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HomeMy WebLinkAboutCOMCRETEh" W� 'k, Sy '4 zliw le South VFlorida 394.2 Wat Idd at Customers a MINI A* load w gals to full load' T 5f 9 qz �v Rep--Wa e us v t:11,1b, wi,fis RESPONSIBLEy tRIINII 'Nri: 19 E TIONAL WATER ADDED{TO'+7hIS bN4Wb6L0W0'fU;of -0pry, CONCRETE : _ - - _ , _ :cement, owderor ORATION,h Ljp�-,gq�l and wash exposed skin !areas rpIplopytwater. gRII with CE,,II rcf ; medical attention Keep H I way ihto _e es .prise !pT@gia!Qiy;iand. pp i � ; Y, if YWA, i products from cement owder',8nd all freshly mixed .r OnJ,6b 'Begin . PoUr Begin Wash Plant At Plant JSIL'u 713A-M­ qj&: PLANT Ty1dKETV 4 W: A P111 RX) L) N D R T I DRIVER 'V J�Y_�-XQDF3 rj A) n Q UEe- Tx , 7-a EIEL'1\ V­ kv ""AAM41 PRODUCT DESCRIPTION •UNIT PRICE AMOUNT IYAII j 1`0 ViiR Aq END, Lr fit. L71 "N. J till —1 K, 9ECE7PTF�CONCRETEAND�ACKNOWPFQ3 &N I IN n 7 - ompany ffl-mSUBTOTAL, 0 RX 7 TOTAL I 0 V- 4 Y, m All T 3" Ads Uk ",, o 4 Concrete Tested MA, iS -i" F - I ifv'� Customer j' gr T, gals to`full load - `7 ;7 VIC ;fFk ; 41 7'N-, T� RESPONSIBLE, WARNINO", IRRITATION -TO --,' T0—THIS ' VVAR-IN COLOR OR n-t C—om-e_ -W 61§ sk-n' nd RENGTH~ ti nixt, 10, . ANYWATER ADDED IS: ANbtUF,aical2 .7, BATCH TIME4BILITY cement_09 At PSlaTFp� On Job Begin Pou�r Begin'Wash To Plant nt E" T1Q0 R T �IAD x—- , T,713 EGR( SOL V P;IP Us tN "T TIME'ADUME --UN' tO N AI . R0pUCT CO-ffLE,I- P% DU.CT DES3C13R PRjOTIO5 I.K I UNIT,PRI CE T .O C AP Z bb - 0.6 v -SIGNATUE'DRA ECEIPT 00NCRETEAND'ACKNC WARN a nIt'assume bilityfqriqny�pr �"am y,� OI i_l UUd ,1 PYWTOTAL E TAX AUTHORIZED BY �;v 0 -41 o14694-11 N Cylinders 0r;" Taken meptq. Tr r`v It— R 111f �k T.— A ",Cal d 1 2 4 NOT 7RE!9P0N9JBLE�',F0W Y IARNING IRRITATION TO .,SKI WA .1 —'M-, ADDITIONAL �!'XAIRIIATIOWIWOOLOWOW' "beffibnV�blj WATER AD�1`D TM k; A Eb I�T)H '616 p!, envp h r r ito �pyes;-rinse,,irflfii�Lqjgti�iy,,anq,. pp mi gets 9�get D9b IS medical AfteHtlon rdshly BATCH IT 1 "IT niiaTen,�away;y�gm.;,�@!npnt-,,p�ir - mixed CUSTOMER'S OVUM RISK. F Clem To J6& On Job QegirT Pbur. Begin Wash• 7, t - T T-RU K#' LOAWSIZ k6j, -7 DA 194"- v PIRPJEOT�w, DELIVERY ADDRESS -7, ZON t -7T�!f�q Tr�' USE DRIVER -— -- --- ------ Imp, -V INSTRUCT ON8'�',, 'l,�,TIMEVUE:' V,ff 'ORDERED PRODUCT C-ODL PRODUCT DESCRIP'TION U. 0. M. UNIT PRICE AMOUNT QUANT'imy 7 's WE` v, V, iMARDL :NCRE -:6 WARNING -Y c !npy-ancrew W!l va§,!�R!pe- igbild -Any ',p_!np , prrent damage for any deliveries:--'b9-- --,mv jig i!j �d zcurb ,I "Q2 T SHIPMENT-T--T ��O ITI IN ,REVERSE SIDE' I t M Rr iW 0 i Nk rr T a&,,1 tL 334U3 142- x . 