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HomeMy WebLinkAboutCemex 2nd PourF Ccmcx Plant: Begin Loading: To Job: Arrive Job: Start Unload: finish Unload: Leave Job: Return Plant: 13 ,` 1. (.)ID2 Customer Code: Customer Name: Project Code: Project Name: Date: s�::11 Delivery Add�dYfresOCEAN ��Tyiickett1 4 C!!� '`II y�++1 i CC 5601PL c Delivery Instructions; C7ATE C trl t � ruck t' Customer Job :Number: Order Code Date: 807 t:IB/13,/2dt• Project P.O. Number: - Order P.O. Number: rk aTIE VC <� Map Page: Map/Row/Column: Dispatcher: SHKL UC I NEC Ticket Number: .. 3329835 1 t Due On Job: Slump: Number: Driver Number: Driver Name: End Use: �,ti Ga 5t3 t i_1f, rE}.1 3.10922 ��NI EL DELATORRL _ BL.DNGn SLAB LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION I QUANTITY QUANTITY QUANTITY 1 t_i, clo 1 (). 0c;s 681 (30 1577 119 5600 REG/H/>"• S/67 1. t 1) 124.7& 1 q FUEL SURCHARGE 1.. t. o 120 749 ENVIRONMENTAL CHAT Cash Check # / Auth Code: Signature of Driver Receiving Cash: Check r� ou (7 Q �3 �S 20tq � r " `r `= WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. OCT 10 OECD SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: / �06?_ 00/0 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 handing information, and to them rial safety data sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHO IZ D SIGNATURE: within one business day after the receipt of materials. O I 0 1A�� i 68UNIVERSAL INVOICE This Delivery Ticket incorporates her-�n by reference Buyer's previously executed Credit 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 Ad' fully set forth on this Delivery Ticket ("Agreement"). Seller will provide the Standard TeY im, 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 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 incluye como referencia al comprador (ya previamente ejecutada en su apli:cacion de credito); eualquier tennino estandar, condiciones del vendeclor, 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 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 contaato, al menos Clue se identi- fique con una nota al frente de este documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca volcanica. arena, grava y otros materiales sil.icios. Los productos de cemento incluyen Cemento de tipo Portland, de albanileria, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, d.olomita, 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: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritacion en Jos 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, torte y/o perforation 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 amoniaco. Se uridad• La humedad puede causar la liberation del amoniaco. La inhalation del. amoniaco puede causar toser, irritacion o g 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 proteccion. Ldvese las manor con jabon suave y agua despues del manejo de materiales. Evite inhalar auxilios' polvos. Si se expone a polvos mas de los limiter recomendados, use proteccion respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la paste afectada por 15 minutos. 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 mas information visita www.cemexusa.com. Financial Project No.: N/A Serial No.: F.D.O.T. Plant No.: Concrete Supplier: N/A CEMEX 33298351 Date: August 13, 2014 Delivered To: Day & Zimmermen Address: 6100 Midway Road Address Ft. Pierce, FL 34981 5601 Ocean Blvd FPL Nuclear Plant Truck No. Class Mix No. Cubic Yards (M3) This Load 64589 5000 1572119 10 Time Loaded Arrived Discharged Cubic Yards (M3) Total 5:45 0630 10 Allowable Jobsite Water Addition lJobsite Slump Jobsite w/c Ratio 24 DAREX Cement CEMEX TYPE II 5820 WR GRACE N/A Brand Amount Source Amount WR GRACE Coarse Agl 87-090 1.3% 17080 WRDA60 704 Pit # % Moist. Amount Source Amount WR Grace Fine Agg. 87-090 4.0% 13280 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 requirem 47-5). Signatur 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 ' ompliance with Department specification requirements (347-5) l� Signature of Contractors Aecamax Plant: Begin Loading: Ta Job:' Arrive Job: „ S#artUnload:; Finish Unload: Leave 'Job: • Return Plant: Customer Code: Customer Name: Customer Job. Number: Order Code / Date: 312249� DAY & 7.14Y MERI+iAN 1:lPS INC IC � 807 08 / 1,;r/ 14 Proled Code> r, Project Name. x W e Proleot P.O.