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CUSTOMER
<br />Concretr ;_Irurious to eyes.Causes skin imtafion.Contains Portland Cement. Read the following warning before using: Contact with wet,
<br />unliardenecf°oaicrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye dame. Avoid contact with
<br />eyes and skin. Wear waterproof gloves, a fully- buttoned, lag - sleeve shirt, fulNength trousers and tight-fitting eye protection when waking with these
<br />materials. If you have to stand in wet concrete, use waterer d boots that are tight at the top and h'gh eno�h to keep concrete from flown into them.
<br />9 finishing concrete, wear knee pads to prated Itnees. After contact with any of these materials, wash off immediately with 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 />disco mfort.ln case of eye contac 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 m se a come into contact with wet (unhardeno concrete, mortar, cement a cement mixtures.
<br />at Pro brged inhalations'of dust from vel product may be hazardous to your health. Measures to control fugitive dust should be taken
<br />when handling this product Hot Asg9alt emits nce fumes. Avdd breathing fAlso, Asphalt may cause severe bums. Wear protective b `
<br />safety gear (big sleeves, pants and loves ) . If burned, cool with water and see a
<br />Water added at customer's own'dsk. Additional water added to concrete will Property Damage Indemnification & Release
<br />reduce its strength.Buyers agenta
<br />grees 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 />duetowaterVdedabovedesign LEASE to you fa your signature, isof the opinion that the operation ofthis charged at posted truck time rates. Truck standby
<br />> machinery in the manner required to perform our contract with you may time charged at posted truck time rates.
<br />Arrived a�)db" � �
<br />ith inch slump. possibly cause dame 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 , -z' gal water at customer request. Test cylinders that you,sgn this RELEASE. In consideration of the performance of the product defect is the return of the purchase pricm.In no
<br />s taken seller of its contract with me, I the undersigned, hereby INDEWIFY the event shall the seller be liable for any direct indirect,
<br />resu
<br />seller andflsem employees preey : incidental or con dame es ttin 'from
<br />Other additiops P fa any damage and ne all claims to the q 9 9
<br />building, utility pipelines a cables, telephone lines, driveway or other the use of the pproducts or arising out of breach of any
<br />Received j , " appurtenances, at: warranty. All claims for damages or shortages must be
<br />b ,i.,. made within 24 hours of delwery.We do not assume
<br />Y,, x ,. responsibility for any damage beyond the curb line.
<br />Buyer's Agent , Acetpt oPpiVduct and approval of any added items. 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
<br />mixer. Signature of Owner or Its Agent
<br />Signature of Owner or its Agent
<br />9 lAI�aDELT.KT.0.9.0.4.8
<br />i Leave Plant Ar Job Sit Start Discharg Finish Discharge Leave Job Site Arrive Plant
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<br />Drivers' � l ISH , 1
<br />Comments j�
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<br />Company/ Customer PO/ ,
<br />Order No. Cust. No. Customer Job Phase Code TICKETNO. Driver Co. Proj. No.
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<br />Delivery t Instructions gg&
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<br />Load Qty Delivered Qty OrderQty ProductCode UOM Product Description Unit Price
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<br />r TOTAL DUE
<br />Truck Gross Weight Tare Weight Trailer Trailer Taken by a
<br />Check #
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