11 'A I784V ;F; `;6 . -s "A 4 0 XvIR 1� - ­TY South Ea ?R 'eithf, -iN 06th"' 07_3391t347, 0k:piVi8ipn1uI0p 561444 ,t-'T16 -,w lbd,af, -ustbm&.?S4­._"_1'_'_ T, r K W, ARN1NW­-"fA"ItAtI-0WT 'ESKINWO —.1v dPC CONCRETE E it Ef If _w8qr-;0r,L .4, ni i"AND DURABILITY= ANY WATER -ADDED BATCH TI °a metllcal attention Keep chlltlret awat% from cement powder and all ghly, _ u Load To Job On Job pegin W;Ffsh To Plant At Plant ONT, t_ TICK _T �JORUER' UG 4� C Ej _u H 9 9 '0AD. SIZ 7 _09 I PC IT Gt PROJECT#': WWI, Pa r 6 tiS '4� i- W 7 il)EI]11VERY _IAPQREP§pNE _ USE E"" r) PC- NN X U 'FiUE SURQ L' E, -HARG) p., 4 s< SIGNATURE 114AMIN&, OR as 19PW! c SUB TOTAL WX�An ,�p�operty, 4315 egu menud. e�pg- -,,--:AUTHORIZED _rz V., SHIl�MENT'SUBJECT TOREVERSE E" .1, '% - I k .1105347. South ast Florida Division Dispatc, 561-844-9994 Central FloridaDivision Dispatch: 407-339,-531 i Concrete Tested El Yes 17No LOT 6feVAdded at Customer's .lPylnd6rsTaken 0 4 en r'71 Yes Xeqi.�est RMI. M cdmmehts - _- full load qjai;.tc -21a_fqad M Is. to 1/3 load DUS 'ne,-- PREVIL T RUCK v le li? AKYJ JMM4 I MY EU-StIOMer's ­,7Water Added NOT RESPONSIBLE IF 213, VARIATION IN' COLOR JDR bVARMING IRRITATION TO -THE SKIN AND EYES Cement pplymer',or fre' freshly mixed, coggret I e may skin injury. Avoid contact %0h ADDITIONALWA716 r RW66'T&THIS SURFACE'skin DISCOLORATION and wash exposeid skin areas promptly with ;water. If any"cement powder or CONCRETE WILL REDUCE ITS STRENGTH mlx!urq:g6ts into eyes, rinse Immediately and, repeatedly With water and get prompt .0, attention. Keep children away from cement powder and all freshly mixed AND.DURABILITY.'. ANY., T_�1ER,ADPEIj'IS BATCH TIME r. cement products: ATCUSTOIWER'S OWN;RISK . L n; P?rIYI?4 04 88� 7 U Ti'lD FYNE b3iROUT SLUff DATE . , ri , 8 / et -r-3 t -3 ER T%Ngl F�.' 0 y bNt, I NC P.O. #_. PROJE7,T! 7 G DELIVERY ADDRESS RJ�ZONE#' 'I GFOUTH. OCEhN D R MIA. RTIV USE CN)LUIVIN DRIVER W i I , A i.aarfiR; INSTRUCTIONS" I JENSEN BEACH TIME D DUE 0 E) 9.00 9. 00 740400' ROUT �id L 9.1 0. 17-IV ENV I RO 'T NTAL. EN V ONME .1 • 00, 0.017-11 2 Ft. E I S U R C Fl A R G' r--- e IF4 SIGNATURE OR RECEIPT - CONCRETE AND ACKNOWLEDGEMENT OF HAZARD WARNING WWMaschmeyer Concrete Company will not aSaUrneF liability'for any property damage or any Orpent damage _for pdeV SUB -TOTAL IV, _tveries-beyond the curb line. p.� TAX AUTHORIZED By_ SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE. 70TAL � � .' V <� Y Y� t _ t:t {'' j }y/(I I■■*�j�) q%#Zf i gsTF{ ]r([f rJ� rk0:51 1142 Water Tower�Road,( Lake4P6FL 334�r03 r 4�1' , L Office 1 877. 48g 9994 ,/ Fax 561 844 7102 ;, :, , ,f, E 3 h - , Sotath East. Florida Qlvisior>, Dispatch 561 844�9994 / Gentral'Floritle pivision Dispatch �407 339 5311 � � � '° Concrete 7Tested n❑sYes ,[]'Nod y L`OT # F w rY 5 ' c z Cylinders Taken � ;,❑�YesS x �❑ No °, s t � {� ; � ' � - , � � s Water: Added -at Customer s f jRequest -� ,Comments _ r 2/4 loac! r k ii ? g •, ,,�d.. .. � 4' � ^- , _L t :F [ i� r t -i f;xS fY 't.