°Number: Order P.O. Number ' STEVE Ticket Date: Delivery Address: Map Page: Map/Row/Column: 08 f 1 u/ 1.4 5601 N OCEAN, DR FPL. Deliverylnstructions: Dispatcher. G T .`° �,. g�C SEAMS ° 9 Ticket Number: .a.'a29839E Due On Job: Slump: Truck Number: Driver Number: Driver Name: End Use: LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM QUANTITY QUANTITY QUANTITY Q. CA 68. 00 157Ln119 5000 RE.1'3/1A/FB/67 1. 5 LB F YDZD 1. 00 2,4 r FUEL. �� 1�NRi7►�C 1'. 0t`a ' A d ` ai ENVIRONMENTAL CHARGE Cash Check # / Auth Code: Signature of Driver Receiving Cash: Cash Received: —77 ] Check Charge Comments: UNIT PRICE I AMOUNT Total COD Order Amount to Without Standby Charges: WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: ❑ LOAD WAS TESTED BY: SIGNATURE SIGNATURE 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 hazed us tc 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 it"ngformation, and to the a e ial safetydata sheets for additional _information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHO ZE !!!""" IGNATURE: within one business day after the receipt of materials. 68UNIVERSAL PREW RK. a 1 of l64589 INVOICE LOAD NUM: i & 2 This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard Terms and. Conditions, Seller's Quotat if any, and. Seller's Order Confirmation ( adi.ng limitations of warranties), as it fully set forth on this Delivery Ticket ("AgrL,..... mt"). Seller will provide the Standard Tei __ 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 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 N1OSH-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 referenc.ia al comprador (ya previamente ejecutada en su apl.icaci6n de credito); cualquier tennino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmacion del vendedor (con limitaciones y arantfas), corno acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los terminos estandares y condiciones detai- nlados 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 corno 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 VOLANTES Los productos de agregados son materiales naturales corno piedra caliza, dolomita, granito, coca volcanica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albariileria, pozzolan (tipo 1P), azulejo de azotea y estuco. Los productos de concreto incluyen cemento .Portland y productos de agregados corno piedra caliza, dolomita, granito, coca 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 irritacion en Jos 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 respiratori.a. Polvo del manejo en el trituramiento, pu.lido, corte y/o perforac.i6n puede contener materiales silicos, los cual.es pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura calida, reposar y tomar grandes cantidades de aqua. Las cenizas volantes pueden contener amoniaco. Seguridad• La humedad puede causar la liberacion del amoniaco. La inhalacion del amoniaco puede causar toser, irritacion o quemaduras en la n:ariz, 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 protecci6n. Lavese l.as manor con jab6n suave y agua despues del inanejo 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, nnnediatamente fluya agua en ]a paste afectada por 15 minutos. Si se inhala polvo, expongase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fordo 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 mas inforrnaci6n visita www.cemexusa.com. 