Concrete; Injurious to eyes.Causes skin initation.Conlains Portland Cement, Read the fallowing waming before using: Contact with wet, <br />unhardened concete, mortar, cement or cement mixtures can cause skin irritation, severe chemic~ bums or serious eye dame. Avokl aanbcE with <br />eyes and skin. Weal waterproof gloves, a fatty-buttoned, long-sleeve shirt, fulHengfh trousers and trghtfil6nngg eye protection when working with these <br />maierial~ If you,.hav{~fo stand '€n wet oonrrete, use wakerproof boats that are tight at the top and h' h enough to keep conaete from flwring info them, <br />flfinishing ancrete, wear knee pads taprotectknees. Afteroontactvvith any oilhesemaEerials, wash off immediatey with fresh, deanwater. Indirect contact <br />through dolhing is as dangerous so promptly rinse these mateuials from dofhing. Seek immediate medical attention if you hale persistent or severe <br />discomfort.fn case of eye oontact, flush with plenty of water for at ieas# f 3 minutes. Consult physidan immediately. KEEP out of reach of children) User <br />agrees to convey this waming to ~f persons who may use or mme into oontad with wet (unhardenedj oonaete, mortar, Cerrrerti or cement mixtures. <br />~greAales: Probnged Inhalations o1 dust tram a gravel product may be hazardous to your health. Measures to control fugitive dust sheukf be taken <br />whon handling thFS product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bnms. Wear protective <br />safely gear (long sleeves, pants and gloves}. If burned, cad with walef and see a physician. <br />Water added at customer's awn risk, Additional water added to concrete will Properly Damage Indemnification 8~ Release <br />reduce its strength.Buyer'sagenlagreastoacceptresponsibilltyforreducedstrength The operator of this piece of heavy equipment, In presenting this RE- <br />duatowateraddedatlovedesign. LEASE toyauforyourslgnafure,ISOftheopiNonthaitheoperafionoffhis <br />Arrived at 'ob with inch slum , machinery In the manner required to perfam our contract w~'th you may <br />1 p ~ possibly cause damage to the premises or property. It is our wish to help <br />you in everyway that we ~, but m order to do this, the operator is asking <br />Added gal water at customer request. Test cylinders That you sign this RELEASE. In consideration of the perfomianoe of the <br />taken seller of its contract with me, I the undersigned, hereby INDEMN#F"( the <br />Other additions seller and its employees far any damage arxi for all dairris to the premises, <br />building, utiBty pipelines or rabies, telephone lines, driveway or other <br />Received appurtenances, a1: <br />by. <br />Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from <br />The addition of arty extra produC#s to our mixer may void any warranty any liabi#ity. <br />expressed or implied by the seller. The seller accepts no liability for any <br />personal mJury incurred by you while adding additional products to our <br />~~~~~M~~ <br />~.~ F~ f,~. _. y hr~ ~:~ <br />Unloading S Standby Excess unloading wi11 be <br />charged at posted truck time rates. Truck standby <br />time charged ai posted truck time rates. <br />Limited Warranty The only liability of the seller for <br />product defect is the return of the purchase price. In no <br />event shelf the seller 6e liable for any direct, indirect, <br />incidental or consequential ,damages resulting from <br />the use of the p~roducts or arising out of breach of any <br />warranty. Ail c[afms for damages or shortages must be <br />made wrthin 2q hours of delrvery,We do not assume <br />responsibility for any damage beyond the curb IJne. <br />mixer. Signature of Owner or its Agent i°.i~.;t,:i;:. €~:;~-'t}',jS. i'i'g`y',?f,; `,°il~iit`~t1:°~~.. <br /> f <br />t j <br />r <br />~ <br />~ ~ <br />t <br />~ <br />Si nature of Owner or its ent <br />,,.,..,Leave Pla, ~-_ <br /> <br />nt Arrive Job Site Start Discharg Frnish Dlsehargel Leave doh Slte <br />~ <br /> <br />WGl]~J.7kCtQ9A4t] <br />~ <br />Arrive Plant r • 4 <br />t rt t ~ ~~ <br />}, <br />., ,.~ <br />~,9., <br />. <br />` <br />a s , ~ <br />~,~ r~s ., <br />ir,r.3°• .:~~`~'_, i <br />r <br />s ~ <br />' <br />. <br />I <br />~ ~ , <br />.. <br />, <br />•, a 1 i. f „ <br />s. <br />I ~ <br />Drivers' <br />Comments ( <br />R ~ ~~ ~'CE ~~ j~ ~~ <br />~ ~~~ <br />~ ~~ <br />~ <br />~~~ ~ ~~~~ ~~ <br />~ <br />} <br />~ ~~ <br /> ~~k <br />~ <br />6 ~ ~ ~ ~ rb <br />~ <br /> , <br />~ <br />~ r~ is <br />~t ~ Id?t ~ <br /># .?~ ~iL ?~ <br />{~.~ i n, <br /> <br />Company/ Gustomer POI -- ~ ~;_ ~~} ~~t r pit ,.~~ A t <br />Order No. Cus#. No, <br />Customer Job Phase Code TICKET NO. ver <br />Dro Ca. Prof. No. <br />ff <br />.a ,., tit 3r. ~txsf .., fr `t v,7 a't'i'~:3 {':~rf:fr ~ rtJ~ ~......a ...a ). z. k~.,.J ,ft ~$i,~b~lt ~'~a il'~ t <br />p <br />}. );tit ~::".Y ..k }i,)t~'~t k.,6 <br />Customer Delivery Address dare <br />I-§ f k yIr°~ Y-~~'Y'`yy-t3 5 tyy !j r <br />.~v..rk .,> C4.... ,.,,="z ..Yl ~. , I.o i-:.,r f y F... f~ {p t.~). 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Truck Grass Weight Taral7Veight Trailer Trailer Takeri by ~-r +•+~- ~~ <br />Ch®ck # <br />w -., ~~~/,. ,. ,. .,, <br />2 ~~.~ .~A ~t;r~~!1[=~~ ~.~f•.. ~F..~;~, s. s.r~rl~ S~rY `,~lil_s~.~_~.~1. ~::~R. ~1l.A~. ~.t~.~E <br />r a es Tax <br />~AL DUE <br />~. r11 1~~..l ~..~ ilR .1111. r .. <br />