HomeMy WebLinkAboutCemex 12-19OC,
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Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant:
Customer Code: Customer Name: Z Customer Job 146'riber: Order Code bde'
7 tL,' CC' Oki
ode: Project Name.- Project P.O. Number. -P.O. Number.
Project C Ord�r
Ticket Date: Delivery Address:, Map Page: Map/Row/Column:
Delivery Instructions: Dispatcher:
Ticket Number:
J "t
2
Due On Job:
Slump:
Truck Number:
Driver Number:
Driver Nam ' e:
- --------
[End Use,
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T IJ F 1-
LOAD CUMULATIVE ORDERED
QUANTITY QUANTITY QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT
DEC 19 A�" I 1 3
Cash Check # Auth Code:
Signature of Driver Receiving Cash,
Cash Received:
Total COD Order Amount toCollect
_J
Without Standby Charges:
Check
1 Charge
Comments:
WATERADDED:_GAL
I
YARDS IN DRUM:
I
WHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
J% Y
SIGNATURE
F 'f-'A F, 7*1 B
Y Ft I Q� Yc
C] LOAD VVASiTE8ZT
Notice; Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS Any water added is%customera own risk. If water is added on job, concrete strength
Co
mpany assumes no responsibility for damages ' inside curb or property line. Customer agrees to the is no longer guaranteed. WARNJNG: Product may cause skin and/or eye irritation., CAUTION: Material
terms of sale and delivery and accepts concrete as is. Due to. to(
important factors which are out of our may be hazardous t5,joupsaf6ty, T.,d I$ealth. 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 handliQg information, and the material safetv data sheets for additional information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED S16NATURE:
within one business day after the receipt of materials. . 0.
6BUNIVERSAL.,
7 k' P,
CUSTOMER-
This Delivery Ticket .incorporates he by reference Buyer's previously execute' Credit Application, if any. Seller's Stand
tr
Terms and Conditions, Seller's Quota any, and Seller's Order Confirmatior ftling limitations of warranties)E,as ifl
set forth on this Delivery Ticket ("Agreeri -nt"). Seller will provide the Standard. Terms mid Conditions upon request. Buyer a
that, unless otherwise notcrd on the front hereof, all quantities and items were delivered as indicated and further expressly t grees-,aT--
pay in accordance with'th'e'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. Illy 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 N:IOSH-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
0?/12 For more information please visit www cei._uexus com.
Este ticket de entrega incluye como referencia at comprador (ya previamente ejecutada en sir aplicacion de crEdito): cualquier
termino estdndar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaeiones y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los ter•minos estandares y condiciones detal-
lados en caso de asf ser requerid.os. Con este documento, of, comprador acepta los mismos ya antes mencionados y que ]as cantidades
y rateriales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo it contrato; at lnenos que se identi-
fique con Una nota at frente de este documento.
AGREGADOS / CEMENTO / P.RODUCTOS DE CONCRETO / CENIZAS VOLANT.ES
Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, coca volcanica, arena, grava y otros
materiales silicios. Los productos de eemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen eemento Portland. y productos de ag.regados como piedra caliza, dolomita,
granito, rota volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) ]a cual puede
contener mds de 0.025% de sificio cristalino.
Peligros: Mezcla de eemento fresco y/o cebizas volantes pueden causar irritacion en los Ojos, quemaduras en piel y ojos, y
reactions alergicas en la piel.'Cbncreto seco y polvo de agregados, pueden causar irritacion en los ojos, pie] y/o en
la zona respirato.ria. Polvo del manejo en el tritu.ramiento, 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 grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad: La humedad puede causar ]a liberaci:on del, amoniaco. La i.nhalacion del amoniaco puede causar toser, irritacion o
quemaduras on la nariz, garganta y pulm6nes. Acudir inmediatamente at medico. El riesgo en to 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 ]as manos core jabon suave y agua despues del mane.io de materiales. Evite inhalar
auxilios: polvos. Si se expone a polvos mas de Jos limiter recomendados, use proteccion respiratoria.
P.rirneros auxilios: En caso de contacto on los ojos, inmediatamente fluya agua en la paste afeetada pear 1.5 minutos.
Si se inhala polvo, expongase a aire fresco. Si el eemento fresco tiene contacto con sus ojos. lavelos a fondo con
agua. Acuda a atencion medica inmediatamente si la irritacion continua.
CEM:EX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para mas information visita www.cernexusa.corn.
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CEMEX
Plant:
Begin Loading:
To Job.
Arrive Job: el-
Start Unload:
Finish Unload:
Leave Job:
Return Plant:
Customer Code: Customer Name:
6ustomer Job Number: Order Codead Datle.`
Project C6de: Project Name:
01 Priijert P.O. Number: -OrderP. 0 .'.Number,'
Ticket Date:, Delivery Address: Map PAge: I Map/Row/Column:
Delivery Instructions: Dispatcher:
TicketNumbbr:
Due Qn.Job:,,
lump:
Truck Number:.._
Driver Number.'
e .1,End
Driv r Name:
Use.