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.: 33298392 Date: August 13, 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 O,� �5 Discharged Cubic Yards (M3) Total 6:05 10 Allowable Jobsite Water Addition lJobsite Slump JJobsite w/c Ratio 25 DAREX Cement CEMEX TYPE II 5800 WR GRACE N/A Brand Amount Source Amount WR GRACE Coarse Ag! 87-090 1.3% 17080 WRDA60 704 Pit # % Moist. Amount Source Amount WR Grace Fine Agg. 87-090 4.0% 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 and information recorded in compliance with Department specification requirements (347-5). Signature of Plant Batc 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) VaL (:�>0U_XX_\ Signature of Contractors Plant: Begin Loading: To Job 'Arnve:Job:' Start Unload Finish Unload: Leave Job: Return Plant: `-0 / 109 Customer Code: Customer Name: Customer Job Number. Order Code / Date: 1122495 DAY & ZIMMERMAN NF'S INC 807 08.113/14. Ptd/eCt Code:, Project N"ame: �,e Project P.O, Number: Order P.O. Number;, Ticket. Date: Delivery Address: Map Page: Map/Row/Column: t.18/ 1 3/ 14 5601 N OCEPN RJR FPL. t Delivery 6tr6ctions .r e � Dispatcher: ; TicketNumber: ti E On Job: Slump:z Truck Number: Driver Number: Dpriv{e�raa N/ame: End Use: /D'ue ( aN1 ^^�� G. JIJ i 11.�1,.k `..,.J:r(..;..l.,;r 109207 �Jl (r''��r� it����� 'NiV '[ idli"IL MA t"� {�± SLAB LJ ���4.: i7 L_Gl�fGa tills Y'9L7 LOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT 10.00 1801 ot�"11 1 t? a 00 REG/H/F B 87 t, A 5 LB F `iD3a e ' 1.00 12( 27e • ENVIRONMENTAL CHARGE j Cash Check # / Auth Code: Signatures of Driver Receiving Cash: CashReceived: 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 Ll 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,P'a ardous 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 safetyhan ling,mformation; 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 U Fl ED SIGyyN,�ATURE" within one business day after the receipt of materials. X 16A 68UNIVERSAL PREY TRK .- 1()0e 5T60 INVOICE LOAD NUM: l; N This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard Terms and. Conditions, Seller's Quotat if any, and Seller's Order Confirmation ( ading limitations of warranties), as if fully set forth on this Delivery Ticket ("Agrc-...,snt"). Seller will provide the Standard Tei..— 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 ino.re 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. 11' 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. I:17 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 information please visit www,cemexusa.com. Este ticket de entrega incluye Como referencia al comprador (ya previamente ejecutada on su apl:.icaci6n de crddito); cual.quier 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 proveera los terminos estdndares y cond.iciones detal- lados en caso de asf ser requeridos. Con este clocumento, 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 mends quo 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 cal.iza, 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. I..,os productos de conereto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, coca voledn.ica, arena, grava, y otros materiales silic,ios. Estos productos incluyen cenizas volantes (fly ash) ]a 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 al6rgicas en la pie]. Concreto seco y polvo de agregados, pueden causar irritation 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, Jos 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 aqua. Las cenizas volantes pueden contener amoniaco. Seguridad• La humedad puede causar la liberaci6n del amoniaco. I.,a inhalaci611 del amoniaco puede causar toser, irritaci6n o quemaduras en la n:ariz, garganta y pultnones. Acudir inmediatam.ente al medico. El riesgo en la salud depende en la duraci6n y el nivel do 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 las manos con jab(5n suave y agua despu6s del manejo de materi.ales.:Evite inhala.r auxilios' polvos. Si se expone a polvos mas de los limiter recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en ]a parte afectad.a por 15 minutos. Si se irihala polvo, exp6ngase a airs 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 mas informaci6n visita www.cemexusa.com. , A R VC M 01- > < 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 33298501 Date: August 13, 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 'Arrived © r7A S Discharged Cubic Yards (M3) Total 6:36 30 Allowable�Jobsite Water Addition lJobsite Slump lJobsite w/c Ratio 25 DAREX Cement CEMEX TYPE II 5810 WR GRACE N/A Brand Amount Source Amount WR GRACE Coarse Ag! 87-090 1.3% 17120 WRDA60 704 Pit # % Moist. Amount Source Amount WR Grace Fine Agg. 87-090 4.0% 13320 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 requiremen (347-5). Signature of Plant E§atcher 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 inpqrnpliance with Department specification requirements (347-5) Signature of Contractors CcmC-x Plant: Begin. Loading:" To Job: ., : Ariiv_eJob:,. , , `- Starti:Unload Finish Unload: Leave Job: Return Plant: 9 2 f 1092 9 Customer Code: Customer Name: Customer Job Number: Order Code) Date: ,1 e`.'