HomeMy WebLinkAboutCEMEX CONCRETE4
AIFA CCMEX
Mud
Plant:
Begin Loading:
To Job:
Arrive Job:
Start Unload:,
Finish Unload:
Leave Job:
Return Plant:
Customer Code:
Customer Name:
Customer Job Number: Order Code /Date:
Project Code: -'�'Prcject
Name:
Project P.O. Number: OrderP.O. Number.
Ticket Date:
Delivery Address:
Map Page: Map/Row/Column:
Delivery Instructions:
Dispatcher:
Ticket Number.,
Due On Job:
Slump:
Truck Numoer...,.-
Driv4 NuT - -:,
L ej,
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DrivpTNa e-
End Use:
LOAD
L 1JTITY
CUMULATIVE
QUANTITY
ORDERED
QUANTITY
MATERIAL CODE
PRODUCTION DESCRIPTION
UOM
UNIT PRICE
AMOUNT
ii
Cash Check#/ Auth Code:
Signature of Driver Receiving Cash:
Cash Received:
Total COD Order Amount to, Collect
Check
Without Standby Charges:
Charge
'r
Comments:
MEA
WATERADDED: GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
SIGNATURE
E. C-) R D I
C3 LOAD WAS TESTED BY:
:N� Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Any water added is at customers own risk. If water is added on job, concrete strength
Company assumes no responsibility for damages inside curb or property line, Customer agrees to the is no longer guaranteed. WARNING: Product may cause skin and/or eye irritation. CAUTION: Material
terms of ..Ie
and delivery and accepts concrete as Is. Due to important factors which are out Of our may be haza'r ous 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 hand Ing nformafirI, and to.the material safety data sheets for additional information.
rn retued concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZ D-S G AT RE:
within one business day after the receipt of materials.
"I W
68UNIVERSAL , 11— 1. ( '. , . '1� .*, .-.
CUSTOMER
This Delivery Ticket .incorporates he.reir, by reference Buyer's previously executed r'r-dit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotati( 'any, and Seller's Order Confirmation (i] ling limitations of warranties), as if fully
set forth on this Delivery Ticket ("Agree,«c,it"). Seller will provide the Standard Tern.. ..id Conditions upon request. buyer- agrees
that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated anti ,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 uuIci
siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type 1P), 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 cor&�-,on silica, which may cause silicosis and cancer if inhaled.
If ingested, keep warm, at rest, and drink large amo- nts of water. Fly Ash may contain trace amounts of ainmo-
nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation
or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure.
Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective
clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to
dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection.
First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh
air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention .if irritation persists.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 cornbi.ned Houston, Texas 77024
02/12 For more information please visit www,cemexusa.com.
Este ticket de entrega incluye comp referencia al. comprador (ya previamente ejecutada en su aplicaci6n de credito): cualouier
tdrmino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaci y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendecor proveerd los terminos estandares y cond.ic.iones l-
lad.os 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 comp se expresa en el rnismo. Acepta pagar el monto de acuerdo al contaato; al memos que se identi-
fique con una nota al frente de este documento.
AGREGADOS / CEMENTO / P.RODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturales corn piedra caliza, dolomita, granito, roca volcanica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados comp piedra caliza, dolomita,
granito, coca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) ]a coal puede
contener mas de 0.025%v 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 alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en los ojos, piel y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, corte y/o perforaci6n puede contener materiales
silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse
en temperatura calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad: La humedad puede causar lam liberaci.6n del amoniaco. La inhalaci.6n del amoniaco puede causar toser, i.rritaci6n o
quemadu.ras en la nariz, garganta y pul.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, protecei6n en los ojos y ropa
Primeros adecuada Para protecciCm. Ldvese ]as 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 protecci61l respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectacta por 15 min --`--
Si se inhala polvo, exp6ngase a Aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondc
agua. ACuda a atenci611.medica inmediatamente si ]a irritaci6n continda.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite .1900
V7 combinado Houston, Texas 77024
02/12 Para mds information visita www.cemexusa.com.
