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DR1201-LR131019
.. _ . _. CONCRETE , Fr DISPATCH LOCATIONS . . 331 N. Main------ - Euless,.TX 76039 817-835-4020 . ...„, . _. TICKET NUMBER 1 ,-......, --:',.- III 1111111 11 Ell 1 iiilill . . :-".•- . La ,„: I 4 ,..1 17,1 4 5.4,,,,' -- 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)- r-,- ' ' EXCES,SIVE•WATER IS DETRIMENTAL prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If inflation persists get medical attentionTEAP CHILDREN AWAY. Dear Customer—The size and weight of this truck could cause damage to the -' TO CONCRETE PERFOFRMACE. premises and/or adjacent property if this load is placed where you desire.It is our wish - CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE ■ 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 relioVing this supplier and its affiliates from any responsibility from -,' ..*,,,..-v' ''. f ,2 I , WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,burldings,sidewalks;. REQUESTOR'S NAME CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE drive-ways--curbs,etc.,due loSefdelivery 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 frbrn iFie wheels of his vehicle so that it wifi-fibt 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 indemnni SA Selection of the mix design and/or specification of the mix design parameters are solely the and hold hafibless the driver of this truck ang-this supplier and its a!Hates for an and, responsibility of the Customer,and we assume no lability therefore. , LOAD I.Q.Q. , all damage to the premises and/or adjace94roperty which may,,b6•61airried bia one PULL %LOAD %LOAD Y., PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have-arisen out of delive ,_f:thisMrdef. -- ,,• ...-. 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. /, t/.„6.,— ,,....:,....' "."1.. (GALLONS) (GALLONS) (GALLONS). (GALLONS) '';',''.(' /„.,'"../'.-:'.7, ....---- NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGN-BD: X ,,....2. - ,I .,, . - TEST,RESULTS---7 -,.... _.-- 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 FREETIME WILL BC CHARGED AT CURRENT DELAY SLUMP 1 CONC.TEMP . AIWA T' , 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 ri• ,;,; ,- ' . ',- • SIGNING THIS DELIVERY TICKET BEFORE POURING. 4 r or counted by a weighmaster whose signature is on this certificate,who rs--a4smognized CYLINDERS,;TAKEN: -Ii I1 YES ' Erfsio LOADRECEIVED 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:.,, . ' .,..,.i X , of Measurement Standards of the California Department of Food and Agriculture. • CUSTOREV. r'll',1 r N n Rot jp, I hi c,:: q.u791gFP E ..."'• DELIVERY ADDRESS Pr ' K V I f.E.14 c:INir, RIFIJ.VIR'f 0 ' OrtiVriP4I' ..=' PROJ CT NA E ., V PROJEOT-CODE1, --- '--4. 1. -4-4'• .. ..;.'7',,'.1;41,.., R T F: RC:ICA)1 N I f N i W 011 CUSTOMER P.O.# 4.. SPECIAL INSTRUCTIONS . t...R F RON C RE1. 1-:V 1 EN 01\0 !ROY PL._ I..N'';. > '-. . . .' . , .••---4.1,,1 ,..-t:.-, .• -, CUSTOMER JQB ID# . . . . .. LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID . DESCRIPTION UNIT PRICE 'EXTENDED PRICE ■ .. ... . , 1.0. 0424 f+1,:l, 1710i , 1 0, 0 i,='! 1 0 L.1. 1'„:02.1,4- -.:367.!f-ifirg.,., i (....,1• I,: k , , • . . ! '- :!