J
LOAD CUMULATIVE ORDERED
MATERIAL CODE Uom UNIT PRICE AMOUNT
QUANTITY QUANTITY QUANTITY .,!RODUCTION DESCRIPTION, 1,
Y
Cash Check #./Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect
Without Standby jCharges:
Check
Charge
Comments:
WATER ADDED;,-'' ! 'GAL YARDSINDRUM:
WHEN ADDED,.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
SIGNATURE
Q LOAD WAS TESTED BY:
�14otice: Our drivers will, make every effort to plabe materials where the customer designates, but the SPECIAL TERMS: Any water added is at customers own risk. if water is add'ed on job, concrete
6ompany 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'. CAUTIO
terms of sale and delive!y and accepts concrete -as is. Due to important factors which are out of bur may be hazardous to your safety and health. Please refer to the backside of this -tic
control,lafter 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 info
retur , ned. concrete. Buyers exceptions and claims shall be dee6ed waived unless made to us in,writing AUTHORIZED SIGNATURE,.. /I/'--
within and
business day after the receipt of materials. 68UNIVERSAL
-CUSTOMER
Cttes I n by reference Buyer's previously execi f r-.iit Application. if any, Seller's Sumdard
dt's Quc ------ any, and Seller's Order. Confirmatio011 ling limitations of warranties), as if fuloy�
4f lcket ("Agree.... A"). Seller will provide the Standard Tern,.) and Conditions upon request. Buyer lilp"oes
�T ofedat4the front hereof, all quantities and items were delivered as indicated and further expressly agrees to
with the Agreement. _
AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH
Aggregate products are naturally occurring materials including limestone, dolomites granite, volcanic rock, sand, gravel, and other
silicciw_s materials:' Cement; products include Portland cement_ masonry, pozzola ;; (Type IP), roof tile, and stucco. Concrete
products include Portland cement and aggregate products includii% limestone, dalo�nite, granite, volcanic rock, sand, gravel, and
other s.rliceorls materials. These products, in-!,uding fly ash, roay c ,r,:, ; :-note than 0.025% crystalline silica.
Hazards: Freshly mixed wet cement and/or fly ash ca .mouse eye irritation, skin and eye burns and allergic skin reactions.
:4•
Dry concrete and aggregate dust may taus£ ritation to eyes, skin, and/or respiratory tract. Dust from handling,
crushing, grinding, cutting and/or drilling ti, 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 arnmo-
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 --ye protection, and appropriate protective
clothing. Wash hands thoroughly with mild soap and water after han: lin. Avoid breathing dust. If exposed to
dust: above recommended omits (see M:SDS), wear suitable .NIOSH-approved respiratory protection.
First Aid: In ease 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, rim,( th:)roughly with water. Get proper medical. attention .if irritation pc.rsist.y.
CEMEX, Memorial .Hermann Tower
929 Gessner, Suite 1900
1I7 combit, •�:_` Houston, Texas 77024
02/1-2 For more infortnation please visit ww�v.ccj ijx sa.com.
Este ticket de entrega incluye como referencia al cOmprador (va previarnente ejecutada on su aplicaci6n de crbclito); cualquier
tennino estandar. condiciones del vendedor. proprlestas del vendedor y o.rden de confirmaci6n del vendedor (con limitaciones y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd Jos terminos estandares y condiciones detal-
lados on caso de as% set- requeridos. Con este documento, el comprador acepta los rnisnms ya antes mencionados y que las cantidades
y materiales fueron entregados como se expresa en el mi:smo. Acepta p,�gar of .monto de acuerc o at contacto; at menos que se identi-
fique con una nota al frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLAN_TES
Los productos de agregados son materiales naturales como piedra ,.:aliza, dolomita, granito, rota voleanica, arena, gravy yT y otros
materiales silicios. Los productos de cemento incluyen Cemenri c?e tipo Pn aand, de albanilerfa, pozzolan (tipo IP). 'azulejo de
azotea y estuco. Los productos de c e,icreto incluyen cent mto Portland y pt -_fuctos de agregados como piedra caliza, dol.o.m.ita,
granito, rota volcanica, arena, grava, y otros materiales silicios. Estos prod ac'. Ds incluyen cenizas volantes (fly ash) la cual puede
contene0m6s de 0.025% de silicio cristalino.
Peligros: Mezela de cemento fresco y/o cenizas volantes pueden causar irritacion en los Ojos, quemaduras en Piet y Ojos, y
reacciones a.16rgicas en la. peel. Conereto seco y polvo de agregados, pueden causar irritacion en Jos Ojos, pie] y/o en
la zona respiratoria. Polvo del manejo on ci trituramiento, pulido, Corte y/o perforation puede contener materiales
:�tcas, Jos ettales pueden causar silicosis pulmonar y cancer si son inhalad.os. En caso de ser ingeridos, mantenerse
en temperatura calida, reposar y tomar grandes cantidades de a;ua. Las cenizas volantes pueden cont.ener amoniaco.
Se uridad: La humedad puede causar la liberation del amoniaco. La inhalation del"ai-nnniaco puede causar toser, irritacion o
g quemad:u.ras en la nariz, garganta y pulmones. Acudir inmediatamente at nie•"ii-o. El riesgo en la salud depende en
la duration y el nivel de la exposition.
