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HomeMy WebLinkAboutCEMEX CONCRETEpfrm CEMEX, 114 ND 6,3 T On J( i*n 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: roie P ci6oda Project Name: Project P.O. Number: Order P.O. Number: Ticket Date: Delivery Address: Map Page: Map/Row/Column: "IND Deliv47 Instructions: Dispatcher: '4 Ticket Number: Due On Job:, Slump: Truck Number: Driver N u�Rber Driver Name: End Use: 1 1, ': - � LOAD CUMULATIVE ORDERED QUANTITY Q QUANTITY MATERIAL CODE 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 Charges: Charge Comments: WATER ADDED: L YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: r! P" T 1'-' 7 F. 1. SIGNATURE El LOAD WAP ESTE B Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERM�: Any M adde-d�,4..96�ers own -water is added on job, concrete strength 't6 C al V Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer gua anteed/ ARN(NG- Product may cause'sinand/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 ha ar us 0 and health. PJe9se refer to the backside of this ticket for important for safety h.n% control after delivery, this Company will not accept any responsibility for the finished results. No credit I'n �tfor'Xfiour = the matqljat`safety data sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZE SI ATURE: within one business day after the receipt of materials. 0 68UNIVERSAL J INI t ) I vi - CUSTOMER This Delivery Ticket incorporates herein h„ reference Buyer's previously executed C—lit Application, if any, Seller's Standard Terms and Conditions, Seller's Quotati any, and. Seller's Order Confirmation ( ;ling limitations of warrant, es), as .if -.fully set forth on this Delivery. Ticket ("Agreement"). Seller will provide the Standard Termm, wid 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 / CEME*h / 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 NI:OSH-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 wnnv cemexusa.con . Este ticket de entrega incluye Como referericia al comprador (ya prevramente ejecutada en su apl.icacl6n de cr6dito); cualquier t6rmino 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 Jos terminos estandares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el coinprador acepta los m.ismos ya antes m.encionados y que las cantidades y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; al menos qu.e 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 coma piedra caliza, dolomita, granito, roea volcanica, arena, Brava 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, roea volcan.ica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener etas 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. Po.lvo del manejo en 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, mantenerse en temperatura calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. La humedad puede causar la liberaci6n del amoniaco. I..,a inhalaci6n del amoniaco puede causar toser, irritaci6n o Seguridad: quemaduras en la nariz, garganta y pulmo nes. Acudir inmediatamente al`medieo, 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 ]a piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuada para protecti6n. 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 protecti6n respiratoria. Primeros auxilios: En caso de contacto en Jos 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, ldvelos a fondo con agua. Acuda a atenci6n m6dica inmediatainente si la irritaci.6n continua. CEMEX, Memorial Hermann Tower 929 Gessner. Suite 1900 V7 combinado Houston, Texas 77024 02/12 Para uias informaci6n visit,a w w.c ride-t-ita cnir�, ccmcx I fi_ Plant: Begin Loading: To Job', Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: Customer Code: Customer Name: Customer Job Number: PkedCocle: Project Name: Project ,P.O. Nu'mber.° Ticket Dale: Delivery Address: Delivery Instructions: Order Code / Date: Order P.O. Number. I" Map Page: Map/Row/Column: Dispatcher, Ticket Number: Due On Job: Slump: Truck Number: Driver Number. Driver Nam e: tvi End Use LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION QUANTITY QUANTITY QUANTITY V'... M 01!1.1 Al I—, 121� f UOM UNIT PRICE AMOUNT CONIJ1i 27 A2, L] Cash Check# /Aufh Code: Signature of Driver Receiving d6sh: 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 C R09SED AT OWNER'S/AGENT'S REQUEST: f f I r.._3 I- C"S r. SIGNATURE. Ti El LOAD WAS TESTED BY Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIALTERMS: Any water added is at customers own risk. If water is added orijob, concrete strerigth 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..Tatgrial safety data sheets for additional Information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORISE SIGN URE: within one business day after the receipt of materials. 