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MAP LOCATE B <br />BATCH TIME L <br />LEAVE PLANT A <br />ARRIVE JOB B <br />❑ Albany (541) 928 -2547 <br />❑ Corvallis (541) 752 -3428 <br />❑ Lebanon Dispatcher (541) 258 -7123 <br />❑ St. Helens (503) 397 -0111 ❑ Stayton (503) 769 -6465 <br />❑ Angell Quarry (503) 286 -1222 <br />L1 Eugene (541) 689;6600 <br />❑ Metro Central Dispatch <br />El Salem (503) 390 -6955. <br />KNIFE 171 Brownsville (541)'747 -1213 <br />El Gresham (503) 666 -5577 <br />(503) 944 -3550 <br />El Sherwood (503) 692 -8242 <br />A COMPANY 71 <br />❑ Coffin Butte (541) 745 -7572 , <br />❑ Hardrock (541) 745 -7572 <br />❑ Reichhold (503) 366 -5900 <br />❑ Springfield (541) 747 -1213 <br />MAP LOCATE B <br />BATCH TIME L <br />LEAVE PLANT A <br />ARRIVE JOB B <br />BEGIN POUR F <br />FINISH POUR L <br />LEAVE JOB A <br />ARRIVE PLANT, <br />9:1 <br />9, <br />WATER ADDED AT T <br />TEST CYL. 6 <br />6 MINUTES PER YARD C <br />CUSTOMER ACCOUNT # 31B•7€� CODE <br />CUSTOMER'S REQUEST T <br />TAKEN F <br />FREE UNLOADING J <br />JOB # BID # <br />TIME ALLOWED ON <br />gals. to full load ❑ <br />❑ YES T <br />FULL LOADS. <br />SOLD TO E CITY OF <br />2 A <br />❑ YES 1 <br />Additional unloading S <br />1 7TH AND JEFFERSON EUGENE <br />time charged at current <br />gals. to 1A load ❑ <br />❑ YES h <br />hourly truck rate. D <br />DELIVERY <br />POINT <br />ADDITIONAL'WATER R <br />REASON FOR DELAYTIME: <br />ADDEDTOT <br />El JOB NOT READY D <br />DATE 04/19/11 P.O. # <br />RE E <br />❑ LACK OF HELP T <br />TIME PLANT $ PIT <br />STRENGTH. ANY D <br />- 1 WHEELBARROW BARROW JOB R <br />DRIVER <br />El WAITING FOR TRUCK TO UNLOAD G <br />GROSS TRUCK #4 @34G}554 TRLR # . <br />AT CUSTOMER'S E <br />OWN RISK. ❑ <br />❑ ADDING WATER T <br />TARE WEIGHMASTER FRANK RAEBUR = . <br />❑ ARRIVED JOB EARLY N <br />NET 1 . <br />WATER REQUESTED BY: E <br />. 1 <br />MATERIAL MIX DESIGN, SSD MOISTURE DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTED AMOUNT <br /> . CORRECTION <br />TR IM <br />' r W <br />WATER GAL.1YD. <br />ffz 7f `C� v'. W <br />WATER/ <br />s' C <br />CEMENT <br />✓ tt r R <br />RATIO <br />SCHEDULED ON JOB 09 <br />MAXIMUM <br />QUANTITY ORDERED 1 A <br />ADD <br />PREVIOUS TRUCK 0 W <br />WATER <br />1 n TVf•.1C i 1DP_1C_D 44 n_ .+ <br />PRODUCT #� - <br />-� PRODUCT DESCRIPTION Q <br />QUANTITY U <br />UNITS U <br />UNIT PRICE A <br />AMOUNT:. <br />2450N5KISR 5 <br />5000 PSI W/ AIR (51b - -KSR) 1 <br />1.00 <br />24MA M <br />MICROFISER 1 <br />1.00 <br />24HW H <br />HOT'WATER I <br />I.0 <br />24SL:D R <br />READY MIX SHORT LOAD DELIVERY 1 <br />1.00 <br />o <br />o Cl l ( r <br />rl IC _ <br />1 M <br />_ _10 1 <br />DUE AND PAYABLE BY THE 15TH OF MONTH FOLLOWING PURCHASE. A service charge T <br />TOTAL <br />the end of the following month's billing cycle. This is an ANNUAL PERCENTAGE RATE OF <br />18 PERSONAL NOTICE: W r r <br />furnished on this job according to OREGON REVISED STATUTE 87.021. RECEIVED BY <br />Important: I acknowledge receipt of a copy of Knife River's Ready Mix,concrete product label, and I understand and take <br />responsibility for the warning in the product label regarding working with Portland Cement concrete. Initials of Acknowledger <br />Administrative Group (541) 928 -6491 •32260 Old Hwy 34, Tangent, OR 97389 <br />CCB# 2101 ALSO SERVING YOU AT Harrisburg Prestress (541) 995 -6327 • Tangent Operations (541) 928 -6491 <br />FORM 30 Revised 3/10 <br />3748974,` <br />