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CUSTOMER <br />Warning lnjurloustoeyes:Caus~klrjtation.ContainsPortlandCement. aHot Asphait emitsnul- <br />d tt Ism n mes. void breathing <br />Read RFIe foljov rig warning befoe using: C vnhardened concrete, mortar, cement or cemen so, Asphalt may cause mixtures can ca se skin irritation, severe chemica urns enous eyedamage. <br />Avoid contact with eyes and vere urns. Wear 'protective <br />skin. Wear water{ ~of gloves, a fully-buttoned, long-sleeve shirt, full-length trousers and tight-fitting eye protectiofety gear (long sleeves, pants whenwd}king with these materials. <br />If you have to stand in wet concrete, use waterproof boots that are tight at-thd gloves). If burned, cool with' <br />top and high enough to keep concrete from flowing into them. if finishing concrete, wear knee pads to protect kneester and see a physician; UN O NG <br />After contact with any of these materials, wash off. immediately with fresh, clean water. Indirect contact througarnin: Prolonged inhale, Fr RI Urns 71/2 <br />clothing is as dangerous so promptly rinse these materials from clothing Seek immediate medical attention if you 9 <br />have persistent-or severe discomfort.ln case of eye contact, flush with plenty of water for at-least 15 minutes. tions of dust from a gravel minutes per cubic yard of <br />there- <br />Consult pp ' <br />WARNING ALL PERSONS KWHO MAY USE OR COME INTO CONTACT WITH WET'(UNHAR ENED) ypoutlhealth: yy Mebaze ou to concrete. asu es tocont of ' after at posted truck time <br />fugitive dust should be taken rates. Truckstandbytime <br />CONCRETE, MORTAR, CEMENT OR CEMENT MIXTURES., when handling this product. charged at posted truck <br />time rates. <br />WATER ADDED AT CUSTOMER'S OWN 'RISK. Property Damage' Indemnification Release ` <br />ADDITIONAL WATER ADDED 'TO' CONCRETE WILL REDUCE, ITS STRENGTH The operator of this piece of heavy equipment; in presenting this LIMITED WARRANTY <br />Buyees'agent agrees to accept responsibility for reduced strength due to water, .'RELEASE toyouforyour signature, isoftheopinionthat theoperation <br />The only liability of the <br />added above design. . , - of this machinery in the manner required to perform our contract with seller for product defect the <br />Arrived at jobwith inch slump. you may possibly cause damage to the premises or property. It is our the return of the purchase <br />Test wish to help you in everyway that we can, but in order to do this, the price. In. no event shall the <br />Added - gal water at. customer request. O cylinders operator is asking that you sign this RELEASE. seller be liable for any di- <br />rect, indirect, incidental or <br />Other additions taken In consideration of the performance of the seller of its contract with consequential damages <br />me; t'the: undersigned, hereby INDEMNIFY the seller and its resulting from the use of <br />RECENED Y the products s-or arising out <br />BY X employeesforany damage and for all claims to the premises, building, of breach of any warranty. <br />Buyer s Agent receipt of product and approval of any added items. utility pipelines or cables, telephone lines, driveway or other appurte-' - All claims for damages.or <br />nances, at: shortages must'be.made <br />within 24, hours of <br />Product Damage indemnification & Release delivery.We do not assume <br />The addition of any extra products to our mixer may void any warranty expressed and. RELEASE the seller and its employees from any liability. responsibility for any dam- <br />or implied by the seller. The seller accepts no liability for any personal Injury age beyond the curb line. <br />Incurred by you while adding additional products, to our mixer. <br />Signature of Own NWG DEL TKT- 06/05 <br />Signature of Owner or itw-A ent <br />FLeave Plant I Arrive Job Site I Start Discharge Finish Discharge I Leave Job Site Arrive Plant GGE SAND AND GRAVEL <br />0520 COBURG ROAD <br />DRIVERS' .UGENE, ..OR. 97408-9467 <br />COMMENTS Ild <br /> <br />Order'No. Cust. No. Company/Customer Job Customer PO/ Phase Code, TICKET NO. Driver Company Project <br />350003 4434E RICK/868-~,.21= Tl8~--015-4 :35028678 UNASSIGNED <br />Customer ` De (very dress oar . <br />TY OF i EUGENE F!ARKS DEPT °CITY OF EUGENE / HAULER BY C. A. D. / nnep. 03/c:JU 08 <br />e every Instruct o <br />1..: E1 <br />Scale 10:01 <br />Time: <br />LoadO Delivered ty Order0ty Pro uct o e UOM Product Description nI.rice ;Amount. <br />1 77 1 i : 7.7 15.00 2800 t n LOAM <br />•O f <br />'Cam`., ` . U • ` <br />If cii4 <br />K <br />Grass Ta -e et. <br />.Tr,k: 57960 32420 25540 Delivery Change <br />Jr1r. <br />PRE'V`-TRUCK: CHECK ! CREDIT CARD <br />Load ize r No. escription Slump Type. CC Use HaulCd. Pit/Plant Sales Tax <br />Lap <br />TOTAL DUE <br />Truck* Gross Weight Tare Weight Trailer Trailer Taken" by Check # <br />CAD4 : 28. 98 16.21 4227& <br />