€ 17t a 2 "Y b , '" f i3`<k`4 S.I, 1 4 !-il!"'� ...i. l F h .3b�,.. { ♦ .� �� i f1Yil �5 i` [ {��, � ^{ J �4 y, K` "i.."$' tt' i'K,, -. ; p a f " f; ` NOTYRESPONSIBLE�FOR rr; , ' WARNING IRRITATIOLV TO THE SKIN ANDi EYES r s ,t - ;ADDITIONAL WATER AF�DD TO THIS}' , VAif TION IN'GOLOR OR'� Cement polymer orfreshly mixed concrete,mayrcausg skin injury Avoldticontat with '' §URF,AfrE akin and wash exposed skin areas promptly with_nnrater If;any cement powder or xCONCRETE WILL`REDUCE�ITS STRENGTH,;`: ° DE3GQLORATION mixture gets into a es;"nnse,immediat I and re eatedl with dter and. etr rom t y ,. _ .- „@ Y . P, . Y . _ : ; , „ 9, . P m... p : ; + `, "' t '' ' ; < . ., AND DURABILITY. ANY,VIIATER BATCH TIME '- ,�r.�, s rm medical �attent{on Keep children away from cemen� powdgr,and all freshly tmixed , � , - ; AT'CUSTOMERS OWN RISK w 4 - r., ti }cement products r k'; Begin Wash To Plant -At Plant i PLR, T ICK ODE #;' T LOAD SI t i J t F o ft SLU P ti DATE c y CUSTO�MER# ,9SOL�9DpThO y�J (' {y (L �jj� .ti r:' r POt#"fit{>}� 1409 PROJECT#•y r S alV-!7$t�y DELIyVER/Y-ADDRESSS f p�V. -7 US}E^�-, } NjF c DRIVER d,..•�(.�il'�I�.FYi j {to r �_ `E5� �4r F 1,,} e.'' r•in s (y J 3; r INST.R((U`-�CTION�Spp WIE TIDUE 7�rff � r�,C?i�"�.t -•Dee ••o DESCRIPTION • "i ` tk'1��t` ,� ' 'S t f L f Y •-j 7 _ E 11 '..a.SIGNATURE.ORRECEIP '=.CONCRETE,ANDACKNOWIEDGEMENT;QEHATARD'rW' F;tNING, ; L-. _ ._ asc ever oncrete ompannassumeI N ec�wp%ent da age forma d_elrvenessbeyoncttr curhe�e ? 'SUET TOTAL ` n f! TO CONDITIONS ON REVERSE SIDE r TOTS SHIP_-MENT SUBJECTDf Y.� .._..la✓.a. 0 wd r, Road ;.-� Lake Park FL 11,42WERot-76 AL877,4641.9904mh Fak. South East Florida Division Dispatch 561844 9994 / CentraltFlonda+Dl�ision Dispatch Y., _4�6 LOTH, y L-i Y, ---- ------- ". V gals_164ull?,loadComments - V gals r 4 to 2/3 load V. W J, - ­ e Cii��td7ft,)trs"I.REipr,-L,:iWa 'ffA Z -Y --,WARNIN-6f�,�,'�l-RRI,�-T-�A-T-.ION THE SKIN AND A E WA 6 b* E -T O,,,T, THIS p NOT RESPONSIBLE FORIq.o�r IS"' 'WARIATION INZOLOIC-OR, hd-i614{' -,, useskin injury Avoid contacZYwlth :�;',CONQRETE% ILLS TRENGTH.,; EDUCE'rip with water skin and wash ex oseii skirt SURFACE DISCOLORATIONs,!p i3yd rfl qqEqp,yj dets nto prompt attention shlY- miktd l5roducfi-I p -t -17, 2 -Iwo !3egilh Pour Begin Wash • lc lc lc 2 T_� _7 , 7 ME,15f_, 4 fe DELIVER RR!YE�R3 UT I E03 RUCTION zm�T, A14 iORODUCT'CODE PRODUCT PESCRIPTION U.Q.M. UNIT PRICE L 00"" p 4 but- - R( N11 -241,.AL: 10 u­ _SIGNA TQRE".0R�HEGE_lPT SQ&TOTAL, CONCRETE ,AGKNQWI-FpQFMF:NT?Q _ANW kqpy pqfassu _y, agqnrpey me'riliabili.hnety.'t any.