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HomeMy WebLinkAboutCEMEX CONCRETEccmcx 54009897 -60113 Plant ��� �,pl,' BegBn=Loaddng{ ���,To�Joba Arrive Job: Start Unload: FinishUnload: Leave Job: Return Plant: -:Customer Code:' Customer Name:, Customer Job Number. ,Order Code /Date_ Project Code: " P06'ject Name': Project P.O. Number: Order P.O. Number, Ticket Date: -Delivery Address:, Map Page: Map/Row/Column: Delivery Instructions: Dispatc en • i Ticket Number: LOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT ' • „- , ... it , Cash Check # /Auth Code:, Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Without Standby Charges: Check Charge Comments: r WATER ADDED:, -GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: SIGNATURE ElLOAD fAS 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 daWges,inside curb or property line. Customer agrees to the is no,longe jguaranteed. 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 maybe 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 hagdling 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 within one business day after the receipt of materials. AUTHORIZEID•SIGNATURE: ssUNIVERSAL CUSTOMER Due On Job: Slump' ". Ttuck Number: � � DriverNumber: Driver Name: End. Use: This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard Terns and. Conditions, Seller's Quoi t, if any, and Seller's Order Confirmation ( rding limitations of warranties), as if fully set forth on this Delivery Ticket ("AL. —cent"). Seller will provide the Standard Ter. „ dnd Conditions upon rdquest. 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.f " AGGREGATE / CEMENT / CONCRETE PRODUCTS.AXLM 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 bums 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 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 - 0.1/17 For more information please visit www.cemexusa.com. Este ticket de entrega i_ncl.uye como referencia al. comprador (ya previamente ejecutada en su ap.licac.i6n de cr6d.i.to); cualquier t6rmino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitac.iones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los t6r 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 cantidades y materiales fueron entregados como se expresa en e.l..mis.mo. 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 / CENT 11..5 VOL,ANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca vc>s% ; ice., arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzoian (tipo 1P), azulejo de azotea y estuco. Los productos de concreto incluyen cemento 'Portland y productos de agregados como piedra caliza, dolomita, g.ran.ito, coca volcanica, arena, grava, y otros materiales si.l.ic.ios. Estos productos incluyen cenizas volantes (fly ash) ]a cual puede contener mas de 0.025% de silicio cristalino. Peligros: M:ezcla 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 ojos, piel y/o en la zona respiratoria. Polvo del manejo en el trituramiento, pulido, corte y/o perforaci6n puede contener materiales silicon, .los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantene.rse en temperature calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o quemaduras en .la nariz, garganta y pul.mones. Acudir inmediatamente al. medico. El riesgo en .la sal.ud 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 las manos con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mas de los limites recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 1.5 minutos. Si se inhala polvo, exp6ngase a wire fresco. Si el cemento fresco ti.ene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n m6dica inmediatamente si la irritaci6n continua. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 01/17 Para mds informaci6n visita www.cemexusa.com. 5482919 ZZC G-MEX � Vy A e-,4,A p ,, Plant i,7 I �I ��iBegln Loading J y,.t ! i, ,To J®li. „ . ArrlVe Job • Start; Unload`: , Finish Unload: Leave Job: Return Planfi: Customer Code; Customer Name: Customer Job Number: Order Cade /Date: Project Code: Pfaject Name: Project P.O. Number: 'Order P.O. Numbers 'Ticket Dater Delivery Address: Map Page: Map/Row/Column: ` Delivery Instructions: Dispatcher: .V ,r,,, • ,t,, _ .. ,fr=tA' b1 "t..>� °�eU'i {. Ticket Number: Due On Job: Slump: Truck Number: LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM - UNIT PRICE > AMOUNT QUANTITY QUANTITY QUANTITY Cash Check # 1 Auth Code: Signature of Driver Receiving Cash: Cash 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: 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 forms 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 creditfor 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. L' MER O 68UNIVERSA CUSTODriver Number, Driver Name: End Use: This Delivery Ticket incorporates herein by reference Buyer's previously executed r-dit Application,, if any, Seller's Standard Terms and. Conditions, Seller's Quot: , if any, and Seller's Order Confirmation ( iding limitations of warranties), as if fully set forth on this Delivery Ticket ("Ag.