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HomeMy WebLinkAboutCemex 11-26-14T r =C_mcx 56964337 Plant: Begin Loading: To Job: Arrive Job: Start. Unload:, Finish Unload: Leave Job: Return -Plant: Customer Code: Customer Name: ... f' - t ` 'r r'• �i $. t' 'i' : I r i ` T h r 4_ r.- -} •.1 %:_.! mo C. - � U a.1 ! ... , 3 �„j Project Code: Project Name: 1 i 'Ticket Date: Delivery Address: r'! i,i T �jiRC T3I"i� 0 Delivery Instructions: i.i i_; I . •Y Customer Job Number: Order Code / Date: _ 4, r... r^I c O'S"IE, _ �_..''.1. 1 r / i_(_,/ I Z Project, P.O. Number:. Order P.O. Number: Map Page: Map/Row/Column: Dispatcher:. AnTt'"n Ticket Number: 7i!,I. 78 Due On Job: °� '!.'.?t.J. Slump: Truck .Number:� _.. _ _�-I!r �_(" Driver Number:. j,a):.''<)''. ,. Driver,Name•-.. l:i t. +.,�(.... ... �.�i:..i Y-ti-_ End Use: l,:,r� �{�J° i^Mpi �.. LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT .QUANTITY - QUANTITY QUANTITY ,fin r+. r, pe,. !rib i fa te•'�.? w� �C.i ��J l:'6! .,j{}i�Y i,J (,�.Isi�- •ram � ,- . �,tl,+�,I s 26pm1 2 10 i.:wf:aG 'E` t:t!4J: f ±'i;y;Ivi£._{3i'4` ?i._ Ci if�F;F;i:' Cash Check # /Auth Code: Signature of Driver Receiving Cash: Cash Received: V,�IUlty � '•1; Tothr,&D:Order Amount to Collect 11Vtthouut standby Charges: Check Charge Comments: WATER ADDED GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: FULL- ?..OPID f ".11RL�!�` 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 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 dot 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 l Y� i `�-r-� 0� 68UNIVERSAL RREVr T R"K INVOICE ! cif D INUM : 'I This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard Terms and Conditions, Seller's Quota if any, and Seller's Order Confirmation f ading limitations of warranties), as if fully set forth on this Delivery Ticket ("Agr_ ___ent"). Seller will provide the Standard Tej ind 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, 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 NIOSH-approved respiratory protection. First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 mi.nutes.11' 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.corrr. Este ticket de entrega incluye como referencia al comp.rador (ya previamente ejecutada en su aplicaci6n de cr6dito); cualquier t6rtrrino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y garantias), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd Jos t6rminos 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 canti.dades y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdc:r al contaato; al menos que se identi- fique con Una nota al frente de este documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS YOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, rota volcanica, arena, Brava y otros inateriales 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, coca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener mis 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 al6rgicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci611 en los Ojos, pie] y/o en la zona respiratoria. Polvo del manejo en el trituramiento, pulido, corte y/o perforaci6n puede contener materia.les silicos, 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. La humedad p, ede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o Seguridad: quemaduras eri`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 ]as .manos con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mas de los limites recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en .los ojos, inmediatamente fluya agua en la parte afectada por 1.5 minutos. Si se inhala polvo, exp6ngase a airs fresco. Si el cemento fresco tiene contacto con sus ojos, ldvelos a fondo con agua. Acuda a atenci6n m6dica inmediatamente si la irritaci6n continua. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combinado Houston, Texas 77024 02/12 Para mas informaci6n visita www.cemexusa.c m. caq, a X 56837484 Plant, Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: - --------- - J Return Plant: Customer Code: Customer Name: Customer Job Number: Order Code / Date: US CONSTRUCTION SERVICES LLC 442/47,(3070 181 11/07/14 4 Project Code: Project Name: Project P.O. Number: Order P.O. Number: 0981580 MAT -MARTIN THRM VERO PO REQUIRED 442/47/3070 Ticket Date: Delivery Address: Map Page: Map/Row/Column: :1. 1 /07 / 14 LOT-47, PUVERBEINM Delivery Instructions: Dispatcher: M TO EAST END OF BECKER, TURN LEFT SF11J,,LUC'1 NEC Ticket Number: -31 7 %4P t398;7 1 lie On Job: t Slump'.4. �tll Iru, �,DrLye0uruber: Qr� ,3kJ4,uroer: Ell )9iR(--, _,WargiJDOL1---H IGNED (:p 1 06 1 -XI LOAD CUMULATIVE ORDERED QUANTITY QUANTITY QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM, UNIT PRICE AMOUNT 10.5o 10. 5- G 3. 0 1 13 52536 250() REG YD3 1. 00 1247818 FbEL SURCHARGE R01 7 Am 6.'07 I . (7) 0 12OF-749 d0IRONMENTAL. C1--1ARGE Cash,* Check #/ Auth Code: signature of Driver Receiving Cash: Cash Received: Total COD Order. Amount to Collect % ' Without Standby Charges: Check Charge L Comments: WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE E DISPOSAL FEF.7-' CURB LINE CROSSED AT OWNERVAGENT'S REQUEST: PARTIAL FULL LOAD YARDS SIGNATURE El LOAD WASJESTED 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,aode . d 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/ . ' ii"itation. CAUTION: Material or.-Y rm 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 NMIZ.6Vthls 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 saf?tySata sheets for aidditionallnformation. '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. P R E IV' T R LOAD Nl.-)M.- 68UNIVERSAL -4 o This Delivery Ticket incorporates her(,-- ')y reference Buyer's previously execute - edit Application, if any. Seller's Standard Terms and Conditions, Seller's Quotat if any, and Seller's Order Confirmation 1 uding limitations of warranties), as if fully set forth on this Delivery Ticket ("Agreement"). 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. AGGREGATE / CEMENf/. 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.p.roducts 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'cbntact with skim. 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 929 Gessner, Suite 1900 V7 combined Houston, Texas 77024 '' 02/12 For more information please visit www.cemexusa.com. Este ticket de entrega incluye como rcferencia al comprador (ya previamente ejecutada en su aplicaci6n de crcciito): cualquier termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y garantlas), como acue.rdo 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 contacto; al menos que se identi- fique con una nota al frente de este clocumento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES 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 Cem.ento 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, Brava, 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 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, come y/o perforaci6n 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 grancles cantidades de aqua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberacion del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritacion o quemaduras err la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en la duraci6n y el nivel de ]a exposicion. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci.6n 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 mas de los lirnites recomenclaclos, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos. Si se inhala polvo, exp6agase a sire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n medica inmediatamente si la irritacion continua. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 conibinado Houston, Texas 77024 02/12 Para mas informaci6n visita www.cernexusa.com.