ZCC-MGX1
Plant:
Begin Loading:
To Job:
Arrive J76-
Start Unload:
Finish Unload:
Leave Job:
Return Plant:
Customer Code:
Customer Name:
Customer Job Number: Order Code I Date:
ON'T F.", N T 0
tPr;jacfCDde:
Project Name':
Project P.O. Number: Order P.O. Number.,
Ticket Date'.
Delivery Address:
Map Page: Map/Row/Column:
Delivery Instructions:
Dispatcher.
j1
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Ticket Number.
Z,
Due On Job:
Slump:
Truck Number:
Driver N&nber:
Driver Name:
End Use:
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')AD CUMULATIVE ORDERED 1 —1
NTITY QUANTITY QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AM
OUNT
Check #/ Auth Code: I Signature of Driver Receiving Cash:
I Check
71 Charge
Comments:
WATER
I
Cash Received: 7
GAL YARDS IN DRUM:
WHEN ADDED.
Amount
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
F.'11
SIGNATURE
El LOAD WAS TESTED BY:
Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Any water added is at customers own risk. If water is added on job, concrete strength
Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: Product may cause skin and/or eye Irritation. CAUTION: Material
terms of sale and delivery and accepts concrete as is. Due to important factors which are out of our may 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 SIGNA RE:
within one business day after the receipt of materials.
68UNIVERSAL
CUSTOMER
This,.Delivery Ticket incorporates herein by reference Buyer's previously executed C-pdit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotati, f any, and Seller's Order Confirmation (i ding limitations of warranties), as if fully
set forth on this Delivery Ticket ("Agre�-,,,,,rt" ). Seller will provide the Standard Ten„,, and Conditions upon request. Buyer agrees
that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to
pay in accordance with the Agreement.
AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH
Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other
siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete
products include Portland cement and aggregate products .including limestone, dolomite, granite, volcanic rock, sand, gravel, and
other siliceous materials. These products, including fly ash, may contain more than. 0.025% crystalline silica.
Hazards: ' Freshly mixed wet cement and/or fly ash can cause,6}e irritation, skin and eye burns and allergic skin reactions.
Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling.
crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled."
If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo-
nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation
or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure.
Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective
clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to
dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection.
First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh
air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if irritation persists.
CEMEX, Memorial Hermann Tower:
929 Gessner, Suite 1900
V7 coinbined Houston, Texas 77024
U2/12 For more information please visit www cemexusa.com.
Este ticket de ent.rega incluye comp referencia al. comprador (ya previamente ejecutada en su aplicaci6n de crCdito): cup ' , ;r
t6rrnino estdndar, condiciones del vendedor, propuestas del vendedor y orden de confirmac16n del vendedor (con limitacil y
garantfas), como acuerdo total del ticket de entrega ("Contrato" ). El vendeclor proveeri los t6rminos estandares y co.ndic.iones ctetal-
lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes rnencionados y que las cantidades
y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contaato; al menos que se identi-
fique con una nota al frente de este documento.
Ar:RF AD0V% i CVMVNTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca volcanica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo .IP). azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como pi.edra caliza, dolomita,
granito, roca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) ]a coal puede
contener mars 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 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 m.anejo 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, mantenerse
en temperatura calida, reposar y toma.r grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
uridad: La hu.medad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toner, irritaci.6n o
Se
g quemaduras en ]a 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, protecci611 en los ojos y ropa
Primeros adecuada para protecci6n. Lfrvese ]as manor con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar
auxilios• polvos. Si se expone a polvos mas de Jos limiter recomendados, use protecci6n respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la paste afectada por 1.5 mini
Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, ldvelos a fondo
agua. Acuda a atenci6n medica inrnediatarnente si ]a irritaci6n continua.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para mas informac.i6n visita www.cemexusa.com.
zlzc
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56964115
Plant:
Begin Loading:
To Job:
Arrive Job:
Start Unload:
Finish Unload.
Leave Job:
Return -Plant:
Customer Code:
Customer Name:
Cust6mer Job Number:
Order Code Date:
i Project Code:
Project Name:
Project P.O. Number.
