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~ Lebanon Dispatcher {541) 258-7123 ? Sweet Home (541) 367.6174 ? Springfield (541) 747-1213 q St. Helens (503) 397-0111 ? Sundial (503) 491.4423 <br /> ~ B R ~ Sr ? Corvallis (541) 752-3428 ? Albany.(541,} 928.2547 ? Satem (503) 390-6955 ? Stayton (503) 769.6465 ? Hillsboro -Best Mix <br /> MATERIALS GROUP ? Coffin Butte (541) 745-7572 ? Brownsville (541) 466-5899 i O Sherwood (503) 692-8242 ? Angell puarry (503) 286-4201 (503) 848-3101 <br /> ? Hardrock (541) 745-7572 ? Eugene {541) 689-6600 ~ Deer Island (503) 397-4659 ? Gresham (503) 666-5577 <br /> MAP LOCATE BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT <br /> I <br /> I <br /> TE~ ADDED AT TEST CYL. 6 MINUTES PER YARD CUSTOMER ACCOUNT # ~'{s ~ CODE <br /> M R'S REQUEST TAKEN FREE UNLOADING ~Og # ~.=I I..'t::~i.yGr'tdE BID # <br /> TIME ALLOWED ON <br /> gals, to full load ? YES FULL LOADS. <br /> SOLD TO L`i T'~ ~1° IMU>~EIdI:--F~tlt3L~C i+lt;tl?I~ <br /> ,gals. to 2/3 load ? YES Additional unloading C1 T• tll° L.t_iL;k:Nl=n <br /> time charged at current <br /> gals. to 1f~ load ? YES hourly truck rate. DeuvERr i~`IJBC. tt;; ~1gti`t€S <br /> ADDI ONAL WATER POINT <br /> AD EDTOTHIS REASON FOR DELAY TIME: <br /> CONCRE E WILL REDUCE ? JOB NOT READY DATE ~ y~, k,:;-. ~4~! P.O. #.trl,;t~ ~ ...,~~~;~t:~ . <br /> STR NGTH ANY ? LACK OF HELP TIME j s 1 ~ PLANT ,~q~, PIT <br /> WAT R ADDED tS ? WHEEL BARROW JOB DRIVER <br /> AT CUSTOMER'S ? WAITING FOR TRUCK TO UNLOAD GROSS RI ~,~,t~ I ~f TRUCK # t ~ ~It;,;; TRLR # <br /> C1WN RISK. ? ADDING WATER TARE ~,;~k ~_.tl~i,, h WEIGHMASTERi;lrl. I., . ,4.;l.i(ajl i € k f,.~ <br /> y,, ? ARRIVED JOB EARLY NET, t , s , - , , <br /> WATER rfEQUESTED BY: ? OTHER SPECIAL INSTRUCTIONS: <br /> MATERIAL MIX DESIGN, SSD coAREC TON DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTED AMOUNT <br /> L} #"r is $ <br /> TRIM <br /> WATER GAL./YD. <br /> WATER/ <br /> ~ l~Y~'l <br /> Q~ ~ ~q~/+, _ CEMENT <br /> _ \ q_ / RATIO <br /> ~ 3 $ 8 {p MAXIMUM <br /> ! ADD <br /> f WATER GALS. <br /> PROD, CT # PRODUCT DESCRIPTION QUANTITY UNITS UNIT PRICE AMOUNT <br /> ;Y,~ L,~~..;~ Ii..~"3 ~ t1 <br /> <br /> TERMS: NE'r -CASH SALES PAYABLE UPON PICKUP OR DELIVERY. CHARGE SALES <br /> DUE AND PI4YABLE BYT'HE 15TH OF MONTH FOLLOWING PURCHASE. A service charge ~ TOTAL <br /> of ~ 1f2% der month, or a minimum of $'I will be made on the unpaid balance at «N.r <br /> <br /> the end of the following month's billing cycle. This is an ANNUAL PERCENTAGE RATE OF e_7r-, , <br /> i~SONAL NOTICE: We reserve the right to claim lien for all labor and material ~ TICKET # ~,..fL; ? y <br /> !3 /o. PE <br /> <br /> tumished oru this job axording to OREGON REVISED STATUTE 87.021. - - - = - - - - - - - <br /> RECEIV~ 8 " FORM 30 Revised 8/01 <br /> • Initials of Acknowledger <br /> Lebanon Adminiatration (541)451-5141 • P.O. Box 7, Lebanon 97355-0007 3 3 5 b 14 <br /> CCB# 2~ O1 ALSO SERVING YOU AT Harrisburg Prestress (541) 995-6327 • Tangent Operations (541) 928-6491 <br /> <br />