-p-r.6 pert _--dama p-4 7 tla T S, .9, V 'Fl 1 y. _f',AUTH0HIZM8W SHIPMENT SUBJECT TOCONDITIONS JN TOTAL J, 1 Concrete Tested �� LOT# ' ` '� J {t Water Adtletl at Custoipers 5ti CyUnders Taken ❑Yes o i?s�3r A r t _ Re nest J?"1' 1 Comments - u K 'gals to full load` a� tq w 3 _ apt r x of s /3load. stonier s Rep WaterrAdded -+' ,NOT RESPONSIBLE+FOR IflIARNINAG - :,. (IRRITATION TOwTHE SKIN AND EYES'. - YAI;IATION 1N `COL6R OR I Cement polymer or freshly mtxeti concrete may cause skin. in'u �Avoftlscontact wrt t 1#r p ADD- ITIONAL WpTERgADDED TO THIS- x - URFACE DISG:OLOR TIONi skin and`w.ash+exposed skln4areas promptlylwith ;water If'any cement powder'or mixture .CANCRETE WILL<REDUCE'ITS=STRENGTH:: .< gets�nto eyes, nrise'lmmedla el and re eatedl wlth�Jater and, et i Y ; p_ Y f g pfompt 'LI medical Keep AND DUR'ABILITrY,: ANY WATER ADDEp BATG}I TIME, -+ attention chlldrerj away from cement powder and all freshly,mlzed , x serf AT.C�ISTOMER cement products , r c ��T �« .4 --._ ...._ ._::,..:.,ter x. _ ..� _. .,_.�.. .rt ,_«.:�tx�i ..._-....-=. ' 4.0 K �'_•�:... C<' "�'' - S O.WN RISKe ? r? f.:r' F -�S`l �t si "tag S w's+nM 1„'2 • • • • • G� a� tf ,� �k+ ; �`I � I l !��'iLQ f`>•�5,� .,�! 4hr f""��# µ R� R -�"M ��� �Z�� /� t P (. i *}t' LII� TICKET# �a Of�D R#r TUCK# LOAD SIZE� y Y '}T�d r Ti.°r zi f �+rr Gjq < ^'�:itLr + }CittY�iF f SLUMP !rt t r DATE ��77yytr�- *y tt`�v� �_ �` � - 'i<!•-L��X�4 ����j-yi !n-. 1 . f , s r z a- i r r 7 t 4 r` _jdT Gu OME€i # SOD O Y ,' tilL�xct}{pp aPROQETli TTC�r� PO#'e y.r t r t s e :r V� DEL VERyy}AnDDRyESSt{ram_ $ { ) S i w , -_ r QRIVER� RS y T USEjjj pZ�OyN^.Er�# YLLF t {p�� Wpp IB:f ; Sit-"�r '�'+ d�e - [,38:i,�..ri"'t�Fi � � r✓ �7�"�"rr/ r `� lTitr�kt� .t<..laf S ai ��=1��9`A[w ��y rINSTrRUCTION�S 1 1` " ' F 4' 1 ¢ r `r� TIME DUE � YL `�`t'� �3r-- ,- ��• Y �`} e R- � fi t .A_. �: .di l.: 4� y.�.*��,F^x � T �}r' n, .c ^'��1�`� ��' " AMOUNT / (y/� . ..• �'{: YrtLl.'a y ryp% -EE �yr� S:1 win 'rt t J�'s�"i'�''4'.P �h'.r4 1CilPx "rG�l! t t Itt d{ ! k `C�a��'.. 41 SIGNATURE-OR`RECEIP 3GONCRESE�AND ACKNOWLEDGEI�fECtT00HAZARD::,WARNING__ ` 4h ;Yn _ _ r 4—'„^ asc meyer equtpmnvqp Crete ompany wt not assume a or any property= amage:or arty age for an weh eo�tt�s he and the curb Irne , SUB TOTAL' i AUTHORIZEMBY u TAX '• TOTAL "s SHIPMENT SWBJECT TO CONDITIONS ON. REVERSE SIDE p?; F SOT # , a Water�Added�at Custorher's S >"' 7 �, i �, � , Cylinders Taken p,Yes� ❑�No � s,� � � � � ''Re uest�� '� } _ _.- gg to full loan �' x , �� t r .g �� �. x �-�, � � < � , ,� � � } ;-- f �. h L • gals to 2/3 load i l t � 1 �-, �' K �.!��/.� .