Order P.O. Number.
Ticket Date:
Delivery Address
Map Page: Map/Row/Column:
-J:
"Delivery Ins ructions:
Dispatcher
71
Ticket Number:
Due 0 Job: r_rSlump:
Truck Number.,
Drivel Number:_
J
Flrive,,Im,i.,
,
End Use:
LOAD CUMULATIVE ORDERED
NTITY QUANTITYMATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT
V S W 4
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A!
A F_ Z Cash Check #/ Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect
Check Without Standby Charges:
Charge
Comments:
WATERADDED: AL__ YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNERVAGENTS REQUEST:
f-
ri'trr
r, SIGNATURE
V,
El LOAD WAS TESTED BY:
'Notice: Our drivers will make every effort to place materials wherVthe customer designates, but the SPECIAL TERMS: Any<addedisatcustomers 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 guara t ed. WAKING—::,Pradlu�ctmay cause skinpd/o—reye irritation. CAUTION: Material
terms of sale and delivery and accepts concrete as is. Due to important factors which are out of our
may be hazapo s you ty, Ad'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 informayopn, and to material safety eta sheets for additional information.
returned concrete.' BOyers exceptions and claims shall be deemed waived unless made to us In writing AUTHI IZED SIGNATUR
within one business day after the receipt of materials.
68UNIVERSAL R V T
CUSTOMER
This Delivery Ticket incorporates herein by reference Buyer's previously executed, Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotati( any, and Seller's Order Confirmation 011 ling limitations of warranties), as if fully
set forth on this Delivery Ticket ("Agrec— ,.it"). Seller will provide the Standar.. Terii- -.id Conditions upon request. Buyer agrees
that, unless otherwise noted on the front hereof, all quantities and ere dehveied as indicated and further expressly agrees to
pay in accordance with the Agreement.
AGGREGATE / CEMENT / CON4,.; ,,`r'C�TfE PRODUCTS / FLY ASH
Aggregate products are naturally occurring materials includins limestone, dc•
,.ornite. granite, volcanic rock, sand, gravel, and knHu
siliceous materials. Cement products include Portland cenrijtt;-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. must from handling,
crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled.
If ingested, keep wann, at rest, and drink large amounts of water, Fly Ash may contain trace amounts of ammo-
nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation
or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure.
Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective
clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to
dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection.
First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust .is .inhaled, move to fresh
air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention .if irritation persists.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combined Houston, Texas 77024
02/12 For more information please visit www.cemcxusa,com.
Este ticket de entrega incluye como referencia al. comprador (ya previamente ejecutada en su ap.licaci6n de cr•Cdito); cualauier
termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con litnitacii y
garandfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los terminos estandares y condiciones _ 1-
lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionad.os y que .las cantidades
y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo at contrato; al menos que se identi-
fique con una nota at frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, rota volcanica, arena, gravy 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) ]a 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 alergicas en la piel. Conereto seco y polvo de agregados, pueden causar irritaci611 en los ojos, pie] 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 cheer si son inhalados. En caso de ser ingeridos, mantenerse
en temperature calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden conte er amoniaco.
Se uridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar tosA�-irritaci& o
g quemaduras en la nariz, garganta y pulmones. Acudir inmed.iatamente a] medico. El riesgo en la salud d6pende en
la duraci6n y el nivel de la exposici6n.
Seguridad: Evite el contacto con ojos y contacto prolongado con la pie]. Use guantes, protecci6n en los ojos y ropa
Primeros adecuada para protecci6n.. Lavese las ,manes con jab6n suave y agua despues del manejo de materiales. Evite .inhalar
auxilios' polvos. Si se expose a polvos ands de Jos limites recomendados, use protecci6n respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmed.iatam.ente fluya agua en .la parte afectada por 1.5 mim
Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, Jdvelos a fondo
agua. Acuda a atenci6n anedica inmediatamente si ]a in•itaci6n continua.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para rods informaci6n visita www.cemexusa.corn. __��
CC -Max
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7
Plante
Begin Loading:
To Job:
Arrive Job:.
