HomeMy WebLinkAboutCemex InvoiceTk CVIG7 5 8
RECEI 0 Jul 0
Ile
Plant:
Begin Loading:
7-T64Job:
Arrive Job:
Start Unload:
Finish, Unload:
Leave Job:
Return Plant:
Customer Code: Customer Name: Customer Job Number: Order Code Date:
310760(-'a ME"-RY CONSTRUCTION 0G/0G'/%1F1
Project Code; Project Name Project P.O. Number: Order P.6. um6e�r:
LL
LO -308, NETTLE
Ticket Date: Delivery Address: Map Page: Map/Row/Column:
M ) 13 4) 8 NETTLES B L V D JENSEN BEACH 271 2717E
Delivery Instructions: Dispatcher:
****i�ERA DR BOOM PUMR*-*i�,% far, anr'l'i nq
Ticket Number:
341l-2044G
Dub On Job:
Slump:
Truck Number:
Driver Number:
Driver Name:
End Use:, : - '
12 .-,3'7
Ri000
1 1002,53,61
109025
THOMAFE; LUC(-G "
I , 4— - S1
..LAI DNC,. FXI -itE
LOAD CUMULATIVE ORDERED MATERIAL CODE, PRODUCTION DESCRIPTION. 1JOM UNIT PRICE AMOUNT
QUANTITY QUANTITY QUANTITY
El. 00 00 24. 00 1 15 &1, 17 G I 400o REG YD",
%
.1.0o *4 Ft? URCH, UI 18 FUEL 9 R-E
1. 011) 1 49 ENV I RONW:INTIPIL C[.nRGC.
Li Cash Check # Auth Code: Signature of Driver Receiving Cash: Cash Received: 4SUA 0 1' ;f&arCdI5.!brder Amount to Collect
Without Standby Charges:
Check
71Charge
Comments:
WATER ADDED: GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
.CURB: UN -CRO E V O:R/AGENt S REQUES'T:
CIWICRETE' D'ISPOSAL FEE SIGNATURE
PARTIAL FULL LOAD YARDS -
LOAD WASTESTED . BY:
ce: ' our drivers will make every effort to place materials where the customer designates, buVthe SPECIAL TERMS:
: Any water added is at customers own risk. If water is added on job, concrete strength
1paqy 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
1'rms of sale and delivery and accepts concrete as is. Due to important factors which are out of our may be haz6rdous 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 AUTHORIZED SIGNATURE:
within one business day after the receipt of materials.
68UNIVERSAL I
PREY TRK.- 1.0026399 BIfNV0tCtIGK LNU OAL F1 4
This Delivery Ticket incorporates herein by reference Buyer's previously exe 1 Credit Application, if any, Seller's Standard
Terms and,Cond.itions, Seller's Quo' n, i1' any, and Seller's Order Confirmat icl.uding ].imitations of warranties), as if fully
set forth on this Delivery Ticket (`'AMment"). Seller will provide. the Standard r: ,ns 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.
AGGRE(31ATE / CEMENT / CONCRETE PRODUCTS / FLY ASH
Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and
siliceous materials. Cement products include :Portland cement, masonry, pozzolan (Type :IP), roof tile, and stucco. C0nL;1V=
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.:Moi.sture 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. Avoidbreathing dust. If exposed to
dust above recommended limits (see MSDS), wear suitable NI:OSI:I-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, Smite 1900
V7 combined El:ouston, Texas 77024
02/12 For more infon.mitio.n please visit www.cemexusa.corn.
Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de crddito); cualqu.ier
t6rmino' estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con .limi.taciones y
garantfas), comer acuerdo total del ticket de entrega ("Contrato").:El vendedor p.roveera .los terminos estandares y condiciones -
lados en caso de asf ser requeridos. Con este documento, el comprador acepta los Inisinos ya antes mencionados y quo las canti s
y materiales fueron entregados comp se expresa en el inismo. Acepta pagar of monto de acuerdo al co.ntrato; al menos que se identi-
fique con una nota al frente de este documento.
AGREGA.DOS / CEMENTO / PRO.DUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales natu.rales como pied.ra cali.za, do.lomita, granito, roca volcanica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos tie 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: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritati6n en los ojos, quemadu.ras en piel y ojos, y
reacciones al6rgicas en la piel. Concreto seco y po.lvo de agregados, pueden causar .irritaci.6n en .los Ojos, piel y/o en
Ia zona respiratoria. Polvo del Inanejo en el t.rlturamiento, 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, Inantenerse
en temperatura calicla, rcposar y tomar grandes cantidades do agua. Las cenizas volantes pueden contener amoni.aco.
La humedad puede causar la liberaci6n del amortiaco. La .inhalaci6n del amoniaco puede causar Loser, irr.itaci6n o
Seguridad: uemaduras en la nariz, '�Ir7anta 111111iones. Acudir innlediatamente al medico..El rigs ro en la salud de ende en.
q g` r': ` Y 1 b P
la duraci6n y el nivel de la exposici6n.
Se7uridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los Ojos y ropa
Primeros adecuada para proteccion..Lavese las Inanos con jab& serave y agua despues del mane de materiales. Evite inhalar
auxilios: polvos. Si. so exppne a polvos mas de los lignites rbcorn ;ndados, use protecc16n,respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la paste afectada por 15 minutos.
Si se .inhala polvo, exp6ngase a aire fresco. Si el 'cemeintc fresco tiene coi.rtacto con sus ojos, lavelos a fondo con
agua. Aeuda a atenci6n m6dica 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.