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HomeMy WebLinkAboutCemex # 3Rd Pour3�p vUS, �ccra� -D.3 Project Ticket Dal oS/1.4 Delivery If C l.,.. F t. t" \ -k I -L o -� A CEMEX rive Job: I Start Unload: I Finish Unload: I Leave Job: I Return Plant: Customer Job Number: Project P.O. Number: Order Code / Date: Order P.O. Number: Map Page: Map/Row/Column: Dispatcher: DICSE !M Ticket Number: Due On Job: Slump: Truck Number: Driver Number: Driver Name: End Use: C., i.) G,a 510 3. (:If_t6,/1.3 9 1�09229 f3iu�ta�.1.. I.�ELATl7i� RE F'�i._DNG : ,'sl l-1B LOAD CUMULATIVE I ORDERED MATERIAL CODE PRODUCTIONDESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTITY !0. 0o IC), 00 6S. (" 0 f)' 'c I --:) Gi('?t_i(_ REC3/ir4:rFB/ G 7 10 5) Lit F 'fI 3 12027-%S 04tl;i;RQhliv?f NTAL CHARGE Cash Check # / Aulh Code: I Signature of Driver Receiving Cash: Check ' ECEI�I 1 1 I Cash Received: Total COD Order Amount to Collect Without Standby Charges: WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OW? ER'S/AGENT'S REQUEST: I SIGNATURE Cl 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 handjipg 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 1 ) ) A h A L A ^/, y� �' -- _ %, 68UNIVERSAL f `FtElt T o J—\ D r'•fl..!'N f 1 INVOICE This Delivery Ticket incorporates hereir ", reference Buyer's previously executed C 'it Application, if any, Seller's StatldRrd Terms and Conditions, Seller's Quotatio any, and Seller's Order Confirmation (in ing limitations of warranties), as if hilly 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 / 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 sil.i.ceous 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 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 include como referencia al comprador (ya previamente ejecutada en su apl.icacion de credito); cualquier termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmation del vendedor (con limitaciones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera 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 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 volcanica. arena, Brava y otros materiales silicios. Los productos de cennento incluyen Cemento de tipo Portland, de albani_lerfa, 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 cristalino. Peligros: Mezela de cemento fresco y/o cenizas volantes pueden causar irritacion en los ojos, quemaduras en piel y ojos, y reacciones alergicas en la pie]. 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, torte y/o perforaci6n puede contener materiales silicon, los cuates pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperature calida, reposar y totnar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad• La humedad puede causar la liberaci6n del amoniaco. La inhalation del. amoniaco puede causar toser, irritacion o quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salad depende en la duraci6n y el nivel de la exposition. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, proteccion en los ojos y ropa Primeros adecuada para proteccion. Lavese las manos con jab6n suave y agua despues del manejo de materiales. Evite inhalar auxilios• pollvos. Si se expone a polvos rods de Jos limites recomendados, use proteccion respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la pane afectada por 15 minutes. Si se inhala polvo, expongase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Acuda a atencion medica .inmediatamente si la irritacion continua. CEMEX, Memorial Hermann Tower 929 Gessner. Suite 1900 V7 combinado Houston. Texas 77024 02/12 Para man information visita www.ceniexusa.com. Financial Project No.: N/A F.D.O.T. Plant No.: N/A Concrete Supplier: CEMEX Address: 6100 Midway Road Ft. Pierce, FL 34981 Serial No.: 33300758 Date: August 14, 2014 Delivered To: Day & Zimmermen Address: 5601 Ocean Blvd FPL Nuclear Plant Truck No. Class Mix No. Cubic Yards (M3) This Load 64589 5000 1572119 10 Time Loaded Arrived �� Discharged char edd Cubic Yards (M3)Total 5:34 , i Allowable Jobsite Water Addition Jobsite Slump Jobsite w/c Ratio 23 DAREX Cement CEMEX TYPE II 5850 WR GRACE N/A Brand Amount Source Amount WR GRACE Coarse Ag! 87-090 1.4% 17080 WRDA60 704 Pit # % Moist. Amount Source Amount WR Grace - Fine Agg. 87-090 4.1% 13280 ADVA 120 352 Pit # % Moist. Amount Source Amount Propex Batch