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Ssr <br />❑ Albany (541) 928-2547 <br />❑ Angell Quarry 86-4201 <br />❑ Corvallis (541) 752-3428 <br />❑ Deer Island (503) 397-4659 <br />❑ Hardrock (541) 745.7572 <br />❑ Hillsboro - Best Mix • <br />❑ Reichhold (503) 366.5900 ❑ Springfield (541) 74771213 <br />❑ St. Helens (503) 397-0111 ❑ Slayton (503) 769.6465 <br />❑ Brownsville ( 5899 <br />❑ Eugene (541) 689-6600 <br />(503) 648.3101 <br />❑ Salem (503) 390-6955 q Sundial (503) 491-4423 <br />❑ Coffin Butte ( 5-7572 <br />❑ Gresham (5031666-5577 <br />❑ Lebanon DISDatcher 6411258-7123 <br />n Sherwood !503) 692-8242 <br />' MAP LOCATE <br />BATCH TIME <br />LEAVE PLANT <br />ARRIVE JOB <br />BEGIN POUR <br />FINISH POUR <br />LEAVE JOB <br />ARRIVE PLANT <br />WATER ADDED AT <br />TEST CYL. <br />6 MINUTES PER YARD <br />CUSTOMER ACCOUNT # 31878 CODE <br />' CUSTOMER'S REQUEST <br />TAKEN <br />FREE UNLOADING <br />JOB # 12517 'BID # <br />al <br />f <br />ll l <br />t <br />d <br />❑ YES <br />TIME ALLOWED ON <br />DEST # POS w <br />g <br />u <br />s: <br />o <br />oa <br />FULL LOADS. <br />x <br />SOLD TO EUGENE CITY' OF''PURLIC WORKS <br />gals. to 2/3 load. <br />❑ YES <br />Additional unloading _ <br />0 <br />ANNUAL QUOTE .2006 <br />time charged at current <br />#2007-00-701 Lu <br />gals. to load <br />1/3, <br />❑ YES <br />hour) truck rate: <br />y <br />DELIVERY 2 <br />PARKS AND OPEN 'SPACES 00 <br />POINT <br />ADDITIONAL WATER <br />REASON FOR DELAY TIME: <br />ADDEDTOTHIS <br />❑ JOB NOT READY <br />DATE 1113/06 P.O. 200E-00-7010 0 <br />CONCRETE WILL REDUCE <br />❑ LACK OF HELP <br />TIME 10: 23. PLANT 243610 PIT 0 <br />STRENGTH. ANY <br />❑ WHEELBARROW JOB <br />DRIVER <br />WATER ADDED IS <br />AT CUSTOMER'S <br />❑ WAITING FOR TRUCK TO UNLOAD <br />GROSS48, 860 lb TRUCK # CI TEUG 12TRLR.# <br />OWN RISK. <br />❑ 'ADDING WATER <br />TARE 25,920 lb WEIGHMASTER <br />NET 22 <br />940 -1b <br />❑ ARRIVED JOB EARLY <br />, <br />, <br />.WATER REQUESTED BY: <br />OTHER <br />SPECIAL INSTRUCTIONS: <br />MATERIAL MIX DESIGN,.SSD cM EcrlE DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTED AMOUNT <br /> <br />TRIM <br />Load Count ACCUM. Qty <br />WATER GAL.iYD. <br />JOB-____ _1 - 11.47 Ton, B.41 (fig ~ <br />DESTINATION: 11.47 S fi' 1 <br />0: 41 M9 <br />WATER/ <br />CEMENT. <br />~ <br />.f rI Y <br />RATIO <br /> <br />MAXIMUM <br />ADD <br />< J <br />I <br />J <br />WATER , GALS. <br />I <br />. , <br />PRODUCT # <br />PRODUCT DESCRIPTION <br />QUANTITY <br />UNITS <br />UNIT PRICE <br />AMOUNT' <br />112 <br />1 1/2"-0 CRUSHED <br />-11.47 <br />Ton <br /> <br />PLANT 'PICKUP <br />99999 OREGON (NO TAX) <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 <br />of 11/2% per month, or a minimum of $1.00, will be made on the unpaid balance at <br />r t ; n/ <br />r <br />f~J <br />~f <br />TOTAL <br />the end of the following month's billing cycle. This is an ANNUAL PERCENTAGE RATE OF <br />iA% oeoenuei ufvTr-c. %A1---. ,tie .,,.ti, ,.,;m r, r,.: , I.N,.r -1 <br />t <br />tf 4 <br />n \ <br />2748638 <br />TICKET # . ,r <br />CCB# 2101 <br />ALSO SERVIN <br /> <br />R EIVED BY <br />9 working with Portland Cement concrete. Initials of Acknowledger <br />tive Group (541) 928-6491 •32260 Old Hwy 34, Tangent, OR 97389 <br />I AT Harrisburg Prestress (541) 995-6327 • Tangent Operations (541) 928-6491 <br />FORM 30 Revised 10/04 , <br />2746`638---, <br />furnished on this job according to OREGON REVISED STATUTE 87.021. <br />