HomeMy WebLinkAboutCEMEX CONCRETESCANNED
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Job Number*..,
Customer Cade:" V — Customer Name: Customer J Order Cpde / Date:
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R 0 D N L". Y' H A L L' G C-1 rb"n-T Ou KIS -F k`_X) -3i8l 2/
Project Code : Piroje'cit Name oedP.O;Nurwbec:_*f___��_
Order P.O. Numberi:.
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111 5 G `MATT - RODNEY I-ALI f-"d-L Wi Rl-', VE.10W.1i". RODNu--Y' 'Na Po
Ticket Date: Delivery Address: Map Page: Map/ , ow/Column:
12 J.'3 1K)J.69 SOUTH OCIEKAN 1) R I V 1-— 27 1 271 3013
Delivery Instructions: Dispatcher*
K_'_NGEN DEACH1, 310 NTLE NORTH, OF HOLIDAY OUT QF zn n rl .1 n
Ticket Number.
Due On Job:
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Driver Number:
Driver Name:
End Use:
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LOAD
CUMULATIVE
QUANTITY
ORDERED
QUANTITY
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MATERIAL CO DE
PRODUCTION DESCRIPTION
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UNIT.PRICEAMOUNT
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QUANTITY,
10. 5-C,
",3-i. 50
1 QM),! 1` 3000 R'2 (3
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is 7 5
1. t5, - 7 5
4
11-50
13,5 0, o - F 112, R N E S H M50
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Cash
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Check #/ Auth Code:
Signature of
Driver Receiving Cash:
-da�h•Receivred:
Total COD mount to Collect
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Without barges:
Charge
Comments:,
WAT _R-ADD D- GAL YARDS IN DRUM:
WHEN ADDED.
"V"
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST',' ul
jl (SIGNATURE
0 LOAD WAS TESTED BY: II
to place effort
Notice: Ou1r!drivers will make every rt '� ,,materials where the customer designates, but the SPECIAL Any water added is at customers -own risk. If water madded on job�0o ricrete strength
Product may Company assumes no responsibility for damages insyra 'property line. Customer agrees to the is no longer gua(anteed.'!WARNING: Prod cause skin and/or I eye irritation. 'P�UTION: Material,
terms of sale and delivery and accepts concret?Ias,,164121ue�o important factors which are out of our may be hazardous to your safety and health. Please refer to the backside of this ti.ket for Important
I X' _/1
control
after
delivery, this Company will not accept,anKresponsibility for the finished results. No credit for safety handling information, i6 nand tl)e fety 7data 7sheet I additional inf,rmati n.
fumed C. at .10,
ed concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE:
one business day after the receipt of materials.
LOAD NUM. I
PREV TRK.
INVOICE
This Delivery;Ticket incorporates herein by refere!r.-'`'
Terms and Conditions, Seller's Quotatioi any, ai`
set forth on this Delivery Ticket ("Agreer.,�,ji"). Sells
that, unless otherwise noted on the front hereof, all qul
pay in aecordanee with the Agreement.
+I AGGREGATE / CEMEN'
Aggregate products are naturally occurring materials inclua
siliceous matterials. Cement products include Portland cen,,y,
products inch}de Portland cement and aggregate products incluQ
other siliceous materials. These products, including fly ash, may
iously executed Credit Application, it any, �Ilener s 31uruzu
Confirmation -(in -'--ling limitations of warranties), as,.if fully V
Standard Term :i Conditions upon request. l ityer agrees
E.is were deli.verea as indicated and further expressly agrees to
PRODUCTS /FLY ASH
.dolomite, granite, volcanic rock, sand, gravel, and other
y, pozzolan (Type IP)', roof tile, and stucco. Concrete
stone, dolomite, granite, volcanic rock, sand, gravel, and
more than 0.025% crystalline silica.
Hazards: Iii Freshly mixed wet cernent and/or fly ash can cause eye irritation, skin and eye burns and allergic skin reactions.
I" D concrete and aggregate dust ma cause irritation 6--yes, skin, and/or respiratory tract. Dust from handling,
rYY p� Y g,
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 eater. 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: IN Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective
1 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: II; In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh
r 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 & entrega incluye comp referencia al comprador (ya previamente ejecutada en su aplicaci6n de c.redito); cualquier
termino estadar, condiciones del vendedor, propucstas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y
garantfas), c8rno acuerdo total del ticket de entrega ("Contrato'). El vendedor proveera los terminos estandares y condiciones detal-
lados en card de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes inencionados y que las cantidades
y materiales1heron entregados comp se expresa en el nusmo. Acepta pagar el monto de acuerdo at contrato; at menos que se identi-
fique con ur,# rota at frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTFS
Los productos de agregados son materiales naturales corno piedra caliza, dolonuta, granito, coca volcanica, arena, grava y otros
materiales,-ilicios. Los productos de cemento incluyen Cemento de tipo Portland, de albafiilerfa, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluydn cemento Portland y productos de agregados comp piedra caliza, dolomita,
granito, rood voleanica, 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: MezcJa de cemento fresco y/o cenizas ites pueden causar irritaci6n en los Ojos, quernaduras en piel y ojos, y
reacciones alergicas en la oncr o seco y polvo de agregados, pueden causal- initacion en los ojos, piel y/o en
la zona respiratoria. Pc c�del manejo en el trituramiento, pulido, cone y/o perforaci6n puede contener materiales
II silicos, Jos cuales puede r1sar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse
en temperatura calida, reposar Omar granules cantidades de agua_ Las cenizas volantes pueden contener amoniaco.
La humedad puede causar la liberC : i6n.c%1 amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o
Segurida : quemaduras en la nariz,.garganta y 1mones. Acud' . rnr ediata n at medico. El riesgo en la salad depende en
la duraci6n y el nivel de la slci'
i�
jl Seguridad: Evite el contacto con ojos y contacto prolo ad o Use guantes, protecci6n en Los ojos y ropa
Primeros' adecuada para protecci6n. Lavese las manos con jab6n suave y agua despues del manejo do materiales. Evite inhalar
auxilios•;l; polvos. Si se expone a polvos mas de los limites recomendados, use protecci6n respiratoria.
.fii Primeros auxilios: En caso de contacto en Jos ojos, inmediatameiite fluya agua en la parte afectada por 15 minutos.
h Si se inhala poivo, exp6ngase a wire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con
agua. Acuda a atenci6n medica inrnediatamente si la irritaci6n continua.
il! CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900 001 F
V7 comb''nado Houston, Texas 77024 m
02/12 ;j, Para mas informacion visita www.cemexusa.com..