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Plant:
Begin Loading:
To Job:
Arrive Job:
Start Unload:
Finish Unload:
Leave Job:
Return Plant:
t_fr,t,t / 10130
Customer Code:
Customer Name:
,i7692,o
DOYLE. MASONRY INC
F Project Code:
t
1 Project Name:
„
Ticket Date:
Delivery Address:
06 / 3. 3 / 13
LOT--63, NET-rLE S ISLAND
Delivery Instructions:
I J ENSEN ETTICH
Customer Job Number: Order Code I Date:
1027 015- 13/ 1
Project P.O. Number. Order P.O: Number: r
NO . PIP
Map Page: Map/Row/Column:
Dispatcher;
GFanninq
Ticket Number:
32639791
Due On Job:
Slump:
Truck Number:
Driver Number:
Driver Name:
End Use:
1. 5 -. 23
9 a 50
1 f jo2 3. J
1 t.)f�033
W I LL I AM CARDENAS
BL..DNG: WALL
LOAD CUMULATIVE ORDERED
QUANTITY . QUANTITY QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION
/
3. 0(.-) 9. 00 9. Gags 11706`� 2 3000 CMG
I
UOM UNIT PRICE AMOUNT
YD3
1. tit; 1247818 FUEL SURCHARGE
1202749 ENVIRONMENTAL CHARGE
'?
AiAEf
Cash 2' x Gheck#lAuth Code: ' Signature of Driver Receiving Cash:
CheckY '' s
Charge
Comments
JUN 13 rm'3:27 t
Cash Received: Total COD Order Amount to Collect
Without StandbyCharges:
I WATER ADDED: GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
SIGNATURE
❑ LOAD WAS TESTED BY: ,
r
Our drivers will make 1every
l effort to place materials ' where the customer designates, but the SPECIAL TERMS: Any water added is at customers owmrisk. If water is added on job, concrete strength
Iy �SSU�I®S nO �SpOflSIUIIIry IOC U®ii1H98S'lilS�uB curb Of ptoperW Ilne. Customer agrees to the Is no longer guaranteed. WARNING: Product may cause skin aodfor is
irritation. CAUTION: Material
f 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
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.
concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AAUUTHORIZED SIGNATURE:
business day after the receipt of materials. X
PRE:V T RK -- 1. tj02",J7 5G LOAD NUM.,
INVOICE •
This Delivery Ticket .incorporates herein by reference Buyer's previously executed Credit Application, .if any, Seller's Standard
Terms and Conditions, Seller's Quotation, if any, and Seller's Order Confirmation (including limitations of warranties),'as if fully
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 tl�_e Agreement.
AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH
Aggregate products are 'nati r'R'Jly'•occu7ring 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 snore than 0.025% crystalline silica.
Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye burns and allergic skin reactions.
Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling,
crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled.
If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo-
nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation
or burns of the nose, throat and lungs. See physician. Health risk depends on duration and Level of exposure.
Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective
clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to
dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection.
First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh
air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention' if irritation persists.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combined Houston, Texas 77024
02/12 For more information please visit www.cemexusa.com.
Este ticket de entrega incluye como' referencia al comprador (ya previamente ejecutada en su aplicacion de credito): cualquier
termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmacion del vendedor (con limitaciones y
garantias), como acuerdo total del ticket de entrega ("Contrato"). >l vendedor proveera los terminos estandares y condiciones detal-
lados en caso de asi ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que las cantidades
y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo 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, dolomita, granito, 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 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 coal puede
contener mas de 0.025% de silicio cristallno.
Peligros: Mezela de cemento fresco y/o cenizas volantes pueden causar irritacion en los ojos, quemaduras en piel y ojos, y
reacciones alergicas en la peel. 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 perfioracion puede contener materiales
silicon, 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 amoniaco.
Seguridad• La humedad puede causar la liberacion del amoniaco. La inhalacion del amoniaco puede
causar toser, irritacion o
quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en
la duracion y el nivel de la exposicion.
Seguridad.: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, proteccion en los ojos y ropa
Primeros adecuada para proteccion. Lavese las mans con jabon suave y agua despues del manejo de materiales. Evite inhalar
auxilios: , polvos. Si se expone a polvos mas de los limiter recomendados, Use proteccion respiratorla.
Primeros auxilios: En caso de contacto en Jos ojos, inmediatamente tluya agua en la parte afectada por .1.5 minutos.
Si se inhala polvo, expongase.a aire fresco. Si el cernento fresco tiene contacto con sus ojos, lavelos a fondo con
agua. Acuda a atencion medica inmediatamente si ]a irritacion continda.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para mas informacion visita www.cemexusa.com.