--' • F..N F..`.P.R...Y- ,-c-' EINE A R.. Y FEE . . i .---.,'- ' 2 It , EEN9 I ',. q11V il 4r ,;, i111\111Eliti , 1, 't 1 . ).......-,..... I ,:, , ,•-- . -. . • , 1 . , 1. , -■ • ., . _ • I ,- • ,-,, i .• BATCH TIME LEAVE PL44.T. (ARRI\./00B, - IBEGIN P_OW11., FINISH POUR ' LEAVE JOB ARRIVE AT PLANT USAGE CODE . SUB TOTAL I 1 A'ZI ?1 i'. 7.1'PI 1Vi . .....,....../. I '"' .1 - . . TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP -....../ MAP PAGE TIME DUE ON JOB TAX RATE., -' TAX 1 5 DA•- 1 .- X 10 v 57 DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL ., . . 1 Irl 1.:i!' -P. 1.---';'..'."7'.."'..1;'...) 1.74_;!:''..5 I. '•14,....0 R 11.fl -.T Oil I'1 ,T.,.-,,J*.- ',,,,,.. ...., DRUM REV-AT PLANT DRUm.R EV-START DRUM REV-FINISH DEPUTY WEIGHMASTER r CONTROL# ST Ri-INK., i<F'INT . - . . . • 12702(348 - , - . ■',4 - . . . • • ..4- t -`,._*, ?. . . g ' . .■. , . , A . , ...07 . . . , ' ( 4. . ' . . . . , . . . . - .. Dir....lw r DISPAT C E` N' '4''-':''.r,,Y kN MIB. '"' - 337 N Maln 4 �: çc0NCRETE) E`u1,ess,TX 76039 . ! • L. 817.4835-4020 I � ' aUSCONCRET company •-. WARNING:IRRITATION TO THE SKIN AND,EYES:Contains Portland Cefna CWear rubber ` PROPERT`tDAMAOE RELEASE '••W,4TER ADDED AT CUSTOMER REQUEST boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS,AvekleMeract:wilh eyes and '" ('TO BE SIGNED IF DEUVERY TO BE MADE INSIDE CURB LINE) :. EXCESSIVE WATERLS{)ETRIMENTAL prolonged coats,getm medical In case of tented with skin or eyes;flush IhordddIW with water.if irritation persists,getmedi al attention,KEEP CHILDREN AWAY). Dear CuSton)er The size and weight of this buck could cause damage to the TO CONCRETE PERFORMANCE..: f " - emises and/or adjacent'property if load is placed where you desire.It is our wish CONCRETE IS A PERISHABLE COMMODITY AND:BECOMES ICE PROPERTY OF THE PURCHASER UPON LEAVING THE PLANUANY CHAbIGES OR2 tAGELIATtOM OF ORIGINAL to help you in every way that we cans but in order to do-thin we are requesting that you INSTRUCTIONS MUST BE TELEPHONEOTO THE OFEIcweep.OARING STARTS. sign th is RELEASE relieving this supplier and its affiliates from any responsibility from x WE DO NOT GUARANTEE FINISHED RESULTS"OBTA IY,FROM THIS LOAD OF damage that may occur to the premipee and/or adjacent property,buildings,sidewalks, REQUESTOR'S NAME CONCRETEAS MANY IMPORTANT FACTORSAFFECTING.h ULTIMATE QUALITY OF THE. drive-ways,curbsr etc.;.due to thegfelivery of this material,end that you also agree to _ COMPLETED JOB ARE OUT OF OUR CONTROL.Weylo ebf warrant that the concrete can be help the driver remove mud from the wheels of his vehicle SO,that it will not litter the -T - usedinanyparticularenvironmentor.soil condroone orthattne'concretelsfn for any Particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SAt 8 •Selecaon of the mix design and/or apeafiratlon Af$M meJ desgn parameters are solely the and hold harmleas the driver of this tNCkand this sup i:P;end its affiliates for any and r e s p o n s i b i l i ty of the Customer,and we assurhe gphaTbjjliyy thelafore "�y'T¢,�,,. 5.