Town Center L3B3-LR020218me
CONTROL 919983 ~
Arrive Job Site Leave Plant
' th8ljATflli )g` Pour Fkdetr Pour Leave Job Site
Sot DENTON DAVA$ FORTNIORTM at
;, (A4015E61/gp r (flT21S ;f#d�73 1617)4054WO Et)5
ADDITIONAL WATER ADDED I iE WILL REP
UCE IT3 ANY WATER ADDED IN EXCESS OF
`� 8F! IRIED SLUMP IS AT CU> TOPER'S RISK.
Slt mp Taet YES NO tlrlvM are prohfblted Mprm delivering concrete except under the truck's own
P power, and where site conditions
Cylinders Taken YES NO Permit the sofa and proper operation of his equipment. Drivers are not permitted to go beyond the curb'Iine,
Air Test YES NO sxospt ppon the authorization of the customer and his acceptance of risk for any lose or damage to the property
W our equipment. Thle any wrecker or towlha charoee for call no out of t he l oc ation .
Water Added at
Customer's Request ,gallons
1141 i _ RECEIPT AND RELEAW `
x d. NO, - L SIZE SLUMP DRa/ERNAME ... SALESMAN
H14ROL D HUBBARD
CUSTOMER No. PROD. No. SOLO TO P.O. I JOB a DATE
'ti c.2tr3 2 9001 TEXAS MANHOLE CO
I DELIVERY ADDRESS - - ZONE a MAPSCO N
275 DENTON TAPP ! COPPE 1A -tJ
SPECIALDEWERYINSIMAM)NS
SESSIONS
4.00 4. 4.0 !MPS, 604 PS,16SKiADMI
Y
4.0 4.00 ;,1. 00 CAL 1.4't 1 %' CALCIUM CHLORID :CY
1.00 1. 00 0.00 9265 ENVIRONMENTAL CH L.
- WARNING — IRRITATION TO THE SKIN AND EYES
Cement polymer or freshly mixed concrete, grout or mortar may cause skin Injury. Avoid contact with akin and wash exposed akin areas
promptly with water. If any cement powder or mixture gate into eyes, rinse Immediately and repeatedly with water and get prompt
medical attention. Keep children away from cement powder and all freshly mixed cement products.
Hog
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