Loading...
HomeMy WebLinkAboutCEMEXAj� - lqo� w� Ccmcx RECEIVED DEC � 6 66836377 r Plant: Begin Loadings �To, Job: Arrive Job: Start'Unload: Finish Unload: Leave Job: Return Plant: Customer Code: 'Customer Name Customer Job Number: Order Code f Date 7. , Project Code:, Project Name: Project P.O:'Number. Order P.O. Number: Ticket Date Delivery Address:Map Pager Map/Row/Column: _. _ I Delivery Instructions y .. _ .- t, pat D7 char .� f., 1 t'i. 7r Ticket Number: t'r.. i.3 i'+i x Wv.J ri t•.'l�.. P . n ��a.J S..i � Due On Job: Slump:,,.. Truck Number: Driver Number. Drvetr Name End Use: { f l W:.1...4- J.I LOAD ORDEED I QUANTITY I CUMULATIVE I QUANTITY MATERIAL CODE I PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT . s tr.. Cash Check # / Auth Code: Signature of Driver Receiving Cash: Cash Received: n To'tal COD Order Amount to Collect ` Check Without Standby Charges: 'n • Charge Commentsl 1 WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: " wPARyI SIGNATURE ❑ 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 wateris addedon 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.�azardous to youF safety and health. Please refer to the backside of this ticket for important control after delivery; this Company will not'acceptany responsibility for the finished results. No credit for safety handling mfori-nation, and to the material safety data s eats 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: �' i y l ^ i "� C.'. i.' � , '� � �. %, .•-t.�� ..� ��.r.._ �'I' e� ,,.rr''• +1 ' 'a �: I�� ssuNlveRsae ..i;�i CUSTOMER This Delivery Ticket incorporate,` 1 �ference Buyer's previously exgffied. Credit Application, if any, Seller's Standard 'terms and Conditions, Seller's C 4y, and Seller's Order Confirma (inclj&g limitations of dval.rantres), as iffully set forth on this Delivery Ticket ("Agreem. Seller will provide the Standard Terms a . Conditions upon request. Buyer agrees c� 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. AGTGRFGAP■ 1`J'/'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. 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 NI:OSH-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 cemcxusa.com..' Este ticket.de entrega.incluye-'como rAcrencia al comprador (va-previamente ejecutada en su apl.icaci6n de credi�p); cualqurer terinino, estandar, condiciones del vendedor, propuestas del vendedor ) o _h-n de confirmaci6n del vendedor (con lirnitaciones y garantias), cornoacuerdo total del ticket de entrega ("Contrato")..El vendedor proveera los terminos estandares ; �:ondiciones detal- lados en catso de asi ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que ]as cantidad.es y materiales fueron e..ltregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato, al mends que se identi- fque con una nota ai frente de este.documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES . Los productos de agregados son materiales naturales Como piedra cal.iza,,dolomita, granito, coca volcan.i.ca, arena, grava' y otros ' materiales silicios. Los productos dc�conlejito incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de a otea estuco. Los ro uctos de concrtto=inclu en cemento Portland productos de a re ados Como iedra caliza, dolomila. y p cm y YP g g P' granito, roca volcin.ica, arena, grava, y otr s, rrtateriales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener m{ts de 0.025% de silicio crist a,t .o, c1r 4- •- ,nto fresco y/o ceni•�as volantes pu�den causar irritaci6n en los Ojos, quemaduras en picl y oio)s. Y ..' reacciones aierglc,. .~ P 1-4::' r --to ser( v po vo de agregados, pue�,cn causar irrltaci6n en los o105, pici yio on r la zona respiratoria. Polvo del manejo t ,a ;i ril � ..r ,, -orte v!o perforaci6n rq; pued.e contencr S111C,()S, los CUaIc', ptlederi C1USdr til11CUS1S pllllnonar y Ca11Cf.r 6r 5U11 ! ',,.11adcls. n CaS(.SC ;,�'?', inri en temperature : .;:da, reposar y tomar grandes cantidades de aguavi Las cenira� IVolanw-, t�uekn conrcnor amoniaco. Seguridad: La hurneclad pue ' causar la liberaei6n del amoniaco. La inhalaci611 del arnon.iaeo puedai,'causa,,,2r c itritaton o quemaduras e11 l.s .;.iriz, garganta y pulmones. Acucl.ir i_nmediatar.,+°rite a] medico. El ri(,s4;ca, : tt clEcncte en la duraci61a y' l de la exposici6n. ' Segtt�t'tttad b :,.: 1 contacto con Ojos y contaeto prolotlgado cot) la piel. Use guantes, prat .(.:ton cn, �jo, y r t Primeros adecuada pdra p,rotecc16n. Lavese,lm manos con jabon V ;..g,�despu(` ' -Ltw ci !.