Start' Unload:
Finish Unload:,
Leave Job:
Return;Plant:
Customer Code
Customer Name:
Customer Job Number:
Order Code / Date:
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Map Page: Map/Row/Column:
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L QLOAD UANTITY CUMULATIVE
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Cash Check # / Auth Code: Signature of Driver Receiving Cash: 1. Cash Receiv "tl: Total COD Order Amount to Collect
Check �
Without Standby Charges:
) y
Charge
Comments:
WATER ADDED: GAL YARDS IN DRUM:
WHEN ADDED.
�j SIGNATURE
(/•' CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
j..aal�•li_. �'il.'r!•�'. ti . �. t.i����..i1.rl �i.�. x
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.._ O LOAD WAS TESTED BY:
r Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Any water added is at customers own risk. If water is added on job, concrete strength
Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: Product may cause skin and/or eye irritation. CAUTION: Material
'terms of sale and delivery and accepts concrete as is. Due to important factors which are out of our may 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, andso.the aterial safety data sheets for additional, information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORNA URE
within one business day after the receipt of materials. O
68UNIVERSAL
F;I: t-. i' 'i"l^,I: ; .1 I"?( j:`i:.%.•(d'"r' l..{7C;?i f�4lJI ?
CUSTOMER
This Delivery Ticket incorporates .herein by reference Buyer's previously exe.cuted'Credit Application, if any, Seller's Standard
Terns and Conditions, Seller's Quotatir any, and Seller.'s Order Confirmation (i. Jing limitations of warranties), as if fully
set forth on this Delivery Ticket ("Agref-IM lit"). Seller will provide the Standard Tern......id 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 c
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 4varm, at rest, and drink large am
oynts of water. Fly Ash may contain trace amounts of ammo-
nia. Moisture can cause the ammonia to be releas Inhalation of ammonia can cause coughing and irritation
or burns of the nose, throat and lungs. See physician. Health ride 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 1.5 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.cemexusa.com.
Este ticket de entrega incluye Como referencia al comprador (ya previamen.te ejecutada en su aplicaci.6n de credito); cualquief
termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitacii -- y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los ter•minos estandares y condiciones I-
lados en caso de asi ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que .las cantmaaes
y materiales fueron entregados como se expresa en el mismo. 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 piedra caliza, dolo.m.ita, granito, rota volcanica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albaniler a, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita,
granito, rota volcrinica, arena, grava, y otros materiales silicios. Estos productos .incluyen cenizas volantes (fly ash) la coal puede
contener nrds 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 alzrgicas en la piel. concreto seco } polvo de agregados, pueden causar irritaci.6n en los ojos. piel y/o en
la zo.na respiratoria. Polvo del .manejo on el trituramiento, pulido, torte y/o perforaci6n puede contener materiales
silicon, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantene.rse
en temperatura caliza, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Se tiridad: La humedad puede causar la liberaci6n del am.oniaco. La inhalaci6n del amoniaco puede causar toser, irritacion o
$ quemaduras en .la nariz, garganta y pulmones. Acudir .inmed.iatamente al medico. El. riesgo en la salud depe.nde en
la duraci6n y el nivel de la exposition.
Seguriclad: Ev.ite el. contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa
Primeros adecuada para protecci6n. Ldvese ]as .mans con jab6n suave y agua despues del .manejo de materiales. Evite inhalar
auxilios• polvos. Si se export a polvos mds do los limites recomendados, use protecc16n respiratoria.
P.rimeros auxilios: En caso de contacto en los ojos, inm.ediatam.ente fluya agua en .la parte afectada por 1.5 minutos.
Si se inhala polvo, exp6ngase a sire fresco. Si el cemento fresco tiene contacto con sus ojos, .lavelos a fonds
agua. Acuda a atenci6n medica inmediatarnente si la"irritacion continda.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado .Houston, Texas 77024
02/12 Para ids informaci6n visita www.cenlexusa.:eoin.
CCMC_X 56964118
Plant: Begin Loading-, To Job: Arrive Job: Stait-Unload: Finish" Unload:. Leave Job: Return Plant:
Customer Code:
Customer Name:
Customer Job Number:
Order Code Date:
r-� �F.
