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❑ Stayton (503) 769 -6465 <br />. MAP LOCATE <br />BATCH TIME <br />LEAVE PLANT <br />ARRIVE JOB <br />& ❑ Albany (541) 928 -2547 <br />❑ CorvalliO541) 752 -3428 <br />❑ Lebanon Dispatcher (541) 258 -7123 <br />❑ St. Helens (503) 397 -0111 <br />a ❑ Angell Quarry (503) 286 -1222 <br />F <br />❑ Eugene (541) 689 -6600 " <br />❑ Metro Central Dispatch <br />❑ Salem (503) 390 -6955 . <br />rARN' I RIVE ❑ Brownsville (541) 747 -1213 <br />❑ Gresham (503) 666 -5577 <br />(503) 944 -3550 <br />❑ Sherwood (503) 692 -8242 <br />AN MDU RESOURCES COMPANY Fl Cnffin Rnftn 15411 745 - 7572 <br />F1 Hardrock (5411 745 -7572 <br />Fl Reichhold (5031366 -5900 <br />fl Sorinafield (541) 747 -1213 <br />❑ Stayton (503) 769 -6465 <br />. MAP LOCATE <br />BATCH TIME <br />LEAVE PLANT <br />ARRIVE JOB <br />BEGIN POUR <br />FINISH POUR <br />LEAVE JOB <br />ARRIVE PLANT , <br />Ft <br />3� <br />5 1 10 <br />WATER ADDED AT <br />TEST CYL. <br />6 MINUTES PER YARD <br />CUSTOMER ACCOUNT # 31876 CODE <br />CUSTOMER'S REQUEST <br />TAKEN <br />FREE UNLOADING <br />JOB # BID # <br />TIME ALLOWED ON <br />gals. to full load <br />9 <br />❑ YES <br />FULL LOADS. <br />SOLD TO EUGENE CITY .OF <br />2 <br />gals. to 2 /3, l oad <br />E l YES <br />Additional unloading <br />17TH AND JEFFER80N EUGENE <br />time charged at current <br />i <br />gals. to t /3 load <br />❑ YES <br />hourly truck rate. <br />DELIVERY <br />POINT <br />i <br />ADDITIONAL WATER <br />REASON FOR DELAY TIME:, 9 f <br />ADDED TO THIS <br />❑ JOB NOT READY <br />DATE 04/21/11 P.O. # <br />CONCRETE WILL REDUCE <br />El LACK OF HELP <br />TIME PLANT 8 PIT <br />STRENGTH. ANY <br />❑ WHEEL BARROW JOB <br />. <br />DRIVER MARK 'LOCI <br /> _ WATER ADDED IS <br />AT CUSTOMER'S <br />El WAITING FOR TRUCK TO UNLOAD <br />GROSS TRUCKL #��y966 TRLR # . <br />OWN RISK. <br />El ADDING WATER <br />TARE WEIGHMASTER FRANK ;RAEBUR <br />❑ ARRIVED JOB EARLY <br />El OTHER <br />NET i t o tan or i tM I C�n 1 nAnq q <br />WATER REQUESTED BY: <br />SPECIAL INSTRUCTIONS: <br />MATERIAL MIX DESIGN, SSD MOISTU E DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTED AMOUNT <br />CORRECTION <br />SLUMP 5 . <br />:. 18TH --- ON JEf`FERapI4 - ' <br />TRIM <br />., -- ; - - <br />WATER •... .. GAL./YD. <br />WATER/ <br />\ <br />. <br />CEMENT <br />1. L <br />RATIO <br />SCHEDULED ON JOB` 13 c 35 2 . �! <br />QUANTITY ORDERED 5►�.: l i <br />MAXIMUM <br />O � l <br />WATER GALS. <br />PREVIOUS TRUCK �•:��;+0690 <br />InQn T nIZ n0n170 4 171 <br />PRODUCT # <br />PRODUCT DESCR <br />QUANTITY <br />UNITS <br />UNIT PRICE <br />AMOUNT <br />. CONTROLLED DENSITY FILL (CDF -20) 10.00 <br />t,�1'W Im1 Ci tC Ql 1p t em _ <br />TERMS: NET —CASH. SALES PAYABLE UPON PICKUP OR DELIVERY. CHARGE SALES <br />DUE AND PAYABLE BY THE 15TH OF MONTH FOLLOWING PURCHASE. A service charge TOTAL <br />of 1 % per month, or a minimum of $1.00, will be made on the unpaid balance at <br />the end of the following month's billing cycle. This is an ANNUAL PERCENTAGE RATE OF <br />1510% oeoenr1A1 Kl^TV o. %Ar� A.. + —A --ill _�^ � � TICKET . # #74�fbb� . <br />furnished on this job according to OREGON REVISED STATUTE 87.021. RECEIVED SY <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 - warni - ng 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 /> i <br />FORM 30 Revised 3/10 <br />3749000' <br />M . <br />—1 <br />rn <br />Y <br />X <br />W <br />J <br />w <br />I] <br />