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-d CUSTOMER
<br />Concrete: Iryunfous to eycs.Causes site krilation.Contare Patland Cement Read tie fdknwirg warning before using: Contact with wet,
<br />' a�lit
<br />Wt�e'a.morta, cement a oared mdthses cal ease clan inflation, severe dierrical bums a serous eye damage. Avoid contact with
<br />eyes akl`sldn.' Wezr,walerprod gkare;, a futy-dAboned, khx} sleeve sNn, hAHerngtr hpul and fightm -�ao' eye protection when waking won Vase
<br />tfrishrig t oes xxknce 1 pad !o kl .AlteropVad airydthese ��h df H hZ, clew ind c lad -
<br />thragh dotlrg is as dageras m praryty none tlase matgiaLsfran doing. Sedc'urrnedWle medicos stem if you ha pasis0art a seas -
<br />dsmnlal.thrase d eF catad, ash vdth pkady d ureter fa at I 15 rninhs, Corso knnscift KEEP out d reach d children! User
<br />agres th mmY the vrardrg b al paws who may tae a comma info araaol with wet (�ed) conads, MOW,, cement a oarnent mixtures. ! ,
<br />Aaareaates: Pmbrged nhalahas d dust han,a grind product maY be lazadaa to tar heath. MassUFs b wntiol kgiNe dust should be gear lakes. - -
<br />when ladlkg the pradml' Hot Aeohag erNS rusance fumes Avoid bre Arg (arras. Alm, Asphalt may rase severe buns. Wear prdaAe
<br />s - 2 5.7 5
<br />ally gong sheaves, and gbves). t burned, pool with water and am a physician
<br />... - -
<br />Wat er added at customer's own risk Additional water added to concrete was Property Dam
<br />agO lndemnlflaahon & R81e88e
<br />reduce hsstmngth. Buyeesagentagreestowwptrespomsbilitybrmducedsbength The aperahr d the pieced ' equiprmd, in preserang this RE Unbading 8 Standby Excess unloading will be
<br />due 1p wateradded above design. LEASE byouhywsgreMre,sdthe aprion tnat the operegon dtis charged 8t posted truck time rates. Truck standby
<br />LEAS I" In tine mama raguyed b perfam cur contact won Ye. may time charged at posted Wck time rates,
<br />y Arrived at job with inch slump. prssbty cane damage th the prerdses a properly tt b err wish m hdp , .
<br />yonne.vyw can, but inaderb do this, the oPerabris adarg '�Limaed WarraMv The onl�liabilily of the�seller for
<br />Added_ gal water at customer request. Testglinders that yousign is RELEASE. In mnadaatlan d ine perfank'noa tithe product defect is tta return o the purchase price. In no
<br />taken sake d tts centred wltln me, I ton undersigned, hereby WDQuNI% tine event shall the seller be liable for any direct indirect
<br />,
<br />seas andb fa eandfor'it:abtne incidental or consequential damages resufting from
<br />Other additions budd rtiay ppdunas kee Prenaea, p
<br />g phare l lheuseofthe roducts or arising out of breach of any.
<br />ines, dMeway a atna- , warranty. All claims for damag9es or shortages must be.
<br />Received appurternanca, at: _ ,made within 24 hours of delivei do not assume
<br />y ' X tea risibility for any damage beyond the curb line.
<br />- ,Buyer's Agent receipt of product and approval of any added items. "sf r kf:
<br />and RELEASE the seller and Its employees from
<br />The addition of any extra products to our mixer may void airy warranty any liability
<br />expressed or implied by the seller. The seller accepts no IlabillN for any -
<br />personal Injury Incurred by you while adding additional producie to our Eugene Sand and Gr rive 1';rvta . •'
<br />mixer. Signature of Owner or its
<br />Agent 99520 CDBURG ROAD, `t
<br />Signature of Owner cur Its Agent__ r _._ _ ef , tNyWGDELTKTa9a4a EUGENE OR 97408-94674 '
<br />Dr ivers ' Plants Arrive Sli Start Diacharg Flnlsh . Dlacha}g Leave. ob site Arrive Plant 1 . ` 541
<br />Comments . 1 111111 Ilili illll IIIII 11111 lllll� {ills IIIPIIIiI IIII
<br />Company/ Customer PO/
<br />Order No. Cust. No., Customer Job Phase Code, TICKETNO.. Driver - Co. Proj. No.
<br />58011 47000 CITY_'OF EUG' 581722209 KEN ES 1001
<br />Customer Delivery Address °er 03 /29 -/2011
<br />CITY, •: OF ,EUGENE 17TH AND QUAKER . .- Nei ES I' io a ES 1
<br />Delivery Instructions
<br />N/E CORNER IN OFF 1 @TH - Tim: '
<br />�.- `AM'
<br />` .Load Qty Delivered Qty Order Qty ProductCode UOM Product Description , UnitPrice Amount .
<br />4.00 4.00 4.00 323665 yd ' ODOT 3600 -PSI 1 • k4" ��
<br />1.Q0 , 1.00 WATER -M ga HOT WATER
<br />4.OG, °r' 0.00 487000 ea ENVIRONMENTAL SURL ARSE
<br />17, ti ©aAl(er
<br />St�Ew!Alk �xS lSo�
<br />..Ramp 7x5 35�
<br />SHORT LOAD FEE
<br />OIN 10H TIME: '9:00
<br />Load Size' , - Prod. No' Description Slump Type CC. Use- Haul Co. PIUPlant Sales Tax
<br />4.00 58 323665 ODOT 360 PSI 3 4 TOTALDUE '
<br />Truck Gross.Weight Tare Weight Trailer Trailer Taken by " ;
<br />. Check # _ -
<br />0377
<br />- iim.-sesse �'d3T2h717 'f °SACif .� � TicT e�$ �5'6SL 20�'''
<br />° e ase n
<br />Material
<br />Design Qty
<br />Reegqained
<br />Batched
<br />% Var.
<br />% Moisture,
<br />Actual
<br />Nat Tria.
<br />ABI -II
<br />455 lit
<br />1820
<br />lb
<br />1815 Ib
<br />,# - 0.27 %'
<br />ISBASM -C
<br />115
<br />460
<br />.465 .1b
<br />1.09%
<br />'AAR350
<br />gglb'
<br />gg lb
<br />y M
<br />-2'0 gl-
<br />1639 Ih
<br />746
<br />Ih
<br />7440 Ib
<br />-0.35%
<br />1.50%
<br />13
<br />gl'
<br />CSAND350
<br />1238 lb
<br />5392
<br />lb
<br />5380 lb
<br />- 0.22% -, -
<br />8.68% A
<br />53
<br />gi
<br />POZZ -80
<br />28.50 oz
<br />114.00
<br />oz
<br />114.00 at
<br />0.00 %•
<br />NBAE90 .
<br />2.90 oz
<br />11.60
<br />ez
<br />13.00 oz
<br />12.07%
<br />NRATER -M.
<br />100.0 %
<br />41.9
<br />gl
<br />42.0 gl
<br />0.28% ''
<br />42.0
<br />gl 100.0 %
<br />Actual
<br />Mua Batches:
<br />I
<br />'
<br />' Design
<br />0.428 Water /Cenent
<br />0.427
<br />T
<br />Actual
<br />107.8 tjl ,To
<br />Add: 8.0 gl
<br />Stump: , 4.00 in 0
<br />
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