317"n,
J
71.11 7 1 f
3
Project Code:
Project Name:
Project P.O.: Number. .
.',Order P.O. Number:
�e
Ticket Date:
Delivery Address:
Map Page: Map/Row/Column:
Delivery Instructions:
Dispatcher:
Ticket Number:
Due On Job:
Slump:
Truck,Number
DrivqNum15er,.,"_
Driver Name:
End Use:
*
�,l 7
jvJ I. I 'pqf
LOAD
NITITY
CUMULATIVE
QUANTITY
ORDERED
Q
MATERIAL CODE
I
PRODUCTION DESCRIPTION
UOM UNIT PRICE AMOUNT
Cash Check # Auth Code:
Signature of Driver Receiving Cash:
Cash Received:
Total COD Order Amount to Collect
Check
Without Standby phargm
Charge
Comments:
WATERADDED:_GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S' REQUEST:,
SIGNATURE
U LOAD WAS TESTED BY:
SPECIAL TERMS: Any water added is at customers own risk. If water is added on job, concrete s'
drivers will make eveeffort to place materials where the customer designates, but the
every
Companyou'
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:'
terms of sale and delivery and accepts concrete as is. Due to important factors which are out of our
may be hazardous toy?ur,safety and health. Please refer to the backside of this ticket for
.
control after delivery, this Company will not accept any responsibility for the finished results. No credit for
returned concrete. Buyers exceptions be deemed
safety he ndling inf?rulatiorl, and to the material safety data sheets for additional information.
!SI(mm
and claims shall waived unless made to us in writing
within one business day after the receipt of materials.
AUTHORIZED UkE:
Ell I Qp I
68UNIVERSAL i,,," " j i,
I ----
CUSTOMER
This Delivery Ticket incorporates herein, by reference, Buyer's previously executed C—dit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotatic 'any, and Seller's Order Confirmation (ii ling Limitations of warranties), as if fully
set forth on this Delivery Ticket ("Agreenicut"). Seller will provide the Standard Tern,;, .x,d 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 .,L11%,r
siliceous materials. Cement products include Portland cement; masonry, pozzolan ('Iype 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 rouse 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'liandling,
crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled.
If ingested, keep warm, at rest, arld 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 buns 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 N10SH-approved respiratory protection.
First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh
air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical. attention if irritation persists.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combined Houston, Texas 77024
02/12 For more information please visit www.cemexusa,cc2M.
Este ticket de entrega incluye comp referencia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualouier
termino estdndar, condiciones del-vendedor., propuestas del vendedor y orden de confirmaci6n del vendedor (con limitacil y
garant.fas), Como acuerd.o total del ticket de entrega ("Contrato"). El vendedor proveerd l.os terminos estandares y condic.iones i.-
lados en caso de asf ser.requeridos. Con este docurnento, el comprador acepta los mismosya antes mencionados y que las canticlades
y materiales fu.eron entregados Como se expresa en el mismo. Acepta pagar el monto de acuerdo al contaato; al menos que se identi-
fique con una nota al frente de este docurnento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturales Como piedra caliza, dolomita, granito, roca volcdnica, arena, gravy y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP). azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados Como piedra caliza, dolomita,
granito, roca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede
contener mds de 0.025%n 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 alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en los Ojos, piel y/o en
la zona respirator.ia. Polvo del .manejo en el t.rituramiento, pulid.o, cone y/o perforaci6n puede contener materiales
sili.cos, los cuales pueden causar silicosis pulmonar y edncer s.i son inhalados. En caso de ser ingeridos, mantenerse
en temperatura calida, reposar y tomar grandes cantidades de agua. I..as cenizas volantes pueden contener amoniaco.
Seguridad: La humedad puedc 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.
Primeros
Seguridad: Ev.ite el. contacto con. Ojos y contacto p.rolongado con la piel. Use guantes, protecc.i6n en los Ojos y ropa
adecuada para protecci6n. Ldvese las rnanos con jab6n suave y agua despues del manejo de materiales. Evitc inhalar
Volvos. Si se expose a polvos in�ls de los limites rccomendados, use protecci6n respirat%J- .