-:Nite inhal.,, auxilios• polvos. Si se expone a polvos leas de los lirnite+ Primeros auxilios: En caso de c•ontactc) >< 's > ojo i, l o itarr,q.ro, en to pi- 5 minutes. Si se inhala polvo, exp6ngase a aire fre,; - Si el certic,. t1 tresro '° .10 con sup 0 ` fond�o con aqua. Acuda a atenci6n medica inmedi,:r.,;mente si la 1rr`;;ci6r contiiL. CEMEX, Memorial Hermann Tower u 929 Gessner. Smite 1900 V7 cembinado Houston. Tc:%Js 77024 Para mas information visita �__ca.com. cc -max Plant: Begin Loading: " To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Retulrn:Plant: Y Customer Code:' Customer Name: 1 Project Code: Project Name: Ticket Date: Delivery Address:,' ' 14 t--J,H "r �3 1_:!, L A, �N L0 5 l6aiivery,instriuctions: SLANID Customer Job Number: Project P.O. Number' - Order Code / Date: Order P.O. Number. N10 F"3D Map Page: Map/RowiColumn: Dispatcher: Ticket Number: Due On Jo . 7 Slump: r um a, (b_..�.. •_,C Driver er: Driver.Nam -3 � L End Use: I RED Q MATERIAL CODE UOM UNIT PRICE AMOUNT LOAD CUMULATIVE ORDERED _T QUANTITY QUANTITY PRODUCTION DESCRIPTION ZoOG r E G Cash Check# I Auth Code: Check Charge Comments 11. MFIV 7 1;-� 4 713 '-Fl JF, L GURCA -T R' 1,q T I N. 5 k j., r... R V LnPlrjec. n ir Signature of Driver Receiving Cash: Cash Received: Total COD Order Amodnt to Collect Without Standby Charges: WATER ADDE-.D- -GAL YARDS IN DRUM: , '.. I - • I WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: 1111SPF'SAL '17t V 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 is added on job, concrete strength Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guararted"O. 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 hazardops topour 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 I foxation, and to rfaterial safety data sheets for additional information. .returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED S1 ATORR,,, within one business day after the receipt of materials. '68UNIVERSAL PREV TRV%,,,, 1.002'!5403 , i-OP11D 11,1UMi., 5 INVOICE This Delivery Ticket incorporates here;, - by reference Buyer's previously executed_ Credit Application, if any, Seller's Standard Terms and Conditions, Seller's Quotati. f any, and Seller's Order Confirmation (i ding limitations of warranties), as if fully set forth on this Delivery Ticket ("Agreumunt"). Seller will provide the Standard Teri—, -nd 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, dolAmite, 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. 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 amrno- 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 :1.5 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 de entrega incluye como referencia a] comprador (ya previa mente ejeebtada on su aplicaci6n de crCdito); 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 proveerd los terminos estandares y condiciones detal- lados en caso de as.f 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 a] frente de este documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS YOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca volcanica, arena, Brava 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 mds de 0.025% de silicio cristalino. Peligros: Mezeta de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en pie[ y ojos, y reacciones al6rgicas en la pie]. Concreto seco y polvo de agregados, pueden causar irritacion en los Ojos, pie] y/o en la zona respiratoria. Polvo del .manejo en el trituramiento, pulido, Corte y/o perforaci6n puede contener materiales sil.icos, los cuales pueden causar silicosis pulmonar y cancer s.i son inhalados. En caso de ser ingeridos, mantenerse en temperatura calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritacion o Seguridad: 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. Seguri.dad: Evite el. contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los Ojos y ropa Primeros adecuada para protecci6n. Livese ]as manor con jab6n suave y agua despuds del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mas de los limites recomendados, use protecci6n respiratoria. P.rimeros aux.ilios: En caso de contacto en los Ojos, inmediatamente fluya agua en la parte afectada por .1.5 minutos. Si se inhala polvo, exp6ngase a airc fresco. Si el cemento fresco tiene contacto con sus ojos, ldvelos a fondo con agua. Acuda a atenci6n medica inmediatamente si la irritacion continua. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1.900 V7 combinado Houston, Texas 77024 02/12 Para mas informaci6n visita www.cernexusa.com.