`95 DAY d.It'",ikiERMAN ��'� It�kt �dw+i 08/1 i./1'/'Z' i ProJect Coder: ProjectName: ` _ Project RQ, Number: . _ _ Order P.O. Number. '�� ` a STEVE Ticket. Data: Delivery Address: Map Page: Map/Row/Column: Deiivery In stn ctons Dispatcher: a Ticket Number: 3329 iL'. 3GJ Due On Job: Slump: Truck Number: I Driver Number: Driver Name: End Use: S e 01 6. 50 10?:i257 4• 100- 14 T 'RClNE WILF'► RD GLDNO g aLAS LOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT 10.00 0 4 0', 00, 68. 00 1'���.�.1' 900 REG/ 11/F B/ 67 1. 5 LB F= Y D,3. 24781.8'FUEL SURCHARGE , 1. 0(). 1,20274 ° `F";1` V I RC3NMENTAL 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 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 safe andling information, and to�t!;� afety data sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AU O IZED SIGNATURE: / within one business day after the receipt of materials. 1 t9 I�/ Illlll 68UNIVERSAL INVOICE LOAD NUM This Delivery Ticket incorporates herein 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 ( iding limitations of warranties), as H'fully set forth on this Delivery Ticket ("Agre.,.. -ht"). Seller will provide the Standard Ter.— -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, 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 02/1.2 For more information please visit www.cemexusa.com. Este ticket de entrega incluye 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 confirmaci6n del vendedor (con limitaciones y garantfas), corno acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera Jos t6rminos estandares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta Jos mismos ya antes mencionados y que las cantidades y materiales fueron entregados Como se expresa on 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 corno piedra caliza, dolomita, granito, coca volednica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados coma piedra caliza, dolomita, granito, rota volcanica, arena, Brava, y otros materiales silicios. Estos productos incluyen cenizas volantes (:Ely 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 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 perforaci6p puede contener materiales silicon, 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. Seguridad• La humedad puede causar la liberaci611 del amoniaco.:L,a inhalaci6n del amoniaco puede causar toser, irritaci6n o quemaduras on la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en la duraci6n y el nivel do la exposici6n. Segurid.ad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n on los ojos y ropa Primeros adecuada para protecci6n. Lavese las manos con jab6n suave y agua despu6s del manejo de materiales..Evite inhalar auxilios° polvos. Si se expone a polvos mas de los limiter recomendados, use protecci6n respiratoria. Primeros auxi.l.ios: 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. a. 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.: 33298638 Date: August 13, 2014 Delivered To: Day & Zimmermen Address: 5601 Ocean Blvd FPL Nuclear Plant Truck No. Class Mix No. Cubic Yards (M3) This Load 25754 5000 1572119 10 Time Loaded Arrived Discharged Cubic Yards (M3) Total 7:09 OZ, (O 40 Allowable Jobsite Water Addition JJobsite Slump lJobsite w/c Ratio 26 DAREX Cement CEMEX TYPE II 5820 WR GRACE N/A Brand Amount Source Amount WR GRACE Coarse Agl 87-090 1.3% 17120 WRDA60 704 Pit # % Moist. Amount Source Amount WR Grace Fine Agg. 87-090 4.0% 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 (347-5; . Signature of plant 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) Signature of Contractors Ccmex Plant:` Begin Loading; To Job: Arrive Jobt I Start:Unloade' Finish Unload: Leave Job: Return Plant: Customer Code: Customer Name: Customer Job Number Order Code / Date: a1:r a.r;1ie�h`c~ir'� nit' zP�I 00t' {� 1.4 jProjed Code_:. Project Name ` ° Project P.O. Number: " Order P.O. Number: . , fn Date: Address: Map Page: Map/Row/Column: !! OP./ �,P. 1. +33/ 14 [Delivetry { �qt1 p�t3 r .5160J. fit i.JM+Ei'YI"N :, R „" FPL. ,. Deliverylnstrgcuons Dispatcher ° iX eE�?MS �.