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MI I FE RIVER
<br />M
<br />' AN.DU.REtOURCEScouPANY _, �
<br />furnlsh o to OREGON REVISED STATUTE 87.0
<br />Important: I acknowledge receipt of a copy of Knife River's Ready Mix concl
<br />responsibility for the warning in the. product label regarding working with P1
<br />Administrative
<br />210
<br />O ~ Albany (541) 928 -2547
<br />BATCH TIME^';.."
<br />LEAVE f1ANT
<br />ARRIVE JQB
<br />BEG POUR
<br />FINISH P UR
<br />`0 Salem (503) 39076955
<br />ARRIVE PLANT
<br />❑ Brownsville (541 ) -1213
<br />❑ Gresham,(503) 666 -5577.
<br />(503) 944 -3550 -
<br />❑ Sherwood (503)
<br />7kF
<br />El Coffin Butte (5411745 -7572.
<br />❑ Hardrock (541) 745 -7572
<br />:'❑ Reichhold (503) 366 -5900 I] Spri gfiela'(54' . P4 213.
<br />` ° 'WATER ADDED AT
<br />.TEST IDYL. ,
<br />' 6 MINUTES PER YARD.
<br />- ACCOUNT # �187b � CODE
<br />CUSTOMER'S REQUEST,
<br />TAKEN::;:
<br />FREE UNLOADING
<br />i'JOB # BID # "'
<br />g f?TIME AL�OWED ON
<br />gals. to full load
<br />..„
<br />❑ YES'
<br />FULL LOADS.
<br />SOLD TO EUGENE C ITY OF
<br />*
<br />- '` ?/s load:
<br />gals : to
<br />❑YES
<br />Additional unloading
<br />g
<br />I
<br />i .� SIN AND COLEY EUGENE
<br />WISCONSIN
<br />? ,
<br />,
<br />time. charged at current
<br />t
<br />}
<br />` gals. to 1 %3 load
<br />❑ YES
<br />hourly.truck rate.'`
<br />oeuvERV `' "' '• .:
<br />POINT '� {,.''- r•
<br />t' i
<br />' ONAL.WATER
<br />AD[�ITIME-_*`
<br />RE _ ON FOR DELAY
<br />I!
<br />' AMD40THS:
<br />C0NORETEVI�ILL I Ut3 ' °-
<br />- .
<br />r " I
<br />JOB.NOT REA
<br />F
<br />TD Er 05/101.11 P.O. # ,I �. „•`.:`:
<br />7�T; r <P 7 „
<br />�_TIJVI -FJT
<br />STRENGTH. ANY °
<br />HELR
<br />WATER ADDED IS
<br />❑_WHEAL` BARROW JOB
<br />e
<br />i` `t , • DR VER A4N Df FOE.
<br />A CU STOMER'S
<br />❑` WAITING, FOR7RUCK TO UNLOAD
<br />G i� TRUCK': #4 ©340113 TRLR #
<br />SS
<br />..
<br />t 01NN,RISK.'
<br />❑ADDING WATER
<br />r T/\RE WEIGHMASTER FRANK RAEBUR' +.r
<br />,.. , .
<br />❑ ARRIVED JOB. EARLY,
<br />❑''OTHER
<br />: 9, 00 ' ACCUM.. -' '9.00 LOADS
<br />v
<br />?e51NATER,REQUESTEDBY:
<br />SPECIAL INSTRUCTIONS:
<br />/ . ,•y'
<br />I
<br />i
<br />kv r `E
<br />r
<br />/MATERIAL MIX DESIGN, SSD ' '•' MOISTURE' .. 'DESIRED`AMOUNT ACTUAL AMOUNT : SSD CORRECTED AMOUNT
<br />, U
<br />CORRECTION
<br />PLUMP
<br />TRIM f :r; ,• '..
<br />WATER GAL./YD.
<br /> t
<br />�V
<br />WATER /'
<br />�i
<br />�
<br />CEMENT �}•
<br />M .. ' ,��. • ,<
<br />{
<br />;<i ;, "';. ` ; • , f , . -.. ..: "•„ '' -
<br />_ ,
<br />RATIO
<br />E' CHEDUL":ED Ii " - .`.09:00 �, �
<br />MAxIMUM
<br />.QUANTITY CRDERfr3 14 ..,
<br />ADD .
<br />PREVIOUS *§UCK ; PJ �,
<br />WATER
<br />. ...
<br />,+
<br />; I
<br />n n T wit nObF # A�1
<br />RODUCT #.
<br />i PRODUCT DESCRIPTION
<br />QUANTITY
<br />UNITS
<br />UNIT PRICE
<br />AMOUNT 1
<br />5p�7CV s
<br />° 500 PSIS 1 /F-W /AIR
<br />9.00,
<br />.
<br />�►..,
<br />' i
<br />24 EUELRM-,
<br />I
<br />FUEL, SUR
<br />1 . 00
<br />.'�
<br />TERMS: NET CASH SALES PAYABLE UPON PICKUP OR DELIVERY. CHARGE SALES
<br />DUE AND PAYAB 'E BY THE 15TH OF MONTH FOLLOWING PURCHASE. A service charge
<br />,,of 1 per rpnth, z 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 />i
<br />r
<br />TOTAL`
<br />z
<br />,74
<br />TICKET # 9
<br />furnlsh o to OREGON REVISED STATUTE 87.0
<br />Important: I acknowledge receipt of a copy of Knife River's Ready Mix concl
<br />responsibility for the warning in the. product label regarding working with P1
<br />Administrative
<br />210
<br />O ~ Albany (541) 928 -2547
<br />E1 Corvallis (541) 752 -3428 'LI Lebanon Dispatcher (541) 258 - 7123•: ❑ St. Helens (503) 397 -0111
<br />1[] Stayton (503) 769 -6465,
<br />❑ Angell Quarry (503) 286 -1222
<br />L) Eugene (541) 689 -6600
<br />' }D Metro Central Dispatch
<br />`0 Salem (503) 39076955
<br />i
<br />❑ Brownsville (541 ) -1213
<br />❑ Gresham,(503) 666 -5577.
<br />(503) 944 -3550 -
<br />❑ Sherwood (503)
<br />7kF
<br />El Coffin Butte (5411745 -7572.
<br />❑ Hardrock (541) 745 -7572
<br />:'❑ Reichhold (503) 366 -5900 I] Spri gfiela'(54' . P4 213.
<br />---------------- ____ ___________ ___________________
<br />1
<br />FORM 30 Revised 3/10
<br />• : .RECEIVED BY
<br />'
<br />product label, and I understand and take
<br />nd Cement concrete.. Initials of Acknowledger, , //� � �,• ' ':: .
<br />iu (541 F • 928 -6491 � 32 60 Old. Hwy 34, Tangent, OR 97389 - 3 7 4 9 q•.G.. 9 �. '•.
<br />rrisburg f6restress.(54J� , 95 -6327 •Tangent Operations (541) '
<br />
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