Water (Gals) 206 300 Fiber ;' 15 Amount Source Amount issuance oT inis TIcKet constitutes certification that the concrete batched was produced information recorded in compliance with Department specification requiremen 47 Si a of Plant Batcher Water added at Jobsite Gal./Liters Issuance of this ticket constitutes certification that the maximum specified water cementitious ratio was not exceeded and the batch was delivered and placed ' compliance with Department specification requirements (347-5) �1 Signature of Contractors Plant: Begin Loading: To Job- Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: 92' / 1092 Customer Code: Customer Name: ,31224 S) a, TRY & 7 I MM €2fyiAN KIPS INC. Project Code: Project Name: Ticket Date: Delivery Address: r? l/1/4/14 15601 N OCEAN DR — FPL Delivery Instructions: GATE:.- C F Customer Job Number: Order Code / Date: Project P.O. Number: Order P.O. Number. STEVE Map Page: Map/Row/Column: Dispatcher: i DC''gEA116�.. Ticket Number: 33,31.10 7 99 r" LOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT a Due.On Job: 3 Slump: Truck Number: Driver Number: Driver Name: End Use: �i��� (S. `JU �.I.}l_}Ci�f�c~� .i.i7�i:l,}a:: I��`f #�'I17F�1�.�5 �L.�al�i�7a SLAB . a t;itj 1247818 Fi.lEI.. SURCHARGE 1.00 . , f. 2h-,i2 749 ENVIRONMENTAL CHARGE 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: GAL YARDS IN DRUM: _ WHEN ADDED. SIGNATURE `CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: 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�jaaiardous to your safety and heap 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�andjing information, and�to the mate al afetydata sheets for additional information. returned concrete: Buyers exceptions and claims shall be deemed waived unless made to us in writing AUT QRIZECI I NATURE: �����> within one business day after the receipt of materials. 68UNIVERSAL PRErJ TRK 0 1 0d;}�.,4599 INVOICE LOAD NUM.- I This Delivery Ticket incorporates herein by reference Buyer's previously executed ^--dit Application, if any, Seller's Standard Terms and Conditions, Seller's Quotatir f any, and Seller's Order Confirmation (i ding limitations of warranties), as .if fully set forth on this Delivery Ticket ("Agree„wiit"). 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 / 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 0.02.5% 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 IS -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. MemorialHermann Tower 929 Gessner, Suite 1900 V7 combined Houston, Texas 77024 02/1.2 For more information please visit www.cemexusa.com. Este ticket de entrcga incluye Como referencia at comprador (ya previamente ejecutada en su aplicaci6n de crddito); cualquier t6rmino 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 proveeni los t6rminos estdndares y condiciones detal- lados en, caso de as% ser requer.idos. Con este docume.nto, el comprador acepta .los mismos ya antes menc.ionados y que las cantidad.es y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo at contrato: at menos que se identi- fique con una nota at frente de este documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, coca volcanica, 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. L.,os productos de concreto incluyen cemento Portland y productos de agregados como p.iedra 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 cristahno. Peligros: Nlezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n on los ojos, quemaduras on piel y ojos, y reacciones al6rgicas 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 perforac.i6n puede contener materiales silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura edlida, 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 toner, irritaci6n o quemaduras en la nariz, garganta y puhmones. Acud.ir inmediatam.ente at 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, proteccion en los ojos y ropa Primeros adecuada para protecci6n.:Ldvese l.