HomeMy WebLinkAboutMisc Letters (2) zzc:C, ,-
I RECIEDIVED
DEC 2 0 2017
PER AII'TI 3 s
/ $/t St. Lucie COUnty, FL
• Plant: Begin.Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant:
Cgstamer Code; Customer Na e: Customer Job Number: Order Code/Date:
t' I"I v; f�CJ'.; f�' �r?I f f�'L L i i?f'I��F?r i E I �,r,.,;r•=,C 1 ?
'Project Code: Project Name: Project P.O.Number. Order P.O.Number.
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Ticket Date:j Delivery.Address:,,/ ; 7 1� }4"=. y` I_' + !__ t +/f T, i I I'+ Map Page: MaplRow/Column:
1•,js'_:l_•'.' .. . j�._f Al.t..l . A . {1E F'd(i i �I 1 C; i t•' J ,
Delivery Instructions Dispatcher:,
I-1 .t1 i`.Is :' f !t 1tI It,_t C tt �'E i::lil)E Y..t�x91 M ;fF?�_ . � ;{1L+1 ,'=$Er
Ticket Number:
i
[,PVe,.OpJob: Slump Tuck Numbers .Driver Number: P,river Name: T��SS
7. _ r•� 38.. '{ l +'t !`d;: 15, IE
LOAD CUMULATIVE ORDERED MATERIAL CODE QUANTITY QUANTITY QUANTITY PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT
.L i .. (a(J ;j,.ae,,,zt_?r:•....�.�t_t 3 t.i$2$1 }`)f-fit l
13,'( 0 pF, 4 r
'�= $:x'."> • 1.�:'$.ic��'� T.I �:.+.'�ft1TFiQh,f;'�IE��'I"t"k:}+ l'"� l�:` �r�i% ,
• 1
Cash Check#!Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect
Check Without Standby Charges:
Charge
Comments:
WATER ADDED: GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
/ CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
PF, FULL_I_ I_..[�1-� .) Y�-1f'•:�.);'S SIGNATURE
..._.__...._._y _.»_...._ ,
❑ LOAD WAS TESTED BY:
Notice: Our drivers will make every effort to place materials where the customer designates,but the' SPECIAL TERMS: Any water added is at'customers own risk. If water is added on job,concrete strength
Company assumes no responsibility for damages inside curb or property line.. Customer agrees to the is no longer,guaranteed. WARNING: Product may cause skin and/or eye irritation. CAUTION: Material
terms of sale and delivery and accepts concrete as is. Due to important factors which are out of our may be hazardous to your safety and health. Please refer to the backside of this ticket for important
control after delivery,this Company will not accept any responsibility for the finished results. No credit for safety handling information,and to the material safety data sheets for additional information.
.returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE:
within one business day after the receipt of materials.
;f:`EI,:' t 'k:a t i$;y:-,c^:rtl.t)cf fiC�I?�lr `. 'ItL.�L,," i l�i l)'!,1t.1�,1;
r 68UNIVERSAL INVOICE,-,--"
This Delivery Ticket incorporates herein by reference Buyer's previously executed C—lit Application, if any, Seller's-ivndayd
Terms and Conditions, Seller's Quotatic any, and Seller's Order Confirmation (it ling limitations of warranties), as if fully
set forth on this Delivery Ticket("Agree......t"). Seller will provide the Standard Terms and Conditions upon request. Buyer agrees
1 that,unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to
u pay in accordance with the:Agreement.
AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH
Aggregate products are naturally occurring materials including limestone,dolomite,granite;volcanic rock,sand,gravel,and other
siliceous materials. Cement products include Portland cement, masonry;-pozzol:an.(Type IP), roof tile, and stucco. Concrete
products include Portland cement and aggregate products-including limestone, dolomite, granite,volcanic rock, sand, gravel, and
other siliceous materials.These products, including fly ash, may contain more than 0.025%crystalline silica.
Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye burns and allergic skin reactions.
Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling,
crushing, grinding, cutting and/or drilling may contain silica,which may cause silicosis and cancer if inhaled.
If ingested,keep warn, at rest,and drink large amounts of water. Fly Ash may contain trace amounts of ammo-
nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation
or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure.
Safety: Avoid contact with eyes and prolonged contact with skin.Wear gloves,eye protection,and appropriate protective
clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to
dust above recommended limits (see MSDS),wear suitable NIOSH-approved respiratory protection.