CEMEX
55255544
Plant:,
Begin Loading:
To Joh:' .
=A*e Job:'
Start Unload:
Fin.ishUnload:
LeaveJobi
Retum Plant.
091o/1.090
Customer Code: -
Custn.r N
Name:
Y 1.- 1--! r ') R
Customer Job Number, Order Code I Date:
FP (),5/ 13
Pro ect Code:
ect'Ni
Projame:
Project P.O. Number: order'O.O. Number.
'Ticket Date:,
y Deliver Address
r
Map Page: Map/Row/column:
DeliDeliveN Instry6flons:
Dispatcher;
VI r
4
Ticket Numb6r:
32
A
Due- Job,
0�n_
Slump:
5.()(
Truck(Nun er
Y�
Driver a
N6 r-
Dri verd
1 fTe:DTCK5
End Use:
8 L 1) N G, 'P
LOAD .
QUANTITY
I CUMULATIVE
QUANTITY
ORDERED
TY
MATERIAL CODE
f
PRODUCTION DESCRIPTION
Z113S) 31 f., 10 (4) F z ci -
4
4, 30 2 °,io
1_38,2600 I-TBE� RMES31 1 1. ,3 0
I I Of'")
7 t„� FUll"'L SURCICK)RI53E
1.00
-_MV I ROKII, r.1 QL C 3E
' KITr �-n
T.
UOM
LB
UNIT PRICE AMOUNT
i P� 5 P� 08, 3 2
10
Cash
Check 9 Auth Code:
Signature of Driver Receiv' I
Cash Received:
Total COD Order Amount to
Check
Without;Standby Charges:
Charge
Comments:
WATER ADDED:, GAL
YARDS IN DRUM:
WHEN ADDED.
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
SIGNATURE
L) LOAD WAS TESTED BY:
Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: pAnywatdrmcded is at customers own risk. If water'is added on job, concrete strength
N
Company assumes no responsibility- for damages inside curb or property line. Customef�agrees to the is no longer guapteecl. 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 you safety and health. Ple�a�se�fer.to-the-backside.of-this-ticl(6t-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 mater1pIsafiJfV data sheets for additional information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGN
within one business day after the receipt of materials,
1:.-JREV TFZK-. L 0 n- D PWPI.-
68UNIVERSAL
CUSTOMER
This Delivery Ticket incorporates herSij,6Mference Buyer's previously executed „ lit Application. if any, Seller's Standard
Terms and Conditions, Seller's Quotat iy, and Seller's Order Confirmation i?o limitations of w4rrajaties), as if fully
set forth on this Delivery Ticket ("Agree, ent"). Seller will provide the Standard Terms and Conditions upon requests Buyer agrees
that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to
pay in accordance with the Agreement.
AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH
Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic .rock, sand, gravel, and other
siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete
products include Portland cement and aggregate products including limestone, dolomite, granite, volcanic rock, sand, gravel, and
other siliceous materials. These products, including fly ash., may contain more than 0.025% crystalline silica.
Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye burns and allergic skin reactions.
Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling,
crushing, grinding, cutting and/or drilling may contain silica, which may cause silidosis 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 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 previamente ejecutada en su aplicaci6n de credito); 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 proveer`a 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 canti.dades
y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo at contrato; at menos que se identi-
fique con una nota at frente de este documento.
AGREGADOS / C;EMENTO / PNODUCTOS VE C;ONC REW / UENIGAS VOLAN'1'ES
Los productos de agregados son materiales naturaley como piedra caliza, dolomita, granito, roca v'olcanica, arena, Brava y otros
rnateriales 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 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 coal puede
contener mas de 0.0255�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 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 tritu.ramiento, pulido-,.corte y/o perforaci6n puede contener materiales
silicon, i.os cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse
en temperatura caliza, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Se uridad• La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar Loser, irritaci6n o
g • quemaduras en ]a nariz, garganta y pulmones. Acudir .inmediatamente at medico. El'riesgo err la salud depende en
la duraci6n y el nivel de la exposici6n.
Seguri.dad: Eviite el. contacto con ojos y contacto prolongado con la piel. Use guantes, proteccii6n en los ojos y ropa
Primeros adecuada para proteccion. Lavese las manos con jab6n suave y agua despues del manejo de materiales. Evite inhalar
auxilios: polvos. Si se expone a polvos mis 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 aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con
agua. Acuda a atenci6n medica inmediatamente si la irritaci6n continua.
CEMEX, Memorial. Hermann Tower
929 Gessner, Suite 1900 r
V7 combinado, Houston, Texas 77024
02/12 Para mas informaci6n visita www.cemexusa.com.