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 auxi.l.ios: En caso de contacto en los ojos, inrnediatamente fluya agua en ]a parte afectada por 15 minutos. Si se inhala polvo, exp6ngase a a.ire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos 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.com. Financial Project No.: N/A F.D.O.T. Plant No.: N/A Concrete Supplier: CEMEX Address: 6100 Midway Road Ft: Pierce, FL 34981 Serial No.: 33300799 Date: August 14, 2014 Delivered To: Day & Zimmermen Address: 5601 Ocean Blvd FPL Nuclear Plant Truck No. Class Mix No. Cubic Yards (M3) This Load 64924 5000 1572119 10 Time Loaded Arrived 1�S Dischar a Cubic Yards (M3) Total 5:59 07 20 Allowable Jobsite Water Addition Jobsite Slump Jobsite w/c Ratio 111 22 DAREX Cement CEMEX TYPE II 5830 WR GRACE N/A Brand Amount Source Amount WR GRACE Coarse Ag! 87-090 1.4% 17120 WRDA60 703 Pit # % Moist. Amount Source Amount WR Grace Fine Agg". "87-090 4.1% 13360 ADVA 120 353 Pit # % Moist. Amount Source Amount Propex Batch Water (Gals) 207 300 Fiber 15 Amount Source Amount issuance of this ticket constitutes certification that the concrete batched was produced and information recorded in compliance with Department specification requirements (34 ). Sig ure of Plant Batcher Water added at Jobsite Gal./Liters Issuance of this ticket constitutes certification that the maximum specified water cementitious ratio was not exceeded and the batch was delivered and placed in c pliance with De artment specification requirements (347-5)`, Signature of Contractors i F 0 CEmcx Plant: "Begin Loading: To Job: Arrive Job „ '. '. StarYUnload Finish Unload: Leave.Job: Return Plante 92-1/ 1091i2 Customer Code: Customer Name: Customer Job Number: Order Code / Date: 122495 DAY & Z 1 MMEF2Mf- N NPS INC 588 08 14 14 raject Code: Project Name. �' projectP.O. Number � � ' Order P.O.'Number: - . • TEV E Date: Delivery Address: Map Page: Map/Row/Column: (Tiicket 08 14f 14, ( j� r { +. 6-0.1 N f..l�./F....i'TN si i.? ... FFJf Delivery Instnlctlong:` . Dispatcher: DATE- C CV ^i 1 Ticket Number: ,. . w n . 333009d09 (17.26 LOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION, DESCRIPTION - UOM UNIT PRICE AMOUNT 10 00 0. 1,7 S.r�jJ 1 57c.�.�.;� �j{�t)t} ES'EC1`rli �=B/E d �. o a LB 'y`j;,�, '' Due On Job: 1. Slump: Truck Number: rNumber: Driver Name: End Use: roe.�f�lfa�:.����11,Drive :�'�c�`t�1wr (�'r1G;If ral..lr�i71�.!*rl-� ��..�ar�� � SLAB t:JtgJ 1,Z2478,1.8 � �'llL:3:.. S1.3RCHAKE - ' 1.00 ' 1F*2749. eJ:lV I R0NMEN-rAL CHARGE Cash Check #! Auth Code: Signature: of Driver Receiving Cash: Cash Received: Total COD Ordergmount 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: 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 acceptant' 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 AUTHO SIGNATURE: ' within one business day after the receipt of materials. •n����r�h�sn�\ � /%�;^� O Y I i�i ?i A l � n .l 1 n1 1 V Ar1 68UNIVERSAL i E'cE V iK n 10064924 INVOICE LOAP This Delivery Ticket incorporates herein --eference Buyer's previously executed. C----'-*t Application, if any, Seller's Standard Terms and Conditions, Seller's Quotatior, Lny, and Seller's Order Confirmation (im rig 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 othetivise 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, 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 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 slain 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 929 Gessner, Suite 1900. V7 combined Houston, Texas 77024 02/12 For more information please visit www.ccexusa..com. Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier termino est6ndar, condiciones del vendedor, propuestas del vendecor y orden de confirmaci6n del vendedor (con limitaciones y garantfas), como acuerdo total, del. ticket de entrega ("Contrato"). El vencedor proveera los t6rminos estandares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mis.mos ya antes mencionados y que las cantidacles y materiales fueron entregados como se expresa en el mismo. Acepta pagar el rnonto de acuerdo al contacto; al nienos que: se identi- fique con una nota al fi-ente de este docurnento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca voJcanica, arena, Brava y otros materiales si.licios. Los productos de cemento incluyen Cemento de tipo .Portland, de albanilerfa, pozzolan (tipo IP), azulejo de azotea y estueo. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, roca volcanica, arena, grava, y otros materiales silicios. Est.os productos incluyen cenizas volantes (:fly ash) ]a coal puede contener rods de 0.025% de silicoo cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritacion en Jos ojos, quemaduras en piel y ojos, y reacciones al6.rgicas en la piel. Conc.reto seco y polvo de agregados, pueden causar irrltaci6n en los ojos, piel y/o en la zona respiratoria. Po.lvo 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 calida, reposar y tomar grander cantidades de agua. Las cenizas volantes pueden contener a.rnoniaco. Seguridad• La humedad puede causar la .liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toner, irritaci6n o quemaduras en la nariz, 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 piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuada pal -a protecci6n. Lavese ]as 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 protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la pane afectada por 15 minatos. 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 la irritaci6n continua. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combinado Houston, Texas, 77024 02/12 Para etas informaci6n visita www.cernexusa.com. Financial Project No.: N/A Serial No.: F.D.O.T. Plant No.: Concrete Supplier: N/A CEMEX Address: 6100 Midway Road Ft. Pierce, FL 34981 33300909 Date: August 14, 2014 Delivered To: Day & Zimmermen Address: 5601 Ocean Blvd FPL Nuclear Plant Truck No. Class Mix No. Cubic Yards (M3) This Load 25347 5000 1572119 10 Time Loaded Arrived© t� 3 cj Discharged Cubic Yards (M3) Total 6:35 I, • ©COI 1, t d 30 Allowable Jobsite Water Addition Jobsite Slump Jobsite w/c Ratio 11 23 DAREX Cement CEMEX TYPE II 5830 WR GRACE N/A Brand Amount Source Amount WR GRACE Coarse Agl 87-090 1.4% 17120 WRDA60 704 Pit # % Moist. Amount Source Amount WR Grace Fine Agg. 87-090 4.1% 13320 ADVA 120 353 Pit # % Moist. Amount Source Amount Propex Batch Water (Gals) 206 300 Fiber 15 Amount Source Amount issuance of this ticket constitutes certification that the concrete batched was produced and information recorded in compliance with Department specification requirements (347- S ature of Plant Batcher Water added at Jobsite Gal./Liters Issuance of this ticket constitutes certification that the maximum specified water cementitious ratio was not exceeded and the batch was delivered and placed in compliance with Department specification requirements (347-5) Signature of Contractors A Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: Customer Code: Customer Name: Customer Job Number: Order Code / Date: Project Code: Project Name: Project P.O. Number: Order P.O. Number: STEVE Ticket Date:, Delivery Address: Map Page: Map/Row/Column: -Delivery Instructions: Dispatcher: GATE, C D SEAMS Ticket Number: i e i. . 333C)1. 0 18 t _ •' LOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT ,.L0. 00 40. 00 68, 00 1.51211.9 5�7{,0 REG/ ['i/FB/67 1. LB F YD3 1.00 1247818 FUEL. Sl3Rt..9-i1=aRGE 1.00 1.20Ms "J ENVIRONMENTAL CHARGE J Cash Check # / Auth Code: Signature of Driver Receiving ] Check Charge Comments: , r Cash Received: Total COD Order Amount to Collect Without Standby Charges: WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: 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 harldl g information, and to them tetial safety data sheets for additional Information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHOR'(Z DDD IGNATURE: within one business day after the receipt of materials. O `i h, 68UNIVERSAL i REV TRK = 100125347 INVOICE LOAD NU14 0 4 Due On Job: Slump: Truck Number: Driver Number: Driver Name: End Use: eet��_� �,`�t �I��;��;��;�:� �.������-:� ��t� t.,c�i_L:�>�ra �i_�r�c�� SLAB This Delivery Ticket incorporates herein by reference .Buyer's previously executed "-lit Application, if any. Seller's Standard Terms and Conditions, Seller's Quotatic any, and Seller's Order Confirmation (ii :ling limitations of warranties), as if fully set forth on this Delivery Ticket ("Agree„junt"). Seller will provide the Standard Terms and Conditions upon request. Buyer agrees that, unless othertivise 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 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 02/1.2 For more infonnation please visit www.cemexusa.corn. Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmation del vendedor (con limitaciones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los t6nninos estdndares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que .]as cantidades y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo a] contrato: 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, coca 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. L,os productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, rota volcanica, arena, grava, y otros materiales s.ilicios. 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 irritacion en Jos ojos, quemaduras en piel y ojos, y reacciones alergi.cas en la piel. Concreto seco y polvo de agregados, pueden causar irritacion en los ojos, piel y/o en la zona .respiratoria. Polvo del rnanejo en el trituramiento, pulido, torte y/o perforaci6n puede contener materiales silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de se.r ingeridos, mantenerse en temperature calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberation del amoniaco. La inhalation del amoniaco puede causar toser, irritacion o quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salad depende en la duration y el nivel de la exposition. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, proteccion en los ojos y ropa Primeros adecuada para protection. Ldvese las manos con jab6n suave y agua despues del rnanejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mds de los limites recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la paste afectada por 15 minutes. 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 irritacion continua. CEMEX, Memorial Hermann Tower 929 Gessner. Suite 1900 V7 combinado Houston. Texas 77024 02/12 Para rods informaci6n visita www.cemexusa.com. Financial Project No.: N/A F.D.O.T. Plant No.: N/A Concrete Supplier: CEMEX Address: 6100 Midway Road Ft. Pierce, FL 34981 Serial No.: 33301018. Date: August 14, 2014 Delivered To: Day & Zimmermen Address: 5601 Ocean Blvd FPL Nuclear Plant Truck No. Class Mix No. Cubic Yards (M3) This Load 25760 5000 1572119 10 Time Loaded Arrived ed Cubic Yards (M3) Total 7:02 =4' -' 40 Allowable Jobsite Water Addition Jobsite Slump w/c Ratio 11 21 JJobsite 1.1 DAREX Cement CEMEX TYPE II 5850 WR GRACE N/A Brand Amount Source Amount WR GRACE Coarse Ag! 87-090 1.4% 17080 WRDA60 703 Pit # % Moist. Amount Source Amount WR Grace Fine Agg. 87-090 4.1% 13320 ADVA 120 353 Pit # % Moist. Amount Source Amount Propex [Batch Water (Gals) 208 300 Fiber 15 Amount Source Amount issuance or tnis ucKet consmutes certirication tnat the concrete batched was produced and information recorded in compliance with Department specification requirements (347- Signature of Plant Batcher Water added at Jobsite Gal./Liters Issuance of this ticket constitutes certification that the maximum specified water cementitious ratio was not exceeded and the batch was delivered and placed in compliance with Department specification requirements (347-5) Signature of Contractors Ccmcx Plant: Begin Loading: To Job: Arrive Job: : Start Unload: Finish Unload: Leave Job: Return Plant: Customer Code: rrCustomerName: Customer Job Number: Order Code/ Date: ` �tP.ro�eef o e f °fTr jest ame . I { �( { i{� }` i 8 .. } R. ,. ° ' ,., Project P.O. Number . : t�lder P.O. NumSe f jI ! _ j. 4 { Ticket Date: Delivery Address: iV�1a Pagb: Map/Row/Column: i eliv1-ery n t-'-bons: ` ��,JI�•�•S i 1 - N Q�AN D R : 'w'. FPL Dispatcher: ° 3�.:,301.136 M Due On Job: Slump: Truck Number: Driver Number: Driver Name: End Use: T� 97 9 % "rr"s•_�-ram h i. n •I r s0•�� "ti7 tJ="A V Yvt" t hth' t]4 Y%1•.iC', :, L^! LOAD. CUMULATIVE ORDERED QUANTIQUANTIQUANTIMATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT TY TY TY 5'(°t t 68- (rt'0 157E"II' Tl SOOO RE /14/FB/67 1.00 2O 7 4 t'\IV I RONMENTA L. C lit'-IRGE Cash Check '#/AuthCode: Signature. of Driver Receiving .Cash: Check Charge Comments 1 a LB F YD t Cash Received: Total COD Order Amount to Collect Without Standby Charges: WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: 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 data sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHO IIZED SIGNATURE: ° within one business day after the receipt of materials. O I` h 1 p n —N % r! 68UNIVERSAI, P RE V "r RK e 10025760 i25760 INVOICE LOAD NUM a 5 This Delivery Ticket incorporates herein by reference Buyer's previously executed C —lit Application, if any, Seller's Standard Terms and. Conditions, Seller's Quotatioi rny, and. Seller's Order Confirmation (in ing limitations of