?rimeros aux.ilios: En caso de contacto on los Ojos, inmediatamente fluya agua en la parte afectada por 1.5 minr
'i,se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, ldvelos a fondo
`-Acuda a atenci6n medica inmediatamente si la irritaci6n continda.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
Houston, Texas 77024
Para mds info.rmac.i6n visita www.cemexusa.com.
ANN
CEMEX
Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return -Plant:
Customer Code: Customer Name:
Project Code: Project Name:
Ticket Date: Delivery Address:
Delivery Instructions:
Customer Job Number: Order Code / Date:
Project P.O. Number. Order P.O. Number.
Map Page: Map/Row/Column:
Dispatcher:
Ticket Number:
Due On Job: Slump: Truck Number: Driver Number: Driver Name: End Use:
LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT
ITITY QUANTITY QUANTITY
~ 44
Cash Check # /Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect
Check Without Standby Charges:
Charge
Comments:
WATERADDED: GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE /
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
SIGNATURE
❑ LOAD WAS TESTED BY:
N Dur 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 st�
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:
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 i
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. (-1
68UNIVERSAL CUSTOMER
This Delivery Y(!,et ;ncorporates her ' ')y reference Buyer's previously execute, alit Application, if an., , `:. '; ,-'s Standard
Terms and Conditions, Seller's Quotal if any, and Seller's Order Confirmation i. uding limitations of warri.it,.C, ; as if fully
set forth on this D<'li%/cry Ticket ("Agreement"). S °Iler will provide the Standard Rr r; and Conditions upon request. Buyer agrees
that; unless otherwise noted on the front hereon, a]; quantities and items were deli% :-ed as indicated and further expressly agrees
in accordance with the Agreement.
AGGREGATE / CEMENT/ CONCRETE PRODUCTS / FLY ASH
:aggregate products are naturally occurring materials including 11 inestone. dolomite. granite, volcan.;_ rock., sand, gravel, anti other i
siliceous materials. Cement products include Portland cerncnt. v,iva ,oriry, pozzolan (Type 1P), roof tile, and stucco. Concrete
products include Portland cement and aggregate products inclucli i lii )e- 'one, dolorite, granite, volcanic rock, sand, gravel, and
other siliceous materials. These products, including fly ash, nlat c, it : i -re than 0.025% crystalline silica.
Hazards: Freshly mixed wet ,:er=it and/or fly ash can cause eye irritation, skin and eye burns and allergic skin reactions.
Dry concrete and al,!i °, , kc J; 4t may cause irritation to eyes, skin,and/or respiratory tract. Dust from handling,
crushing, grinding-. - r, and/or drilling may contain silica, which may cause silicosis and cancer if inhaled.
If ingested, kec p ,::zrlrl. ,t rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo-
nia. Moisture ,,an 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 N-vith skin. Vlrear 91oves, 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, immediate- i flush eyes wittl flowing water for 15 minutes. If dust is inhaled, move to frc: h
air. If wet cement contacts sk`n, r' ise thoroughly with water. Get proper medical attention if irritation persists.
CE.MEY, N1letr. ,rial Hermann Tower
929 Gc= ter, S<. ite 1900
V7 combined a lr.,u w':,l , Texas 77024
02/12 1-'c,- ::-,ore inforn-ation please visit wvvw.cemcxtrsa.corn.
