' Wi3 rcH SLUMP CAREFULLY Y **
CUSTOMER JOB ID# - _ -
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID
DESCRIPTION UNIT PRICE
10. 00 300. 00 120. 00 c„_, EXTENDED PRICE
1.+ L115�.4 4000 PSI NR AIR
56. 4IZi 1, 0043 676. 1117.1 XU'r1. 1
1 a 0 I SITE F?Ct�t
1. ( ENERGY ENERGY FEE
EE NV 1 ENV 1 RONMENT
BATCH TIME LEAVE PLANT ARRIVE JOB BEG ;POU _� FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE
:? IYA).1 SUB TOTAL
TOTAL WAIT TIME PREVIOUS TRUCK `-/
-'"LOAD# LUMP MAP PAGE
1377 j.e,� 2 TIME DUE ON JOB TAX RATE TAX
DATE ORDER# - e`. Ll _..1__. t1g�,144
PLANT TRUCK# DELIVERY PROFESSIONAL
u i,--Se' ID-13 11 foe pi R',':-39 ORDER GRAND TOTAL TOTAL •
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER T (-, ��'�,
I-4A I NES, JOE CONTROL #
IIIIIIIIIIIIIIIIIIIIIIII
•
12701008
DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE Euless,TX 76039 ff
817-83540201 � �
a US CONCRETE company
~elm:iRatHATION TO THE SHIN 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 skin.In case of contact with sldn or eyes,flush thoroughly with water.If (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE t4URB LINE) EXCESSIVE CONCRETE 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 13 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 PLANTANYCHANGES 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 dove-ways,curbs,etc.,due lo 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 orthattheconcrete Is fitforany particular use. public street.Further,as additional consideration;the undersigned a rees to indemnify
Selection of the mix design and/or specification of the mix design parameters are Sdely the p 9
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 claimed by anyone FULL L .LOA %LO %LOAD
all damage to the premises and/or adjacent property which may be
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING fo have arisen out of delivery of this order. - (`-/ t ---C)
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A
DECREASE IN STRENGTH X
( (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 - d
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON - J
REVERSE SIDE.TIME IN EXCESS OF FREE TIM BE CHARGED AT CURRENT DELAY WEIGHMASTER CERTIFICATE T
RATE.ALL C.O.D.DELIVERIES MUST BE PAI IN VANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed m- � � C•> •TEMP. i Q} %
SIGNING THIS DELIVERY TIC, BEFORE P• RING or counted by a weighmaster whose signature is on this certificate,who is a ,
LOAD RECEIVED=Y• I recognized CYLIND.RS TAKEN: ❑YES O
7 authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of
X Division 5 of the California Business and Professions Code,administered by the Division NAME OF TESTING LAB: iii
,(1/31
of Measurement Standards of the California Department of Food and Agriculture.
CUSTOMER ` �I - - [/
i r'"!fi••• �'•G I GROUP, INC GU TAME Q9 E DELIVERY ADDRESS 1(
PROJECT NAME PROJECT CODE ROYAL. LA & CREEPY IFW,. COPPE.L.L
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
4* WATO1 SLUMP CAR":FULI,.•y ,
CUSTOMER JOB ID# . •
•
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION
UNIT PRICEEXTENDED PRICE
1Z„ 00 300.+. 00 ,l 110» 00 101..115 '4 4 tvici Psi NR AI R
56..40 1. 00 620. 40 XUT 1 1 s l:Try FRESH. .,
-1... 00 ENERGY ENERGY FEE
•1:00 EE€NV 1 ENV I RONI*1 NT
•
•
BATCH TIME - LEAVE PLANT ARRIVE JOB if BEGIN PO 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.
