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0 Albany (541) 9282547 '0 Corvallis (541) 752-3428 0 Hardrock (541) 745-7572 AI&Reichhold (503) 366-5900 0 Springfield (541) 747-1213 <br />0 Angell Quarry (503) 286 ❑ Deer Island (503) 397-4659 ❑ Hillsboro -Best Mix t. Helens (503) 397 0111 ❑ Slayton (503) 769-6465 <br />i.n ~t Brownsville (541) 466 5~ O Eugene (541) 689-6600 (503) 648.3101 Salem (503) 390-6955 0 Sundial (503),491-4423 11 <br />n Coffin Butte 15411745-7572 (-1 Gresham (503) 666-5577 M Lebanon Disnatcher (5411258-7- f1 Sherwnnd (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. 6 MINUTESR.EW1FA tD <br />'•_CUSTOME <br />R ACCOUNT # `31879 CODE <br />CUSTOMER'S REQUEST <br />TAKEN FREE UNIC0 <br />. <br />OB # 12517 BID # <br />TIME%ALI:01NEps' <br />M"u~ i"' r r <br />T <br />DE a O <br />gals: to full load <br />-E YES FULLL <br /> <br />SOL sT0 EUGENE CITY O P UBL I C WdRKS <br />'to 2/3 1 ad <br />gals <br />v i <br />~ I <br />r` ❑,YES AddltiotTa u <br />mg <br />C e17tF <br />1 tlfTle C ~ <br />~1~ <br />_ <br />f~Nf*luri(_ CtUDTE 207 <br />t <br />I <br />gals <br />to'fJ load <br />, <br />y1t <br />ruck,fate <br />ou <br />x ❑ YES <br />er <br />. a~ <br />e!1.1 . .~i9 <br />DELIVERY <br />. <br />h <br />ADDITIONAL WATER f{ <br />~ <br />r, <br />..S' t 'E 4A iv <br />_4 <br />+ <br />REASON FOtR Y TJM <br /> <br />NTa PARE, S AND OPEN SPACE S- <br />?x RV <br />ADDED TO THIS <br />_ <br />❑ (JOB NOT REAL } <br />DATE P.O. <br />t 11107 `007-iT1-319 <br />CONCRETE WILL REDUCE <br />STRENGTH: ANY <br />01 LACK OF HELPp' ` <br />U~,, 4 - <br />❑ WHEEL BARRO ` <br />rTrIME i► s 4 PLANT 243610 PIT D <br />r > t DRIVER <br />WATER ADDED IS <br />' <br />. s <br />1LOAD <br />El WAITING FOR TRUCK7T <br />GROSS,g apt' 1 p~ TRUCK Ci T OG., TRLR # <br />AT CUSTOMER <br />S <br />K <br />: <br />VVATER"'`~ Asa <br />❑ ADDING <br />',tAREa; 16 4401 Ib WEIGHMASTER <br />OWN RIS <br />. <br />, <br />T ' 12 <br />740 lb <br />% { <br />N <br />El ARRIVED JOB EARLY <br />. <br />. <br />. <br />WATER REQUESTED BY: <br />OTHER <br />; . ' <br />SCIAL INSTRUCTIONS: <br />t <br />q <br />' <br />MATERIAL MIX DESIGN, SSD MOISTURE DESIRED AMOUNT ACTUAL AMOUNT ~SSD CORRECTED AMOUNT <br />? <br /> <br />CORRECTION <br />• w°.' , . <br />TRIM <br />Load Count A'ccum. Qty. <br />WATER ;•GAL./YD. . <br />K <br />. <br />' ' <br />.4 <br />JOB <br />1 <br />6,:37 Ton 5.78 N9 <br />DESTINATION. 1 6..37 Tipp 5.76 M9 <br />WATER/ ~ <br />CEIv1EIV~yt~t. <br />RATIO <br />• <br />. <br />• <br />. <br />MAXIM <br />U <br />ADD <br /> <br />5- <br />WATER GALS. <br />, <br />t~ <br />t, <br />PRODUCT#= <br />PRODUCT DESCRIPTION . <br />QUANTITY <br />UNITS . <br />aJNIT PRICE <br />AMOUNT <br />3400 <br />3/4° OPEN <br />6.37 <br />TO' <br />PLAINT PICKUP <br />) <br />99999 OPEGON (NO TAX) <br />ERMS: NET - CASH SALES PAYABLE UPON PICKUP OR. DELIVERY. CHARGE SALES <br />iUtAND PAYABLE BY?HE 15TH OF MONTH FOLLOWING' PURCHASE. A service charge <br />7 <br />TOTAL , <br />of $1.00, will be made on the unpaid balance at <br />f 11/2% per month, or a minimum <br />. <br />,e end of the following month's billing cycle. This'is an ANNUAL PERCENTAGE RATE OF <br />\ I A~~! I_ <br />TICKET 282867C` <br />CL <br />J <br />:fJ] <br />rJ <br />LU <br />0 <br />- <br />irnished on this job according to OREGON REVISED STATUTE 87.021: <br />RECEIVED BY FORM 30 Revised 10/04 <br />Important: I acknowledge receipt of a copy of Morse Bros., Inc.'s and take responsibility for the warning in'the product label regarding • working Initials of Acknowledger 2 L! ~8,676 <br />Administrative Group (541) 928-6491_- 32260 Old Hwy 34,Tengent, OR 97889 - CCB# 2101 ALSO SERVING YOU AT Harrisburg Prestress (541) 995-6327 -Tangent Operations (541) 928-6491 , <br />