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~ I ? Lebanon Qispatcher (541) 258-7123 O Sweet Home (541)367-6174 ? Sprinpfiela ir.., . <br /> ~t5~ BRtf S• ? Corvallis (541} 752-3428 C Albany (541) 928-2547 ~ Salem (503) 390-6955 u ~w~-- <br /> 1(~ATER/ALS GROUP ? Coffin butte (541} 745-7572 ? Brownsville (541) 466-5899 ~ Deer <br /> Island (503) 397-4659 ? Gresh mu{503j 666-5577 <br /> ? Hardrock (541) 745-7572 ? Eugene (541j 689-6600 ptNISH POUR LEAVE JOB ARRIVE PLANT <br /> ARRIVE JOB BEGIN POUR <br /> MAP LOCATE ; BATCH TIME LEAVE PLANT <br /> '(ATE ~ ADDED AT TEST CYL. 6 MINUTES PER YARD CUSTOMER ACCOUNT # Q~~ ~ ~ ~ BODE i <br /> 70M~R'S REQUEST TAKEN FREE UNLOADING ~Og # i ` 'i ! "-.~~I`~- BAD # <br /> TIME ALLOWED ON <br /> ,gals. to full load ? YES FULL LOADS. SOLD TO C~~'~ DF ~UUEf`IL-`I-~I°S~fLIC: tJL1tF' <br /> _ ..gals. to ~/s load ? YES Additional unloading E Z TY rJ~ F~1J(,,~-t i>w <br /> time charged at current G <br /> gals. tt~'r~ (oad ? YES hourly truck rate. DEUVERY <br /> POINT <br /> ADD IONAI. WATER REASON FOR DELAY TIME: <br /> ADDED TO THIS , <br /> CONC ETE WILL REDUCE ? JOB NOT READY DATE t~+; ,:'~°'.~~ti P. ~.1-3 ':.,4 <br /> S}~RENGTH. ANY ? LACK OF HELP TIME i ; ir~t PL T eft. P« <br /> WATER ADDED IS ? WHEEL BARROW JOB DRI ER <br /> AT CUSTOMER'S ? WAITING FOR TRUCK TO UNLOAD GROSS r} , („s~+ 1 b TRU # ~ 1 I i~.+ 1 i~j TRLR # <br /> owN Rls1C. ? ADDING WATER TARE ~~~R .t ~ WEI MASTERf~j7~:~.; 4~c~1•;t~€. ~ l ~ <br /> WATER REQUESTED BY: ? ARRIVED JOB EARLY NET ~ ?,1 - _,i . ,ti I <br /> ? OTHER SPECIAL INSTRUCTIONS: <br /> i <br /> M ERIAL MIX DESIGN, SSD CORRECTION DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTED AMOUNT <br /> ~ ' ~ , n e u ~ , . _ _ 'PRIM . <br /> ' WATER GAL.! <br /> I' , WATER/ <br /> ~ CEMENT <br /> d ~ ~ (1 RATIO <br /> t°~ t_ ~ MAXIMUM <br /> i~' ~ 3'~ ~ ~ ADD <br /> 1J WATER GA[ <br /> PRODUCT # PRODUCT DESCRIPTION Y UNITS UNIT PRICE AMOUNT <br /> r: ~ tJ ~ 11. I , t, t <br /> t <br /> 9 ~ <br /> <br /> 'TERMS: NET -CASH SALES PAYABLE UPON PICKUP OR DELIVERY. CHARGE SALES <br /> DUE AND PAYABLE BY THE 15TH OF MONTH FOLLOWING PURCHASE. A service charge TOTI1~ <br /> of i t/2% per month, or a minimum of $x.00, wilt be made on the unpaid balance at ,r`/~~ <br /> theund of the following month's billing cycle. This is an ANNUAL PERCENTAGE RATE OP f~L~t„~t_ ~ TICKET # _ <br /> 18 /o, PERSONAL NOTICE: We reserve the right to claim lien for all labor and material ElVEO Qy <br /> furnished on this job according to OREGON REVISED STATUTE 87.021. ~~..+b,~ <br /> FORM 30 Revised X01 <br /> non s S~~~Inrhals of Ackrtoty(edger <br /> Lsbarton Adminiattatlon (541)451-514 ngertt Operations (54 i} 928-6491 <br /> CCB# 2101 ' - - ALSp SERVING YOU AT Harrisburg Prestress {54--- _ ` ~y ~ <br /> V V <br /> <br />