Loading...
HomeMy WebLinkAboutWork OrderW AT �� Cam cm-x �J� 13d1-av� 55775794 N 'Plant; Begin Loading. To Job:' Ar'&�e Job: Start Unload:, oad: Finish Unload: Leave Job: 'Return Plant: Customer Code: Customer Name: Ci 4per Job Number: Order Code / Date: f,RTT""f)t., X NG' R'0 F? P r 1. 1`2 0 Project Code:, Project; Name: Project P.O. Number: Order P.O. Number. Ticket Date: Delivery Address: Map Page: Map/Row/Column: ;2' IA Delivery Instructions:., Dispatcher: r, f.1 T E AL., 'k9l Ticket Number:. Due On Job:. Slump, Truck Number: Driver Number: Driver Name: End Use: 1 SU'45 LOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT i 4060 r' E... u'- 01C. 23. Aml!:363 1, 4 78 't t f` IJ E". L �j UR C!, i f-i R 1-3' t-- Yt't-MVIROW11". CMLCHARCE Cash Check # Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Without Standby Charges: Check Charge Comments: WATER ADDED: f jGAL YARDS IN DRUM: WHEN ADDED. CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: L SIGNATt Q 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 Company assumes no responsibility for damages inside curb or property fine. - Customer agrees to the is no longer guaranteed. WARNING: Product may cause skin and/or eye irritation. CAUTION: 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 i control after delivery, this Company will not acceptany 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. 68UNIVERSAL Q 0 LORD r'MJM CUSTOMER _2Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's, Stanc� rmsisand Conditions, Seller's Quotati( 'anv, -4yid Seller's Order Confirmation (including limitations of warranties), as if fully y `_ set forth on this Delivery Ticket ("Agree...—C)'Seller will provide the Standard Tern d Conditions upon request. Buyer agrees that, unless otherwise rioted on the front hereof, all ies and d items were delivere indicated and further expressly agrees to pay in accordance with the Agreement.,,, W,V_Lff%',4QU M SWALE DIM11911011 VALWONLIN'd 0139M WIMU 119UNIN-RA 0 11MIN-111 Aggregate products are naturally occurring materials including limestone, dolornite, 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 Portlan'd cement and aggregate products including limestone, dolomite. granite, volcanic rock, sand, gravel, and t, ZD 11 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. C, 0 If iiiaested, keep warm, arm at rest{r nd 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 I 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 929 Gessner, Suite 1900 V7 combined Houston, Texas 77024 02/12 For more information please visit www.cemeXL1sa.corn. Este ticket de entrega include como referencia a] coi.-nprador (ya previamente CjeCUtada en su aplicaci6n de cr6dito); cualquier t6rmino 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 t6rn-iinos estgndares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el. comprador acepta los mismos ya antes rnencionados y que las cantidades y materiales fueron entregados como se expresa en el mismo. Acepta pagan el monto de acuerdo al contrato; al rnenos que se identi- ficlue con una nota a] frente de este documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca volcdnica, arena, Brava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albaffilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolornita, granito, coca volcAnica, arena, Brava, zn , y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la coal puede contener mas de 0.025% de silicio cristalino. \ I Peligros: Mezela de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en Piet y ojos, y reacciones al6rgicas en la piel. Concreto seco y polvo de agregados, pueden causar ilTitaci611 en los ojos, piel y/o en la zona respiratoria.Polvo del manqjo en el trituramiento, pUlido, corte y/o perforaci6n puede contener materiales silicos, los cuales pueden causar silicosis putmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura edlida, reposar y tomar grander cantidades de agua. Las cenizas volantes pueden contener amoniaco. La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar Loser, irri.taci6n o quemaduras en la nariz. I,- , garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salad depende en la duraci6n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la pie]. Use guantes, protecci6n en los ojos y ropa adecuada Para protecci6n. Ldvese las manor con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar polvos. Si se expone a polvos mis de los limites recomendados, use protecc16n. respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatarriente 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, 16velos a Tondo con agua. Acuda a atenci6n m6dica inmediatamente si la irritaci6n continua. CEMEX, Memorial Hermann Tower 929 Gessner, Suite .1900 Houston, Texas 77024 Para mds informaci6n visita www.cemexusa.com. ��. -mc-:x 5577578,8 Plante 136gin 4, Loading:Re :,-To Job: 6iii job: Siari'U616�d- Finish'IJ6Ioiid.i.' turn SP 090/ 1019(') Customer Code: Customer Name: Customer Job Number: Order Code / Date: 3126138 S&D CONTRZACTING CORPORATIO), 840 1 CC 1 '7 !-P,ojaiai 6-odc - - Project Project P.O. Number. Order P.O. Number. Ticket Date: Delivery Address: Map Page: Map/Row/Column: 1 (7) if;--'3 1. 3' '4;-304 WATERSOriG WAY 272 27238(-.)1'23 tPellyery Instructions: Dispatcher., e f 0 r Ticket Number: 32842451, Due On Job: Slump: Truck Number: Driver Number: 7-7 Driver Name: End Use: 5.