1256 11 �., DA--1—X- 09:31
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL • ORDER GRAND TOTAL TOTAL
4._s:,f,p - 1,3 1008 P259 1377 rnMAY0 H1:I..-fR1:N
DRUM REV-AT PLANT DRUM REV-STA T DRUM REV-FINISH DEPUTY WEIGHMASTER
HA I N S,I .f 0E CONTROL#
•
12701007
•
•
REDI1IXDISPATCH LOCATIONS TICKET NUMBER
t 331 N. Main
(, i. CONCRETE Euless,TX 76039 an aUSCONCRETEcom
P y r3 ti1tiiniiniiiittiiitiii
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 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 particular environment or soil conditions or that the concrete ��an particular u� public street.Further,as additional consideration;the undersigned agrees to indemnify SA
Selection of the mix design and/or specification of the mix design
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
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. r'
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. f / (GALLONS) (GALLONS) (GALLONS) (GALLONS)
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X l Vr fi TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE,FAIR 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 B CHARGED AT CURRENT DELAY SLUMP I CONC.TEMP. I AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID I/t•f/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: 1=1 YES El NO
1
LOAD RECEIVED BY: L ■i )) C' /,' authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of
Y.'. `• I.` t, /:>L�, Division 5 of the California Business and Professions Code,administered by the Division NAME OF TESTING LAB:■X Iii ! ■, ! L/ of Measurement Standards of the California Department of Food and Agriculture.
CUSTOjv�Er.T. 1:-.j?;T. �
I',I i:`l.,.Sl_j}?,_ _i.NIA,' 9u70 I3r 5 DELIVERY ADDRESS
PROJECT NAME C?t!',`t4 { t t 'r t
PROJECT CODE e...t\I -.,f REF..! , t Ft4, t C.t '( E:i....i-..
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
:;,;;.. t_1(-I i ta;-i (31,...t..11.-4P I,,,(iRE.F kJ L.I...'x ;?; ;
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
E.;7„ CI t.1 21 Ct COD f,';! 1 012.!:, t j?i I!9 j I. 1`r t'' 04710 '; F
e%..•i„ Q I c r y::: .it 01.1,1, _,i.l`j j 1 ;Di f. ._ i' RE H
1 . 1:?Wd e-+-; .R1.:Nr N J V F EE
i.„ r'ii7.! !:S:.l'l!:?`. EN V I.1'(_11`i{Yil':.i i T
BATCH TIME `LEVEE-PLANT ARgRIVE 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
:-::!..7'.;i:l t_t'"1 OF)--1 X iZtrc,!:a`f!
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
r} ...;s ,:, ...i. ? 1 f): 11 ,f N, i•rt_ii.,.1
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
111 0111111111111
12701005
DISPATCH ISPATCH LOCATIONS TICKET NUMBER . .
, .
331 N.,Main
c•-•.,
CONCRETE) Euless,TX 76039
817-8354.020
Mil 111111113IIIIII
a US CONCRETE company
5 7 3 1 33 2
•
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''tru'ck 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 .ANY CHANGES OR CANCELLKDON OF ORIGINAL to help you in every way that we can,but in order to ao this we are requesting that you
INSTRUCTIONS MUST BE TELEPH ED TO THE OFFICE BEFORE LOADING STARTS.
Ct.NT
sign this RELEASE relieving this supplier and its affiliates from any responsibility from ,
i
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 IMPORTANTIFACTORS AFFECVNG 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 01.1R CONTROL We do not warrant ffiat the concrete can be help the driver remove mud from the wheels of his vehi(de so that it Will not litter the
used in any particular environment or toil conditions Of that file concrete is fit for any particular use. 'pu— Win street.Further,as additional consideration;thesirrØersjgned 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 su r and its affiliates for any and
responsibitty of the Customer,and we assume no liability therefore. n
FULL LOAD %LOAD %LOAD
all damage to the premises and/or adjacent property hich may be claimed by anyone 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)
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED:X
. TEST RESULTS
,
NOTICE AND SUPPLIER WILL NOT FIE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON
WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME ihi 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 BEFORE POURING, or counted by a weighmaster whose signature is on tffis certificate,who is a recognized CYLINDERS TAKEN: 0 YES 0 NO
LOAD RECEIVED BY: authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of
X (
/ / Ai Division 5 of the California Business and Professions Code,administered by the Division
NAME OF TESTING LAB:
of Measurement Standards of the California Department of Food and Agriculture.