First Aid: In case of eye contact,immediately flush eyes with flowing water for 15 minutes.If dust is inhaled,move to fresh
air. If wet cement contacts skin,rinse thoroughly with water. Get proper medical attention if irritation persists.
CEMEX, Memorial Hermann Tower
10100 Katy Freeway, Suite 300
V8 combined Houston,Texas 77043
01/17 For more information please visit www.cemexusa.com.
Este ticket de,entrega incluye Como referencia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier
termino estdndar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del.vendedor (con limitaciones y
garantfas),como acuerdo total del ticket de entrega("Contrato").El vendedor proveerd los terminos estdndares y condiciones detal-
lados en caso de asf ser requeridos.Con este documento,el comprador acepta los mismos ya antes mencionados y que las cantidades
y materiales fueron entregados como se expresa en el mismo.Acepta pagar el monto de acuerdo al contrato; al menos que se identi-
fique con una nota al frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturaley como piedra caliza, dolomita, granito, roca volcdnica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanileria, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita,
granito,roca volcdnica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede
contener mds de 0.025% de si.licio cr.istal.ino.
;CUIDAD01.
Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritacion en los Ojos,quemaduras en piel y ojos,y
reacciones alergicas en la piel. Concreto seco y polvo de agregados,pueden causar irritacion en los ojos,piel y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, corte y/o perforac16n puede contener materiales
silicos,los cuales pueden causar silicosis pulmonar y cancer si son inhalados.En caso de ser ingeridos,mantenerse
en temperatura cdlida,reposar y tomar grandes cantidades de agua.Las cenizas volantes pueden contener amoniaco.
Seguridad• La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritacion o
quemaduras en la nariz, garganta y pulmones.Acudir inmediatamente al medico. El riesgo en la salud depende en
la duraci6n y el nivel de la exposicion.
Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes,proteccion en los ojos y ropa
Primeros adecuada para proteccion.Ldvese las menos con jab6n suave y agua despues del manejo de materiales.Evite inhalar
auxilios• polvos. Si se expone a polvos mds de los limites recomendados, use proteccion respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos.
Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, ldvelos a fondo con
agua.Acuda a atencion medica inmediatamente si la irritacion continua.
CEMEX, Memorial Hermann Tower
10100 Katy Freeway, Suite 300
V8 combinado Houston,Texas 77043
01/17 Para mds informacion visita www.cemexusa.com.
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,iv„ r� LZ ?
Plant::'' Begin Loading: ,To Job: Arrive Job: Start Unload:: Finish Unload: "Leave Job: Return Plant:•
()
Customer Code: -Customer Name: "" Customer Job Number:. Order Code%Dater
frr.!'f.l.`i # ?j :"T`l' flLJt`SJE_L_f.,. t:s:ll?E':EcE.'F :?(:,. :
Project Code, Project Name °`P.rojectP,O.Number. Order P.O,Number.
Ticket Date: Delivery Address: Map Page:. `Map/Row/Column:
r r r t•r �w ! { t b t..Lf.t r.' !_ s l tj_�r j:..f'I E��1'�'it j5.,,.i'i,7 r 41.'j (.�<, E.
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Delivery Instmctlons: Dispatcher
C'DDE u. t'"t �'!:?. tll� riz+
Ticket Number.
Due On Job: Slump: Truck Number: Driver Number m- Driver Nae: 7End se'
i1A.-_J ._J+, l�lf_1 .l _L(J Cam,.!. ..f�..7 -i tv 1 + i j h.�c.,.' '-!..�_:r"t. E'•.t? i,.1r'�j -
LOAD CUMULATIVE ORDERED' MATERIAL CODE,.. .• -- ti PRODUCTION'DESCRIPTION;'' UOM UNIT PRICE AMOUNT
QUANTITY QUANTITY QUANTITY
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i�f,.t .,9 3 ,,tit ,mE. ru'•-(A� ;r.=h'e f:..+t'tt-_.,:- r..{ArR.� r : 1Y,,6
f.)P. A'b, { 'I%,{.M'�i'y{_,NI JE t�J�1-��r..,l 1`1P,: /J1::..
,
• ", .. '
Cash Cfieck#/Auth Code:. Signature.of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect
Without Standby Charges:
Check
Charge. ,
Comments:
WATER ADDED; GAL YARDS IN DRUM:
WHEN ADDED.