- :all damage to the premixes and/or adjacent properly whi ay be claimed by anyone FULL LOAD %LOAD %LOAD V.LOAD PLEASE NOTE THIS;,L�OF•COt•1CRETE IS UCEO IN ACCORDANCE WITH to have arisen out of delivery of theorder. ( - - §^TANDARD SPECIFICAtI S FOR•REAfii' MIX NCRETR ASTM ANY'DE-ICING - 'MATERIALS,IMPROP SHING AND LACK.OFCEU01G WILT CAUSE DA$AGE OR A r _ QNS) j i,LLON3 G7ILLONS) .(GALLONS) DECREASE IN STREN,r�{ti s - -( NOTICE:.MY 61GNA'tLIRE BBEELOW INDICATES 71 ffAtPE READTHFr.HJ=PLTH WARNINSS `;} e'M r� - �T ST RESULTS NOTICE AND SUPPLIER WILL14yQT BE RESP914 L4,QR ANY DAMAGE CAUSID WHEN '; ,.. l DELIVERING INSIDE CURB UNE AND AGREE TO THE TERMS AND CONDITIONS ON WEI ,,..1 FR CERTIFICATE r- REVERSE SIDE.TIME IN EXCESS OF FREE JIMEWilt_BE CHAROEPATCURRENT DELAY .x: SLUMP /CONC.TEMP: AI RATE ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AN4 LQAD ACCEPTED BY THIS IS TO CERTIFY that the fo1Il 4,described commodity was weighed,measured; SIGNING THIS DELtVERYTICKET•BEFQRE POURIN.I^f. K~k , t : or counted by a Wetghmaster who Signature Is,on this certificate,-who is a recognized CYLINDERS TAKF7N' ,1=1 YES LOAD RECEIV€D BY• J .-,..'147,4-t,-.-,us yF `authority of accuracy,as prescriber/ Chapter 7(bommencingwith Section 12700)of.RAME OF TESTING.LAB, i , : :tm-OvIsion Rof the Cafdomia Business SSid Professions Code,administeredtry the Division• _ X arr4 ,..,1.of Measurdinent Standards of the Cffifornia Department of Food and Agriculture CUSTt ? 0 II OR JP ::,,Trite. •Y >: '� .ciur- F.i?y g DELIVERY ADDRESS t•' "t,�r� !,.,y P JECT M r •;- _ PRQJEGT.CODE C E'EVS I. .W AND F'RE:.tEPORa7 4; Iy,'P•PPE�LL Kt�1N 11 DRIVE REf€ titiN L_ �?I411 7 Igo • .. CUSTOMER P.O.#� • SPECIAL IN$TRIJ,,C7ioP i •• ' 'r :• ' - ( (E NTE,R EOt4-CREEK V E EW t4r) ,ROYAL LW) i CUSTOMER JOB ID# i f s ' - `,1M{ £ ,13,;=.,,,,''...:•... LOAD QUANTITY -s '"�a ■ CUMULATIVE QTY: riPRODUCT ID ' .: •' DESCRIPTION - UNIT PRICE EXTENDED PRICE • 10. 0E -* 1Zi►. : 20.,00 ' 10L 11 524.t. 3(4 g1p .'I. u s k I . rl. ENERGY ENERGY FEE 1 o EENV 1 •• ENV ENVIRONMENT _ BATCH TIMEµpr LEAVE PLANT ARRIVE JOB BEGIN POUR 'FINISH:POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUBTOTAL ,1.111 g ',•'-'1.II //7 4‘,2 it.pp/ //, . TOTAL WAIT TIME PREVIOUS TRUCK , LOAD `'' SLUMP MAP PAGE TIME DUE ON JOB 'TAX RATE='` ' `',TA(-•• • -- 1351 2 5 IAA-••1—x 11 09 DATE ORDER# '• PLANT TRUCK# DELIVERY PROFESSIONAL ORDEET;GRAND TOTAL TOTAL • 19.Oct.-13 ,.1 '►13 P259 1264 LOWREY. RHILLIF' DRUM REV-AT PLANT,- DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER - `"'CONTROL.# -' I. . 1 _ 'Li, 12702049 •4, . . 4 f pi ` , TICKET NUMBER 1 DISPATCH LOCATIONS 331 N.•Main CONCRETE 817S835 4020' UI1 Ill I JIIH J • aUSCONCRETE c! 7 � 'U v I)(�'' f1 ' ' y WARNING:IRRITATION TO THESKIN AND EYES:Contains Portland Cement.Wear rubber - PROPERTY DAMAGE RELEASE ' WATER ADDED AT CUSTOMER REQUEST' boots and gloves.PROLONGED COT MAY CAUSE BURNS.Avoid contact with eyes and, r(TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL ,. prolonged contact with skin.In case ntact with skin or eyes,flush thoroughly with water.If �F TO CONCRETE PERFORMANCE. imitation persists,get medical attention.- P CHILDREN AWAY. {{' Dear {rrstorner-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 properlf r 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_W Can,but in order to to this we are requestln9 that''ou ?-' - INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving'taiSsupplier and its affiliates from any responsibddy5fr'om x WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED-FROM THIS LOAD OF damage that may occur tdthe premises and/or adjace'tlt property,buildings,sidewalks, REQUESTOR'S NAME CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE(DUALITY OF THE drive-ways,curb,rr tc.,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 re'mot'e mud from the wheels of his vehicle so that it will pot-Titter 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%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 andI'Is'ffliates for ny and responsibility of the Customer,and we assume no liability therefore. all damage to the prises,,��nd/or adjacent property which Sy be claim by anyone FULL LOAD Y.LOAD %LOAD /.LOAD PLEASE NOTE:THIS LOAD OF CONCRETE„IS PRODUCED IN ACCORDANCE WITH to have arisen out of elidery of thi rder.; h ` STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DEICING' fs/p ./ - c MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A ,,"'- J -, ( 'qt' DECREASE IN STRENGTH. fj„ j f, !�f!i, f/?a",( (GALLONS) (GALLONS) (GALLONS) •(GALLONS) NOTICE:MY SIGNATURE BELOW INDICATES TI�AT I HAVE READ THE HEALTH WARNING SIGNED: X - ✓ f ✓' 1 .1 ../ 4 TEST RESULTS NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN , ' l.-''( t.-.A.,,,Y.-4-- "', DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE ' t REVERSE SIDE.TIME IN EXCESS OF FREE'TIME WILL BE CHARGED AT CURRENT DELAY - SLUMP , 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 vyeighmaster 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 ofthe'California BO"sieess and Professions Code,administered by the Division NAME OF TESTING LAB: X of Measurement Standards of the California Department of Food and Agriculture. CUSTO vI R- "r•I'iT'I ll1._iF',; T.P'�I .. OU Y;S3JSI,ER'CQ,[3E DELIVERYADDRESS t K _.f_.Mv ;It?. f::}'( E Rw 1E:I j I:'I,,�. FFf...L. t (.iR•"(,. (. 1 i tP .l"L. Pf?OJ6GT+NA E r- 1FC: C-• !-�^t �!I :Nl._9 (�J(i....1._ PI p�E l'I CODE, T f It ? CUSTOMER P.O.# SPECIAL INSTRUCTIONS , s' ..E.:.P•i', C°'.fz F�"F�(::It�1 l [ I..:F'F l ! �.'.r, PAP ( F.I,j.:'6L L F'�l CUSTOMER JOB ID# ..x. LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID \1 I it DESCRIPTION UNIT PRICE 'EXTENDED PRICE•1 fa I?fi,;1. illifi ii 1,..110 :i!'S i2)�,;i 1 u$( 1 j t r0'+. ! tali t t ; .,f1. �F .. , • 121;" ■ 1., t % E 11E1;(','r ': tuNPRF�r, °' F-.,:. "" .• . rt - ft t • e,. , a I ,q.. t t. 1, , ,?tIt .,(!,t)t .1 r,�attI:e_I-11 !?yRi.NT �� I } ',BATCH TIME LEAVE.PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE - SUB TOTAL . fit CI >'.•71:1l'ij t _.. t'9 • TOTAL WAIT TIME PREVIOUS TRUCK TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE - TAX• DATE ORDE.2.iP' ' PLt4NT - � TRUCK# DELIVERY PROFESSIONAL ORDER'�,GRAND'TOTAL TOTAL .:, 1 tt ;..., rt. 1 4i Z:.. 'z:, • :A9 1 E.-.,±: 4 a.t L...