� to �r y i•,t' { - gals of/3 load: p �t , wl t 1 F +7a... ! i J yet Customer sp, R ;- Water Added4 r. - ' cr SNOT .RESPONSIBLE FORS WARNING t, IRRITATION TOrTHE SKIN+AND,EYES, ' - VARIATION IN COLOR gR polymer or freshly mixed concretengy cause ADDITIONAL WATER ADDED TO THIS Jgvoid>contactwith a a..... , „Cerrlent skpwiiijury `� _ GSURFAGE DISCULORATI0�1 skirt and4Wash exposed skin .areas�pro`mptly w}fh`ayater if any cement powdermr 'CONCRETE WILL',REDUCE IT 'STRENGTH u ,= — =r mixture gets into eyes rinse immediately and repeatedly Wit -water, and geh to-'- - medical Keep PAND DURABILITY, ANY Wi4TER+,ADDED IS t BATCH71MEp ! -- attenon children away from cement+povJder and�all freshly mixed �v# mot, cement products AT CUSTOMER S OWN RISK a € r • • • • • n•Begin Wash To Plant +''� 1 z PLANT ?ICKETU i _ ? O DE # J T UC�t#_ t0 D SIZE ;'M r a } z;v r 4 �. SLMP�}��y� _rDATE�,f:�yn.F 3 1. ' CUSr.OMER # , r ...... f SOLD��TyyO yy�� �qp h'} p r f' ^" 1 (� t e P O # r i PROJECTr# qx 5 'T J. a ✓'..- z.... c _ r t a : r i + ' } A,'t r •,;t �f ' DELIVEFJY ADDRESS i ZONEtt .r r4 a USE DRIVER Ic_ �i ILi r fug F- fit' wC fri'ItY7 f �, Y s s 'O PRODUCT OoCODE D -�yO r DESCRIPTION( UNIT PRICL Q a-i� .m. AMOUNT �i {{��•�•f 'r 9� �tprGy�d'''�rgg�°gg ,.7.^i •`�rae ,',y } --} jye �, i�'a �i'�}/'�trt �AA1 tt��yy' s.¢filt "i h:l �i('f✓L3b�.t }I l,•tA�,i' 7(Y� 'r'. 7 ZG1 } � j� S�',�'y��t, �C`.7jA-�jj�pM'�_�f f i r "y yyY ii'. 7 C,OIti1i41 - 2fM-�J '.'{� �.., A'�-l../=, t t _... - _ ti# A } _... _„ " SIGNATURE,ORRECEiPT,F''CON©BETE AND,A. CKNOWLEDGEMEN�OFNAZARD GVAANING: � � ' � � �� s. . e ', � - 1142 Water Tower Road, flake Park F s403 f t _ Y Office 877-484 9994 %Fax i561 844 71.02' ' k 5 ter, J1' Mouth East Florida Div1 844 9994 l/ Central'Flontla DNision Dispatch 407 339 5311 x` z 1 ' �Coticrete Tested a] Yes F � No ° LOTi# 4 J Vlfater�EAdded at Customer's ; - rr `'4 ;" , x Cy�linders�Taken Yes _ ❑ No s x s #Request- 'L �t •� Comments "s a Jafs to full load } gals ta'2/3 oad{ � =' � s ` r� E� ssr .►t�rr•rr tc� '-rsi a •cf� r rti _ � �:; � ' ..31 1_._1_ ..G_.. - - -}-- ::r .g ,.'F �„i .]..`k.1. �`. '�.i_._ -..f3 _.4: :. �..w'�. 1�'•.� R r } ;;r0ftstorner s Rep' 1N eAddetl F- NOT RESPONSIBLE FOR } l WARMING IARITATION'T0 3THESKIN ANDf,EYES m ° ' 'VARIATION 1 'C L°O� RS Geme t of`mer or"freshl refe3ma ;causeskm ln'u ':Avoid>'confa"ct?wi h ADpITIONALrWATER ADDED TO THIS ^t F , _. .mixed"con 'CONCRETE WILL`REbUCE ITS+STRENGTH,';;: ,. SURFACE DISGQLORATCQN, skin'and;wash exposed skm arelas romptly y�i4h dater Ifany cement�povder.or 4 mixfure gets into a es,. nnse i mediate) and re eatedl - w)t6-water,and get prompt Y Y, �a AND DURAMI. -E'ANY 1NATER ADDED IS ` BATCH TI meillcal ,atteritlon Keep chlldren,atvay+from cement powder. -and afl freshly mixed I r x } AT COST , ' �.� OMER S QWN RISK sa cement products F •.• o •• • •• -• '• -• • Plant At Plant t � � 7y � f � z '`� '' ; aG �'-� x'f�.... ._r .>.�,: _,ce_ S s,_'.. F..7 s;X.... _ — ...:.:L.� ..'"...<":: -_ _ s_i - ��.. a.. .�.