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Yvte Nf�pfP.�WWMI4Rl. �1�i111W [rr �..ww.r►� - wa�ww:a of PREV TRK: IOO2SO99 ORMOMAt LORD NUM s 4 k0�21 Plant ` Segin,Loadings n. To,Job: ArriVe.Job ; •Start Ahiload:. Finish Ulilf%ad' Leave Job: . Return Plant: „ „ r ,"Customer Code "Customer Name: Customer Job Number: Order Code / Date: ; L,Yt.. 2!'8 l,`::e L,; E R T I F I" a" D Bu n, D i tz c m RACT O RS T. TqC L,,'?' 1 1 ,1081 1 :'r tPkject Code: ProjedName Project P.O; Number.. Order P.O:1Jumber: Ticket Date: Delivery Address: Map Page: Map/Row/Column: 1. 1 /08 /,:3 49 f I WATi:'RSOPIG WAY � j Delivery Instructions �� Dispatches s 3 t ;;� i til3 + d. � t SHI.L_UC 1,1y!EL... � . .'., 13� t..i* P�I. ,.t414 ' t o Ticket Number: I ,r 32368894 31 Due On Job: Slump: Truck Number: r Driver Number ` Driver End Use: 0J., n 21 5-tt- is 1 t xi �o'_578C 11 rq22: B BOB COLEMAN F3LDNG e GLAD. LOAD CUMULATI ' , QUANTITY: QUANi� ORDERED MATERIAL CODE "u QUANTITY PRODUCTION'DESCRIPTION U -1 UNIT PRICE . AMOUNT i 1 n t 9 t $ ,4"Jt� �' t„ii � i tl Y i 3f.1t ?O ilrG �") Y ax �'+fr, FUEL. SURCHARGE € CHARGE Cash Check # /Auth Code. Signature of Driver Receiving Cash: Cash Received;, Total COD Order Amount to Collect . 7-1 Without Standby Charges: Check, Charge Comments: WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: ?' SIGNATURE O 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. O , PREY 'rRK '1002'5754 LOAD NUM: a INVOICE This Delivery Ticj et .incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard Terms and Conditions, Seller's Quotation any, and Seller's Oroer Confirmation (in(' "ng limitations of warranties), as if fully set forth on this Delivery Ticket ("Agreer "). Seller wi��pprov4t the Standard Terms Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quant.itlL —Ad items were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. i AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH Aggregate products are naturally occurring materials including limestone, dolom*, granite, volcanic rock, sand, gravel, and other siliceous materials. Cement products include Portland cement, masonry, pozJolan (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 warm, 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 Mowing 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 929 Gessner, Suite 1900. V7 combined Houston, Texas 77024 02/12 For more information please visit'www.cemexusa.com. Este ticket de entrega incl��y� como rcferencia al. comprador (ya previamente ejecutada en su aplicaci6n . e %credito); cualquier termino estandar, condiciotV del vendedor, prol),trestla _del ve.ndedo_r.v order de .confer-zYaac in-dcl vend; c .con l,rffitaC4 y garantfas), como acuerdo totAl del" ticket de entrega ("Contrato" ). El vendedor proveera los ter-minos estandargN y condiciones cletal.- lados en caso de asf ser rr qr ,;1`;-Tios. 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 albaniler a, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de conereto incluyen cemento Portland y productos de agregados como piedra caliza, dol.omita, granito, roca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede conterier rods de 0.025% de silicio cristalino. Peligros: Mezela de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en piel y ojos, y reacciones al-6rgicas en la piel. Conereto seco y polvo de agregados, pueden causar irritaci6n en Jos qjos, piel y/o en la zona respiratoria. Polvo del. manejo en el tritu.ramiento, pulido, torte y/o peri'braci6n puede contener materiales silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura calida, reposar y tomar grander cantidades de agua. Las cenizas volantes pueden contener amoniaco. La hum.edad puede causar ]a liheraci6n del am.oniaco. La inhal.aci6n del am.oniaco puede causar toser, irritaci6n o Seguridad: quemaduras en ]a nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en la duraci6n y el nivel de la exposition. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecciion en los ojos y ropa Primeros adecuada para protecci6n. Lavese las manor con jab6n suave y agua despues del manejo de materiales. Evite inhalar auxilios• polvos. Si se expone a polvos inns de los limiter recomendados, use proteccion respiratoria. P.rimeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 1.5 minutos. Si se inhala polvo, expongase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, ldvelos a fondo con agua. Acuda a atenci6n .medica inmediatamente si la irritaci6n continda. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combinado Houston, Texas 77024 02/12 Para mas .informac.i6n visita www.cernexusa.com. l L r AArA CEMEX 00687 559 224 Plant: Begin Loading:' To•Job: Arrive Job: Start Unloads '' Finish Unload: Leave Job: Return Plant: Customer Code! Customer Name:' r. Customer Job Number: Order Code Date: F' Rf 1 -3 f arna Project P.O. Number. Project Code: Project Name: Order P.O. Number. Ticket Date: &1:1very Address: Map Page: ,. Map/Row/Column: Delivery l.nstruct!OQs:- Dispatcher: Tibket Number: 7 Due On Job: Slump: TruckNumber: Driver Number: DriverName:, Name:, End Use: 'Oi��, iT N fi DID — life— `C CUMU, —QUANTITY !VIAL C -:—f ­-PRODU DESCRIPTION - CT16N EgdRi M UNIT = IT PRICE AMOUNT Cash ChecW # Autfi Code: Signature of Driver Receiving Cash: Cash Race Received: Total COD Order Amount to Collect' --I'Ch..k Without Standby Cha . rges: Charge., Comments: WATER ADDED-Z 1'l GAL YARDS IN'DRUM: WHEN ADDED. SIGNATURE CURB LINE GROS6 AT OWNER'S/AGENT'S REQUEST: SIGNATURE C1 LOAD WAS TESTID BY: Notice: Our drivers will make every effort to place materials where the customer desgriates, but the Company no for damages inside curb or line. Custornk agrees to the SPECIAL TERMS: Any wad' added is at customers own risk. If water is added on job, concrete strength is longer WANING: assumes responsibility property terms of sale and delivery and accepts concrete as is. Due to important factors whic! are out of our *11'not no guaranteed. Product may cause skin and/or eye irritation. CAUTION: Material may be hazardous to your 13fety and health. Please refer to the backside of this ticket for important control after delivery, this Company wl accept any responsibility for the finished resu§. No credit for safety handling info 5 o 9m Cn, ad to the material safety data sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless mad to us in writing within one business day after the receipt of materials. AUTHORIZED SIGNATURE 68UNIVERSAL CE !NVOI • This Delivery Ticket incorporates herein ", reference Buyer's previously executed C"t Application, if aidy. Seller's Standard, .. Teens and Conditions, Seller's Qiiat�ti.oi any, and Seller's C le.r Confirmation (im ng limitations of warranties), as if,l'ully set forth' on this Delivery Ticket ("Agreemem"). Seller will -*,*vide the Standard Terms -and Coriditidns upon request. 86yer 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 Aareement. j AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY .ASH Aggro,gate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. Cement products include PoNand cement, masonry, pozzolan- ('`Type' 1P), roof tile, and `stucco. Concrete products include Portland cement and aggregate products includina.limestone, doloil?i`itb, granite, volcanic rock, sand, gravel, and other siliceoi}s materials. These products, including fly ash, may contain more than 0.025°Io crystalline stilica. r H.,Izaards• 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; sk4n, afi&of respiraiory tradt: Dust from handiing, crushing, grinding, cutting and/or drilling may contain silica; which may bause silidids'is acid cancer if inhaled, If ingested,, keep