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' I WATER ADDED: ! / -/ GAL YARDS IN DRUM`.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
CONCRETE DISPOSAL FEE \ SIGNATURE
PARTIAL FULL LOAD YARDS;
-- — —~ ❑ LOAD WAS TESTED �BY: I
Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Air y<ater added is)t customers own risk. If water is added on jov 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 anftealth. Please refer to the backside of thls ticket for important
control after delivery, this Company will not accept any responsibility for the finished results, No credit for safety handligg c�Si-mation, and to.th6material safety data sheets for additional formation.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED S, GNATURE�
within one business day after the receipt of materials.
66UNIVERSAL I:1REIl1 `f,;F;.p
INVOICE l...Ofi-1T? N'•_i!`--1 n 1,
This Delivery 'Picket incorporates herein by reference Buyer's previously executed Credit. Application, if any; Seller's Standard
Terms. and Conditions,',Seller's Quoti ; if any, atfd Seller's Order Confi.rmatior -,luding limitations of warranties), as if fully
set forth. on this Delivery Ticket ("Ag tent"). Seller will provide the -Standard T > 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 litnestone.'dolomite, granite, volcanic rock., sand, gravel, and other
siliceous materials. Cement products include Portland cement, masonry, pozzo.lan (Type IP), roof tile, and stucco. Concrete
products include Portland cement and aggregate produets hcluding limestone, dolomite, granite, volcanic rock, sand, gravel, and
other siliceous materials. 'These products, including fly ash" 'iay 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 'ili.cosis 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 andd prolongedd contact with skin. Wear gloves, eye protection, and appropriate protective
clothing. Wash hands thoroughly with mild soap and water after handling. Avoid. breathing dust. I:f exposed to
dust above .recommended limits (see MSDS), wear suitable N.I:OSH-approved respiratory protection.
First Aid: In case of eye contact, immediately flush eyes with flowing water :for I5 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.
CE;MEX, Memorial Hermann "Power
929 Gessner, Suite .1900
V7 conibined 110uslon, Texas 77024
02/12 For more information please visit www.cemexusa.com.
Este ticket de entrega inC]Uye corno referencia al ceimprador (ya previamente ejecutada. en su aplicaci6n de eredito); cualquier
tCrmino estindar, condiciones del vend-edor, propuestas del vendedor y orden de confirmation del vendedor (con .limitaciones y
garantfas), Como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los terrninos estandares y condiciones detal-
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 corno se expresa en el misrno. Acepta pagar el monto de acuerdo al contrato; al menos que se identi-
fique con Una rota al frente de este documento.
A.G.REGADOS / CEMENTO / PRO.DUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturaley corno piedra caliza, do.lomita, g-r•anito, rota volcanica, arena, Brava y otros
n.iateriales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzo.lan (tipo I:P), azulejo de
azotea y estuco.•Los productos de concreto incluyen ccmento Portland y productos do agregados Como piedra caliza, dolomita,
granito. rota volc,anica., arena., grava, y otros materiales silicios. [:stos productos incluyen cenizas volantes (fly ash) la cual puede
contener rods de 0.0251X, de silicio cristalrno.
Peligros: Mezcla de ceniento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemadltras en pie]. y ojos, y
reacciones al6rgicas en la piel.. Concreto seco y po.lvo de agregados, pueden causar irrrtaci6n on los ojos, piel. y/6 en
la zona respirato6a. Polvo del,manC10 en el trituratniento; pulido, torte y/o perforation puede contener rateriales
sili.cos, los cuales pueden causar silicosis pulmonar y cancer si. son .inhalados. En caso de se.r in.geridos, mantenerse
en tem.peratu.ra cdli.da, reposar y tomar• grandes cantidades d.e agua. Las cenizas volantes pueden. contener amoruaco.
La humedad puede causar la liberaci6n del amoniaeo. La inhalation del amoniaeo puede causar toner, irritation o
Seg>tiridad: quemaduras en ]a nariz, garganta y puhr,ones. Acudir inmediatamente al medico. El riesgo en la salucl depende en
la duraci6n y cl hive] de la exposici6n.
Seguridad: Evite el contacto con ojos y contacto prolongado con ]a pie]. Use guantes, protection en los ojos y ropa
Primeros adecuacfa para protection. Lavese las manos con jabon suave y agua despu6s del rnanejo de niateriales. Evite inhalar
auxilios: polvos. Si se expone a polvos mas de leis limites recomendados, use protection respiratoria.
Primeros auxilios: Ian caso de contacto en los ojos, hinediatamente f7uya. aqua en la parte afectada por 1.5 m.inutos.
Si se inhala polvo, expongase a aire fresco. Si el cement(. -fresco tiene contacto con sus ojos, lavel.os a fo.ndo con
aqua. Acuda a atenci6n ntedica inmediatamente si la irritaci6n continda.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 conibluado Houston, Texas 77024
02/12 Para mds informacicin visita www.cemexusa.com.