�..,. _�..,. __ F>> °_.Y ai.:_..,-•. PLANr TICKET# 'ORDER#; TRUCK# LOAD SIZE MIX r ' = ' SLUMP y DATE r " tlf O)S., 4 .i e DELIVERY ADDRESS ZONE# USE • DRIVER " `t r p- r , INST,RUCTIONS< TIME DUE t _ • • iMOUNT t�f�i ►��t f trrc���i� i4lT[V " i dy ���-++t t fifa. ryt { i ^K.t e6 7 �j yyilr + L K.Ila' 6", - :i['"R.16"" L1 fTf r�fC'V 6'd `C -• } f _�..y A -OR"RECEIPT: i ,. . 1 _.. - ... a. .� 1 'SJ_,.. rk i i l._r .� :. �L ! �Y rl a+ 7 ? $. 1 ,, _ •. SIGNATU RE, CONCRETEgAND.A6KNOWLEDGEMENTOFH34711RD::WARNING r'w asc meyer, oncr to mpan�r wr no assume la �F` or anytproperty amage,or aray °SUB -TOTAL ` foj{rLande t Y equlpmenf-ilamag iv rles beyond they= u b 6 e kiY !� } AUTHORIZE BY r e „SHIPMENT SUBJECT TO CONDI,T_;IONS ON REVERSE SIDE""= �" ; ��}? - _ _ -,a '���'� r_ r I - r • � o {- � r{ t y - {spy } a � __ I g: r i1141 Water Tower Road, Lake I'a�k FL 33403 ; , �,kyt Offlee 1 87 - 48-1 9994 / Faz �561`. �E_ f South East Florida DIYISI011 Dispatch, 56i 844 9994 / Gentral�Florlda'`Dlylslon Dtsatckt 407 339 5311 4 '? 3 L 11 Water Atltled at Customers77, elu �Cylmders Taken ❑Yes [Q No e s kx ✓r"' t ` et }tosfull { fi r �. ,gals load Comments { 7 _ G4 x k e !A , gals to 2/3 load . t i Customers Rep Wate�:Added S 5 i NOT.RESPON$IBLE FOR' �i1�PE9idCs IRRITATION TO THE SKIN AND)EYES' - ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR eme�t polymer or freshly mlxetl concrete Fnay cause swn injury A old contact with' ' s "�skiri SURFACE DISCOLORATION grid wash exposed skm areas#promptly with";water 1f .a'ny c"e e t powder or mixture gets;mto eyestinnse lrpmedlatel =and re eatedl wttti water•a get tom t medlc'at:attentlom 'Kee dFiildren awa ;fro""m cement' owder anii �' hl' mized� y CONCRETE WILL REDUGE'ITS STRENGTH . " "` ° ' . r;tiAND D.UABILIT�Y+tANY_WATER.QDDED IS , BATGH<TIIv 9 E gatjr� s p p �, y cement products AT,CUSTOMER'S OWN RISK o • o 0 0 0 0 • o • )o T; PLANT TICKET/# - -' OR EFI # TRUCK # LIAD SIZ MIX t -.-' r SLUMP DATE t ...1 I' 1 i:f f" lJS...F l f , J _ t _'Kt - Wi C?/ Y,a G� % .�rR •. CUSTOMEfn1R # SOLDTy�O t7 4 3 L��..�8JC711� ft./f Vl�i'Y 69ti-?+�:..•tu r$ �.r r-"-°=�. 7_.,��:f �JG. I �i I 3 1 IA�IL ._. �__r ,_� __:_�...5 f6 -� DELIVERY ADDRESS ; ZONE# , USE DRIVER ' < r ° INSTRUCTIONS - r c { _ 1 TIME DUE - 0 D IN 0 D D O D O D D D D 0 E^ t � P P rPt� '5` - IZIO $� l u� t �"t l f r•i tft. };'��$ � i" 5_rj t�'�t `.. 7 1 9C t� { 1�F."66 Ctgk1 113, 0b IC1\11$�L`S Ti i; .rt- c t a w j' $ € i < , a • SIGNATURE OR.RECEIPT`. CON77 CRETE,.AND ACKNOWLEDGEMENT•.OP asc Meyer oncrete om any wI_ not assume is i ity or any property amage or any- -- •+ $tf egwpme damage loran k e- be �beyon�d � ��---�.... rY � , `y x , c � TAX _ e v .� AUTHORIZED BY t-. c r SHIPMENT SUBJECT TO CyNDITIONS ON REYER6E SIDE Av,_ I s Waseem Quadri,451 Special Inspector ATM Engineering, L,s/ n "P, Iw I Pq 4 =k I =K*143 1511 A6Ad,-'LAk6-Park fL-­8 1�1�42 Wafer Tower4 1,77 ft 48j2v F 8771.