The URL can be used to link to this page

Home My WebLink AboutCEMEX CONCRETE• � �'ccmcx Plant:' Begin Loading: To,Job: Arrive Job: Start'Unload: 'Finish,Unload: Leave Job: Return Plant: Customer Code: CustomerName: k Customer Job Number. Order Code Date: - it QPJ' 191 21, . , ,Project Code:: Project Name:F, Project P.q-,.'N'u-rn' ber. Order P.O. Number. Ticket Date: Delivery Address: Map Page: Map/Row/Column. 7' 2 CO-* I N E T TI 1 � Z G) P51- AP4D Delivery lrst6ktiorisi Dispatcher: Ticket Number: 3 '328 3 29E L Due On Job: Slump: Truck Number: Driver Number: Driver Name: End Use: 04 5 )A. W(X253 3 11 )-G')�oGi TOM DICK� "K DLDI',Gt W( -I- LOAD Cumui-wriw ORDERED QUANTITY QUANTITY QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION Uom UNIT PRICE AMOUNT J 5. Ou" 3, T1 C I 15115 (X4I, 8 E. R V M I N1 I M L J 1 0 H 1"(3 1 E S AAN J q, 1. 0-0 Elk.VI ROV,101ENTRL CHA. RiDE DEC 12:5 3 Cash Received: Total POD Order Amount to Collect Check Without Charge out Standby Charges: Cash Check # Auth Code: Signature of Driver Receiving Cash: 77 Comments: WATER ADDED: -MfG`AL YARDS IN DRUM: WHEN -ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: SIGNATURE L3 LOAD WAS TESTED' BY: Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Anywateradded'i at customers own risk.:If water is added on job, concrete strength is 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 sald'and delivery and accepts concrete as Is. Due to important factors which are but 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. Nocredit for safety handling information, and to the material safety data sheets for additional information. returned concrete. 'Buyers exceptions and claims shall be deemed waived unless made to us in writing, AUTHORIZED SIGNATURE: within one business day after the receipt of materials. 68UNIVERSAL PREV-'TRV'. CUSTOMER,' LOAD NUM. 1 °ery Ticket incorporates herPi» by reference Buyer's previously executed r'—dit Application, if any, Seller's Standard Conditions, Seller's Quotat if any, and Seller's Order Confirmation ( iding .limitations of warranties), as if fully this Delivery Ticket ("AgrL_...-.nt"). Seller will provide the Standard Terms -and Conditions upon request. Buyer agrees otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to ordance 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. Theseproducts, ncludino. by ash, may contain more than 0.025% crystalline silica. Hazards: Freshly mixed wet cement and/or fly ashcan 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 amoirrits 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 ari'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 aplicaci6n de cred.ito); cualquier termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y garantia.$), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los t6rminos estandares y condiciones detal lados en caso de as.f ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que.las cantidades. y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; al menos que se identi- fique con una nota al frente de este documento. AGREGADUS / (.;ENIEN1.0 /,.YKUDUU l UN llL Ut)IN UKE l U / k—hIV1GA3 V ULA1V 1 L� Los productos de agregados son materiales naturales como piedra caliza, dolomita,`granito, roca volcanica, arena, Brava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanileria, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de conereto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, coca volcanica, arena, grava, y otros materiales silicios.'Estos productos incluyen ceniza& volantes (fly ash) la coal puede contener mas de 0.025% de silicio cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar initaci6n en los ojos, quemaduras en piel y ojos, y. reacciones alergicas en la peel. Concreto seco y polvo de agregados, pueden causar irritaci6n en los ojos, pre] y/o en la zona respiratoria. Polv6 del- manejo en el. tri.turamiento, 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 caliza, reposar y tomar glandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad• La humedad puede causar la liberaci6n del amoniaco'. La inhalation 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 exposici.6n. / Segur r.dad: Evite el contacto con ojos y contacto prolongado con la piel .Use guantes, protecci6n en Jos ojos y ropa Primeros adecuada paraprotecci6n. Lavese las manos conab6n suave y agua despu6s del manejo de materiales. Ev.ite inhalar auxilios• polvos. Si se expone a polvos mas de los limites recomendados, use protecc16n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la paute afectada por 1.5 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 V7 combinado Houston, Texas 77024 02/12 Para mas informaci6n visita www.cemexusa.com.