()Nv.Jr:.il14 k(J}.Sr_ 1 DRUM.REV-AT PLANT „DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER Qt*IROL#• J: �:J ' II�) II II I IIII�.IIIJt I(I < 12702050 4 I 1„ -, c' „ , `>�+ � ri I / •- � • , • • REDi1JI?C DISPATCH LOCATIONS TICKET NUMBER 331 N. Main CONCRETE Euless,TX 76039 x, 11111111111111111111111 a US CONCRETE company 817-835-4020 • YARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber •PROPERTY DAMAGE RELEASE ;:WATER ADDED AT CUSTOMER RKIUEST oots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIy;E WATER IS DETRIMENTAL rolonged contact with skin In case of contact with skin or eyes,flush thoroughly with water.If Mallon persists get medical attention.KEEP CHILDREN AWAY ,,,y, Dear Customer The'size and weight of this truck could cause damage to the TO 9,0A CRETE PERFORM CE. IONCRETE 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,/., 4f , 'URCHASER 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 f / ( ♦o VSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and Rs affiliates from any�,respon�'7�"{',llity from 'X � r 7 i. / ^ , YE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that niay'ccur to the premises and/or djacentjproperty,buildings,,Sidewalks,f e /f t°f A ..„,- • „r r' c!'`REDOESTOR'S HAMS-, ;ONCRETE'AS MANY IMPORTANT FACTORSAFFEC.TING TNE.ULTIMATE OUALITY,OF THE drive-Ways,curbs @tc due fo the delivery of 1 is material;and that you also agree to `REDOES-10R JOB ARE OUT OF OUR CONTROL.We do not warrant that the cdncrete an be'- "help the driverrreemo'e Mud from the wheels of his vehicle so that it will not litter the - . .. sed in any particular environment or soil conditions or that the concrete is fit for any particular use public street..Further as aaditional consideration;the undersigned agrees to indemnity election of the mix design and/or specification of the mix design parameters are solely the SA , =.sponsibilityoftlie Customer,and we assume no liability Nerefore, and hold harml'e'ss the driver of this truck and this supplier and its affiliates for any and all damage to the ut f d ses and/or adjacent property which maybe claimed by anyone FULL LOAD 'o LOAD %LOAD '/.LOAD LEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen.out of delivery of this order. '... TANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING • - { ry a I r' , { cro IATERIALS,IMPROPER FINISHING AND LACK OF-CURING WILL CAUSE DAMAGE,,PR A ! 6,r.,� l j,-. ECREASE IN STRENGTH. }'/. fi J” (GALLONS) GALLONS) (GALLONS)+'`(GALLONS) OTICE:MY SIGNATURE BELOW INDICATES THAT I,HAVE READ THE,EALTH WARNING SIGNED. '~ - / .' - TEST RESULTS OTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN . ELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON - WEIGHMASTER CERTIFICATE -T...- EVERSE SIDE.TIME IN EXCESS OF FREE TIME J LL BE CHARGE.A'CURRENT DELAY - a. SLUMP CONC.TEMP. . AIR% ATE.ALL C.O.D.DELIVERIES MUST BE PAID IV ADVANCE AN•LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured IGNING THIS DELIVERY ICKET BEFORE P .RING. f or counted by a SJejghmasterwhose signature is on this certificate,who is a recognized CYLINDERS TAKEN: []YES '©-NO OAO.RECEIVED � authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME-OF TESTING LAB: "f,. / ,-1 Division 5 of the California Business and Professions Code,administered by the Division ,,?II+"'j' / /r f� of Measurement Standards of the California Department of Food and Agriculture. ,d - JSTO v1,ER t-- '`•` • /-„�-}d•• (�,r ,,�/• USrTO IER;G,_ME DELIVERY ADDRESS 2OJECT NAME PROJECT CODE d ' (.