CUSTOMER I....0 (Pr
CUSTOMER CODE DELIVERY ADDRESS
THE FAIN GROU _INC 1700780
PROJECT NAME
PROJECT CODE
RC3YAL L., 4 8, CR.E:El<V I EW„ COPPELL
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
-
, (* WATCH SLUMP CAREFULLY **
CUSTOMER JOB ID if
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID
:k. DESCRIPTION UNIT PRICE EXTENDED PRICE
. .
, .
. .
00 3ØJ,, 00 900 leij.L.k 1524, 4000t PSI NR AIR , , ,.
57,„ 40 1. 00 5ø7, 6ø X JT11 ir Bur/It, FRESH ..-.
1. 00 ENERGY ENERGY FEE
1. 1710 EEN V 1 ENV I RONNENT
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
:4-3PFIAM ■ ..." ?•
.
TOTAL WAIT TIME REVI6US TRUCK ' LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
1 3P1 c-4 P 5A-1 - '): 171qt,OM
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
;:::.1.1--!--3 ,111—.•1 :-.3 1 C11171A PP Fig 1 2:311, .".i.-4n r r F_ kri 1.4 7 K1
,
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER ) ,..
CONTROL if
HAINES, JOE
IIIIIIIIIIIIIII
4
12701003
. .
, .
D��► DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE Euless,TX 76039 _' ,,,
817-835-4020 `` I11 jJflIhIlUhIJiI!1J
a US CONCRETE_ company
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber 1 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 UNE) EXCESSIVE WATER IS DETRIMENTAL
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If
irritation persist,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 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
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks,
CONCRETEAS MANY IMPORTANT FACTORS AFFECTING ULTIMATE DUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to REQUESTOR'S NAME
G THE
COMPLETED JOB ARE OUT OF OUR CONTROL We do net 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
Selection s d in of the particular environment eto sal conditions or that the i t ii thm tears aparti e�u -::,public Street.Further,as additional consideration;khe undersigned agrees to indemnify SA J,
g specification of the mix n f ' !
responsibility of the Customer,and we assume no liability therefore.
and hold the driver of riffs truck and thi.supplier and its affiliates for any and
PLEASE NOTE THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH all damage to the premises attdldradjacent property which may be claimed by anyone FULL LOAD Y.LOAD ''A LOAD'.` V.LOAD
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING to have arisen out of deliveryof this order.
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A (�,wJ� cw
DECREASE IN STRENGTH. - - - f/ y'-) „( ) (GALLONS) (GALLONS) '(GALLO)
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X �"•/ 1i` J TEST RESULTS
NOTICE AND SUPPLIER WILL NOT.BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN - a_
•DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON r : y WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY- SLUMP 1 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 - _----
•
f - Division 5 of the California Business and Professions Code,administered by the Division NAME OF TESTING LAB:f of Measurement Standards of the California Department of Food and Agriculture. /
COST ({.. I`'-j 1. 4 GROUP, INC: TOW DELIVERY ADDRESS �-! /ter/./"j
PROJECT NAME PROJECT CODE ROYAL.. LN & CR:EEi-'VIEW,, COPPELL
P.O.# SPECIAL INSTRUCTIONS 4* WATCH CH SLUMP O tREr ULL`t' ;** _
CUSTOMER JOB ID#. - - - -
.
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID ' -� i DESCRIPTION UNIT PRICE EXTENDED PRICE
1 IZI.. (ZI0 . ;312111, 01Zt 8812L120 117JL 11 52.4 4000 PS T NR AI F?
36e 40 1. 00,, 451. 26 XUT11 SITV: FRESH
S4i
•1. f"I Zr . . . •' ENERGY ENE _"3Y FEE I, . - `' -`
1. Volf .EENV 1 ..U- RONMENT
f ' ,
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
r N3 'rl tYi 9J1 I1 ,�-+-
TOTAL WAIT TIME PREVIOUS TrRUCIh--' LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
1371 1 8 "'r :. D -1' X 08:31
DATE ORDER# - PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
ce:4--�,;t�,p--1,s 11708 P259 1321 ROBINSON, STEVEN
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
Hil 1 NES, JOE
fill 1111111110111 1111 II.
