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HomeMy WebLinkAboutCemex5 f 63073 Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: Customer Code: Customer Name:, r, Project Code: Project Name: Ticket Date: Delivery Address: .i Delivery Instructions: Customer Job Number: Project P.O. Number. Order Code / Date: . Order P.O. Number. Map Page: Map/Row/Column: Dispatcher: Ticket Number: Due On Job: Slump: ^ /.t Truck Number.: r j A�Iver;Nympel: Driver Name { .i I•, Fa I� I i i End Use: t� { ,., • , I i „ s r) LOAD CUMULATIVE I ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTITY --I— Cash Check # /Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Without Standby Charges: Check Cha?ge Comments WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE RECEIVED NOV 2 0 2013 I CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: SIGNATURE Cl LOAD WAS TESTED BY: Notice: Our drivers will make every effort to piece 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 AUTHORIZED SIGNATURE: within one business day after the receipt of materials. O 68UNIVERSAL 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 T any, and Seller's Order Zonfirmation ( iding limitations of warranticr); a * set forth on this Delivery Ticket ("Agre nt"). Seller will provide the Standard Ter gad Ccyaditlons upon request. Buy �. that, unless otherwise noted on the front-nereof, 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 I.P), 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 contai,6 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-. ilia. 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 IVIOSH-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 al comprador (ya previamente ejecutada en su aplicaci6n de cr6dito); 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 terminos 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 en el mismo. Acepta pagar el monto de acuerdo•al-eontcatg;_al:ar5s-que se identi' fique con una nota al frente de este documento. Al AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTjES. Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, coca volcanica, arena, Brava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, coca 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: Mezela de cemento fresco y/o cenizas volantes pueden causar in-itaci6n en los ojos, quemaduras en piel y ojos,-y reacciones alergicas en la piel. 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 calida, reposar y tomar grandes canticlades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberaci6n 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 salud depende en la duraci6n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuada para protecci6n. Ldvese las manor con jab6n suave,y,agua _despu6s, del, mgnejo de materiales. Evite inhalar auxilios• polvos. Si se expone a polvos mas de los limites recomendados, US6 protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inm�iiatamente fluya agua en la parte afectada por 15 minutos. Si se inhala polvo. exp61lgase a afire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n m6dica inmediatamente si ]a irritaci6n continda. ' CEMEX. Memorial Hermann Tower 929 Gessner, Suite 1900 V7 com'binado Houston, Texas 77024 02/12 Para mas informaci6n visita www.cemexusa.co n. CC-MC-X 55776305 Plant: Begin Loading: To Job:- Arrive+Job: Start Unload: Finish Unload: Leavelob Refurn Plants Customer Code: Customer Name: Customer Job Number:. Order Code / Date: ; ;006. `- U DOYL E MASONRY INC _ �?, �t,A , 1 '! / 15 13 Project Code: Project Name. Project P.O. Number.. f Order P.O. NO r. umbe. Ticket Date: Delivery Address: n - Map Page: Map/Row/Column: I.1; '1 / 1 S LO'1 —r__0 1 NETTLES ISLAND Delivery Instructions:Dispatcher. t_t�l�.. t C 1;, L 7 : a I ;' I", fL =grin a. n Ticket Number: _ f 32630306 3( 1:y06 i Due,�On.L ( slump: o t?f LN��_Ni m 1 r� �S f� D 11e .'�b la t it e�� L A�� r, End Use: L 'N� a WALL L LOAD CUMULATIVE ORDERED ' MATERIAL CODE PRODUCTION DESCRIPTION J, ' UOM UNIT PRICE - AMOUNT QUANTITY QUANTITY QUANTITY o f�f_a t,+tl�,. a [i • �rstt� .;cc.�t:,LEItilDEI�F�Rt"°P�! `ri?3 � 1 Y 1. 