Seguridad: Ev.ite el contacto con ojos y contacto prolongado con la p.;,J . Use f uantes, protection en Jos ojos y ropa
Primeros adecuada para protection. Utvese las manos cot' oab6n suave y agua despu6s del manejo de mated .les. Evite inhalar
auxilios• -polvos. Si se expone a polvos mas do los limite,., y.•.-orrrcndados, use protecci6n respiratoria.
Primeros auxilios: En caso de contacto ear los ojcr•,_ • �ieUi4tamente fluya agua eft la parse afectada nor 15 minutos.
o� hala polvo, expbngase a airs Fresco. Si of e., ttrto'fresc,: Irene . ntac ;, t.on sus Ojos, lavejos a fordo con
uda a atenci6n medica inmediatainentQ si la .�nl aci6n continua,,
CEMEX, Memorial. Hermann I older
929 Gessner, Suite `190()
.Houston, Texas 77024
Para mas information visita ivww =-n
A
ccmcx.
27
Plant:
Begin Loading:
To Job:
Arrive Job:
Start Unload:
Finish Unload:
Leave Job:'
Retui n-Plant:
Customer Code: Customer Name: Customer Job Number: Order Code / Date:,,,' '
Project Coder Project Name: - Project P.O. Number. 0rde( Rb. Number
Ticket'Date: Delivery Addressi (' Map Paget Map/Row/Column:
Delivery Instructions: Dispatcher:
Ticket Number:
Due On Job:
Slump:
Truck Number: DriverNumtier. Driver Name: End Use:
This Delivery Ticket incorporates he reference Buyer's previously execut —dit Application, if any, Seller's StamdArd
Terms and Conditions, Seller's Quotattoi any, and Seller's Order Confirmation}
ing limitations of warranties)',aq iffullfi,
set forth on this Delivery Ticket ("Agreement"). Seller will provide the Standard Term, ...d Conditions upon request. Buyer agNots
that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to
pay in a6cordance with the Agreement.
AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH
Aggregate products are naturally OCCUrrin,; materials including lhj�qtone, dolomite, granite, volcanic rock, sand, gravel, and other
siliceous
materials. Cement products include Portland cement �onry, 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 n6i'erials. 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 rnay 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.
rus C>
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 o(eye contact, immediately flush eyes with flowing water for.]. 5 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.c(, ,mexusa,c( -n.
Este ticket de entrega incluye como referencia al cornprador (ya previamente ejecutada en su aplicaci6n de cr6dito): cualquier
t6rmino estdridar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con lirnitaciones y
garantfas), como acuerdo total del ticket do entrega ("Contrato"). El vendedor proveerd los ter minos 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 canticlades
y materiales facron entregados como se expresa en el mismo. Acepta pagar el monto do acuerdo al contacto; al menos quo se identi-
fique con una nota al frente de este doCLImento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos do agregados son materiales naturales como piedra caliza, dol.o.mita, granito, coca voicAnica., arena. , Brava y Otros
materialps silicios. Los productos do cernento incluyen Cemento de tipo Portland, de albaffilerfa, pozzolan (tipo 1P), azulejo do
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita,
granite, coca volednica, arena, grava. , y otros materiales silicios. Estos productos incluyen cenizas volantes, (fly ash.) la coal puede
contene0mas 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 piel. Concreto seco y polvo de agregados., pueden causar irritaci6n en los Qjos, piel y/o en
]a zona respiratoria. Polvo del mane o en el trituramiento, pulido, cos te y/o perforaci6n puede contener materiales
silicas, los cuales. pueden causar siliCOSis pulmonary cancer si son inhalados. En. caso de ser ingeridos, mantenerse
on temperatura edlida, reposar y tornar grandes cantidades do agua. Las cenizas volantes pueden contener amoniaco.
La humedad puede causar la liberaci6n. del amoniaco. La inhalaci6n. del amoniaco puede causar toser, irritaci6n o
Segyridad: quemaduras en la nari2s, L�garganta y pulmones. Acudir inniediatarnente al medic6. El. riesgo en la salud. depende on
la duraci6n y el nivel de la exposici6n.
Seguridad.: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n on los Qjos y ropa
Primeros adecuada Para protecei6n. Ldvese ]as matios con Iabdn suave y agua despu6s del nianejo de materiales. Evite inhalar
auxilios: polvos. Si se expone a polvos mds do Jos limites recomendados, use protecci6n respiratoria.
Primeros auxilios: En caso do contacto on los oJos, inmediatamente fluya agua en la parte afectada por 15 minutes.
Si so inhala polvo, exp6ngase a airs fresco. Si el cemento fresco tiene contacto con sus ojos, lAvelos a fondo con
agua. Acuda a atenei6n m6dica inraediatamente si ]a irritaci6n continua.
CEMEX, Memorial Hermann Tower
929 Giessner, Suite 1900
combinado Houston, Texas 77024
y2 Para inds informazi6n visita www.ceiLigC�&usa — -on),
F