*�9994 LEI. AK T �"d �'.Gentl*01_36,. JdX, M91on',Di8pptc.' f M & 5 �W: "i F'.;C OT 'Wa' er —Added! 't-1Customer �.�Cy indeff n lc�c_o lqqestl- 7 dda:t a Isil- fd: f u I hto V to -2/3, 0 IN - Y gals gg Q� ;VWV.�t 17" L4 brS, 11611, t,.A:qcled!' 7. NOT RESPONSIBLE FOR .WAR",M SKIN by8Y,86`,A� NG_ "'Ilp I A IRRITATION KI z: r ` VARIATION IN ;COLOR OR DISCOLOfATIONNO C cl� , weish c40d9_dd-,6k"-j re If STRENGTH;-�7 SURFACE neame Kan fe .;rnedidA 4attdnt1ori;`Keep ; cn0prem',aigy.., from)cement BATCH 9 On Job Pour Begin Wash To Plant PLANT" ([qR TRUCK# LOAD )z A &: Rix rr'ICt of G M 'QUAT, _S0LD'TQ_'- P. PROJECT MN �V 1. G -4, DELIVERY SS ER VUl— DRIV AV INSTRUCTIONS 4 LOAD [COMULATIVIf I ORbERED_. PRODDIDT c6DE PRODUCT DESCRIPTION U.,Q.M. UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTI bat �41 1 IV 5 , Z; SIGNATURE -OR RECEIRT';tCCNCRETE,*ANDACKN asc _7�e7ET. ppqriktei !qqw�lywill;not"a-SSUMer,'#L3'!' for.`,an wpr,,ainy �,K -SUB AL _y1pMe 721L, 4 AUTHORIZEDIBY TowerOad,Lake ., ark FL office,: 1-10,7'-484-9994 Fix: 561-844-7102 South East. Florida Division Dipatch: 561-844-9994 Central Division Dispatch: 407-324­S3I 1 i�o9i�i�a�aila�€�uai�iii�����z� Tested. 0 Concrete Yes El No LOT # —Customers rs Taken Taken E] Yes rol No 0 Ye N s 0 Water Added at F-Cylinders Request Comments - Comm ts gals. o full load —gas. to 2/3 load gals. to 1/3 load A i B3 U 5 T f 0 tiEK v _ tomers Rep -Water Added NOT RESPO SIBLE.FOR IRRITATION TO THE SKIN AND EYES VARIATION I 'COLOR OR Cement pq!ymqr,oi freshly mixed concrete may cause skin injury. Avoid contact With ADDITIONAL WATER ADDED TO THIS skin. a SURFACE DIS66LORATIO nd*wash,ekpose d skin areas' promptly with water. If a6��cemddt powder or "mixture gets into eyes; rinse immediatbl�, and repeatedly water CONCRETE WILL REDUCE ENGTH ,,3 _, j-,," medical with and.get prompt BATCH TIME `�,r al..�ttention. Keep children away from cement powder and all freshly mixed AND DURABILytYs, .ANY WATER ADDED Is Pluezj- 8AM OCST? cement products. AT CUSTOMER'S 011VN RISK I? PLANT # ORDER I # TRUCK# LOAD'SIZE TICK MIX SLUMP DATE.. SLUMP 5 -7• 68'E"' "2 ` 238 k6i 3_1 JE G' RO) i 3, 0 CUSTOMER # SOLDTO P.O. # PROJECT# r 13i'MAX FO1!NDATION18' I NC 7 99 6. DELIVERY ADDRESS ZONE# USE DRIVER 6 0jyj�. .,0,36 011-JITH OCEAN DR RT IN' C -1-UMN r i al -1) C e S t A, INSTRUCTIONS TIME DUE JENSEN BEACH' 0 0 MILE= 9. 0_0 63. Q1.1. 50740400 ",00120 GROUT yd 1,100 0 E 1\1 V 1 RO 1'."1"41) 1 RONIAIENTAL D 19, P', 0 00 0 fill Q'i SURCI If' -)ROE SIGNATURE WARNIP.M . -.CONCRETE AND ACKNOWLEDGEMENT OF HAZARD ;: asc me er oncrete ompaffi;0not assumeF 111it1ir; o V p , amageoranyequipXen da age-forany_de�ea tv SUB-TOTAL curune. AUTHORIZED BY 'HIPMENTSUBJtU I TO CONDITIONS ON REVERSE blut. TAX TOTAL W -7 ---------- J42 - 7,Concrete Tested p'Yes , ,®�(o�, ; f LOT;# h Water Added at t F¢ 4 Request �7 Comments . . . . . . . al r gals to 1/3 load T-1 R ------------- Rd " eb7' Wate - -U L: fVOT RESPONSIBLE FOR ; lflRbY7PSSa'' IRRITATION TO THE SKIN AND EYES .