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�, ❑ Angell Quarry (503) 286 -1222 L7 Eugene (541) 689 -6600 [:1 Metro Metro Central Dispatch Salem (503) 390 -6955 f+*' <br />KN I FE RIVER ❑ Brownsville (541) 747 -1213 ❑ Gresham (503) 666 -5577 (503) 944 -3550 ❑ Sherwood (503) 692 -8 2 <br />AN MW RESOURCES COMPANY ❑ Coffin;Butte (541) 745 -7572 ❑ Hardrock (541) 745 -7572 C1 Reichhold ( 503) 366- 5900 ❑ Springfield (541) 747 -1? 3 <br />MAP LOCATE <br />BATCH TIME <br />LEAVE PLANT <br />ARRIVE JOB <br />BEGIN OUR <br />FINISH POUR <br />LEAVE J ,' <br />ARRIVE PLANT <br />•: <br />WATER ADDED AT. • x <br />TEST CYL. <br />6 MINUTES PER YARD <br />CUSTOMER ACCOUNT # CODE <br />CUSTOMER'S RE(FUEST <br />TAKEN <br />FREE UNLOADING <br />SOB # BID # <br />❑ <br />TIME ALLOWED ON <br />gals. to full load <br />YES <br />FULL LOADS. <br />SOLD TO <br />2 <br />gals. t o /3 load <br />❑ YES <br />Additional unloading <br />time charged at current <br />gals. to 1 /3 load <br />❑ YES <br />hourly truck rate <br />DELIVERY <br />P OINT <br />ADDITIONAL WATER <br />REASON FOR DELAY TIME: <br />ADDEDTOTHIS <br />JOB NOT READY <br />DATE P.O. # <br />CONCRETE WILL REDUCE <br />I__ LACK OF HELP <br />TIME PLANT PIT <br />STRENGTH. ANY <br />L BARROW JOB <br />DRIVER <br />WATER ADDED IS <br />E] WAITING FOR TRUCK TO UNLOAD <br />GROSS TRUCK # TRLR # <br />AT CUSTOMER'S <br />OWN RISK. <br />❑ ADDING WATER <br />TARE WEIGHMASTER <br />ARRIVED JOB EARLY <br />=1 OTHER <br />NET <br />WATER REQUESTED BY: <br />SPECIAL INSTRUCTIONS: <br />MATERIAL MIX DESIGN, SSD MOISTURE DESIRED AMOUNT ACTUAL AMOUNT SSD CORRECTED AMOUNT <br />CORRECTION <br />I <br />TRIM <br />1 � <br />WATER GAL /YD. <br />d- - <br />WATER/ <br />\ <br />CEMENT <br />!D � \. <br />RATIO <br />MAXIMUM <br />ADD <br />WATER GALS. <br />G <br />I <br />PRODUCT # <br />PRODUCT DESCRIPTION <br />QUANTITY <br />UNITS <br />UNIT PRICE <br />AMOUNT <br />i <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 <br />TOTAL <br />of 1 1 /2% per month, or a minimum of $1.00, will be made on the unpaid balance at <br />TICKET # <br />the end of the following month's billing cycle. This Is an ANNUAL PERCENTAGE RATE OF <br />1 go/- rrne. A r,a! <br />. ........... ....... <br />furnished on this )ob according to OREGON REVISED STATUTE 87 021 , - <br />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. <br />Initials of Acknowledger <br />Administrative Group (541) 928 -6491 • 32260 Old Hwy 34, Tangent, OR 97389 <br />CCB# 2101 ALSO SERVING YOU AT Hernshurq Prestress iS411 9 ?5- 6327.7 ngent OpPretionr. S.i i ' <br />FORM 30 Revised 3110 <br />3 N . 1 <br />UJ <br />to <br />0 <br />