12701001'.
•
• a`
DI�,+► DISPATCH LOCATIONS. . TICKET NUMBER
331 N. Main
CONCRETE Euless,TX 76039 `#`
817-8354020 tllh1iJU1JjIU11I1l1U1 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
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.tt 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 particular environment or soil conditions or that the concrete is fit for any particular use. . public street.Further,as additional consideration;the undersigned a rees to indemnifY
resection ity the the x design sn,,and and/or sp trio liability mix design parameters are�� and hold harmless the driver of this truck and this supplier and its affiliates for any and
SA
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 ''A LOAD '/u 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)
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 ❑ NO
LOAD RECEIVED BY: ti authority of accuracy,as prescribed by Chapter 7(commenting with Section 12700)of NAME OF TESTING LAB:
Division 5 of the California Business and Professions Code,administered by the Division
X + - i" w / of Measurement Standards of the California Department of Food and Agriculture.
CUSTS i*:. — -'IN (ROUE, INC af W DELIVERY ADDRESS.
ROYAL LN & C.REEKVIEW COPPELL.
PROJECT NAME PROJECT CODE
CUSTOMER P.O.# SPECIAL INSTRUCTIONS SLUMP
4* WATCH SLUMP C:s-'11 EFULL.Y '*
CUSTOMER JOB ID# - -
LOAD.QUANTITY ORDERED QTY CUMULATIVE QTY. PRODUCT ID - DESCRIPTION - UNIT PRICE EXTENDED PRICE
10. 00 30 . "i0. 70. f?i0 1 OL.1 .t 524 4000 PSI NR A I f
56. 40 1. 00 394. 80 XUT 11 SITE FRESSH.
1.-00 ENERGY ENERGY FEE -
1- 00 /:-ENV I ENVIRONMENT ,
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
7 r 'a s_Ar=1
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP- MAP PAGE �tTIME DUE ON JOB TAX RATE TAX
~
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
24 100E . P259 1371 =tI VERAR f kRfMANDO c
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#t,,
i-'c INES, JOF:
Oil 111MI lO 111 1111
12700999
•
���► DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE Euless,TX 76039 11111 1JIllJJ1Jff1JJJIII 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 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
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 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 -
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
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
Selection of the mix design,and s essunr tion of the mix design parameters are the and hold harmless the driver of this truck and this.su ter and its affiliates for any and SA /
responsibility of the Customer,and we assume no liability therefore. nobly all damage to the premises and/or adjacent property pW y FUL'L L D 14 L AD OAD LOAD
PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH 9 M ) p party 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. - X (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 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: 0 YES ❑NO
LOAD RECEIVED BY: authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB:
5 of the California Business and Professions Code,administered by the Division
X ! { of Measurement Standards of the California Department of Food and Agriculture.
CUST• °- „, `}-f- .[N jdEJ..J€-r= dus-atmaa DELIVERYADDRESS
PROJECT NAME ROYAL LN & CREERV I EW, CO1:;PEL..L
PROJECT CODE
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
4* WATCH SLUMP CAREFULLY **
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION - UNIT PRICE EXTENDED PRICE
10. 00 300. 00 60. 00 t. 00 10L 1 1524 4000 PSI NP 1 I R
56. 40 1. 00 338. 40 XUT1 1 -° SITE FRESH
1. 00 ENERGY ENERGY FEE _
1. 00 EENV 1 ENVIRONMENT
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT E CODE SUB TOTAL
7 a 24 At+!
