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0 Albany (541) 928 -2547 ❑ Corvallis (541) 752 -3428 0 Lebanon Dispatcher (541) 258 -7123 O St. Helens (503) 397 -0111 ❑ Stayton,(503) 769 -6465 <br />0 Angell Quarry (503) 286 -1222 ❑ Eugene (541) 689 -6600 ❑ Metro Central Dispatch ❑ Salem (503) 390 -6955 <br />❑ Brownsville (541) 747 -1213 ❑ Gresham (503) 666 -5577 (503) 944 -3550 ❑ Sherwood (503) 692 -8242 <br />SAN M K N IFE <br />RESOURCES COMPANY M r` ffin R,,ffn /FA1\ 7AA -7r n N�rdir 19d11 Ur -7r77 M Rr irhhHd lrn31 RRR - RQM n Rnrinnfielfl lh411 747.121.3 <br />MAP LOCATE <br />BATCH TIME <br />LEAVE PLANT <br />ARRIVE JOB <br />BEGIN POUR <br />"FINISH <br />POUR <br />LEAVE JOB <br />ARRIVE PLANT <br />„ <br />WATER ADDED AT <br />TEST CYL <br />6 MINUTES PER YARD <br />CUSTOMER ACCOUNT # 31678 CODE <br />CUSTOMER'S REQUEST <br />TAKEN <br />FREE UNLOADING <br />JOB # <br />12517 BID # <br />❑ <br />TIME ALLOWED ON <br />DEST # <br />PUS <br />9 als. to full load <br />YES <br />FULL LOADS. <br />SOLD TO EUGENE CITY OF WORKS <br />gals. to 2 /3 load <br />El YES <br />Additional unloading <br />NN UAL QUOTE 20091201 <br />1 /3 <br />time charged at current <br />hourly truck rate. <br />--� 1 CITY Y OF EUGENE <br />gals. to load <br />El YES <br />DELIVERY <br />POINT <br />PARKS A ND OPEN SPICES <br />ADDITIONAL WATER <br />REASON FOR DELAYTIME: <br />ADDEDTOTHIS <br />❑ JOB NOT READY <br />DATE <br />J g P.O. # <br />CONCRETE WILL SEDUCE <br />❑ LACK OF HELP <br />TIME <br />i a 0 5 PLANT P4361 PIT q7j . <br />STRENGTH. ANY <br />El WHEELBARROW JOB <br />DRIVER <br />WATER ADDED IS <br />AT CUSTOMER'S <br />❑ WAITING FOR TRUCK TO UNLOAD <br />GROSS28, .-,Bo lb TRUCK # C1T-EUFj4 TRLR #. <br />OWN RISK. <br />❑ ADDING WATER <br />TARE <br />1, 1S 1b WEIGHMASTER <br />El ARRIVED JOB EARLY <br />❑ OTHER <br />NET <br />12 = <br />WATER REQUESTED BY: <br />SPECIAL <br />INSTRUCTIONS: <br />MATERIAL MIX DESIGN - SSD MOISTURE DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTED AMOUNT <br />CORRECTION <br />TRIM <br />Loath Cott n Qty <br />WATER GAL./YD. <br />JOBg 1 6.10 Ton M 5.53 Mg <br />5.53 Mg <br />�- <br />WATER/ <br />CEMENT <br />DESTINATION-. 1 6.10 Ton <br />��'-' �hGths ��t2,.� <br />-. <br />� �f <br />RATIO <br />-• <br />G�l�� �. <br />t og <br />j �(��/ <br />MAXIMUM <br />��► 4 �s6Qrn g g 5 a <br />j� <br />'�„ -' � " <br />ADD <br />WATER GALS. <br />� <br />Z.22 l( <br />PRODUCT'# <br />PR0Dqffi <br />QUANTITY <br />UNITS <br />UNIT PRICE <br />AMOUNT <br />3 <br />3/4"-0" CRUSHED ICU <br />6. <br />Tort <br />PLANT . P I CKUP <br />99999 ., OREGON (NO TAXI <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 1 per month or a minimum of $1 .00, will be made on the unpaid balance at <br />the end of the following months billing cycle. This is an ANNUAL PERCENTAGE RATE OF <br />look _ n _ ern __ I .. ............ f,,... of v,. ,.i.,�.,, I;_ f,...,R ice,,.., _A .,.� ;o l <br />k �f <br />,�� /�j f <br />/ ?d V' <br />TOTAL <br />TICKET # 3 76049 9 <br />furnished on this job according to OREGON REVISED STATUTE 87.021. ----- -------------------- = -- - -- - -- ----- ---------- ------ - - - - -- - <br />RECEIVED BY FORM 30 Revised 3/10 <br />Important: I acknowledge receipt of a copy of Knife River's Ready Mix concrete product label, and I understand and take <br />responsibility for the warning in the product label regarding working with Portland Cement Concrete. Initials of Acknowledger <br />Administrative Group ( 541) 928- 6491 • - 32260 Old Hwy 34, Tangent, 0R. 97389 " <br />CCB 2101 ALSO SERVING YOU AT Harrisburg Prestress (541) 995 -6327 • Tangent Operations (541) 928 -6491 <br />4 4 . 4 4 <br />