� . � . e� . ' • ; .. ` a d < . , -F Ticket Number. . . . Due On Jab: Slump: Truck Number. Driver Number: Driver Name: End Use: 4 LOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE ODD PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT qq S:{.: " 00 Lr r^� La '� L�,wA.{,v a •00 E8, {.ej {..7 151 1. L� 5��'t`�0 RE6 4'�tff l"' B/67 1. +5 �.B �' }Iy�q "l d33 , 1.. 00 1 20&74 - --ENVIRONMENTAL RCJNMENTAL.. C H''ARGC ; Cash Check # /Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect` ] Check Charge Comments: WATERADDED: GAL Without Standby Charges: e YARDS IN DRUM: I WHEN ADDED. CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: ❑ LOAD WAS TESTED BY: SIGNATURE 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 handl' information, and to the mate 'aI safety data sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing . AUTHORI S ATURE: within one business day after the receipt of materials. O 0 � � I % 0 0—? r 68UNIVERSAL PREV 1"RF a 10i.2 754 INVOICE LOCI) NUM.- r This Delivery Ticket incorporates herein by reference Buyer's previously executers Credit 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 ("Agr(,,,.,ont"). Seller will provide the Standard Teu<«. and Conditions upon request. Buyer agrees that, unless otherwisq 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 :llermann Tower 929 Gessner, Suite 1.900 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): cualquiei- termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmation del vendedor (con lirnitaciones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El. vendedor proveera Ios terrninos 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 a] contrato: al menos que se identi- fique con una rota al frente de este documento. AGREGAVOS i CEIV1ENTO i FRODUUTOS DE UONURr.I'O i UENIGAS VOLAN UES Los productos de agregados son materiales naturales como piedra caliza, dolomita, grani.to, roca volcanica, arena, Brava y otros materiales sil.icios. 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, 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 pie]. Concreto seco y polvo de agregados, pueden causar irritacion en los ojos, piel y/o en fa zona respi.ratoria. Po.lvo del manejo en el trituramiento, pulido, torte y/o perforation 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 grandes cantidades de agua. I::,as cenizas volantes pueden contener amoniaco. Seguridad: La hu.medad puede causar la liberaci6n del amoniaco. La inhalaci6n del. amoniaco puede causar toser, irritacion o queniaduras 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. Segurid.ad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, proteccion en los ojos y ropa Primeros adecuada para proteccion. Lavese ]as manor con jab6n suave y agua despues del manejo de materiales. Evite inhalar auxilios• polvos. Si se expone a polvos rods de los limiter recomendados, use proteccion respiratoria. Primeros auxilios: En caso de contacto e,n los ojos, inmediatamente fluya agua en la patte afectada por 15 minu.tos. Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a Tondo con agua. Acuda a ate.ncion medica inmediatamente si. la irritacion continua. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 conrbinado Houston, Texas 77024 02/12 Para mas informaci.on vi.sita www.cemexusa.corn. Financial Project No.: N/A 7m, laak, F.D.O.T. Plant No.: N/A Concrete Supplier: CEMEX Address: 6100 Midway Road Ft. Pierce, FL 34981 Serial No.: 33298853 Date: August 13, 2014 Delivered To: Day & Zimmermen Address: 5601 Ocean Blvd FPL Nuclear Plant Truck No. Class Mix No. Cubic Yards (M3) This Load 25332 5000 1572119 10 Time Loaded Arrived ©% 'J o Discharged Cubic Yards (M3) Total 7:53 • 50 Allowable Jobsite Water Addition Jobsite Slump I Jobsite w/c Ratio 25 DAREX Cement CEMEX TYPE II 5840 WR GRACE N/A Brand Amount Source Amount WR GRACE Coarse Agl 87-090 1.3% 17080 WRDA60 703 Pit # % Moist. Amount Source