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CUSTOMER
<br />Concrete: Injurious to ,eyes.Cases sun knletion.Contam Portland Cement. Read the following warring before uelng: Corded with wet,
<br />i t�a rtaete, mare, content or cement ntxhaes ran cause elm imlatim, severe chariot bums a sates eye darrsge. Avoid contact with
<br />eyes a slart'Wear wadii glove+, a Ny4imored, lonivileaue shot hAHe gth trews and tg eye Protection when workig with these
<br />materials. k you have b stand in wet concrete, use waterproof boots that ore fight at the top and h'qtNh h to keep concrete train flonag nth hem.
<br />'an!" concrete, voter hneepadsbprobd knees AfterarntadwitlnarydNese rnataiels,wash drrmiedaletyxiNfresh , deanwafa.lndredanled - -
<br />through
<br />doNhg 's as dagerous ro prarply nose snese materials, than dotlag. Seek inrrtedffie medkal atladon'rf you bare persbuent a seise . "
<br />dlsamfat.N rase d eye anted, fish wth panty d watii fa at 1ers115 miMes. Canna ptr��'nnteda�y. I�EP oral d readn d dtildmil User ..
<br />to
<br />Ann
<br />renates: Pmhrgbu n�haahas Cu from a grad prod may be haxallous to y taalsi. Meaures m aMOI f t dust shoutl - .
<br />wfen ladlkg Nb product Ndt AsohaR snits mbam fumes Avoid Ixeatllbg tunas. Aber, Asphak may rata ease bans. W� prdecate
<br />safety gear pang sleaes, palb and glees). If loomed, oral wan wale and see a physician. " •
<br />2579196
<br />Water added at cunonxds own risk Additional water added to concrete will
<br />Property Damage Indemnification & Release .thy '
<br />reduce No sbength.Buyees agent agrees to accept responsibility for reduced strength.
<br />The aerator of tNs pees of heavy equprlat, in Pesenting this RE -;- Unloading & Standby Excess unloading will be
<br />duetowater added above design.
<br />LEASE byoulayoursgnatum sdtllecpiniontlelareeperadmdth's charged al posted (rock came rates. Truck standby
<br />:
<br />'
<br />maininery m the norm required b pedam err cnt a t etN you may time charged at posted truck time rates. -
<br />• s
<br />Arrived at job w inch slump.
<br />ih
<br />prssf* reuse damge b erne predsm m prop". It err v b help
<br />TEMPER
<br />you n everyway had we cat, but in order to do his, the cpelaor a adWg Limited Wartardy The only liability of the seller for
<br />Ehe the In no
<br />Added_ gal' water at customer request. Test cylinders
<br />taken
<br />Nat you sgn Nis RELEASE h arlsideratlm d the Pedmnace d the productdefedis return
<br />seller d'As contract Win me, I the undersigned, hereby INDEW IFY the event shall the seller be liable
<br />of purchase price.
<br />for any dire Indirect,
<br />0.00% - -
<br />Other additions
<br />�sellerand its ernpayees fa carnage and for all dame tdNe Pradste, incidental or consequential damages msu It
<br />buikGng, utility pipelines or cables, telephone lines, dikeway a other the use of the pproducts or arising out of breach of
<br />from
<br />any
<br />Material
<br />appurtenances, at warrant
<br />All claimsfordamagesorsh0 tagesmuslbe
<br />b Received X
<br />made wiy.
<br />thin 24 hours of delaery.We do notassume
<br />X Moisture Actual"
<br />responsibility
<br />for any damage, beyond the curb line.
<br />Buyer's Agent receipt of product 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 volt] any warranty
<br />; any liability. _
<br />expressed or impled by the seller. The seller accepts no liability for arty.
<br />-
<br />personal Injury Incurred by you while adding,addidonal products to our
<br />Eugene Sand and GI "
<br />mixer. -
<br />Signature of Owner or Its Agent 9 Ci�BURG ROAD
<br />r �_
<br />S i gn ature
<br />- of Owner or Its Agent_ - - -- _....- __ -_ ...._.