()() �100260'94 11.089311 J'HnROLD FLOYD BLDNG2 SLOB LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTITY 10.50 1011'$,a Cie --iYl- 6 3 5 0 a' e.,000 ��EG .k o 1 00 78181 FUEL OURCHARGE ,—K2 ENVIRPKIMENTAL CHARGE OCT 23 AmIO'.231 Cash Check 9 Auth Code: Signature of Driver Receiving Cash: Cash Received: Total GOD Order Amount to Collect Without Standby Charges: Check Charge Comments: WATER ADDED: GAL YARDS IN DRUM: WHE DDED. f SIGNATURE CURB LINE CROSSED AT OWNER'S/1 &NT'S REQUEST: SIGNATURE Q 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 !sledded on job, concrete strength Company assumes no responsibility for damages inside curb or property line. Customer agrees to the. is no longer gu?rapted(T.—WARNING: Product may cause skin and/or eye irritation. CAUTION: Material terms ofTsale 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 hagdling informationiand to the material safety data sheets for additional Information. returned concrete. Buyers exceptions and claims shall be d;effied waived unless made to us in,writing AUTHORIZED SIGNATURE: within one business day after the receipt of materials. Ile 68UNIVERSAL f--'FZEV TRK. LOAD hllim.- I INVOICE This Delivery Ticket incorporates herein by reference Buyer's previously executed r --dit Application, .if any, Seller's Standard Terms and Conditions, Seller's Quotal if any, and Seller's Order Confirmation (i ding limitations of warranties), as if fully set forth on this Delivery Ticket ("Agri.>nt"). Seller will provide the Standard Terms and 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. AUUKEUATE / UEM1LNT / (:0NCKE'Yh YKODUUTh / YLY ANH Aggregate products are naturally occurring materials incJ,ud'rng 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 produ "is 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,'Avhich 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 exp9sed -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 929 Gessner, Suite 1900 V7 combined Houston, Texas 77024 02/12 For more information please visit www.cemexusa.corn. Este ticket do entrega incl.uye Como referenc.ia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier t6rmino estindar, 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 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 canticlades 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 naturales como,piedra caliza, d.olomita, 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, da'lomita, gran.ito, 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 cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los Ojos, quemaduras en piel y ojos, y reacciones alergicas on la piel. 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 temperatura caliza, 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 a] 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. Ldvese las manos con jab6n suave y agua despues del manejo de materiales. Evi.te inhalar auxilios• polvos. Si se expone a polvos mds de los limiter recomendados, use protecci6n respiratoria.. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la pane 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 atenci6n medica inmediatamente si la .irritaci6n continda. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combinado Houston, Texas 77024 02/12 Para rnas informaci6n visita www.cemexusa.com. ti Comex 56378368 1fo ,l .Jf °jam Ii 4cti We __. ' sW .sna, Ji 4 r f' . J na. _ j�n; ✓ -., - 2f` i57nt�4, art ._._„_ ad). I,°#ndr 4G11J1riG }ob f..,_ L A xiox F I nptfLUi 1'oi CustomecCode Cusloln0 Name: :IDNTRACTrifNia C'' gF:10RAT1:CN y Customer Job Number: E40'("3370 'Order Code / Date: '58i 04/18/14 ProJaCtGoda r � � �� Pr+je�N�Tne � r� �ProJeetPO Nymbi?t - ��,OaderPO.`Numbee� � i Ticket Date , •' DeUve .Address •- •` (:}�•/�. ----- ,. . r - —_ ---.-� .—.. ___.____ ..._ ,Map Pa e,, r 4 'i �r i C { -. nMap/RowlColumm =' =1 ,.. L 38. , 5 � i ", '` _• 1:: 3, +• ;I. r � t' Q(st/sattc^het;u_4`! � ann a. n g (� �j±> �AT ...�_� j F Ticket Number: L �3gr la',i ' i 33114598 4ue.On �p4' Slump: 1,mbe : D r ame End Use: LOAD CUMULATIVE ORDERED QUANTITY QUANTITY QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM',1 UNIT PRICE AMOUNT 7i T S S }90 9L ENIDEDPf tyl 'A saht �} , j 4 ` { 's F �lS--L- Syik.,lff,,�CHf�t�GE , { ,. .1.. t:�t.} fF fi n ''as n& # ' , . _ e• *2627hV I['itJl�l!'1 �4 �� l� E A qq a ' s .L • �,.� i 6 'P 'fl '•tI! d.'i V. J:. ['ll i•t trl-"'l i'7 Clt.FL �E' SS i. S`-It'1tV � IE, �¢ �yaJ T1f7'+.As aJ Cash Cheek#1AuthCode: 'Sigriatur$gf'briverkecelvin'Ca§h:� �" ' Total'CODOrderAmounttoCollect Check TC�as�h'RedeWd: WithoUtStandby Charges: Charge - I ' Comments: WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB' LINE CROSSED AT OWNER'S/AGENT'S REQUEST: SIGNATURE Cl LOAD WAS TESTED BY: Notice: Our drivers will make every effort to. place materials where the, customer designates, but the Company assumes no responsibility for damages Inside curb or line. Customer SPECIAL TERMS: Any water added is at customers own risk. If water is added on Job, concrete strength terms of sale and: delivery and accepts concrete as is. property agrees to the Due to important factors which are out of our is no longer guaranteed. WARNING: Product may cause skin and/or eye Irritation. CAUTION: Material 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. retumed 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. © - 68UNIVERSAL PRE V T RK a [_.OAD NUM. I PLANT