warranties), as if fully set forth on this Delivery Ticket. ("Agreer... —`). Seller will provide the Standard Terms and Conditions upon request. Buyer agrees that, unless otheiwise 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, pozzollan (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: l:n case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust .is inhaled, move to fresh air.1.1..7 wet cement contacts s.ki.n, 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 lncluye coma refe.renc.ia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier tdrmino 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 estdndares y condiciones detal- lados en caso de asf ser requeridos. Con este docu.mento, of comp.rador acepta los m.ismos ya antes menc.ionados y que las cantidades y materiales fueron entregados como se expresa en el mismo. Acepta pagar el. monto de acuerdo al contrcto: al .menos que se identi- fique con una nota al frente do este documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales como piiedra caliza, dolomita, granito, coca vol.canica, 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, gran.i.to, roca volcdnica, 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 aldrgicas en ]a pie]. Conc.reto seco y polvo de agregados, pueden causar irritaci6n en los ojos, piel y/o en la zona respiratori.a. Po.lvo del manejo en el trituramiento, pu.lido, cortd y/o perforaci6n puede contener materiales silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso do se.r ingeridos, mantenerse en temperatura calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amomaco. Seguridad: La humedad puede causar la liberaci6n del amon.iaco. I..a inhalaci6n del amoniaco puede causar toser, irritaci6n o que rnaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El .riesgo en la salud depende en la durac.i6n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto pro.longado con la piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuada para protecci6n. Lavese las 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. Pri.meros 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 Tondo con agua. Acuda a atenci6n medica inmediatamente si la irritaci6n continua. CEMEX, Memorial Hennann Tower 929 Gessner, Suite 1900 V7 combinado Houston, Texas 77024 02/12 Para inns informaci6n visita www ceniexusa.coni. Financial Project No.: F.D.O.T. Plant No.: Concrete Supplier: N/A N/A CEMEX Address: 6100 Midway Road Ft. Pierce, FL 34981 Serial No.: 33301136 Date: I August 14, 2014 Delivered To: Day & Zimmermen Address: 5601 Ocean Blvd FPL Nuclear Plant Truck No. Class Mix No. Cubic Yards (M3) This Load 25403 5000 1572119 10 Time Loaded Arri e 1 n� D�c�rgedO Cubic Yards (M3 STOotal 7.28 Allowable Jobsite Water Addition Jobsite Slump Jobsite w/c Ratio 22 DAREX Cement CEMEX TYPE II 5830 WR GRACE N/A Brand Amount Source Amount WR GRACE Coarse Ag! 87-090 1.4% 17120 WRDA60 704 Pit # % Moist. Amount Source Amount WR Grace Fine Agg. 87-090 4.1% 13320 ADVA 120 353 Pit # % Moist. Amount Source Amount Propex Batch Water (Gals) 207 300 Fiber 15 Amount Source Amount issuance or tnis ticket constitutes certitication that the concrete batched was produced and information recorded in compliance with Department specification requirements (347 ). SignAture of Plant Batcher Water added at Jobsite Gal./Liters Issuance of this ticket constitutes certification that the maximum specified water cementitious ratio was not exceeded and the batch was delivered and placed in compliance with Department specification requirements (347-5) c J C—n z Signature of Contractors 71'r Ccmcx Plant: Begin Loading: - ` TaJab: ` -Ariive.Job:. Start'Unload Finish, Unload: Leave Job: Return Plant: 92/ 1092 Customer Code: Customer Name: Customer Job Number: Order Code) Date: i:t 2495 DAY & `r :[ 14 ME MAH NPS INC 588 08l 1 Z"- ' 14 Pto/ed Coder i Project N,'ame; ° project P.O.Number. Order P.O. Numbera Ticket Date: Delivery Address: Map Page: Map/Row/Column: Deliverylnstrdc ions: Dispatcher; ` "Ticket � 4 , � • m � Number: Due On Job: Slump: Truck Number: Driver Number: Driver Name: End Use: Q^ 1, SLAB '• �r n �J�:.! E'Ja �f_f 1t)1_l8'�o•:.JQ�9 �.!?�a'.Lu'� �}id�;�_L.. iJEI._ATt:]FSR�. ''� y'� BLUING: ��1..'.i'iAJ LOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM I.tsa cx £,€ Otf 68. fwo Is I 1,9 5,600 RE6/Hr{F13i 'r-.,7 1. 