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~ ? Lebanon Dispatcher (541) 258-7123 ? $weei IiOym~e (541) 367-6174 ? Springfield (641) 747.1213 ? St. Helens (503) 397-0111 ? Sundial (503) 491-4423 <br /> SE . S ¦ ? Corvallis (541) 752-3428 ? Albany (all) 928-2547 ? Salem (503) 390-6955 ? Slayton (503) 769-6465 ? Hillsboro -Best Mix <br /> MATERIALS GROUP ? Coffin Butte (541) 745-7572 ? Brownsville (541) 466-5899 q, ? Sherwood (503) 692-8242 O Angell Ouarcy (503) 286-4201 (503)648-3101 <br /> ? Hardrock (541) 745-7572 ? Eugene (541) 689-6600 ? Deer Island (503) 397-4659 ? Gresham (503) 666-5577 <br /> MAP LOCATE BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT <br /> ~ I <br /> i <br /> i TE ADDEpAT TEST CYL. 6 MINUTES PE~IYARD CUSTOMER ACCOUNT # ~.•¢._;;Y>y CODE <br /> M R'S REQUEST TAKEN FREE UNLOADING JOB # 1„ (T i°`t:~i1~ il: ~ ii. BID # <br /> TIME ALLOWED ON <br /> gl~ls. to full load ? YES -FULL LOADS. SOLD TO L°: I T'r' L)I.- Li !t~#~:f=t[ --I~'L#l,t t L fJr)#~K~ d <br /> gals. to 2/3 load ? YES Additional unloading s`; I T t..1~ r,-I,JL1ra~t; H <br /> time charged at current <br /> g Is. to 1~ load ? YES hourly truck rate. DELIVERY F!L.t~tl..3 C. GJ{'If:1~.'~:; <br /> ADDITI NAL WATER POINT ~ <br /> ADD DTOTHIS REASON FOR DELAY TIME: <br /> CONCRET~WILL REDUCE ? JOB NOT READY DATE ; a1,~,-~~.~,•~ ~ P.O. #~`k~k1~,' ..,,EI~~ s~,~-~ : o <br /> STRE GTH. A?NY ? LACK OF HELP TIME 1,.; ~ s rt PLANT PIT <br /> WATER ADDED IS ? WHEEL BARROW JOB DRIVER <br /> AT CUjSTOMBR'S ? WAITING FOR TRUCK TO UNLOAD GROSS -f1:t~ (4-,TRUCK # t t •I L ~lk;~°~ TRLR # <br /> 01MN RISK. ? ADDING WATER TARE ,~.~x~ c~F;~g ~ WEIGHMASTER~,t,~-t. ~t'FIUi~ I i:~l., f.? <br /> ? ARRIVED JOB EARLY NET ~ ~ r;) ~ • ; ir. <br /> WATER R QUESTED BY: ? OTHER SPECIAL INSTRUCTIONS: " <br /> MATERIAI~ MIX DESIGN, SSD CORRECTION DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTED AMOUNT <br /> TRIM <br /> ( WATER GAL./YD. <br /> ~~~~77 <br /> WATER/ <br /> CEMENT <br /> _ \ RATIO <br /> i\+ 3$ $ ~ MAXIMUM <br /> ~ ADD <br /> ' WATER GALS. <br /> PRODUC # PRODUCT DESCRIPTION QUANTITY UNITS UNIT PRICE AMOUNT <br /> L 11• l~ 1 tai <br /> i <br /> I <br /> t`~ <br /> <br /> 'ERNS: NET - SH SALE5 PAYABLE UPON PICKUP OR DELIVERY. CHARGE SALES <br /> <br /> IUE AND PAYA6ILE BY THE 16TH OF MONTH FOLLOWING PURCHASE. A service charge ~1 TOTAL <br /> f 11ir2% per month, dr a minimum of $1.~0, will be made on the unpaid balance at !Y ©~~~~7 <br /> <br /> 1e end of the following month's billing cycle. This is an ANNUAL PERCENTAGE RATE OF ~ TICKET # ~ <br /> g%. PERSONWL NOTICE: We reserve the right to claim lien for all labor and material B' <br /> <br /> unishedonthisjobaccordingtoOREGONREVISEDSTATUTE87.021. - <br /> - RECEIVED BY FORM 30 Revised 8/01 <br /> • Initials of Acknowledger <br /> Lebanon Adminletratbn (541)461-6141 • P. .Box 7, Lebanon 97355-0007 3 3 5 6 2 4 <br /> CCB# 2101 ALSO SERVING YOU AT Hsrcisburg Prestress (541) 995-6327 • Tangent Operations (541) 928-6491 <br /> <br />