68UNIVERSAL -CUSTOMER This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit .Application, if any, Seller's Standard Terms and Conditions, Seller's Quotat ' any, and Seller's Order Confirmation ( - ding limitations of warranties), as if fully set forth on this Delivery Ticket ("Agrc .t"). Seller will provide the Standard Ter 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 / UEMUNT / UONURE'!E YRODUUTS / FLY ASH Aggregate products are naturally occurring materials ini�.uding 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 apprc°;rri•t�.)i�: protective clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. Lf 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 02/1.2 For more information please visit vvti�_w cra�c:.xUsa.es��. Este ticket de entrega incluye comp refe.rencia al comprador (ya previcmente 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), corno acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los t6rminos estandares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que )as cantidades y materiales fueron entregados corno se expresa en el. mismo. Acepta pagar el monto de acuerdo al contrato, al menos que se iderrti- frique con una nota al frente de este documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales corno piedra caliza, dolomita, granito, roca voleanica, 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 coma piedra caliza, dol.omita, granito, roca volcdn.ica, arena, grava, y otros .materiales silicios. Estos productos incluyen cenizas volautes (fly ash) la cual puede contener rnds de 0.025% de si'licio cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volautes pueden causar irritacion en los ojos, quemaduras en piel y ojos, y reacciones al6rgicas en la pie]. Concreto seco y polvo de agregados, pueden causar irritacion en los ojos, peel y/o en la zona respiratoria. Po.lvo del manejo en el triturarniento, pu.lido, carte y/o perforac:i6n puede contener materiales silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso do ser ingeridos, mantenerse en temperatura calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: 'I a humedad puede causar la liberaci611 del amoniaco..I.,a inhal.aci6n del arn.oniaco puede causar toner, irritacion o quemaduras en la nariz, garganta y pulmones. Aeudir inmediatamente al medico. El .r.iesgo en la salud depende en la durac.i6n y el nivel de ]a 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 manor con jab6n suave y agua despuCs del mancjo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos rods de los limiter recomendados, use protecci6n respiratoria. Primeros auxi.l.ios: En caso de contacto en los ojos, inmediatamente fluya agua en la paste afectada por .15 .minutes. Si se inhala polvo, exp6ngasc a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n medica inmediatamente si la irr•itaci6n continua. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combinado Houston, Texas 77024 02/12 Para inks informacion visita www.cemexusa.coni. Plant: Begin Loading: To Job: 1,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: Project P.O. Number: Order Code Date: Order P.O. Number: Map Page: Map/Row/Column: 'Dispatcher: Ticket Number: r Due On Job:, Slump: Truck Number_]'Driver Number: Driver Name: End Use: LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTITY U, t-"? -5,- E2, Li cash CheclZ # / Auth Code: Signatures ofDriierReceiving Cash: Cash:Rdceived: Total COD Order Amount to Collect Without Standby Charges: Check Charge Comments: WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CRCSSEDQTOWNER'S/AGENT'S REQUEST: N- SIGNATURE 0 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. ,le'ase 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 materi '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. (@ r 'Z/ 68UNIVERSAL CUSTOMER This Delivery "1'.icket 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 C:onf'irmation ( :ling limitations of warranties), as if. fully set forth on this Delivery Ticket ("Agre _____�t"). Seller will provide the. Standard Ter__. _id Conditions upon requesfi. Buyerragrees 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 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 i.rritation persists. CEMEX, Memorial I-lermann Tower 929 Gessner, Suite 1900 V7 combined Houston, Texas 77024 02/.1.2 For more information please visit www.cemexusa.com. Este ticket de entrega incluye Como referencia al comprador (ya previamente ejecutada en su aplicaci6n de crddito); cu9quier tdrmino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y (yarantias), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los tdrrninos estandares y condiciones detal- lados en caso de as% ser reque.ridos. Con este documento, el comprador acepta los .mismos ya antes menc.ionados y que .las cantidades y materiales fueron entregados como se expresa en el mismo. Acepta pagar el. monto de acuerdo al contrato; al manos que se identi- fique con una nota a] frente de este documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roea volckniea, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albariileria, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, roea 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: 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 pol.vo de agregados, pueden causar irritaci6n en los ojos, piel y/o en la zona respiratoria. Polvo del manejo en el trituramiento, pulido, carte y/o perforac.i6n puede contener materiales silicos, los cual.es pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperature e lida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la .l.iberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o quemaduras en la nariz, garganta y pulrnones. Acudir inmediatamente al medico. El riesgo en la salad depende en la duraci6n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con ]a piel. Use guantes, protecci6n. en los ojos y ropa Primeros adecuada para protecci6n. Lavese las manos con jab6n suave y agua despuds 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 parts afectada por 15 minutos. Si se inhala polvo, exp6ngase a airs fresco. Si el cemento fresco tiene contacto con sus ojos,_I.avelos a Tondo con agua. Acuda a atenci6n medica inmediatamente si la irritaci6n colitimla. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combinado Houston, Texas 77024 02/12 Para mas informati6n visita www.cemexusa.com. I - 717 k-- Ole. 1-c' Plant: -Begin Loading, To Job: Arrive Job: Start Unload: FlnlshUnload: Leave Job: Return Plant: Customer Code: Customer game Project Code: ProjectN6me; Ticket I Date: Delivery. Address: Delivery Instructions: Customer Job Number: Order Code / Date: Project P.O. Number: Order P.Q. Number: Map Page: Map/Row/Column: Dispatcher Ticket Ticket Number., Due On Jo Slump: Truck N r: 'Driver Nul�jlr�:,,'. Driv IaTe- —7 rid Use: i lumb, 0. 'k I f LOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION, DESCRIPTION Uom UNIT PRICE AMOUNT ri . 7i I11, 0 1 Cash Check #/ Auth Code: Signature of Driver Receiving Cash: Cash Racal 'd Total COD Order Amount to Collect Check Without Standby Charges: 71'Charge Comments: WATER ADDED: -GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED'AT OWNER'S/AGENTS REQUEST: SIGNATURE C) 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 safetyin 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 Ghi(TTURp within one business day after the receipt of materials. O / 4 �`�/ 0 68UNIVERSAL CUSTOMER This Delivery 1'4.1cet incorporates herei reference Buyer's previously executed it Application, if any, Seller's Standard Terms and Conch, tons, Seller's Quotation, ii any, and Seller's Order Confirmation (incluuing 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 Mivered. as indicated and further expressly agrees to pay in accordance with the Agreement. „' AGGREGATE/ Aggregate products are naturally occurring materials inclu!� siliceous materials. Cement products include Portland cei products include Portland cement and aggregate products it other siliceous materials. These products, including fly ash, NCREAF E PRODUCTS / FLY ASH ,,ne, dolomite, granite, volcanic rock, sand, gravel, and other lsonry, pozzolan (Type 1P), roof tile, and stucco. Concrete limestone, dolomite, granite, volcanic rock, sand, gravel, and ztain 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 Dandling, 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 Mace amounts of ammo- nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irrii as 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.c nexusa.coi. Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada on su aplicaci6n de credito); -malquier termino estandar, condiciones del vendedor, propuestas del vendedor y Orden de confirmaci6n del vendedor (con limitaciones y garantf.as), como acue.rdo total del ticket de entrega ("Contrato" )..El vendedor proveeri los terminos estandares y condiciones detal- lados en caso de a.sf 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 docpmento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca volcan.ica, arena, grava y otros materiales sil.icios..Los productos de cemento incluyen Cemento de tipo Portland, de alba►fi lerfa, 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 volcdnica, arena, Brava, y otros materiales silicios. 