00 1247818 FUEL SURCHARGE 1. t� 0 1 as)0-'74 9 Ei RV T RONP+lEN"f AL CHARGE LJ Cash Check #,/ Auth Code: Signature of Driver Receiving Cash: cash Received: Total COD Order Amount to Collect • Without Standby,Charges: Check 7.Charg6 Comments: , _ . _ . . WA ,ER /VDDED: �_ _ 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 ctomer 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 afterdelivery,'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. III--\ 968UNI1/ERSAL PRE'V. TRK-. LOA �- ' 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( ' any, and Seller's Order Confirmation 0 ding limitations of warranties); as'fully set forth on this Delivery Ticket ("Agre( it"). Seller will provide the Standard Terr..., _.id Conditions upon request. Buyer agrees that, unless otherwise noted on the front liereof, 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'alle'rgic 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 ccimo-referencia-al comprador (ya previamente ejecutada en su aplicacion de eredito): 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 t6rrninos estandares y condiciones detal- lados en caso de asi 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 at contrcto; at menos que se identi- fique con una nota at frente de este documento. AGkEGADOS / 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 albaflilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de conereto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, coca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener mas de 0.025% de silicio cristalino. Peligros: Mezcla. de cemento fresco y/o cenizas volantes pueden causar irritacion'en los ojos, cipemaduras en piel y=ojos, y reacciones alergicas en la piel. Concreto seco y polvo de agregados, pueden causar'irritacion en los ojos, pie] y/o en ]a zona respiratoria. Polvo del manejo en el trituramiento, pulido, cone 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 caliza, 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, gang anta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud 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. Lavese 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 parte afectada por 1.5 minutos. Si se inhala polvo, expongase a afire fresco. Si el cemento fresco tiene contacto con sus ojos, ldvelos a fondo con agua. Acuda a atenci6n medica inmediatamente si la irritacion continda. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combinado Houston, Texas 77024 02/12 Para mas information visita www.cemexusa.com. " r `� ccmcx 5,5, 7'7K,'943 . 'Bigin�In':�] g 'T64 . Arrive Job:, StarUnload; , Flhish,Un6a�'`, i01 'lli I Customer Code:' 'Cuitomer Narn'e: Customer Job Number: Order Code / Date: 6 1-) 8K) 'I DD-- L.E_ 111ASQNRY INC ­4:q 1011130/13 C, Project Code: Project Name: Project P.O. Number., Order P.O. Number: -I Ticket Pate: Delivery Address: Map Page: Map/Row/Column: 1 33(11/ 13 LOT­2001 PPETLES 0L.A.m) J Delivery Instructions: Dispatcher., ;J0,,iSEil 1%Er1K-F JK i ef e r Ticket Number: Due On Job: Slump: Truck Number: __xJ Driver Number: Driver Name: End Use: 5 (--10 10 2 - 48 3 lor :30 - 13 BILL STRAUSS UNASC 3NED LOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT NT E., 2 5 -'l C, 8 t2" L-', D -REG' 1.ou 12:'4 7 8, 18 FUEL SURQHARGE 1. 90 1202749 ENV IROMMENTAL CHARGE- • • Cash Total COD Order Amount to Collect Check Without Standby Charges: Charge Comments:-' rr1%1r7n rrT 3 1.?fl1,JATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE E - R G EIV ED"OCT -312013 CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: SIGNATURE Ll LOAD WAS TESTED BY: Notice: Our Any water added is at custo-m—ers own risk. If_w-.1teQ1s added on job, concrete strength Company assumes no responsibility forfdamages inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: may cause skin and/or eyb.i5ritation. CAUTION: Material ts concrete as is. Due az to important factors which are out of our may be hardous 'T o-yQqr safety health. Please refer to the backside o�fot 11saficket for important control after delivery, this Company Will not accept any responsibility for the safe-(�,Ota sheets f dd'ti - rm or t onal in=oq� returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing �AUTHORIZED SIGNATVRE-- within one business day after the receipt of materials. ry 680NIVERSAL P FEW T R K V LOAD NUM.