• - 1.•
' r SIGNATURE
"CURB LINE'CROSSED AT OWNER'S/AG:ENT'S`REQUEST:
y 14i.Ri IF. 1rT�is'!s;1 .rIf:IL f.�tiL
_.
E,f L C LIL L L. lip .� YLI SIGNATURE,
, ;
SIG URE,
LOAD WAStlTESTED.
fl BY:❑
Notice Our dnvers'Wlltrmake every effoit to-place materials where the customer designates but the' SPEGIAL'•TERM5 Any water added is at customers own nsk. If water is added on job,boncrete strength
Company ass urT as no responsibilit'y,.for;damages inside curb-or property line.,Customer•,agrees to the, is no longer guaranteed WAFNING: Pro JUctmaycause skin and/or eye irritation.,CAUTION: Material
terms.of sale and'delivery and accepts-concrete,as is. 'Due-to important factors.which are out of our.may:be,1azardo is to your safety and,health. Please refecto ttie backside of,ihis ticket for important
control after delivery,this Company will'not accept any responsibility for the finished results.','No'credit foi' safety'tiandling information;and.to the material safety'dafa sheets for.additional information,
returned concrete Buyers exceptlons and claims shall be.deemed waived unless trade to us m writing, AUTHORIZED SIGNATURE+' '
within ane'business day after the receipt of materials
.68UNIVERS4L'�4 f}l l " ;'3c tl l
AL i (at I ,
' isUJ I.®IVI CfI; .
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's dard
Terms and Conditions, Seller's Quotatioj any,.and Seller's Order-Confirmation (in ing limitations of.warranties), as'i fully
set forth on this Delivery Ticket("Agreei........). Seller will provide flie..Stan'dard Termer—.d Conditions upon'request.Buyer.agrees
that,unless otherwise noted on the front hereof,all,quantities and items.were delivered as indicated and further expressly.*agrees to
pay in accordance with.the,Agreement. ;
''AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH
Aggregate products are naturally occurring materials including limestone,dolomite,granite,volcanic rock,sand,gravel,and other
siliceous materials. Cement products include Portland cement;-masom.y, pozzolan.(Type IP), roof tile, and stucco. Concrete
products include Portland cement and aggregate products including limestone, dolomite,granite,volcanic rock, sand,gravel,and
other siliceous materials. These products, including fly ash,may contain'inore than 0.025% crystalline silica.
Hazards: Freshly mixed wet cemenfand/or'fly ash can cause eye irritation, skin and-eye burns and allergic skin reactions:
Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract.Dust,from handling,
` crushing, grinding;`cuffing dhd/or drilling may contain silica,which niiy cause,silicosis and cancer if inhaled.-
- _ If ingested,keep warn, at rest, and drink loge amounts of water. Fly Ash may contain trace amounts of.ammo-
nia. Moisture can cause the ammonia to be'released. Inhalation of ammonia can cause coughing and irritation
or bums of the nose, throat and lungs. See physician;Health risk depends on duration and;be of exposure..
Safety:,. Avoid,contact with eyes and prolonged contact with skin.Wear gloves,eye protection,.'and,appropri.ate protective
clothing. Wash'hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to
dust.above recommended limits (see MSDS),wear suitable NIOSH-approved respiratory protection.
First Aid: In case of eye contact,immediately flush eyes with flowing water for 15 minutes.If dust is inhaled,move to fresh
air.If wet cement contacts skin,rinse thoroughly with water. Get proper medical attention if irritation persists.
CEMEX,Memorial Hermann Tower
10100 Katy Freeway, Suite 300
V8 coin6i�Sed Houston,Texas' 77043"
01/17 For more information-pfease visit.www.cemexusa.com:
Este ticket--de entrega:ii cluye:=conlo.-'refei-en6a al�coinprador (ya previamen e gecutada.eri`su:aPlicacion,�e credito);'cualquier
terming estandar,_coiidicioires del veudedor,..propuestas de] veiidedor y,or en de.-confirmacioii"del,vendedox.(con_Lmitaciones -
garantias),como acuerdo total del.ticket de.entrega("Contrato").El vendedor proveexa los terminos estandares y condiciones.detal-
lados en caso de asf ser requeridos.Con este documento,el comprador acepta los.mismos ya antes mencionados y'que las cantidades
y materiales fueron,entregados como se expresa en el-mismo.Acepta pagar el monto de acuerdo al contrcto; al mends que se identi-
fique con una nota al frente'de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
•Los productos de agregados son materiales naturales como'piedra caliza, dolomita, granito, rota volcainica', arena, grava y otros
materiales silicios.,Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de,
azotea y estuco. Los productos de concreto incluyen cemento-'Portland y productos de agregados Como piedra caliza, dolomita,
granito, rota volcdnica,arena, Brava, y otros materiales silicios.Estos productos incluyen cenizas volantes (fly ash) la cual puede
contener mas de 0.025% de silicio c.ristalino.
