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~ ? Lebanon Dispatcher (541) 258-7123 ? Sweet Home (541) 367-6174 ? Springfield (541) 747-1213 ? St. Helens (503) 397-0111 ? Sundial (503) 491-4423 <br /> IY~pR'~E~ B ROS ¦ ? Corvallis (541 } 752-3428 ? Albany (541) 928-2547 ? Salem (503j 390-(1955 ? Stayton (503) 769-6465 ? Hillsboro -Best Mix <br /> MATEI4fA1S GROUP d Coffin Butte (541) 745-7572 ? Brownsville (541) 466.5899 ? Sherwood (503) 692-8242 ? Angell Ouarry (503) 286.4201 (503) 648-3101 <br /> ? Hartlrock (541) 745-7572 ? Eugene (541) 689-6600 ? Deer Island (503) 397-4659 ? Gresham (503) 666.5577 <br /> MAP LOCATE I BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT <br /> I ~ <br /> `"r4TE~l ADDED AT TEST CYL. 6 MINUTES PER YARD (4USTOMER ACCOUNT # 1+,!I CODE <br /> q~,JM~R'S REQUEST TAKEN FREE UNLOADING JOB # t ~-'f ~~-`L BID # <br /> TIME ALLOWED ON f <br /> Vials. to full load ? YES FULL LOADS. <br /> OLD TO CJI T".~ U? i..) I(~( f~lL-.r~,1E,~l..Ir, ~UI:21", ~ <br /> gals. t0 ~3 load ? YES Additional unloading ~ ~ .I UI ( I~„+I I ~f. ` <br /> time charged at current i~i.l~1l_ C ~UI~~~„~i ~ <br /> ais. to ffJ load YES hourly truck rate. D~uvERr ~ <br /> ADDI NAL WATER P INT <br /> AD~EDTOTNIS REASON FOR DELAYrtfME: <br /> CONGRE E WILL REDUCE ? JOB NOT READY [SATE I j. P.O. #~I~+.lv>~,~ t~;4;'I ; =_,,_t , <br /> STR~NGTH. ANY ? LACK OF f~ELP TIME l I<A s ~.j PLANT :~r,, PIT <br /> WAT R ADDED IS ? WHEEL BARROW JOB DRIVER <br /> AT C STOMER'S ? WAITING FOR TRUCK TO UNLOAD .,GROSS 4it ;~~4~~ k.; TRUCK # I« G i CUt~ I1~"~ TRLR # <br /> O N RISK. ? ADDING WATER TARE 7<s~'I WEIGHMASTERt=i?t:"t~ t;~ iiii" ? L~ <br /> ? ARRIVED JOB EARLY NET t;}ti.I~, "(t3Lat.~t~w~ t ~f;:.c`irB» : i 1. ~t~:; ,i;j:l <br /> WATER EOUESTED BY: ? OTHER SPECIAL'INSTRUCTIONS: <br /> MATERI L MIX DESIGN, SSD CORRECTION DESIRED AMOUNT !ACTUAL AMOUNT SSD CORRECTED AMOUNT <br /> r ~ . TRIM - <br /> ' - WATER GAL./YD. <br /> ,y' i, <br /> ~O ~ ~ WATER/ <br /> CEMENT <br /> RATIO <br /> " ` - , 3 ~ 8~ MAXIMUM <br /> ~ ADD <br /> ! r'` i ~ / f ` ; WATER GALS. <br /> PRODU T # PRODUCT DESCRIPTION QUANTITY UNITS.. N1T P ICE AAAOUNT <br /> s ~ <br /> a -at I,,tk. ~ ~ - <br /> ( =~*b ~ ~.1P <br /> i <br /> TERMS: NET - CASH SALES PAYABLE UPON PICKUP OR DELIVERY. CHARGE SALES <br /> DUE AND PAYj48LE BY'THE 15TH OF MONTH FOLLOWING PURCHASE. A service charge j+ j~ • TOTAL <br /> of ~ 1/1% pen month, or a minimum of $1.Od, will be made on the unpaid balance at 1/~,,,..? <br /> the end of the~following month's billing cycle. This is an ANNUAL PERCENTAGE RATE OF -,.p,".~ . <br /> 18970. PERS NAL NOTICE: We reserve the right to claim lien for all labor and material -"~"`y~~ f~ q ( TICKET # ~,.~.r,at~}I <br /> <br /> furnished on this job according to OREGON REVISED STATUTE 87.021. ! ~ - tiY" - - ~ f -I- - - - - <br /> " RE EIVED BY FORM 30 Revised 8/01 <br /> ' Initials of Acknowledger <br /> Lebanon Adminiatratlon (541) 451.5141 • P.O. Box 7, Lebanon 97355.0007 3 3 5 S 8 4 <br /> CCB# 210t ALSO SERVINGYOU AT Harrisburg Prestress (541) 995-6327 • Tangent Operations 1541) 928.6491 <br /> <br />