warm, at rest, and drink large amounts Hof water: Fly Ash 'may contain,trace amounts of amino- oua: Moisture can cause the ammonia to be released. li-lialation of amrilonia ca'n' cause coughing aid irritation j r bums cif the, nose, throat and lungs. See physician. Health risk depends on d1iration and level'bf''exposure. Safety: Avoid coulact with eyes ap4 prolonged contact with skin. Wear gloves, eye pvxection,'Ad aibr6priate protective lot�'i��f Wash liapds;thoroi.ighly with mi!.d soap and water after handling: Avoid breathing di.is't. J' ei:posed to dust 4i r�ye;`rpcommended limits, (see MSDS), wear suitable'IVIOSH=approved respiratory pybi, `eti ,n. First Airl: In case of eye g ptact,;immediately flush eyes with flowing water for 15 mi►%utesAt' dust is inhaled, move to fres� air. If wet cement contacts skilr, rinse thoroughly with water. Get proper mediciil'attention'if irritation persists. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combined Houston, Texas 77024 02/12 For more information please visit www.cemexusa.coiti. Este ticket de entrega inct i& umo referencia al, comprador (ya previamente eiecatiikjn eri sci aplicac . :re rto) ccual Edo terinino estan&c, cendiciones del vendcdor, propuestas del vendi.ct•,ti4J,-orden de confifiiiaci& del Vended�lt (bon limrtaciones y garantias), como acuerdo to(4jel ticket de entrega ("Contrato" ), 41 veudedor proveerd los terminos esiandares y condiciones detal- iados en caso de asi set, requenuos. 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 clue se identi- fique con una nota al frente de este documento. a �AGREGADOS / CEMENTO / YKOD UUTOS MUONl:KETO / UEN AAS .VO Los productos de agregados son materiales naturally como piedra caliza, dolorriita, granito, roca ikilcanica, arena, grava y otros materiales siticios. Los productos ,de-cemento incluyen C'emento de tipo Portland, de allbanilerfa, pozzolan (tipo I.P), azulejo de azotea y estuco. Los, productos de .concreto incluyen cemento Portland y productos de agregados como piedra calita, dolomita, granito, roca volcanica, arena, Brava, y otros materiales silicicrs. Estos oductos incluyen cenizas volantes (fly ash) .la'cHal puede contener mas de 0.025% de silicio crystalino. Peligros: Mezela de cemento fresco y/o lenizas volantes pueden c reacciones afergicas en la piel. Concreto seco y polvo do la zona�respiratgria, Polvo del panejo en el trituramientc silicon, los cuales pueden causa• silicosis pulmonar y c in. en temperatura calida, reposari tomar grackles cantidade i La humedad puede causar la 6ei aci6n del amoniaco. L Seguridad: quemaduras en la nariz, gargalta y pplmones. A,cudir .in la duraci6n y el nivel do la ex sici6n. Seguridad: Evite.el contacto can ojos y contacto prolong, Primeros adecuada para protecci6n. Lase las menos con jab6n sui auxilios• poivos. Si se expone a polvosinas de los limites recomcr �sar irritaci6n en los Ojos, quemaduras en piel ;: Ojos, y regados, pueden causar irritacion en los Ojos, piel y/o en pulido, come y/o per.-foraci6n puede contener materiales ar si son inhalados. En caso de ser ingeridos,_mantenerse de agua. Las cenizas volantes pueden contener amoniaco. inhalaci6n del.amoniaco puede causar toser, irritacion o ediatamente al medico. El riesgo en la salud depende en con .la, piel. Use guan.tes, protecci6n en los Ojos y ropa y agua despues del manejo de materi.al.es. Evite inhalar los; use protecci6n respiratoria, P.rimeros aux.ilios: En caso de�ontacto en los ojos, inmedhtamente fluya agua en la parte afectada por ..15 minutos.. Si se inhala polvo, exp6ngasdi afire fresco. Si el cementci lresco tiene contacto con sus, ojos, lavelos a Tondo con agua. Acuda a atenci6n mediclinmediatamente si la irritacion continua•. V7 combinado 02/ 12 CEMENMemorial Hermann Tower 929 Ges er, Suite 1900 Houstonexas 77024 Para visiia