<br />'. WDDELT1ffa904a EUGENE , OR 97408_ry 467
<br />_ _y ggg
<br />Leave Plant
<br />Arrive Job v
<br />Start Discharge)
<br />r Finish Dlschargel
<br />Leave Job She
<br />Arrive Plant
<br />541 � 413 3 - " 1'51 S, -
<br />.
<br />-1.92%
<br />95,0
<br />al -t.0 ql
<br />• °
<br />Drivers'
<br />Comments
<br />Company/
<br />Order No. Cust. No. Customer Job
<br />.58027 47090 CITY OF "EUG
<br />Customer
<br />CITY - 10F EUGENE, „
<br />Delivery Instructions
<br />OFF BRITTEY AND 18TH
<br />Driver ..Co: Prq.' No.,
<br />TRAVIS ES1091 '
<br />Date. 04 /0 f'/2C,1 1
<br />kap ES1 � ES1'
<br />Scaft
<br />Load Lity , Delivered Qty Order Qty r Product GOde. UQM Proouctuescription Unit Price Amount,,,
<br />10.00 10'.00 10.9t? 323665 yd ODOT '360t5 PSI 3'/4 " ,
<br />10.00 O.i;rt 487000 ea ENVIRONMENTAL SURCHAR63L
<br />17717 9335 9s�
<br />ON JOB T'IME:. 10,00 m.
<br />Load Size Prod No Description - Slump Type cc Use Haul Cd. Pit/Plant Sales' Tax -
<br />10.00 58 323665 ODOT _ r1rl PST g F TOTALDUE
<br />Truck
<br />Gross Weight
<br />02 285.00
<br />Tare Weight Trailer
<br />Trailer
<br />taken by
<br />MDAE90
<br />(Check #
<br />oz 29.00
<br />9870
<br />29.00 vz
<br />0100 %,
<br />TEMPER
<br />.0
<br />2.0
<br />gl
<br />2.0 gl
<br />0.00% - -
<br />74yVtTi 7 M7 MT
<br />I iMt iE:..Zivti:ddT
<br />a �
<br />�ratcnea i!tyTl /r:l
<br />Material
<br />Oeaign
<br />Atqq
<br />Required
<br />Batched
<br />X Var
<br />X Moisture Actual"
<br />Nat Trim
<br />ABI-1I
<br />455
<br />lh
<br />4550 !h
<br />4545 lb
<br />+ 0.11%
<br />ISSASR -C
<br />115
<br />lb
<br />1150 Ih
<br />1155.1h
<br />0.43%
<br />WATER -M
<br />29.2
<br />gg1
<br />96.9 gg1
<br />15.0 gI'
<br />-1.92%
<br />95,0
<br />al -t.0 ql
<br />l
<br />CSAKD350
<br />1238
<br />It
<br />13649 lb
<br />13600 b
<br />0.36n,
<br />10.25 %' A . 152
<br />91
<br />PUZZ-90
<br />28.50
<br />02 285.00
<br />oz
<br />284.00 vz
<br />- 0.35 %"
<br />MDAE90
<br />2.90
<br />oz 29.00
<br />oz
<br />29.00 vz
<br />0100 %,
<br />TEMPER
<br />.0
<br />2.0
<br />gl
<br />2.0 gl
<br />0.00% - -
<br />Actual "
<br />Huai
<br />"Batches: . 1
<br />Design 0,428 Water /Cement 0.427
<br />T
<br />Actual
<br />279.4 g To Add: 12.6 ql
<br />Slump: ' 5.00
<br />in
<br />0
<br />! 111111 Iilll _11111 VIII VIII VIII fill{ VIII IIII ill)
<br />r -
<br />Customer PO!
<br />Phase Code TICKETNO.
<br />513022381,
<br />Delivery Address
<br />15TH AND BRITTU — EUGENE
<br />
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