- I INVOICE Check #/ Auth Code: Signature of Driver Receiving Cash: as 'Received: drivers, will make every effort to place materials where the customer designates, but the SPECIAL TE• • ' I. fi / • • RMS: Product terms of seta and delivery and accep and finished results. No credit for Safety-infoangtLon, a-na —to the materiab , / \ ENV IROMMENTAL CHARGE- • • Cash Total COD Order Amount to Collect Check Without Standby Charges: Charge Comments:-' rr1%1r7n rrT 3 1.?fl1,JATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE E - R G EIV ED"OCT -312013 CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: SIGNATURE Ll LOAD WAS TESTED BY: Notice: Our Any water added is at custo-m—ers own risk. If_w-.1teQ1s added on job, concrete strength Company assumes no responsibility forfdamages inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: may cause skin and/or eyb.i5ritation. CAUTION: Material ts concrete as is. Due az to important factors which are out of our may be hardous 'T o-yQqr safety health. Please refer to the backside o�fot 11saficket for important control after delivery, this Company Will not accept any responsibility for the safe-(�,Ota sheets f dd'ti - rm or t onal in=oq� returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing �AUTHORIZED SIGNATVRE-- within one business day after the receipt of materials. ry 680NIVERSAL P FEW T R K V LOAD NUM.- I INVOICE Check #/ Auth Code: Signature of Driver Receiving Cash: as 'Received: drivers, will make every effort to place materials where the customer designates, but the SPECIAL TE• • ' I. fi / • • RMS: Product terms of seta and delivery and accep and finished results. No credit for Safety-infoangtLon, a-na —to the materiab , / \ This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard Terms and Conditions, Seller's Quo n, if any, and Seller's Order Confirmati( icluding limitations of warranties), as if fully set forth on this Delivery Ticket ("A ment" ). Seller will provide the Standard _., as 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/ jWspiratory 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-' ilia. 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 refercncia 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 garantias), 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, dolomita, 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 de agregados como piedra caliza_, dolomita, granito, roca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen, cenizas volantes (fly ash) la eual puede contener mas de 0.025% de silicoo cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los Ojos. quemaduras en piel y ojos, y reacciones alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritacion en los ojos, piel y/o en la zona respiratoria. Polvo del manejo en el trituramiento, pulido, torte 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 amoniaco. Seguridad• La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n'o quemaduras en la nariz, garganta y pulmones. Acudir inmediataiente al medico. El riesgo en la salud depende en la duraci6n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci61l en los ojos y ropa Primeros adecuada para protecci6n. Lavese las rnanos con jab6n stmvety,agtia,despV8 del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mas de los limites recomendados, use pr6tecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya aqua en la pane afectada por 15 mioutos. , Si se inhala polvo, exp6ngase a wire 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. row`` CCmcx Plant: Begin Loading: To Job , ,' , Arrive Job: Start Unload: Finish Unload:: Leave Job: Return Plant: Customer Code: Customer Name:- Customer Job Number: Order /Date: r fr- ProjectrCode_ Project Name: Project P.O. Number: Order P.O. Number. Ticket Date: Delivery Address: ' i .. I i .'_. i r + '' •, Map Page: Map/Row/Column: i Delivery Instructions _ ; 13j<1_,:� Dispatcher: it 't 7F r. 0 r Ticket Number: 4 >' :-. que On Job: Slump: Truck Number. y )rnver.Number: IJiNer_Name . r ! r i _: '. f.i t.i+_. _. y.{ t •j 7 .. a t { • i .- � ,� r., r..� End Use: LOAb,�' CUMULATIVE ORDERED QUANTITY`• QUANTITY QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT 0 0 iOo(.! 