°iiEF.:F:-'.V IE.IA (41''11.7 F.—R_F"p`DR I k.1:0P F,'',...1... :.t,.t.'If:..f, ,RIVI.::: !?t.7... 'c J.N]' -iC� WALT... 1`�'. #I.r117-°''•' .- • USTOMER P.O.#. SPECIAL INSTRUCTIONS ' 17N'1`EE:F:: E Rom !REF::.1-!-;V ..E::1;.J P,1\1 x) pF3''f c)A. ...i' > JSTOMER JOB ID# . LOAD QUANTITY. ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED.PRICE } f t I'v2;t ;1�! ! 1t Y dS t, i () 1.1�I 1 btl"IT! Iltl(: F,a,2 fc l �., ., , .0,: '' I �`Et'f! fa-\ Tr Pt3�ik” I: , F 11 y: VA F°3:_.N k.I 3. N lY'I f ,/{h ij':1+T • BATCH TIME SAVE PLANT AIR HIVE JOB'° BEGIN ROU�2 FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL �, _ , .t. 1 .,a '''..i.f',(•':3 J.�7. j % ,/fit r TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX DATE ORDER# PLANT TRUCK# ' DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL . .':?"-0 r.:',..;'. J..?:; 1 I',.'.1 1 •., {7.:_5-:t 1 .3i.:.J 11 2;i td f'fi•'t,; Tt.V!-.:ai ,r?<'S. RUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGI4Fv1ASTER . - CONTROL#uiu i iii HiII • . . ; " `• 12702051 , .. ',1'4,;',Wi+:' ,..1'.. Dritim Erc, : ''''':,-.,:i:;.'4:AgiM'''i$PATC H.'LOCATIONS ''. • TICKET NUMBER .. , '.4 .,:,'.'3',,:,'-=•- RE .".,',.. -4.-L''•''''''.% i''';'4'.,.:..:' 3315.N. Main ) . -• • - s!''-', . . i:5 ' CONCRETE ,..:,,,,,,,„:::.:.fyie s,,,Tx 760.39 w't ''':'817-835-4020 iiiimiltRilii a US CONCRETE company • 2 . . . .. / WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber ..,-.. PROPERTY DAMAGE RELEASE WAtiglt ADDED ATCUSTOMER REQUEST' boots and gloves.PROLONGED CONTACT MAY CAUSE ipktvs.Avoid contact with eyes and (TO BE SIGNED IF pf LIVERY 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 CO CRETE PERF RMANCE. irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer--The size and weight of this truck could cause damage to the 4-'7,, CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish `.., PURCHASER UPON LEAVING THE PLANT.ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that wa can,but in order to do this we are requesting that you {_ ...7 . / / ■*, ,..-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 '..z .,.."'/.., ' , ...., i,,,,. WE DO NOT GUARANTEE fiNISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises ancf/or adjacent property,buildings,sidewalks, ( .., '--- Reck9ESTOR'S NAME 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 PLETED JOB ARE OUT OF OUR CONTROL.We do not Aiarrant thit the concrete can be help the driver remove mud from the wheela 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 consideOloo;the undersigned agrees to indemnify SA Selection of the mix design and/or specification of the mix design parameters are solely the andihold harmless ihe driver oNhis truck antlfei supplies and its affiliates for any and responsibility of the Customer,and we assume no liability therefore. FULL LOAD %LOAD %LOAD % AD all damage to the premises and/or adjacent pi-operty'WhIch may be claimed by anyone PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of dalivery of this order. ,,.