1CUIDADO!
Peligros: Mezcla de cemento fresco y/o cenizas,volantes pueden causar irritacion en los ojos, quemaduras en piel y Ojos,y
reactions alergicas en la piel.Concreto seco y polvo de.agregados,..pueden causar_irritacion.en los_ojos,.piel.y/.o.qn.
-la'zona respiratoria. Polvo del manejo en el trituramiento,pulido;torte y/o'perforacion puede'contener materiales-.
silicos,ids cuales pueden causar silicosis pulmonary cancer si son inhalados.En caso de ser ingeridos,mantenerse.
en temperatura caliza,reposai_y tomar grandes cantidades de agua.Las cenizas volantes pueden contener_ amoniaco.R
Seguridad• La hume'dad puede�causar"la liberation del amori aco.La inhalation del amoniaco puede causar toner, irritacion.o.
quemaduras.en la nariz, garganta y-'pulmones.Acudir inmediatamente al medico. El riesgo en la salud depende en
la duracion•y'el nivel de la exposition.
Seguridad: Evite el-contacto con ojos:y contacto prolongado con la piel.Use guantes,protection en los ojos y ropa
Primeros adecuada para proteccion.Lavese las manos con jabon suave y agua despues del manejo de materiales.Evite inhalar'
auxilios: polvos. Si se expone a polvos mas de los lim' ites recomendados,use proteccion respiratoria.
Primeros auxilios: En caso de contacto en los ojos,inmediatamente fluya agua en la parte afectada por 15 minutes.'
Si.se inhala polvo, exp6ggase a'aire'fresco..Si el'cemento fresco tiene contacto con sus ojos, lavelos a fondo con
agua.Acuda a atencic n inedica inmediatamente si.la irritacion continda.
CEMEX Memorial Hermann Tower-
10100 Katy.pieeway;Suite 300. ' F
V8 combinado Houston,Texas 77043 '
Para mas information visita'www.cemexusa.com. - -
----
a ,
Plant: Begin Loading: To Job: Arrive Job: Start Unload; Finish Unload: Leave Job: Return Plant:
ttzt- if 1t ,a '
_ Customer Code: Customer Name: _ Customer Job Number: Order Code/Date:
�f_iJ�r J.•:.1 mi-_ l ''t {rlfJRVEL.L_ COi'dt. PET/_ 7h11 10,!3Ci, 1 '
Project Code: Project Name: Project P.O.Number. Orderp,0.Number:
Ticket Date: _v Delivery,`A dCeSs: r } a. COVE
I �._., n Map Page: Map/Row/Column:
1.t: , etDat � � 1 Pet !s:t��- .N C'.W71-1ER,I1"11A C.'OV [�?P�Lf: k t>O r N, HU L,H"i!`.1,.,
elivery Instructions Dispatcher:-
Gt rt t�{o -1 _L JO %t1Tlr:; CvODE 3 79 1. n�9tsJ�.
Ticket Number:
t o '
3•�...3, . i I,
Due On Job: Slump.. i T uck Numbeq__ Driver Number: r ver Name: End Use:
,._) t�.t i �1�c_ Utz. 1';?~tr•_��t {-J -Timnm R(K.!E I._+hJ l: 4r)";f`i1�E�
(1 ti...._
LOAD CUMULATIVE ORDERED MATERIAL CODE t PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT
QUANTITY, QUANTITY QUANTITY
i
:1 t_yt_/ :L i-`f g_:.:'-"'''"`� `:'! !ll� f�:!_t{''•.tl�f�t',4TF 11... t.,i t�IV"t�':1L:_
Cash Check#/Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect
Check Without Standby Charges:
Charge j
Comments: f l
WATER ADDED: -'� GAL YARDS IN DRUM:
1,+ WHEN ADDED.