Amount WR Grace Fine Agg. 87-090 4.0% 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 (347-5). Signature of Ffiant 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 ompliance with Department specification requirements (347-5) Signature of Contractors E CEmcx 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: 31E-24 5 DAY - t Z IM.MERMAN! taps MC 807 08/ 13/ 14 ! Project Code: Project Name: _ Project P.O. Number. Order P.O. Number. TEVE Ticket Date: Delivery Address: Map Page: Map/Row/Column: 8/.1.3'/ 14 ��,c�1 r1 C�rUII`�I DF) -- I` P1— ry DeliveInstructions: Dispatcher: GbATE C r C-SEIAMS_ Ticket Number: 1 (�'007 r' t i LOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT 10. c'-0 60. sac' ES. 00 157211`� ;; a00 REG/i /F B/67 1n 5 LB F YD3 Due On Job: Slump: Truck Number: Driver Number: Driver Name: � End Use: `� e ]. 9 G. 5i:� 1 i:yc��:576;�i 1 c3�55��• �.LV :i hl WILLIAMS . BUNG: SLAB .26e'7818 "{.1tn:L SL.IRC:t-tARCE 14 °o*..'749 ENVIRONMENTAL t:,hfAFtGE 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 material safety data sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZE •'9 GNATURE: ' within one business day after the receipt of materials. 0 � AK 10 C--( 9—\4�D 68UNIVERSAL INVOICE This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard Teens and Conditions, Seller's Quotati f any, and Seller's Order Confirmation ( iding limitations of warranties), as if "fully set forth on this Delivery Ticket ("Agre,,.,.,nt"). Seller will provide the Standard Ter.... and Conditions upon request. Buyer agrees that, unl.ess.otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with-thd 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 annno- 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 incluye comp referencia at comprador (ya previamente ejecutada en su aplicacion de credito): cualquier termino estandar, 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 a] contaato: at menos clue 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, roca volcanica• arena, grava y otros materiales silicios. L,os 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 mas de 0.025% de silicoo cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritacion 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, carte y/o perforacion 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 amoniaco. Se uridad• La humedad puede causar la liberacion del amoniaco. La inhalacion del amoniaco puede causar toser, irritacion o g • quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente at medico. El riesgo en la salud depende en la duracion y el nivel de la exposicion. Segurid.ad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, proteccion en los ojos y ropa Primeros adecuada para proteccion. Lavese ]as manos con jabon suave y agua despues del manejo de materiales. Evite inhalar auxilios• polvos. Si se expone a polvos mas de los limites recomendados, use proteccion respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la paste afectada por 15 minutos. 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 mas information visita www.cemexusa.com. Financial Project No.: F.D.O.T. Plant No.: Concrete Supplier: Arc .. E , {y N/A N/A CEMEX Address: 6100 Midway Road Ft. Pierce, FL 34981 Serial No.: 56841982 Date: August 13, 2014 Delivered To: Day & Zimmermen Address: 5601 Ocean Blvd FPL Nuclear Plant Truck No. Class Mix No. Cubic Yards (M3) This Load 5765 5000 1572119 10 Time Loaded Arrived Discharged Cubic Yards (M3) Total 8:27 d q I ao 60 Allowable Jobsite Water Addition Jobsite Slump Jobsite w/c Ratio 26 DAREX Cement CEMEX TYPE II 5810 WR GRACE N/A Brand Amount Source Amount WR GRACE Coarse Ag! 87-090 1.3% 17080 WRDA60 704 Pit # % Moist. Amount Source Amount WR Grace Fine Agg. 87-090 4.0% 13280 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 an information recorded in compliance with Department specification requirements (347-5 . 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 ' compliance with Department specification requirements (347-5) ��—Au C--) Signature of Contractors 4Akcamax 66841985 Plant: Begin Loading:, - ° 'To Job:; Arrive'Job. , ° ° . Start Unload: Finish Unload: Leave Job- ' Return Plant; 9. 