` '.'T STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANy DE-ICING / MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE:RAMAGE OR A ' DECREASE IN STRENGTH. fir. '. '.fteA ''''' (GALLONS) i(GALLONS) (GALLONS) (GALLONS) , NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X ‘,. i : ‘ i, TEST RESULTS NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN DELIVERING INSIDE CURB LINE AND AdREE TO THE TERMS AND,.CONDITIONS ON WEldHMASTER CERTIFICATE REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGEr,CURRENT DELAY SLUMP CONC.TEMP. , AIR% RATE.ALL C.O.D.DELIVERIES MUST BE PAID,I,ADVANCE AND 0 D ACCEPTED BY THIS IS TO CERTIFY that the following desc,ribed commodity was weighed,measured SIGNING THIS DELIVERY TIAET BEFORE POU G. or counted a weighmaster Whose igd6turA on this certificate,who is a recognized CYLINDERS TAKEN: E YES '1E,No ..- LOAD RECEIVED BY: A authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of '` -0,./ \ X Ait''''-- /2/1/A ,e/i X --'' . _ , NAME OFAESTING LAD. Division 5 of the California Busts'ss and Professions Code,administered by the Division NAME :,.)( , . --, of Measurement Standards of t e California Department of Food and Agriculture. •-a. ', ., • •• l'..."t .' . custellt,17:A IN Y3 klit IP ANc.:"----- ctureinsce,E , --.DELI VERY ADDRESS . ' • j R I A C1.,.- iE E K V I EW c-IND F PEEP 0,PT , 1'0_ P P E L PROJECT E ' , PROJECT CODE , E.VV I 74 D V E RET .N I NG WALL. 1 fi 1 01 1 7 . . i . CUSTOMER P.O.# . ••SPECIAL INSTRUCTIONS , , . . i_ ' • ' ( <ENTER FROM CRI,--_EK V I EW ,1.--IND,IIRCIYAL. 1.-N) > . CUSTOMER JOB ID# ' ' 1! ' ,. , • , LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID ' , '' 1 I DESCRIPTION UNIT PRICE , EXTENDED PRICE . , f7.! 1717." il!.','•4•517.1.OW4 •-'VA;, 1;i1tX , 1 VII 10 '504 -It 1,701,:w.,J. ,,-' ,t4 ,i:. ...,, , -,,:. ,,, •,:.:,,.: -4t,. ,i , . '-:- . .-. ' - • , ,---,--,-.-, -, , •-,,,,:..--. -.---1„, J V.7'. ,.., ,s-p-,', .; . 4• , 1,— .1 ..; ' Ri.-.1Y ' ' I.-,1\4111t-N.-'141,t..k 4." ^1 - . /-. ' -- '-'"--'-'-'1' ''."---' '/ ' '''' '' '- • ,7 s 1, eqlt . EE ‘..i 1. ENV I!It:11,411E1NT . . . . - , • , , , ., . . , . , , . BATCH TIME LEAVE PLANT ARRIVE Ka BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL I.i'i:r.!2 i:::!1.PM i.,;2:‘,. •,3 2.....? _ . TOTAL WAIT TIME PREVIOUS TRUCK ' LOAD# SLUMP ' MAP PAGE TIME DUE ON JOB TAX RATEAf;' TAX 131 66.J 67,.; ' DICI"47'X 1 2 z."....;9 DATE ORDER#' PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL ..i.9--f..).0 1;—1 a 1 01.3 P;'.:-:...59 .1,236 HIE(RN AN D E.Z., JESI_V.3 - . .... DRUM REV-AT PLANT DRUM REV-START DRU^A,PEV-FINISH 4 DEPUTY WEIGHMASTER4,'„ ', CONTROL# . ..,44., - 1 , • 'r.‘ . ''''tie''- • , , . . • k s..1-IR t.i Mil F.,7.:.i'sf.c,',,, ,..,,.., : . ' . — . . . , 0E101 I 111111,11 12702053i' , • ,,. . 7 . - ,-. , ... • • -, it ' . , . - . . . . • .