1•'{..,,...i,:�1•S '1{./t. _ `'a.f.' �c� t 1 r u 4_ '..a y,',° ., ? „ '' at,! ° '+•#�:. e �..f.It� � ?lj( ��*��nl``Tf !ii. i,'tl�-!I,l. �e', 4 Cash Check # / Auth Code; Signature of Driver Receiving Cash:71 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 6e,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 'A�UT`HORIZED SIGNATUT2 within one business day after the receipt of materials. O X 68UNIVERSAL .';j ..� I[1•, u I,t.t+.l � r °err L.f� "t ', it��lh'!" Z., CUSTOMER �., This Delivery Ticket incorporates herein by reference Buyer's previously executea , —UR JAPPIlUaLlUil- It ct"Y, Terms and Conditions. Seller's Quotat if any, and Seller's Order Confirmation iding limitations of warranties), as if fully Z-1 set forth on this Delivery Ticket ("A-rc nt"). 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 Agreernent. C AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH Aggregate products are naturally occurring materials including limestone, dolornite, granite, volcanic rock, sand, gravel, and other 1� C, siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type 1P), roof tile, and stucco. Concrete ou products include Portland cement and aggregate p 0 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 cernent and/or fly ash can cause eye irritation, skin and eye burns and allergic skin reactions. C, Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling, n crushing, -finding, 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 ami-no- Moisture can cause released. Inhalation of ammonia can cause coughing and irritation nia. se the ammonia to be 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 I dust above recommended limits (see NISDS), 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 conibined Houston, Texas 77024 02/12 For more information please visit www et—nexusa.coin. Este ticket de entrega include como referencia a] comprador (ya previamente ejecutada en su aplicaci6n de er6di.to); cualquier t6rmino estdridar, condiciones del vendedor, propuestas del vendedor y orden de confirl-naci6n del vendedor (con limitaciones y - garantfas), coo acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd Jos t6iminos estdridaes y condiciones detal- i lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes rnencionados y que las cantidades y rnateriales fueron entregados co.mo se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; al menos que se identi- fique con Una notaal frente de este doctimento. . ---1 — A I A-11" I XyxTrrfA / I -IF (-"N(-RFTO / CENIZAS VOLANTES Los productos de agregados son materiales naturales corno p;edra caliza, dolomita, granito, roca volcdnica, arena, Brava y otros zl� rnateriales silicios. Los productos de cemento inCILlyen Cemento de tipo Portland, de albaflilerfa, pozzolan (tipo 1P), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, doloinita, granito, roca volcdnica, arena, y , otr gravaos materiales silicios. Estos productos incluyell cenizas volantes (fly ash) la coal puede t� COntener rnis do 0.025% de silicio cristalino. Peligros: Mezc1a de cemento fresco y/o cenizas volantes pueden causar irritaci6n en Jos ojos. , quernaduras en piel y ojos, y reacciones al6rgicas en la piel. Concreto seco y polvo de agregados, pueden causar hTitaci6n ell Jos ojos, piel y/o en la zona respiratoria. Polvo del manejo en el trituramiento, PLIlido, Corte y/o perforaci6n puede contener materiales silicon, los Wales pueden causar silicosis pulmonar y cancer si. son inhalados. En caso de ser ingeridos, mantenerse en temperatura cAlidareposar y tomar gi C) -andes canticlades de aqua. Las cenizas volantes pueden contener amorliaco. , i6n del amoniaco puede causar loser. irritaci6n o Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalac o. El riesao en ]a salud depende en qUernaduras en la nariz, garganta y pulmones. Acudir inmediatamenLe al medic C� la durac16n y el nivel de la exposici6n. Seguridad: Evite el contacto con Ojos y contacto prolongado con ]a piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuada Para protecci6n. Ldvese las manor con jab6n suave y ag ua despu6s del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mds de los limites recomendados, use protecci6n respiratoria. Prinieros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutes. Si se inhala polvo, exp6ngase a aiie fresco. Si el cemento fresco time contacto con sus ojos, ldvelos a fondo