-..,..ient"). Seller will provide the Standard Terns 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. A(iCiR1H GAl'liL' / (.;1+;MENT / UQNi;KIh;` T, FRODUUTS / 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. 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 m( ontain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warm, at rest, and drink large - .,?ilnts 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 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 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01/17 For more information please visit www.cemexusa.com. Este ticket de entrega i.ncluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de cr6dito); cualquier termino estdndar, condiciones del vendedor, propuestas del vendedor y orden de confirtnaci6n del vendedor (con limitaciones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los terminos estdndares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que las cantidades y materiales fueron entregados como se expresa en el mis.mo. Acepta pagar el monto de acuerdo al 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 p.iedra caliza, dolomita, granito, rota vol.cdnica, 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, coca volcdnica, arena, grava, y otros materiales si.l.ici.os. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener mds de 0.025% de silicio cristal.ino. 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 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 temperatura cdlida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener anioniaco. Seguridad: La humedad puede causar la liberaci6n del anioniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o quemaduras en la nariz, garganta y pul.mones. Aeudir inmediatamente al. medico. El. riesgo en .la salud depende en. la duraci6n y el nive.l de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protection en los ojos y ropa Primeros adecuada para protecci6n. Ldvese las manos con jab6n suave y agua despues del manejo de materiales. Evi.te inhalar auxilios: polvos. Si se expone a polvos mds de los limites recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos. Si se inhala polvo, exp6ngase a wire fresco. Si el cemento fresco tiene contacto con sus ojos, ldvelos a fondo'con agua. Acuda a atenci6n medica inmediatamente si la irritacion continua. CEMI✓X, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 01/17 Para mds informaci6n visita www.cemexusa.com. Plant V u l���ll_¢ul u.'�Begln-Loadln' `' 9, .!.._d, iTolJob . '.m_.'. Job ArnyeA... t1j .� Start Unload i L _., ..a._ Finish Unload: Leave,Job: Return Plant: Customer Code: Customer Name: Customer Job Number: Order Code / Date: Project Code: ` $"' Wgject Name: Project'P.b: Number. Order P.O. Number; Ticket Date: Delivery Address Map Page: Map/Row/Column: ; Delivery Instructions: Dispatcher:. � y r � ;. Ticket Number .. . ., I i LOAD QUANTITY CUMULATIVE,, QUANTITY ,, ORDERED QUANTITY' MATERIAL, CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT Due Op Job: Slump:. Truck,Number... D.river.Number: Dryer Name��_t� , _,, End Use•, /._ ,.f ' 4 Cash Check # / Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Without Standby Charges: - Check Charge Comments: ' - WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. • • SIGNATURE CURB LINE CROSSED AT OINNER'SYAGENT'SBEQUEST: SIGNATURE ❑LOAD WAS TESTED BY: Notice: Our drivers will make. every effort to place materials where the customer designates, but the SPECIAL TERMS:, Any water added is at customers own risk.' If water is added on Job, concrete strength • Company assumes no responsibility for, daMpges inside curb or property line. Customer agrees to the .is no longer guaranfeed. WARNING: Product may cause skin and/or eye irritation. CAUTION: Material terms of sale and delivery and 'accepts concrete as is. Due to important factors which are out of our may be hazardous to your safety and health. 'Please refer to the backside of this ticket for important control after delivery, this Company will not accept any responsibility for the finished results. No credit for safety handling information, and to the material safety data sheets for additional information. returned' concrete. Buyers exceptions and claims shall be deemed waived unless made to us in -writing AUTHORIZED SIGNATURE:' within one business day after the receipt of materials. 68UNIVER$AL •.,• ,.,:, .+ ': , . ,.:,CUSTOMER'` This Delivery Ticket incorporates herein by reference Buyer's previously executed ` -^dit Application, if any, Seller's Standard Terns and. Conditions, Seller's Quou , if any, and Seller's Order Confirmation ( iding .Limitations of warranties), as if fully set forth on this Delivery Ticket ("Ag..,.