1
SIGNATURE.
f CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
f,A•°* L. FULL LOADi rA R` C j SIGNATURE
D'LOAD'WAS,TESTED BY:
Notice: Our;driveirs�will'make every effort-to place materials where the customer designates;but/(he SPECIAL TERMS:'Any water added is at Customers own risk: If water is added on job,concrete stiength
Company assumes no responsibility for,damages inside curb orsproperty/line. Customer�grees!o the isrio,longer guaranteed. WARNING: Prdductmay.cause skin and/or eye irritation. CAUTION: Material
terms of sale and delivery and accepts concrete as is. Due to important faclors�which arVout oucur may be hazardous to your safety and health. Please refer to the backside of this ticket for important
control after delivery,this Company will not accept any responsibility ior"the„finld�hed results"'No credit for safe!j jhandling information,and to the material safety data sheets,for.additional information.
returned concrete. Buyers exceptions and claims shall berc�eemedw/aiveB ufless made to us iriwritin�'AUTHORIZED SIGNATURE:
within one business day after the receipt of materials. I)``������ �
"'I"�I,�f •T�f5�ti o'J f ,C �, '• \ _l_J i^V�1J 1'�U{�'�.t '1-
68UNIVERSAL INVO E b
This Delivery Ticket incorporates herein by reference Buyer's previously executed C—lit Application, if any, Seller's St-qndard
Terns and Conditions, Seller's Quotatio any, and Seller's Order•Confirmation (in ing limitations of warranties), as if fully
set forth on this Delivery Ticket("Agreeii,uni"). Seller will provide the Standard Terns and Conditions upon request. Buyeriagrees
that,unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to
pay in accordance with the Agreement.
AGGREGATE / CEMENT / CONCRETE PRODUCTS /FLY ASH
Aggregate products are naturally occurring materials including limestone,dolomite,granite,volcanic rock,sand,gravel,and other
siliceous materials. Cement products include Portland cement, masonry, pozzol�ui (Type IP), roof tile, and stucco. Concrete
products include Portland cement and aggregate products including limestone,dolomite, granite,volcanic rock, sand,gravel, and
other siliceous materials.These products, including fly ash, may contain more than 0.025%crystalline silica.
CAUTION
Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye burls and allergic skin reactions.
Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling,
crushing, grinding, cutting and/or drilling may contain silica,which may cause silicosis and cancer if inhaled.
If ingested,keep warn, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo-
nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation
or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure.
Safety: Avoid contact with eyes and prolonged contact with skin.Wear gloves,eye protection,and appropriate protective
clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to
dust above.recommended limits (see MSDS),wear suitable NIOSH-approved respiratory protection.
First Aid: In case of eye contact,immediately flush eyes with flowing water for 15 minutes.If dust is inhaled,move to fresh
air. If wet cement contacts skin,rinse thoroughly with water. Get proper medical attention if irritation persists.
CEMEX, Memorial Hermann Tower
10100 Katy Freeway, Suite 300
V8 combined Houston,Texas 77043
01/17 For more infonnation please visit www.cemexusa.com.
Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier
t6rmino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y
garantfas),como acuerdo total del ticket de entrega("Contrato").El vendedor proveera los terminos estandares y condiciones detal-
lados en caso de,asf ser requeridos.Con este documento,el comprador acepta los mismos ya antes mencionados y que las cantidades
y materiales fueron entregados como se expresa en el mismo.Acepta pagar el monto de acuerdo al contaato; al menos que se identi-
fique con una nota al frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca volcanica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita,
granito, roca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede
contener mas de 0.025% de silicio c.ristalino.
-CUIDADO!
Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en piel y ojos,y
reacciones alergicas en la pie].Concreto seco y polvo de agregados,pueden causar irritaci6n en los ojos,piel y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, corte y/o perforaci6n puede contener materiales
silicon,los cuales pueden causar silicosis pulmonar y cancer si son inhalados.En caso de ser ingeridos,mantenerse
en temperature calida,reposar y tomar grandes cantidades de agua.Las cenizas volantes pueden contener amoniaco.
Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o
quemaduras en la nariz, garganta y pulmones.Acudir inmediatamente al medico. El riesgo en la salud depende en
la duraci6n y el nivel de la exposici6n.
Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes,protecci6n en los ojos y ropa
Primeros adecuada para protecci6n.Lavese las manos con jab6n suave y agua despues del manejo de materiales.Evite inhalar
auxilios: polvos. Si se expone a polvos mas de los limites recomendados,use protecc16n resp.iratoria.