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP: MAP PAGE TIME DUE ON JOB TAX RATE TAX
1237 6 DA-1 X 07:58
•
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
r.4—Sep-...1 3 1008 P259 1375 TEMP WASTE HAULE
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER - CONTROL#
HF1INES, JOE
•
IIII III 11 Iii ll 1 lit 111
12700998
REDI1I7DISPATCH LOCATIONS ' TICKET NUMBER
331 N. Main
CONCRETE Euless,TX 76039 (
Ii ji 1
Ia US CONCRETE company I. £ '
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 UNE
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If ) 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.-""""•-^y
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 v' :
INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility l ,.✓ .
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings, 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
responsibility of the Customer,and we specification at no of f t therefore n p� are coley the 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 LOA() %LOAD Y LOAD %LOAD
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING to have arisen out of delivery of this order 1. _ y-- - 'r•'
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A - f -^"�. .d�
DECREASE IN STRENGTH. V EONS) ( ONS) NS) "ISM:CONS)
NOTICE:MY SIGNATURE BELOW INDICATES THAT I READ THE HEALTH WARNING SIGNED: X TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBL 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 TIM ILL BE CHARGED AT CURRENT DELAY SLUMP CONC.TEMP. I AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET BEFORE POU�Iy G. or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES Er N6
LOAD RECEIVED BY: ) � 7 i y£ authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of
I ,1` !' Division 5 of the California Business and Professions Code,administered by the Division NAME OF TESTING LAB:
X ✓' ,, ,- v, / of Measurement Standards of the California Department of Food and Agriculture.
CUSTOMER': T-t-t t 11t C:s r t It;r' I.i`4&, ckisttita2R'dttit DELIVERY ADDRESS
r; L.. L.N ti• ETf: Ir 0, -, F,'I. r..
PROJECT NAME ., i.':.;,i'°r •.. i-.:1,PF-r ;° i
PROJECT CODE ...
CUSTOMER P.O.# -SPE IAL.I1STFjL{CTIcQ,NS _
�I!!(•v tt L.:c1 ;:;1._t.1igr) f..'il1,?..C.- ?..fi...1...',r -;,.
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
1.i., Viet ?i i Ci,, I,:'.{j;%) SO,.. 17.qZi I 01..1 F T:5;::::4 "4000 1•�'E,;l_. NR 4:::41.F?
/4.0 ..0 282. a r
.,ft"::,. -{�1 i 1.. 00 4JftP :E..1 Ti.I. ,�'. .`-t I �I I�'. I••'Px LE.1{�,[I`-!
.i.., 0;0 E1,-1C:.l.G tip f'.7NIE.T"t_7 Y� k,EE
1,. 00 1:-EJN1t:I I. F:11V I,R04\1 1' :I..
- BATCH TIME LEAVE PLANT ARRIVE JOB. BEGIN,POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
X f 7 ''4 ,
TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
. .rr:r i D 1 ", 07:4;2, •
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER
CONTROL,4*
011111111111111111111
12700997
REDIMLXDISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE 817Euless,TX 76039
' a US CONCRETE company
•
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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 UNE
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly wi h water.If ) 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 00 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
�dinoany partial environment or soil conditions or that the concrete b fit for any particular use. public street Further,as additional consideration;the undersigned agrees to indemnify
responsibility of the Customer,nd/we assume no liability mix parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and SA therefore.
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 OA0.; s/,LOAD %LOAD %LOAD
STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING to have arisen out of delivery of this order.
ry r f ..o
MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A ' ' (GALLONS
DECREASE IN STRENGTH. v ) (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 { y i ;i
DELIVERING INSIDE CURB LINE AND AGREE TO'THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE 7.'
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGEDAT CURRENT DELAY SLUMP CONC.TEMP. I ~ AIR%
RATE.ALL C.O.D.DELIVERIES MUST BE PAID I 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 ( i authority of accuracy,as
I ! j 1 n ci, prescribed B Business n Chapter 7(commencing Cod di with ed by Division)of NAME OF TESTING LAB:
f J1
Division 5 of the California Business and Professions Code,administered by the Division l
X I F I of Measurement Standards of the California Department of Food and Agriculture. y� -e-
CUSTO F{; f r- T N 1':;Ret„U1.1,,, INC': ctusY6tit#irtatit DELIVERY ADDRESS !