Este ticket de entc2ga incluye cmr, : ieAereneia al C srnorador ('' i provilai,.entc; C,jc,.utuda eel Su apilca.erd'"i de cr6dlti?); cnialqulet
terming estandar. ;ondiciones dc3 vendedor. ,propee .tas del vendedor y orden de confirmaci6n del vendedor (con linlitac y
garantfas), como acuerdo total del Licket de ent.rcga (` ",ontrato"). El vendedor proveera los tdrininw dares y r:c,adicionc i-
lados en caso de isf >er regr.ieridos. Colt este docunrt-,,ito, el comprador acepta los mismos ya antes :-,ACIOO :los y q e las cant ',!;O(;
y inateriale s fuer;:)n eiwegados corno se expresa en el mismo. Acepta pagar el monto de acuerdo ai t..io; at menos que idea i
figUC Con una nota al frente de este documento.
her°I'FR_EGADOS / CEMENTO /_PR_ODUCTOS DE €:GN_C_R_ETG / Cis VOL',, NTLS _
Los productos de a,rcga ios son materiales naturales Como piedra caliza, dolornita, granito, roca , mclanica, arer.a, ��rava y otros
materiales sihcios. Los productos de cemento incluyen Cernerrto de tipo Portland, de albaffilerfa, (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen c,.mentg Portland y productos de agregados co, ,o piedr�: caliza. dolomtta, i
granito, roca vc.l inica, arena, brava, y otros materiales silicios. Estos productos incluyen ceni ;as vokant ,s (fly ash) le, coal ptre.ie
contener m1s de 0,025% de silicio cristalino.
Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaei6n en los Ojos, quemaduras en Piet y ojos, y
reacciones a.lergicas en la picl. Concreto scco y polvo de agregados, pueden causar irrltaci6n en los Ojos. piel .o en
la zona respiratoria. Polvo del rnanejo on A triturarniento, pi_&lo, co' to y/o perforaci611 puede eontener maz i,iales
siticos, los cuales pueden ci i,al' silicgsis j Ulmonar y cancer si son inhalados. En caso de s:,.r ingeridos, mar.«:ncrse
en temperatura c6hda, reposar y iomaEr nr•andes cantidadcs de aguM. r,aS cenizas volantes puc6_n ContCner anl.'ltlaCo.
Se llridad: La huniedad puede causar la libcraci& de. amonlaco ..a lnhalac-,n let amonlaco puede causar toner, irril 66n g
quemaduras eel la nariz, gargan',,l y pulMon °s. Acudir met ico. EI riesgo en la salud del-; 'ode en
la duraci6n y el nivel de la exposici6n.
Segurlclad: Ev.lte el COW.;k'10, Con ;rlos y Con 'cto pr -loa,lado i 2 protecci6n en los ojos y rope,:
Primeros adeCuada para proteccj6n b sc: iaS irt210� 1;l lab n suave ), : grlu (Se' 3U6s or i rnanejo de. ;riaterlales. 17,,vlie i:lhalar
auxihos' polvos. Si se exporw a li...' ids de los Ii- rec, onendados, use pr0.'t;CC1Qn r•espiratC+l7it.
Primeros aux.11los. 1.i Casa de co:ntacto en lo;, r - "s. i imi.diatamente fluya agues (,,i la I..' -te afectada por 1.5 Mill! 10,.
Si se inhala polvo, exp6ng;ase a aire fresco. S: el <: ,lento fresco tiene contact, cost sus ojos, lavelos a fo ;
aqua. Acuda a atenci6n m,;aica inmechatamc: :1 oci6n continua.
CEMEA, Memo- is , war
929 G ss-,er, Suite i
V7 combinado Houston T, X , I( ,
)212 Para ma '. „a .ci+ ita wivn,, retticxusa corn.
I ,
r
CEmcx
Plant:
Begin Loading:
To Job:
Arrive Job:
Start Unload:
Finish Unload:
Leave Job:
Return Plant:
09
Customer Code: Customer Name: Customer Job Number: Order Code / Date:
'f)" j r. i^C' d'�'rI"•rTl'Ll;r, + °f� f ;i ;Tli T �! �1, I1� -r -t ( (D ,.,� i 't
�a f��f;:.J7a.. _,._I', t .. a r LE. TI`< t-. f If�:PC - .� I �, r- �',:r: _ v,_a 1 G
'Project Code: Project Name: Project P.O. Number: Order P.O. Number:
P^ d^ a
Ticket Date: Delivery Address: Map Page: F Map/Row/Column:
Delivery Instructions: Dispatcher:
JL::N0 :PSI 53Eilf -S GFa n i. n g
Ticket Number:
33422252
Due On Job:
Slump:
Truck Number:
Driver Nufnber:
Driver Name:
End Use:
A j a e:,:c:.:
5. {){_)
:I.+:a3y�3�_,.J.„'teCo�i
�.+"D1`at_`L:.%:,
� � 1f_.!... 1<R'1tal':.