con aqua. Acuda a atenci6n m6dica ini-nediatamente si la irritaci611 continua. CEMEX, Memorial Hermann Tower 929 Gessner, SUite'1900 V7 coinbinado Houston, Texas 77024 02/12 Para rads inforinaci6n visita jK--vv-,v.cerneAu5-a—.corft. T �L ccmcx J 5 7 5 `. Plant: 8egiriiLoading: To Job:' ` Arrive'Job: r Start ,Unload: Finish Unload. Leave Job _ "Return Plant Customer Cade :'Customer ' s i z: Customer Job Number: Order Code / Date: _ ame: aC ': i�lA-_y171� R 'Dib 3k�C_r 10 �f ice; ;Pre/ect Code. Project Name: a Project P.O. Number. Rder PyO. Number: 3 .. t�U i.).t icket Date:. Delivery Address: � Map Page: Map/Row/Column: "�ta,r c�c..! 1::� l..►_J i--,�tat)1'� NETTLES �::.,LAf°a�i � ' Delivery InstructlogsDisp Cher. e r i- i�l i f\i + f �t �. r L.1 .Ticket Number: i DuJO,nJob +: slump: r. (}�. t Tryucl<yurnbel 1 Driv@.IN S-' iti;tire.o �113,rkei-2me8TRAIJSGEnd Use:BLDNGeWALL.tiro LOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT t� p {y S { {W sL-.EP DE-"bft'rP�..r'^PJ'& - •.'�ik i t i ' x 1.00 �, '.2 ' 7818, FUEL SURCHARGE ,i. F {:a0 I C2 2 7 4 `.--F .ENV I F2CJNMENTAL' C; HAF2CE: -• v Cash Check # / Auth Code: Signature of Driver Receiving. Cash: Oas Received: _� Total COD Order Amount to Collect Without Standby Charges: ' Check Charge Comments: -' •' WATERADDED. / 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 everyeffort to place materials where the customer designates, but the SPECIAL TERMS: Any water,added1s .a Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guaranteed. WARNIN-GrPrgi terms of sale and delivery and accepts concrete as is. Due to important factors which are out of our may be hazardous to yo6r safety and hez control after delivery, this Company will not accept any responsibility for the finished results. No credit for 'safety handling info�r nation and to•the'mate returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE'S within one business day after the receipt of materials. • PREQ TRK e - e� 68UNIVERSAL INVOICE omers own'nsk,If water is added on job, concrete strength 'may -cause skin and/or eye irritation. CAUTION: Material Please refer.�the backside of this ticket for important safety data sheets for add'41onal information. v LOAD NUM 0 1 This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard Terms and Conditions, Seller's Quotal if any, and Seller's Order Confirmation (`' iding limitations of warranties), as if fully set forth on this Delivery Ticket ("Agr :ant"). 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 cntrega incluye como referencia al comprador (ya previamente ejecutada en su aplicacion de credito): cualquier termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confinnaci6n del vendedor (con limitaciones y garantias), como acuerdo total del ticket de entrega ("Contrato"). E.1 vendedor proveera los terminos estandares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que las cantidades y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contacto; al menos que se identi- fique con una nota al frente de este documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca voleanica, 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 conereto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, roca voleanica, 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 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, corte y/o perforacion 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 grander cantidades de agua. Las cenizas volantes pueden contener amoniaco. Se uridad: La huniedad puede causar la liberacion del amoniaco. La inhalacion del amoniaco puede causar toner, irritacion o g quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en la duraci6n y el nivel de la exposicion. 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 manor con jab6n suave y agua despues del manejo de materiales. Evite inhalar auxilios• polvos. Si se expose a polvos mas de los limites recomendados, use proteccion respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente tluya agua en la paste afectada por 15 minutos. 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 ]a irritacion continda. CEMEX. Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combinado Houston, Texas 77024 02/12 ' Para inns .informaci6n visita www.cemexusa.com.