RE..).V.Al... f.l`I & CF .F:, Li i s(,4 C 1 !F.t....e._
PROJECT NAME PROJECT CODE
CUSTOMER P.O.# SPECIAL INSTRUCTIONS '
CUSTOMER JOB ID# F
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
1 0,, 00/) 300„ 00 40. 0;74 F %1_.11.5_- s In'{il P13
I. NR (_{I}:r
G rh
,. 00 F::.i''trlr,:r '';` ,•...\-r::F.';'` F
I . 01:,) ':LE t V 1. F i!) t�i°{ tl iNE LT
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
TOTAL WAIT TIME PiREVIOUtS�,TRUCK LOAD# SLUMP MAP PAGE t TIME DUE ON JOB TAX RATE TAX
.f.0..L!`.I �t 2 _/{_d.-..1._..X Ir.)t o 29
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ” ORDER GRAND TOTAL TOTAL
i....r:, I.s. .�s-., !_?t1 TON I':+(.:Ii..li.
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
nE111101111111111
12700996
•
i 1 i i E DI1LX DISPATCH LOCATIONS TICKET NUMBER
331 N. Main
CONCRETE Euless,TX 76039 i[I1I1 114!_ 1 q
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
prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.N 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 wit 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
Selection of the mix design and/or specification of the m&design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and SA
responsbigty of the Customer,and we assume no liability therefore. y FULL LO LOAD Ya LOAD 'A 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. w--'
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. X (GALLONS) (GALLONS) (GALLONS) (GALLONS)
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ TH EALTH WARNING SIGNED: X TEST RESULTS
NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY D GE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TER AND CONDITIONS ON WEIGHMASTER CERTIFICATE
REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE C GED AT CURRENT DELAY SLUMP I CONC.TEMP. I AIR%
RATE.ALL C.O.D.DELIVERIES MUST B€PAID IN ADVAN2E AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured
SIGNING THIS DELIVERY TICKET BEF E DURING. J or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES ❑NO
LOAD RECEIVED BY: /�/2 f // f,/ authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB:
/I, Division 5 of the Califomia Business and Professions Code,administered by the Division
X ' /,. �'"/ of Measurement Standards of the California Department of Food and Agriculture.
CUSTOFv1r=i2:. I.a _; '
.`1•iS.h�; Li "' t CA1SYdledRf DELIVERY ADDRESS "
PROJECT NAME PROJECT CODE
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
,..cue. F'1 I`1'i:;--I !.it..i.i!•eU::' C A RE:Flit."I._. o-
CUSTOMER JOBS ID#
LOAD QUANTITY I' ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE `EXTENDED PRICE
1 CI,. V.lf 3 3 0 0 n 0 0 ,;lrl. Il'.re i.O....1. 152 4 .4+0 1a P13 1 NR E-iI P • .
!...:F F. ,.:I. ?t 1.,, 1:10 1;;`:' . ''I I :'i.!'1-11 ..,T. 1-: i=P r.. i-;
.1 h r. 1,..(V. E.'NE:Pi.::lY ENE F:c::+i' FEE:
1.:. 01'! E,E i'•.iv1 EN v I R 1.1)1,ii EN ri
BATCH TIME, ,,LEAVE,PLA T t.A RI EE 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
;F: 9
c.DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
I -,
iS 2{....f.'.3 o- .:.7... k...i t l.'"1�'?+:% 'r ri. _'e ra I.,,�f..,`:$ ..('}`::� !t'.i-i:r (" 1_..f li'.i"-1�..(„I...
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
-i iINE:`:i. ..TO::: .
•
PI HIMIUII III II II
. 12700994
nIIMIX DISPATCH LOCATIONS TICKET NUMBER
. 331 N. Main .