Primeros auxilios: En caso de contacto en los ojos,inmediatamente fluya agua en la parte afectada por 15 minutos.
Si se inhala polvo, exp6ngase a Aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con
agua.Acuda a atenci6n medica inmediatamente si I,a irritaci6n continda.
CEMEX, Memorial Hermann.Tower
10100 Katy Freeway, Suite 300
V8 combinado Houston,Texas 77043
01/17 Para mas informaci6n visita www.cemexusa.com.
CC I
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Plant: Be m Loading, To Job`.' ,,;Arrive Job Start.Unload;' Fnisq Unlo
g• .
ad Leave Job ;- Return Plant:.
Customer Code: Customer Name Customer Job Numtier. Order Codel:Date
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Probed Code Protect Name Prblect P O'Number Order P O Number
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Ticket Date DON
ery Address Map Page Map/Row/Column
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Del(very Instructions $ ? ? Dispatcher
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puetOn Job: Slump Truck lumber •. Dt'ver�Number. Drhver 1Jame r End Use
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LOAD CUMULATIVE I.4011DERED
QUANTITY MATERIALCOD� ^L PRODUCTIONDESC.RlPT10N UOMIf UNIT PRICE ( L }AMOUNT _
QUANTITY; QUANTITY
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Cash Check#IAuth Code:, Signature of,Driver Receiving Cash: " Cash Received:` Total COD Order Amount to Collect'
WitFiout Standby Charges.
Check
Charge
r, Comments:
WATER ADDD , ,� GAL YARDS'IN DRUM
1NHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OVWNER SIAGENT S REQUEST
i L RETE D ! ",f�01itBrtl F1:EC firs
f 1i�L I.._ 1.._s:,�P,15 r t� �..u� SIGNATURE
0 LOAD WAS TESTEb: RY
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Notice: Our'drivers will flake every effort,to place materials where the customer designates but they SPECIAG'TERMS. Any water added tsat:customers own risk If ivatens added on�oti;;concrete streng►h
Company assumes no responsibility for damages'inside curb or.property„line.'.Customer agrees to'tile; is no Jonger guaranteed WARNING ProdUct:may:carise.skin and/or eye irritation..CAUTION-;Material
terms of sale and delivery and accepts concrete as.is.' Due to"important factorsrwhicfi are"out bf ourt may'be_hazardous„to your,safety and health Please:refer'tb th'e backside of thin ticket for important.
'control after.delivery,this Company.will not accept any responsj6ility for the finisf ed resuHs�'•�No credit for, safety:handling inforrnation,and:to the materiatsafetydata sheets'for adddiona6uiformatibnr'
returned concrete. Buyers exceptions and claims shall be{deemed!pEii�ed`unfes5 made to us I'Wwntlnl �AU�THORIZED SIGNATURE }
withinnne b6sine§s day after the receipt of materials. y�1
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68UNIVERSAL i';> LOP
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C STOMER
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if at y=Selidr's Standardw`
Terms and Conditions, Seller's Quotation ny, and Seller's Order Confirmation(inc ig limitations of warranties),'as TA_ui1
set forth on this Delivery Ticket("Agreem. ). Seller will provide the Standard Tennis Condifions upon request. Buyer agrees
that;unless;otherwise noted on the front hereof,,all,quantities,and:items were delivered as indicated and further expressly agrees to
pay in accoidance.with-the,Agreement.
AGGREGATE / CEMENT /'CONCRETE PRODUCTS / FLY ASH
Aggregate products are naturally occurring materials including limestone,dolomite,granite;volcanic rock,sand,gravel,and other
siliceous materials. Cement products include Portland cement,"masonry,,pozzolan (Type IP), roof tile, and stucco. Concrete
products include Portland cement and aggregate products including limestone, dolomite granite,volcanic rock,,sand,gravel,and
other siliceous materials.These products,including fly ash,may contain more than 0.025%crystalline silica.
CAUTION!
Hazards: Freshly mixed wet cement and/or fly ash c�rr cause eye irritafion,skin and'eye Iju:nis and allergic skiri,reactions.