--.. . . DI...M DIE DISPATCH LOCATIONS TICKET NUMBER • -1, N. Main , . CONCRETE) ------' " Eilless, TX 76039 .1, . mill/11 ii 1 i i iiiiiii ii -0, 817435-4020 • a US CONCRETE W company I 5 7 4 5 1 f.1 1 . . .., • WARNING:IRRITATION TO THE SKIN AND YES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST boots and gloves.PROLONGED'CONTACT MAYCAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.If TO CONCRETE PERFORMANCE. irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer—The size and weight of this truck could cause damage to the CONCRETE IS A PERISHABLE COMMODITY AND1: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 TH,E;CDFkICE 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, '• 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 ' q0MPLETED 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 thatthe 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 crhis truck and this supplier and its affiliates for any LOAD 1/4 LOAD 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 FULLLOAD %LOAD Y. PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery Lthis order. eiveryo 4.---) • : ;.:,---- STANDARD SPECIFICATIONS FOR READY MI ..CONCRETE1 ASTM. ANY DE-ICING L...../ e:"...„--) ./.-----) ,••••—•,----—• MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL.CAUSE DAMAGE OR A / /4'/' (GALLONS) (GALLONS) (GALLONS) •(GALLONS) DECREASE IN STRENGTH. ,... NOTICE:MY SIGNATURE BELOW INDICATES THAT 1 HAVE READ THE HEALTH WARNING SIGNED: X TEST RESULTS NOTICE AND SUPPLIER WILL NOT BE RESPONSIBWPOR 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 - AI SLUMP CONC.TEMP. [ R% RATE.ALL COD.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the fiallowing described commodity was weighed,measured SIGNING,THIS DELIVERY TICKET BEFORE POURING. or counted by a weighmaster whose signature is on this ceitificate who is a recognized CYLINDERS TAKEN: Ei YES [11(10 , , • LOAD RECEIVED BY: ' ., authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of • NAME OF TESTING LAB: ... Division 5 of the CaliforniaBusiness and Professions Code,administered by the Division X ..':•.. •,... ; , , , .. of Measurement Standards of the California Department of Food and Agriculture. , , /1,-, CUSTCIFTE FAIN GROUP INC • 7'.,, 9:1FO4VRA DELIVERY ADDRESS • ■ CREEKVIEW AND FREEPORT , COPPELL ROJE.CT-NAME . . PROJECI.QOPE., Pc V i rj:Ani DR I V E RE T A I N 1:NG 1,4 ni...1.„, •,' CUSTOMER P.O.# SPECIAL INSTRUCTIONS ( ('E.:,N T 1-•.:-.R F R OM 1.:::R F.::E K V I E.,W, AN 1) R 0 VI•11,.. L.N> • • - CUSTOMER JOB ID# i ---0. • • : • ': ..,. LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID . . , DESCRIPTION UNIT PRICE EXTENDED PRICE •• • r .. . . 5 6. ','.50.. .•-- 56. .`•.'i 0 1 Tit-11 5 0 4 C 0.171.‘i, I '••-•r k :„ • • i — `'tet'''''''''"'"'''" ' ''fr-''' l''''' ' '.'' • PNE 147 f •- -..-1:71\11.:11+'-'--•1••F'''•-• ----•--'''''' - — -- -- • .----'- . • • -f ''-•t'- '"•••-'t---'-'.''' ' '( 0 1).'. ' 1EN V 1: , 1u ,p( Nil E KT • • . ... . . . • .--. • . . • • • ,,, . BATCH TIME LEAVE 2inc1-r ,,,AT2111V,E JOB , r B:E9NrUR,, FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL 1 '4 4 7P11 - I 1 .1 ' --...../Pi • TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP ' MAP PAGE TIME DUE ON JOB TAX RATE' TAX 6 5 ..DA- 1--x • DATE ORDER# PLANT 'TRUCK# DELIVERY PROFESSIONAL' ORDER GRAND TOTAL TOTAL 11.r:')'—CJICt''"1 3 1.i..?t 1.1 1-:';::::!.',',",9 1.3 7."...)" .1.E'14P t4 013.T E. HA U I....F.E , DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER • CONTROL# . 111 111111111 ; .,; 12702056 , . • •.. . . . -.“,. . •••• . ..; , . • . . . , . . . - . . ..