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 irritacion en los ojos, quemaduras en pie] y Ojos, y reacciones alergicas en la piel. Conereto 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 silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura c6lida, reposar y tomar grandes cantidades de aqua. 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 on la nariz, garganta y pulmones. Acud.ir inmediatamente al medico. El riesgo en la salted depende en la duracion y el nivel de la exposici6n. Seguridad: Evite el contacto con Ojos y contacto prolongado con la piel. Use guantes, protecci.6n en los Ojos y ropa Primeros adecuada para p.rotecci6n. L,ivese ]as menos con jab6n suave y agua despues del manejo de materiales. Evite inhalar auxilios• polvos. Si se expone a polvos inns de los limites recomendados, use protecti6n respiratoria. Primeros auxilios: En caso de contacto en los Ojos, inmediatamente fluya agua en la pane afectada por 15 nunutos. Si se inhala polvo, exponaase a aiie fresco. Si el cemento fresco tiene contacto con sus Ojos, lavelos a fondo con agua. Acuda a ate.nci6n medi.ca inmediatamente si la .irritac.i6n continua. CEMEX, Memorial Heimann'rower ower 929 Gessner, Suite 1900 V7 combinado Houston, Texas 77024 02/12 Para mils .informaci6n visita www.cemexusa.com. KC C_ M a X ����� Plant: Begin Loading: To Job: "Arrive Job., Start Unload: Finish Unload: Leave Job: Return Plant: Customer Code: Customer Name: Project Code: Project Name: TicketDate: Delivery Aqqress.* 4,1 j D,� qstrqqtlons: 6qry) T Customer Job Number., Order Code I Date: jrl ProjecfRO. Number( 'didar'P.6.'Number; Map Page: Map/Row/Column: Dispatcher,',,,, Ticket Number: Due On Slump: Trucl�N u m I e,, Driver yuTb r: DriverNa[na:, AA End Use:,.,., I .- LOAD CUMULATIVE ORDERED MATERIAL CODE I PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTITY Cash Cash Check #I Auth Code: Signature of Driver Receiving Cash: Cash Received: Tobil COD.Order Amount to Collect Without Standby Charges: C Check Charge Charge Comments: WATERADDEff.-- t GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: r) 1. i V rIS}JN SIGNATURE L 7" U 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 SIGNATURE: within one business day after the receipt of materials. 0 68UNIVERSAL ,CUSTOMER This Delivery Ticket incorporates here; reference Buyer's previously executed " "it Application, if any, Seller's Standard Terms and Conditions, Seller's Quotati( any, and Seller's Order Confirmation (i in- limitations of warranties),, as..if fully set forth on this Delivery Ticket ("Agreement"). Seller will provide the Standard Terms and Conditions upon request. Buyer egrees 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 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 1.900 V7 combined Houston, Texas 77024 02/12 For more information please visit www.cernexusa.com. Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de crddito); cualquier t6rmino 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 vencicdor proveerd los t6rtninos estandares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que ]as 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 CONCR.ETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, coca volednica, arena, Brava y otros materiales silicios. I.,os 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, dolom.ita, granito, coca volcanica, arena, Brava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener Inds 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 pie]. Concreto seco y polvo de agregados, pueden causar irritaci6n en los ojos, pie] y/o en la zona respiratori.a. 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 edlida, reposar y tomar grandes cantidades de. aqua. Las cenizas volantes pueden contener amoniaco. Se uridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del, amoniaco puede causar toser, irritaci6n o g 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 ]a piel. Use guantes, protecci6n 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 la parte afectada por 15 nunutos. Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenei6n m6dica inmediatamente si la irritaci6n continua. CEMEX, Memorial Hermann Power 929 Gessner, Suite 1900 V7 combinado Houston. Texas 77024 02/12 Para mas informaci6n visita www.ceinexusa.com.