2/ 1092 Customer Code: Customer Name: Customer Job Number: Order Code / Date: Project Codaz "Prdjeet Name: Project P,O: Number. ° , Order P.O.=MuMbec.,� a mm ° t TE V y ? Ticket Date: Delivery Address: Map Page: Map/Row/Column: Delivery Instructions: Despatcher } Ticket Number: 33299183 _ � i a Due On Job: Slump: Truck Number: OriverNumber: Driver'Name: End Use: 5�E r a �_ 1 {022589 � ��92 1 a. r _slRCl, r��s� � PIS BL.;?r•R� .- SLAB IQLOAD UANTITY CQUANTITYE QUAORDERED NTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM Lea tstr r fta 1ki3 `>t:,s RZr'fi"f=/,7 105 L B Fi. UNIT PRICE I AMOUNT i , ° 11 00 120 74 ENV I RC1NMENTAL CHARGE FCashCheck#7 Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Without Standby Charges: Comments -a I WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. 7 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'Jonger 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 0ding information, and to the trial safety data sheets for additional information. returned concrete. Buyers. exceptions and claims shall be deemed waived unless made to us in writing ALIT1PIZE)GNATURE: 1within one business day after the receipt of materials. /y / 6BUNIVERSAL FPR V ..R..R=RK 0 10025765 \XlJ 1` LOAD7 INVOICE „ ;. This Delivery Ticket incorporates herein. by reference Buyer's previously executed Credit Application, if any, Seller's Standard Terms and. Conditions, Seller's Quotati i:f any, and Seller's Order Confirmation ( idi.ng limitations of warranties), as if`fully set forth on this Delivery Ticket ("Agre.,—rit"). Seller will provide the Standard Ter...., 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, 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 02/12 For more information please visit www cemexusa com. Este ticket de entrega incluye como refere.ncia al comprador (ya previamente ejecutada en su apl..icacic:>n 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 los 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 ]as 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. ran -��W" 1 ,1+�AL1> D1MM"Mfl>!' �i��11f1 jXf IJ_�i ��C�J �� �1L�J_a)I►1_r4►�_ J"9jWj0 11 :j Los productos`iie"abrados son materiales naturales como piedra caliza, dolomita, granito, roca volcanica, arena, grava y otros materiales silicios. Los productos de cemento inchryen 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 volcdnica, arena, grava, y otros materiales silicios. Estos productos incl.uyen cenizas volantes (fly ash) la cua.l puede contener rocs de 0.025% de silicio cristalino. Peligros: Mezcla 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 silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperature cdlida, reposar y tomar grander cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la .l.iberaci6n del amoniaco. La inhalation del amoniaco puede causar toser, irritacion o quemaduras on ]a nariz, garganta y pulmones. Acud.ir inmediatamente al medico. El riesgo en la salcd 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 rope Primeros adecuada para protecci6n. Lavese ]as manor con jab6n suave y agua despues del manejo 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 Jos ojos, imnediatamente fluva agua en la parte afectada por 15 minutos. Si se inhala polvo, exp6ngase a sire fresco. Si el cemento fresco tiene contacto con sus ojos, ldvelos a Tondo 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 mds .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.: 56841985 Date: August 13, 2014 Delivered To: Day & Zimmermen Address: 5601 Ocean Blvd FPL Nuclear Plant Truck No. Class Mix No. Cubic Yards (M3) This Load 22589 5000 1572119 8 Time Loaded Arrived l Discharged Cubic Yards (M3) Total 9:09 ( ©< 0 68 Allowable Jobsite Water Addition Jobsite Slump Jobsite w/c Ratio 15 DAREX Cement CEMEX TYPE II 4640 WR GRACE N/A Brand Amount Source Amount WR GRACE Coarse Agl 87-090 1.3% 13640 WRDA60 704 Pit # % Moist. Amount Source Amount WR Grace Fine Agg. 87-090 4.0% 10680 ADVA 120 282 Pit # % Moist. Amount Source Amount Propex Batch Water (Gals) 171 300 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 (347-5). 