CONCRETE) Euless;TX 76039 1
817-835020 1111111111111 1111111111
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 wen 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 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, REQUESTOR'S NAME
CONCRETE AS MANY IMPORTANT FACTORS AFFECTING 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 • ,,r
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 / /J. "fl �.;'I i7)
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 SA / C \
responsibility of the Customer,and we assume no liability therefore. PP y
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 X LOAD V.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. (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 B ARGED AT CURRENT DELAY
RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN A..' C AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured SLUMP CONC.TEMP. AIR%
SIGNING THIS DELIVERY TICKET BEF RE POURIN•. or counted by a weighmaster whose signature Is on this certificate,who is a recognized CYLINDERS TAKEN: a YES ' NO
LOAD RECEIVED B ` 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 Calfomia Department of Food and Agriculture.
CUSTOfa 4 FAIN GR ll P, INC 113T F DELIVERY ADDRESS
PROJECT NAME PROJECT CODE ROYAL_ LN & C E.E:�',V I E W, L OOP EL._:L..
CUSTOMER P.O.#.,. -- SPECIAL INSTRUCTIONS
4 Wr 1 CH1 SLUMP CAREFULLY L r'
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
10. 00 300. 00 E. . 04 1 L_1 1;:s2/+ 4000 PSI NP AIR
56. 40 1. 00 112. 80 :;UT11 SITE FRESH
1. 00 ENERGY ENERGY FEE
1. 00 EEN(V 1 _ ENV.I PONMENI
BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR - LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
6:_ 4AE [111 ?,.J�.
TOTAL WAIT TIME 'PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
1287 E DAI--1--k, 07:09
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
e.4—Sep—13 1008 P,=.59 123 CHOICE, KEL:.W I N
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER - CONTROL#
6,4• I NE::r R. JOE.
11111111111111811111111
12700993
..
DIIMMiX DISPATCH LOCATIONS . . TICKET NUMBER
331 N. Main
CONCRETE Euless,TX 76039 111111111111111111111111
817-835-4020 -
a US CONCRETE company
s.
WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Weer 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 jrou 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 . '1
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 properly,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 t
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.Furt her,as additional consideration;the undersigned agrees to indemnify
Selection iof the th Cust�and/ors assume ped&ati� the the MiX design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and SA
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 %LOAD Y. 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)
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
R
I ATE.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 SLUMP CONC.TEMP. AIR%
SIGNING THIS DELIVERY TICKET BEFORE POU or counted by a weighmaster whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES ❑ NO
LOAD RECEIVED FY accuracy,authority of accy,as prescribed by Chapter 7(commencing with Section 12700)of
to 'ft Division 5 of the California a Business and Professions Code,administered by the Division NAME OF TESTING LAB:
of Measurement Standards of the Califomi3 Department of Food and Agriculture.
CUSTOJ $; Et"i.i N G('x11)1P. 7 f.U:
"( CRl$1.0144fb DELIVERYADDRESS
PROJECT NAME ROYAL fx I...P:,i (' -(c L-. `.�.} .L. H ( ?Pi �..i...f...
_ PROJECT CODE m t 'j.�,wa
CUSTOMER P.O.# SPECIAL INSTRUCTIONS
14 AT(71-1 r I. .. . ..
CUSTOMER JOB ID#
LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE
•
1(7) (7'.117) 312.1i7).: (710 !.1%1„ 012I 1 i°11. 1 I. 2 I.,. 114;3100 1::'E.I (. NR A'1 p
•
,-.°si 40 ., t'60 5t::., /.1 qt Xi...1.T.i 1 _ 1 1'E.'. ( RE` H'1
1.. 17)171 17-1\1F hF;'i' f blE: 'i.::t !'FE
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
•
,'it 7 n 173.-
DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL
.-1- 1:2.fz e'i...-Z ..-. )1..3 1 1 ' r, .r,,a -- -,i E.1) " RAF _ ...
DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER CONTROL#
I iiI
12700992
•