LI.- I..'�l!fi n ��}i'�� !_
---'_,> .
i nAD CUMULATIVE ORDERED
M L C ERIAODE PRODUCTION' DESCRIPTION UOM UNIT PRICE AMOUNT
NTITY QUANTITY �VANTITY Ai
:I. L. { t: I. c`,r ' v , " r t�l'1 #��JCtiIIviF=PdTAE. C'HA :.€ E
;:aE"I� (4'! i�(1F3� ,�iii i<?a II h,j -
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 OWNER'S/AGENT'S REQUEST:
D I Sl-'O4:rPL FE€-. \\ SIGNATURE
1-`(;R I I(�' _..�, Fri I!_R._ �_'�i-1�' Cl�1FfL1� El LOAD�ESTED__, BY:.-----`� - ---
_ -
Notice: Our drivers will make every effort to place materials where the customer designates, but t i5- ,S1iECIAL Tg7 MSkZny 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 th is no longer guarantee WARNING: Product may cause skinland/or eye irritation. CAUTION: Material
terms of'sale and delivery and accepts concrete as is. Due to important factors which are puLof_o . me be -hazardous to yo r 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, nd to the material safety data she s for additional information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us In writing AU. HORIZED SIGNATURI �
within one business day after the receipt of materials.
68UNIVERSAL E r 1002,3750
:=jf :.V -I"C�ti INVOICE 4' . *=
his Deliver Ticket incorporates here.h, I, reference Buyer's previously executed C��-d
Delivery p y 1 y tt Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotatio; any, and Seller's Order Confirmation (in ing limitations of warranties), as if fully
set forth on this Delivery Ticket ("AgreeillUIR"). Seller will provide the Standard Term ..�d Conditions upon request. Buyer agrees
that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to
pay in accordance with the Agreement.
AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH
Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other
siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete
products .include Portland cement and aggregate products including limestone, dolomite, granite, volcanic rock, sand, gravel, and
other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica.
Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye burns and allergic skin reactions.
Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling,
crushiing, 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. 1f dust is inhaled, move to fresh
air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if irritation persists.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combined Houston, Texas 77024
02/12 For more information please visit. www.cemexusa,c_om.
Este ticket de entrega incluye Como referencia al comprador (ya previamente ejecutada en su aplicaci6n de cr6dito): cua"r
t6rmino estdndar, condiciones del vendedor, propuestas del vendedor y orden de confirmac16n del vendedor (con limitaci( y
garantias), como acuerdo total del ticket de entrega ("Contrato"). El vendedor pro% eery los t6rminos estandares y condiciones aetar-
lados en caso de asi ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que las cantidacles
y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contaato; al menos que se identi-
fique con una nota al frente de este documento.
A( REGADUS / UEMlE+:id'li'U / PKODUUTUS DE GUN(:REI'U / UENIGAS VULANTES
Los productos de agregados son materiales naturales como piedra caliza, dolomita. aranito, roca volcanica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albaniler a, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto inc luyen cemento Portland y productos de agregados como piedra caliza, clolom.ita,
granito, roca volcanica, 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, piel y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, corte y/o perforaci6n puede contener materiales
silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse
en temperatura calida, reposar y tomar grandes canticlades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad: La hum.edad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o
quemadu.ras 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, protecci61l en los ojos y ropa
Primeros adecuada para protecci6n. Lavese ]as manos con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar
auxilios• polvos. Si se expone a polvos mas de los limiter recomendados, use protecci6n respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en ]a parte afectada por 15 mint
Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, ]avelos a fondo
agua. Acuda a atenci6n m6dica inmediatamente si la irritaci6n continua.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900.
V7 combinado Houston, Texas 77024
02/12 Para rods informaci6n visita www.cemexusa.com.