Dry concrete and aggregate dust may cause irritation to eyes, skin,and/or respiratory tract. Dust,from•handling,
crushing, grinding,cutting and/or drilling inay contain silica,bwh chiriay cause silicosis and cancer if inhaled.-
If ingested,keep warn, at rest;and drink large amounts of water.Fly Ash may contain trace amounts of ammo-
nia. Moisture can cause the ammonia to be released. Inhalation bFammobia can cause coughing and irritation.
or-burns of the nose, throat and lungs. See physician. Health risk depends on duration and Ievel of exposure. '
Safety: ,, Avo d.contact with eyes and prolonged contact,with skin.Wear gloves,eye protection,_,and appropriate'protectiy_e.
clothing. Wash hands thoroughly with mild soap and,water after handling. Avoid breathing dust. If exposed.to
dust'above recommended limits (see MSDS),wear suitable NIOSH-approved respiratory protection...
First Aid:" Incase of eye contact,immediately flush eyes with flowing,water for 15 minutes.If dust is inhaled,move to fresh
air. If wet cement contacts skin,rinse thoroughly with water. Get proper medical attention if irritation persists.
CEMEX,Memorial Hermann Tower
10100 Katy Freeway, Suite 300 .
V8 combined 'Houston,Texas 77043
i 01/17 - For more infonnation'please,visit www.cemexusa.com.
:Este ticket de"eritrega hicluye como referencia 0 comprado'r(ya"-previamente-e-jecu'tada,.en su aphcacion de czedito);cualquier
'termino,estand' condiciones del vendedor,_propuestas._deh`vendedor.y orden de con f=acion_del"vendedor'(c.on;limitaciones..y
garantia ),`;como-acuerdo.totaI del ticket de-entrega(t`Contrato-'"'.).:El.vendedor..proveera"los terminos estandares y--condiciones.detal
lados en'caso de asi ser requeridos.Con este documento,el comprador aceptalos mismos ya airtes riiencionados y que as cantidades -
y materiales,ftieron-entregados como se.expresa en el mismo.Acepta pagar el monto de acuerdo'al'contrato; al menos quc se"identi-
fique con una nota al frente de este documento. ;
AGREGADOS / CEMENTO /PRODUCTOS DE CONCRETO / CENIZAS VOLANTI S
Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, rota volcanica, arena,'gra�a y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzol,an (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento-Portland y productos de agregados como piedra caliza, dolomita,
granito,roca volcanica, arena, Brava,y otros materiales silicios;-Estos productos incluyen cenizas volantes (fly ash) la cual puede
contener mas de 0.025%de silicio crystalino.
1 � 11
Peligros:- Mezela de cemento fresco y/o cenizas volantes pueden causar irritacion en los Ojos, quernaduras en pie].y ojos,y
reacciones alergicas en.la piel.Concreto seco_y'polvo_de agregados,pueden.causar irritacion en log ojos,.piel_y/o en,.;
la zona respiratoria. Polvo`del manejo en el trituramiento, pulido,'''corte;y%o`'p'erforacion pue'de'contener` materiales
silicon,los cuales pueden causar silicosis pulmonar y cancer si son inhalados.En caso de ser ingeridos,mantenerse
en terriperatura calida,reposar y tomar grarides.cantidades de agua.pLas cenizas volantes'pueden contener amoniaco T
Seguridad• La humedad puede causar Ia-fib eracion del amoniaco, La inlialacion a'el amoniaco puede causar' roser,irritacioii-o
quemaduias en la nariz, garganta y=pulmones:Acudir inmediatamente al rpedlco.;El riesgo ep ltr salad depende.en.
la duracion=y el nivel de la exposicion.
Se uridad:Evite el contacto cono os• contacto •;rolongado con la iel. Use uantes . rotecc& en los ojos' ro a
_ g J Y P a , Y p
i Primeros adecuada para,proteccion.Lavese las manos con jabon suave y agua despues del manejo de"inat 't Tales.Ev te,inhalar
auxilios° polvos. Si se expone a polvos'mas-de los limites recomendados,use proteccion respiratoria.,,
• „
Prinieros auxilios:En caso de contacto en los ojos,inmediatanientc-fli yliagua en la,parte afe'tada,por 1- ,-riinuios..
_ Si se inliala polvo, expongase a afire fresco:,Si el cemento fresco trene contacto con sus ojos, lavelos a'fdpdo con
agua Acuda a atencion medi- rnniedrataniente si 1a t sitacton co ntmua. l `
CEMEX, Memorial Heimann Tower
10100 Katy'rreewa 1—Suite 3b0
V8 combiiiado Houston,Texas 77043;
01/17 - Para tnas inforin on visita www. m cemexusa.co :
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