CUSTOMER <br />Concret v;_lr.',urious to eyes.Causes skin irdtation.Contains Portland Cement. Read the following warning before using: Contact with wet, <br />unbardeneu"opricrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with <br />eyes and skin. Wear waterproof gloves, a fully- buttoned, long - sleeve shirt, full-length trousers and tight-filling eye protection when working with these <br />materials. if you have to stand in wet concrete. use waterproof boots that are tight at the top and high enorgh to keep concrete from flowing into them, <br />If finishing concrete, wear knee pads to protect knees. After oontad with any of these materials, wash off knmediatetywith fresh, dean water. Indirect contact <br />through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe <br />discomfort.ln case of eye contact flush with plenty of water for at least 15 minutes; Consult physician immediately. KEEP out of reach of children! User <br />agrees to convey this warning to all persons who may use or cone into canted with wet (unhardened) concrete, mortar, cement or oement mixtures. <br />Agoreuates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken <br />when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause were bums. Wear protective <br />safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physidan. v <br />4 Water added at customers own risk. Additional water added to concrete will Property Damage Indemnification & Release <br />reduce its strength. Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE- Unloading & Standby Excess unloading will be <br />due to water idded above desig i LEASE to you for your signature, is of the opinion that the operation of this . charg at posted truck time rates Truck standby <br />g p y <br />machinery in the manner required to perform our contract with you may time charged at posted truck time rates. <br />Arrived a 166 ith _ inch slump. � possibly cause damage to the premises or property. It is our wish to help <br />�' you in everyway that we can, but in order to do this, the operator is asking Limited Warranty The only liability of the sell r for <br />Added gal water at customer request. rest cylinders that you this RELEASE. In oonsideration of the performance of the productdefect is the return of the purchase price. h no <br />taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the event shall the seller be liable for any direct indirect, <br />Other additio s `' seller and its employees for any damage and for all dams to the premises, incidental or consequential damages resulting "from <br />-' building, utility pipelines or cables, telephone lines, driveway or other the use of the products or arising out of breach of any <br />r § °' warranty. All claims for damages or shortages must be <br />Received Vi a. appurtenances, at: made within 24 hours of dehvery,We do not assume <br />bY:a' X ' "' responsibility for any damage beyond the curb line. <br />Buyer's Agente.Y'eceipf o .. uct and approval of any added items. <br />and RELEASE the seller and its employees from <br />The addition of any extra products to our mixer may void any warranty any liability. <br />expressed or implied by the seller. The seller accepts no liability for any <br />personal injury incurred by you while adding additional products, to our k" t,tr „f t u w „I,nd ,-a 3' r � C {, ,, „I <br />mixer. Signature of Owner or its Agent ld,�`:' a , d !f tty,,§§.1 -3 <br />Signature of Owner or its Agent t »t; §,.d §i, <br />WGD.EL7'KIO.90.40 <br />Leave Pant Aq Job Start Discharge Finish Discharge Leave Job Site Arrive Plant <br />Drivers' <br />Comments <br />i <br />Company/ Customer, P&'”, <br />Order No. Cust. No. Customer Job Phase Code TICKET NO. 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