—ent"). Seller will provide the Standard Terms and Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. L AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH Aggregate products are naturally occurring materials inclu��� Ig limestone, dolomite, granite,- volcanic .rock, sand, gravel, and other siliceous materials. Cement products include Portland �10 .rent, 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. Heal:n 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 Hennann Tower 10100 Katy Freeway, Suite 300 VS combined Houston, Texas 77043 01/17 For more information please visit www.cemexusa.com. Este ticket de entrega incluye Como referencia al. comprador (ya previamente ejecutada en su ap.licaci6n de crddito); 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 estdndares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que las cantidades y materiales fueron entregados como se expresa en el .m.is.mo. Acepta pagar el monto de acuerdo al contacto; al menos que se id.enti- fique con una nota al frente de este documento. AGREGAVOS / C;EMENTO / YKODUU` OS DE C ONURETO / UENIGAS VOLANTES Los productos de agregados son materiales naturales como p.iedra caliza, dolomita, granito, coca volcanica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto 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 contenermas de 0.025% de silicio cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en pie]. 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 siliccos, .los cua.les pueden causar silicosis pulmonar y cancer si. son inhalados. En caso de ser ingeridos, mantenerse entemperatura edlida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o quemaduras en .la nariz, gargan.ta y pu.lm.ones. Acudir inmediatamente al. medico. El. riesgo en .la salud depen.de 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 las manos con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mas de los limites recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos. Si se inhala polvo, exp6ngase a afire fresco. Si el cemento fresco tiene contacto con sus ojos, .ldvelos a fondo con agua. Acuda a atenci6n mEdica inmediatamente si la irritaci6n continua. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 01/17 Para mds informaci6n visita www.Cemexusa.com. �� Plank �Be In'Loadln" I To Job 1 StartUZ4 FinlshuUnitad'gr ' LeaveJob Return^Plant: Customei`Codet Customer Name: Customer Job` Number: Order Code/Date: , Project Code:' PAectName: ^ Project PiO.Numben. OrderP.O. Number:' } Ticket Date: Delivery Address: Map Page: Map/Row/Column: t Delivery lns'truchdns' '' Dispatcher: _. Ticket Number: Due On Job, ' Slump:• Truck Number: Driver°Number Driver Name: S' ,: End Use: !;.v �!f i:�:t•',�. jo ir..'.-�� '�. 'f LOAD CUMULATIVE QRDERED MATERIAL CODE PRODUCTION DESCRIPTION I UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTITY , t 't ,. r , • 4 .. . 't AR�v�GJ �- rr r j Cash Check # I Auth Code: Signature of Driver Receiving Cash: Cash Received: ' Total COD Order Amount to Collect f Without Standby Charges: Check �. . Charge i, t Comments: 4 WATER AD GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB:LINE CROSSED AT OWNER'S/AGENT'S REQUEST: / SIGNATURE r ❑ LOAD WAS TESTED BY: Notice::Our driveis will make every effort t0 place. materials where the customer designates, but the: SPECIAL TERMS:' Any water added is,ai customer's own risk. If water is addedbn job, concrete'strenglh Company assumes no, responsibility for damages inside curb or property line.. Customer agreas.to the is no longer. guaranteed.: WARNING:. Product may cause skin and/gr eye irritation. CAUTION: Material r 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, ticket, 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. 0 68UNIVERSAL. , Ir li ! t ltii.", CUSTOMER'' ss This Delivery Ticket incorporates herein by reference Buyer's previously executed f =-'it Application, if any, Seller's Standard Terms and Conditions, Seller's Quotati.o any, and Seller's Order Confirmation (in ing limitations of warranties), as if fully set forth on this Delivery Ticket ("Agree.„,„ t"). Seller will provide the Standard Terms and Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH Aggregate products are .naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete products include Portland cement and aggregate products including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica. Hazards: Freshly mixed wet cement and/or FT'Jash 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 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 0.1/17 For more information please visit www.cemexusa.com. Este ticket de entrega incluye como referencia al. coanprador (ya previamente ejecutada en su aplicaci6n de credi.to); cualquier termino estdndar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitations y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los terminos estandares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que las cantidades y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; al menos que se identi- fique con una nota al frente de este documento. AC REGAVUS / UEMENTO / FRODU'UTUS VE UONI;RETO / UENILAS VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, rota volednica, arena, grava y otros materiales silicios. Los productos de cernento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cernento Portland y productos de agregados como piedra caliza, dolomita, grranito; coca vol.canica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener mas de 0.025% de silicio eristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los Ojos, quemaduras en pie] 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, 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 temperatura calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. Elriesgo 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, protecc.i6n en los ojos y ropa Prirneros adecuada para protecti6n. Lavese las manos con jab6n suave y agua despues del manejo de materiales. Evite inhalar auxilios• polvos. Si se expone a polvos mas de los limites recomendados, use proteccion respiratoria. , Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos. Si se inhala polvo, exp6ngase a ai.re fresco. Si el cemento fresco tiene contacto con sus ojos, .ldvelos a fondo'con agua. Acuda a atenci6n medica inmediatamente si la irritaci6n continua. CEMEX, Memorial Hermann Tower 10.100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 01/17 Para mas informaci6n visita www.ca Plant �Bta in L"oadin" y ,..... 9 . To Job i „,�u�.� �i,�mi- m �� ,uu �u�„-,r,�, .�: "Job . I� �lu!, u„ Start•Unload:, dui ����.,u �� Finlsh U;nl®ad. ��� ��� �� �����: Leave Job: Refum Plant, MUM Customer Code: Customer Name.. Customer Job Number: Order Code I Date: Project Code: k ject Name:, Project P.O. Number. Order P,O. Number! Ticket Date: , ' Delivery Address: Map Page: Map/Row/Column; Delivery Instructions: Dispatcher. Ticket Number. LOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL,CQDE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT _ s Cash Check # / Auth Code: Signature of Driver Receiving Cash: f° Cash Received: Total COD Order Amount to Collect Without Standby Charges: Check � r Charge' Comments: " WATER ADDED: GAL YARDS -IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: ' }t i :! / SIGNATURE , �� . t '❑ LOAD WAS TESTED+ BY: \% Notice: Our drivers will make every effort to.place materials where the cystomer designates, but the SPECIAL TERMS: Any water added is' afbustomers'pwn risk. Ifwater is added on job, concrete strength Company assumes no responsibility for darWges inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: Product may cause skin and/or eye irritation. CAUTION: Material term's of safe and delivery' and accepts concrete as is: Due 'to important factors which are` out of out may be hazardous to your safety arid'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 madetous in writing AUTHORIZED SIGNATURE: within one business day after the receipt of materials. O „68UNIVERSAL ' l_<4 rl ^tr^ . • , 1, , �r ' ,-- r. { t, ` r , ' CUSTOMER' . , Due O n Job: Slump; Truck Number:, Number: Dever Name End Use 1,,Driver,.+ This Delivery Ticket incorporates herein by reference Buyer's previously execute edit Application, if any, Seller's Standard Terms and. Conditions, Seller's Quotas if any, and Seller's Order Confirmation , uding .l..imitations of warranties), as if fully set forth on. this Delivery Ticket ("Agn,_...ent").'S filler will provide the Standard Terms and Conditions upon request. Buyer agrees. that, unless otherwise noted on the front hereof, Ad quantities and items were delivered as indicated and further expressly agrees to pay in`e cordance with the Agreement. AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock, sane'., 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 Hennarm Tower 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01/17 For more information please visit www.cemexusa.com. Este ticket de entrega incluye como referencia al comprador (ya previamente.ejecutada en su ap.l.icac.i6n de credi.to); cualquier termino estdndar, condiciones del vendedor, propuestas del vendedor y orden de confirrnaci6n del vendedor (con limitaciones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los terminos estdndares y -condiciones detal- lados en caso de asf ser requeridos. Con este 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 piiedra caliza, dolomita, granito, coca volciurica, 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, coca volcdnica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) .la cual puede contener mis die 0.025% de silicio cristalino. Peligros: Mezela de cemento fresco y/o cenizas volantes pueden causar initaci6n 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 perforaci6n puede contener materiales sili.cos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperature cdlida, reposar y tomar grandes cantidades de agua. Las cenizas wolantes 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 pu.lmones. 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. Lavese las manos con jab6n suave y agua despues del manejo de materiales. Evi.te inhalar auxilios: polvos. Si se expone a polvos mas de los limites recomendados, use protecci6n respiratori.a. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos. Si se inhala polvo, exp6ngase a afire fresco. Si el cemento fresco tiene contacto con sus ojos, ]dvelos a fondo con agua. Acuda a atenci6n medica inmediatamente si la irritaci6n continua. CEMEX, Memorial. Hermann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 01/17 Para reds informaci6n visita www.cemexusa.com. c111CX: 5482, P�larot I i,��,i ak ���SegmTLoadin,g a q I ui� ob !';�n, rnve!Job U IV u,il' m� a�Start Unload: �." Fi'nish,�Unl,6ad u'i '`L'eave:Job: Return Plante Customer Code: Customer Name: Customer Job Number: Order Code / Date: Project Code: Pfbject Na' me: Project P.O. Number: °- Order P.O. Number' Ticket Date: Delivery. Address: Map Page: Map/Row/Column: Delivery Instructions: Dispatcher: 1 Ti6ket Number: i. f• .I .. '�t d _, •3 :'}:• *ir.. .y Due On Job:' Truck Number, iver Number: Driver I'Slump:,, LOAD QUANTITY CUMULATIVE QUANTITY' ORDERED, QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT 'hy ` 01 Cash Check # /Auth Cod6: 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 El LOAD WAS TESTED BY: Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS:i Any water added is at'customers own risk. If'water is added on job, concrete strength Company assumes no responsibility for darppges 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, 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 r e �f r ��t ,p, +r1Dari� Name � / { I ,i, jet il;,i• � (`' 68UNIVER8AG l•h� r —.r�r �r. t; Vt , y'a-• t is v • �- ,. r t CUSTOMER �' This Delivery Ticket incorporates herein ' eference Buyer's previously executed C " Application, if any, Seller's Standard Terms and Conditions, Seller's Quotation ny, and Seller's Order Confirmation (inc rg ]:imitations of warranties), as if fully set forth on this Delivery Ticket ("Agreement"). Seller will provide e Standard Terms and Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and i'.z ` s 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 10100 Katy'Freeway, Suite 300 V8 combined Houston, Texas 77043 01/17 For more information please visit www.cemexusa.com. Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicac.i.6n de cr6dito); cualquier tdrmino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los terminos estdndares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que las eantidades y materiales fueron entregados como se expresa en el mis.mo. Acepta pagar el monto de acuerdo al contrato; al menos clue se id.enti.- 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 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 como piedra caliza, dolomita, granito, roca volcanica, arena, grava, y otros materiales sil..icios. 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 irritaci6n en los ojos, quemaduras en piel y ojos, y reacciones al6rgicas 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 silicos, 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 do agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritacion o quemaduras en .la nariz, garganta y pu.l.mones. 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 manos con jab6n suave y agua despu6s del. manejo de materiales. Evi.te inhalar auxilios: polvos. Si se expone a polvos mas do los limites recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos; inmediatamente fluya agua en la parte afectada por 15 minutos. Si se inhala polvo, exp6ngase a wire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Aeuda a atenci6n medica inmediatamente si la irritacion continua. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 01/17 Para mas informati6n visita www.cemexusa.com. Plant, II I, IW¢Be pit 0,� , , , 1 .YFI 'XI 1.1, W�1111rstaltuhlddd 'M !"Mi JP Ar 141A, I , " Wf%.Ilf Customer Code: Customer Nam-e:' Customer Job, Number: Project Code: Project Name: Project P.O. Number: Ticket Date: Deliverj!Address - Delivery Instructions:. A, Order Code / Date: Order P.O. Number: Map Page: Map/Row/Column: Dispatcher:, Ticket Number Due OnJob: Slump:-, Truck Number: Driver Number: Drivei Name:' End Use: J, WATER ADDED: GAL ' YARDS INDRUM: WHEN ADDED. SIGNATURE CURB'LINE CROSSED AT,OWNER'S/AGENT'S REQUEST: SIGNATURE El LOADMAS TESTED BY: Notice Our drivers will make every. effort.to" place materials where the customer designstep, but -the SPECIAL TERMS: Any water added is at.customers own risk. If water is added on job, concrete strength Coin rnCompany assues,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 hqzardous to your safety and has " Ith. Please refer to the backside of this ticket for important contro(after delivery, p t , ey, 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., raturned'c6ncr te. 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. KI Of A' 686NIVERSAL ­CUSTOMW"''-­ LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION' 1.110M. UNIT PRICE AMOUNT I I QUANTITY QUANTITY,I QUANTITY r? p1r, �.p -d 1� hb J % Cash Check #/ Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Without Standby Charges: Check Charge Comments: This Delivery Ticket incorporates herein •eference Buyer's previously executed C t Application, if any, ,Seller's Standard Terms and Conditions, Seller's Quotation any, and Seller's Order Confirmation (inc,iuuing limitations of warranties), as if frilly set forth on this Delivery Ticket ("Agreement"). Seller will. provide the Standard Terms and Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities -and items were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. AUURE(iAl'E / UE1V1ENT / UL)NURE`l'E FR011lJUTN / ELY 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 - ma. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing andirritation 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 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01/17 For more information please visit www.cemexusa.com. Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de cr6dito); cualquier t6rmino 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 proveerd los t6rminos estdndares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que las cantidades y materiales, fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; a1 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, coca volcdnica, arena, grava y otros materiales sili.c.ios. Los productos de cemento incluyen Cemento de tipo .Portland., de albanilerfa, pozzolan (tipo 1P), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito; coca volednica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener rods 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 ojos, pie] 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 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 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 manos con jab6n suave y agua despu6s 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 los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos. Si se inhala polvo, exp6ngase a aire fresco. Si. el cemento fresco ti.ene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n m6dica .inmediatamente si la irritaci6n continua. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8..combinado Houston, Texas 77043 01/17 Para mds informaci6n visita www.cemexusa.com. U , ill � i A"I'VI '4*1110�1111: !Ili, r - -8 r 1 t U Iffi n.6 a u,wm ant ,tiw Custdmei Code' Customer Name: Customer Job Number. Project Code: Project Name: Project P.O. Number: Ticket Date: Delivery Address: Delivery Instructions: 7 Order Code / Date: Order P.O. Number: Map Page: Map/Row/Column: Dispatcher: Ticket Number: Use: Due On Job:. Slump: Truck Number: Driver Number: Driver Name ir LOAD CUMULATIVE ORDERED MATERIALCODE. PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QU4,NTITY' QUANTITY 1 'S N V 19 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: 7 SIGNATURE LI LOAD WAS TESTED BY: Notice: Our drivers will make every effort.t6 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 properly line. Customer agrees to the is no longer guaranteed. WARNING:' Product may cause skin and/or eye irritation. CAUTION: Material terms of sale and deliveryand, 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. 68UNIVERSAL CUSTOMER herein t fere,i ; uyer's previously executed Cr Application, if ahy, Seller's Standard uotation, rr any, and Seller's Order Confinnation (including limitations. of warranties), as if fully �.Z("Agreement"). Seller will provide .the Standard Terms and Conditions�upon request. Buyer agrees ion the front hereof, all quantities and items were delivered as indicated acid @rther expressly agrees to Agreement. ,AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH. s are naturally occurring materials including Limestone, dolomite, granite, volcanic rock, sand; gravel, and other als. Cement products include Portland ce{nt ;masonry, pozzolan (Type IP), roof tile, and "tucco. Concrete prc lade Portland cement and aggregate products incing limestone, dolomite, granite, volcanic rock, 's'and, gravel, and other', dus 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 andeye 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 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01/17 For more information please visit www.cemexusa.com. Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de cr6dito); cualquier t6nnino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los t6rminos estandares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta fps 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 vo.lcanica, arena, grava y otros materiales sil.i6ios. Los productos de cemento incluyen Cemento de tipo .Portland, de albaiiilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, roca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener mas de 0.025% de silicio cristalino. Peligros: Mezcl.a de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en pie]. y ojos, y reacciones al6rgicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en los ojos, pie] 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 temperature calida, reposar y tomar grander cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberaci6n del ampniaco. 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. Lavese las manos con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos rues de los limites recomendados, use protecci6n respirato.ria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos. 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 m6dica inmediatamente si la initaci6n continua. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 01/17 Para mas informaci6n visita www.cemexusa.com.