5 I.._B E Y PZ, 1.00 I E +7818 JE L SUR(,'�hlf MAR Cash Check # / Auth Code: signature of Driver Receiving Cash: Cash Received: ] Check Charge Comments: UNIT PRICE AMOUNT i ID Order Amount to Collect rryuStandby Charges: WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: ❑ 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 ha dling information, and to the aterial safety data sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHO-°I �ED SIGNATURE: M within one business day after the receipt of materials. OX �v �n A, AA e n r " It 0 V\ 68UNIVERSAL INVOICE This Delivery Ticket incorporates herein k- reference Buyer's previously executed. C—dit Application, if any, Seller's Standard Terms and Conditions, Seller's Quotatio any, and Seller's Order Confirmation (ir ling limitations of warranties), as if fully set forth on this Delivery 'Picket ("Agreeinum"). Seller will provide the Standard Terirv, mid 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, pozzo.lan (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 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 c in. Este ticket de entrega incluye Como referencia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier termino 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 Jos terminos estandares y condiciones detai- 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 rnonto de acuerdo a] contaato: al mends que se identi- fique con una rota 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 volcanica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albaf lerfa, 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 volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) Ia cual puede contener mds de 0.025% de silicio crystalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los Ojos, quemaduras en piel y ojos, y reacciones al6.rgicas en ]a piel. Concreto seco y polvo de agregados, pueden causar .irr.itacion 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 calida, reposar y tomar grandes cantidad.es de agua. Las cenizas volantes pueden contener amoniaco. Seguridad• La humedad puede causar ]a .libeiaci6n 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 salad 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 protecci.6n. Lavese las manos con jabon suave y agua despues del manejo de materiales. Evite inhalar auxilios• polvos. Si se expone a polvos mds de los lim.ites recomendados, use protecci6n respiratoria. Primeros auxilios:.En caso de contacto en los Ojos, inmediatamente fluya agua en la parte afectada por 15 minutes. Si se inhala polvo, expongase a aire fresco. Si el cemento fresco tiene contacto con sus Ojos, lavelos a fondo con agua. Acuda a atenci6❑ medica inmediatarnente si la irritacion continua. CEMEX. , Memorial Hermann 'Power 929 Gessner, Suite 1900 V7 combinado Houston, Texas '77024 02/12 Para mds inform.aci6n visita www.ceniexusa.com. Financial Project No.: F.D.O.T. Plant No.: Concrete Supplier: .. is I FAA r1a, a N/A N/A CEMEX Address: 6100 Midway Road Ft. Pierce, FL 34981 Serial No.: 33301262 Date: August 14, 2014 Delivered To: Day & Zimmermen Address: 5601 Ocean Blvd FPL Nuclear Plant Truck No. Class Mix No. Cubic Yards (M3) This Load 64589 5000 1 1572119 10 Time Loaded Arrived , GJ DiM rgpd Cubic Yards (M3) Total 8:03 Q t S . l 60 Allowable Jobsite Water Addition Jobsite Slump Jobsite w/c Ratio 21 DAREX Cement CEMEX TYPE II 5830 WR GRACE N/A Brand Amount Source Amount WR GRACE Coarse Agl 87-090 1.4% 17080 WRDA60 703 Pit # % Moist. Amount Source Amount WR Grace Fine Agg. 87-090 4.1% .13320 ADVA 120 353 Pit # % Moist. Amount Source Amount Propex [Batch Water (Gals) 208 300 Fiber 15 Amount Source Amount Issuance of this ticket constitutes certification that the concrete batched was produced and information recorded in compliance with Department specification requirements (3 Signature of Plant Batcher Water added at Jobsite Gal./Liters Issuance of this ticket constitutes certification that the maximum specified water cementitious ratio was not exceeded and the batch was delivered and placed in compliance with Department specification requirements (347-5) baAA2,at Signature of Contractors Plant: Begin Loading: To Job:Arrive job: Start Unload: Finish Unload: Leave Job: Retum Plant 2/1.t19 Customer Code: Customer Name: Customer Job Number: Order Code / Date: 3 1. F-..2 4 95 DAY & Z I MME RMAN t,,!P',; INC 588 08 /_ 14 / 14 Prdject Code: Project Name: E1 Project P.O. Number: Order P.O. Number: i. Ticket Date: Delivery Address: Map Page: Map/Row/Column: 08j' 14/ 14 601 N OCEAN DR - F PL Delivery Instructions: Dispatcher: G-I'A T E' C DCSEAMS-. . Ticket Number: ' 3330144-6 (�ntlob: Slump:,,: PneLOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT a 7 �rucl�N}�r�bel: �e[�Rlber: � (-�fY er I�LJeR �T. a End U��...I��� o +�'.r�F� i.oiz 1247818 FUEL SURCHARGE 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: GAL YARDS IN DRUM: WHEN. ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: 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 aterial safety data sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTH F�IZ D SIGNATURE: �''`�� ' within one business day after the receipt of materials. QX � �% j\ A I 1 () � A(—\ f=°REIJ "r Ra.o 100 68UNIVERSAL INVOICE This Delivery Ticket incorporates herein by reference Buyer's previously executed C—lit Application, if any. Seller's Standard Terms and Conditions, Seller's Quotatio any, and Seller's Order Confirmation (ir, ling limitations of warranties), as if fully set forth on this Delivery Ticket ("Agree,,Seller will provide the Standard Tern, 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 / 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 anvno- nia. Moisture can cause the ammonia to be released. Inhalation pf 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 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 referencia al comprador (ya previamente ejecutada en su aplicaci6n de credito): cualquier termino estindar, condiciones del vendedor, propuestas del vendedor y orden de confirmacion 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 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, dolornita, granito, rocs volcfinica, arena, gravy y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albariilerfa, 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 volednica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la coal puede contener mas de 0.025% de silicoo cristallno. 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 irritacion en los ojos, peel 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 calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener arnoniaco. Seguridad• La humedad puede causar la liberaci6n del arnoniaco. La inhalaci6n del arnoniaco puede causar toser, irritacion o quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al .medico. El riesgo en la salad depende en ]a duraci6n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, pro: tecci6n en los ojos y ropa Primeros adecuada para proteccion. 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 protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la paste afectada por 15 nvriutos. 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 la irritacion continua. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combinado Houston. Texas 77024 02/12 Para etas informacion visita www.cemexusa.com. Financial Project No.: N/A F.D.O.T. Plant No.: N/A Concrete Supplier: CEMEX Address: 6100 Midway Road Ft. Pierce, FL 34981 Serial No.: 33301446 Date: August 14, 2014 Delivered To: Day & Zimmermen Address: 5601 Ocean Blvd FPL Nuclear Plant Truck No. Class Mix No. Cubic Yards (M3) This Load 64924 5000 1572119 10 Time Loaded Arri Disscchargfedd Cubic Yards (M3 �ootal 8:55 O j Allowable Jobsite Water Addition Jobsite Slump Jobsite w/c Ratio 22 DAREX Cement CEMEX TYPE II 5830 WR GRACE N/A Brand Amount Source Amount WR GRACE Coarse Ag! 87-090 1.4% 17120 WROA60 704 Pit # % Moist. Amount Source Amount WR Grace Fine Agg. 87-090 4.1% 13320 ADVA 120 352 Pit # % Moist. Amount Source Amount Propex Batch Water (Gals) 207 300 Fiber 15 Amount Source Amount Issuance of this ticket constitutes certification that the concrete batched was produced information recorded in compliance with Department specification requirements J34 - Signature of Plant Batcher Water added at Jobsite Gal./Liters Issuance of this ticket constitutes certification that the maximum specified water cementitious ratio was not exceeded and the batch was delivered and place in compliance with Department specification requirements (347-5) Ohmid gnature of Contractors