= gDDITIONAL,'WATER ADDED T, I F:-6r.fr sh!�,ffiix%co -mAy--qaysC: h-, VARIATION STRENGTH powder Nq��T �WIL IkEliUCt '- skin and ki.jfiahy� p _E; prom- I w mj!alqf�jj�nq, walprr-pod � jkAblitx-MYMA -TER.'Alibb, - (medical attention 6 childrenEfres �l Xepo_ m 6 BATCH TIME +3'p AT CUSTOMER S OW_N RISK.- At, Plbnt -4 py.1• T Ej'if,, 2 Ic 5; 8 T X QU, sLUMPT 4-33 J4 -5 '7� 1,59ot E� D Tf P. F# �-n PF GT# J.S DELIVERY-.1ADDRES 2`;-`�Tr'i ZONE E RIV aL T 2-�,D RM -`7, V, uc I S., T IN jo 1 TIME DUE 5 A �,T, I fff �4 A f P'TM 10 N 1-UJD.-"W NEW 91,199M DO 4710 `0 E VJ-RQ-` a 1_ ol oi 'T n J - y� ---1 .'-.;SIGNATgURdEO'RR'RECEIPoT.---O.ONCRETEL�AND-ACKNOWLEDGEMENT, 'OF,iHeAZcAuRD7W'"NIN(---- - ascMeyerqo rpte�oMp�ay ! j it or- ,p L �-, r-qn-y�.., §03w4TOTAL n' .... .d- :.�; ... oq eliverewo 77 TAX SHIPMENT -SUBJECT �, T, Q -,CONDITIONS;(?N J m r �3 3 o' 1142 ter t`,- e t -7� -484 '061-111 -0 407 QQ at Customers Concrete Added `Tested'- - --1 o TeA nW3 75b' 1 ' - to full Li 7-p ll - g�10ad A S" A z # .Customers ' Rep" Ry -- ----- -'fT ATION TO THE SKIN AND EYES} ADDITIONAL TO -juk IATION w " A M'%1hiteV :VARskin ;.,T :SURFACE DISCOLORATION and wash exposed skirt ar Rjyylthwater .ldn lya iinlyKe "OWWRISK AT P-1 5 Lo"' To Jdb On-J,b" Begin Wash To Ptant pd 4 -Y y. A LUA♦ Ptz SIZE '- ump" TF ECT-A P.Q ------- 71 IT ZP- # us IMEQUE, PkODIfCT DE�SCIIIPTION UNIT PFfiCE AMOUNT 1-11" RVRU'119� -IUANTIT, -P. UANT% Y PV-7 ply, 7. 'weic" �-m 0 D �p om-E T iM � LirA"' 1•CI4RUEL A$GIfRf O -.4 n - Y1 K" RE P 'ORiRECEI ATURANDACKNIDWLEDGEMENT.,O FfAZARD WARNINGL-t SIGNATU Y -TLCONCRETE '.no �ass or any; SUB TOTAL damage property equipment "'T TAX „ -77-71-55��El-;t 4� -AUTHORIZED PBY-' lilt lill", 111 17 7,7 BATPHITIME PR 7. \ m \ _X IF all A aekIF r 4-199944�fak561: 444z`71 Ef 's _-Z MIN rpCustomer I eitbr-Adcl _�L,!J Cylinders 11 - " AA es ❑ 0 e,q "R' 21151 Yak 7 gals _T� Y." _J Z' _7 �NOT�RESPJQNSIBLELFG. R w 1, AVON ,&.,-.T ;.,T E VARIATION IN O OR,OR':0, Cement polymer - ADDITIONAL-WATERAISIDER h�i `SURFACEniSrn n--and --'h -s-'! _ _s REDUCE ITS x ge - n t _ u _ r. . -t.- _ eyes, Y-He ij tt ti , a a f n n..' cement'products, To Plant t ant W®RK—' v TO(�CK'C. LCAD,8125 F �'DATE' Qk 0A EN's PF GT* IT Dr USE — 11VER j TIME6DUE.. 41 RODUCT DESCRIPTION U. M. UNIT PRICE AMOUNT 5b rf E -T. 1 27 _._S1GNAT.URE.0R:BECE1PV'C ANDA KNG)WLE5GEMENT,,6r -rEr _C MORE -_jA7 f) N m WAR I M:s aRcincret� l�r!r"ff_qr_.qc) 0mpAny wi t!-,4qoj,apRy!np,! maq 140 1 ily , I 0'rr. Any P r 0 P 9 1 ' TOTALt _any damage &erRe phd-Weii'U'rhiihii,SUB "01 Fd 77 _4 SUBJECT TO CONDITIONS°ON.REVERS&SIDEl.' L_ L 0