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 i compliance with epartment specification requirements (347-5) Signature of Contractors I 0 .l� CC-MEX Plant: Begin Loading: To Job: Arrive Job: ' Start Unload. Finish Unload: Leave Job: Return Plant: Customer Code: Customer Name: ' 12' L 495 DAY & ? 1_� MME R( ANI NIPS INC Project Code: Project Name: Ticket Date: Delivery Address: 08 / 13 / 14 56011 N OCEAN DR - f= Iµ - j Delivery Instructions: Q,AT . C , t i { i Customer Job Number. Project P.O. Number: Order Code / Date: 807 i_>B / 1 / 14• Order P.O. Number. STE E Map Page; Map/Row/Column: Dispatcher: DCSEAMS Ticket Number: • .S��rc ��1j d�.k.1 Due On Job: Slump: Number: Driver Number: Driver Name: End Use: 110.35 G. vE, z I,Truck .7r�E,�r59 09 A �aGEL IBC LATC3RRE aLii`Ir < SLAP LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTITY 5. 00 '3. 0C-) 73. 0 1372119 7-10, 0 REG/H/FE,/G7 1. 5 LB f= YD3 1.00 1247818 FUEL SURCHARGE 1.00 1-202749 '::NVIRONMENTAL CHARGE Cash Check # / Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount 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 accept any responsibility for the finished results. No credit for safety ha ling information, and to a material safety data sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHO I E . SIGNATURE: InN within one business day after the receipt of materials. O , ''n 68UNIVERSAL PREP/ 7'RK-. 1()o22589 INVOICE LOAM ,I\IUM e 8 This Delivery Ticket incorporates herein. 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 ( iding limitations of warranties), as if fully set forth on this Delivery Ticket ("Agre_._._nt"). Seller will provide the Standard Ter...,, -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, 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 reconunended 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 crcdito); cualquier termino estdndar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveeri los t6rminos estandares y condiciones detal- lados en caso de asf ser requeridos. Con este docu.mento, 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 a] contaato: al menos que se identi- fique con una nota al frente de este documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca volcdnica. 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 cuai puede contener mds 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 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 perforaci6n puede contener materiales silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura cdlida, reposar y tomar grandes cantidades de aqua. 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 pulmones. Acudir inmediatamente a] medico. El riesgo en la salad depende en la duraci.6n 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 las menos con jab6n suave y agua despues del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mds de los limites recomendados, use protecci6n respiratoria. Pri.meros auxilios: En caso do contacto en los ojos, inmediatamente fluya agua en ]a 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 continda. CEMEX, Memorial Hermann `rower 929 Gessner, Suite ' 1900 V7 combinado Houston, Texas 77024 02/12 Para mds informacion visita www.cemexusa.corn. Financial Project No.: F.D.O.T. Plant No.: Concrete Supplier: N/A Serial No.: N/A Date: CEMEX Address: 6100 Midway Road Ft. Pierce, FL 34981 56841989 August 13, 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 5 Time Loaded Arrived Discharged Cubic Yards (M3) Total 10:03 1 k a 00 73 Allowable Jobsite Water Addition Jobsite Slump Jobsite w/c Ratio 10 DAREX Cement CEMEX TYPE II 2920 WR GRACE N/A Brand Amount Source Amount WR GRACE Coarse Ag! 87-090 1.3% 8520 WRDA60 353 Pit # % Moist. Amount Source Amount WR Grace Fine Agg. 87-090 4.0% 6640 ADVA 120 177 Pit # % Moist. Amount Source Amount Propex Batch Water (Gals) 106 300 Fiber 7.5 Amount Source Amount Issuance of this ticket constitutes certification that the concrete batched was produced an information recorded in compliance with Department specification requirements -5 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 compliance wit Department 81 specification requirements (347-5) qko) Signature of Contractors