HomeMy WebLinkAboutCONCRETE CEMEXL� Ccmcx8`7'z
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WANNE
BY
St. Lu6b County
Plant
Begin Loading:
To Job:`
Arrive Job:
Std i nload:;
'Finish Unloatl: '
` sLeave Job. �,
Return Plantar..•
Customer Code
Customer,Name:.. Customer Job Number:
�H
Order Code / Date "
c t5
�'QO �' i-fAL_L g ;� C�1��lC F2E C� C�GCa�s�. ,
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Project Code..`=
` Proiect`Name ; ' . a r }r r 4 , c /fir .Protect P.6.;Number.
"! � '� `, � ��'i
Order P.O: Number `
f.
858
sal ,ODh4E a � �-I �.I �,. z� AP��� Vt,014L
i�t�i NEY DAi`�NY 201 3181',
t
7 cket Date: >
Delivery
Address:
6") S OCEAN
Map Page Map/Row/Column:
JENSEt�!'��
Deliverylnstructis
b t
°' pispatchert
styu
x
Ticket Number
1
}
8'4 l 370.0 ,
'
M;
a
Due On Job':,
1 � 'f;
Slump:
TTruck Number:
ir�c`a�
Driver N6 b3i r : °Driver Name%. +
E LOUPE
J' `tis 1
End Use: ,
't
LOAD CUMULATIVE `.ORDERED
QUANTITY QUANTITY QUANTITY MATERIAL CODE PROD�ICTION DESCRIPTIONUOM UNIT PRICE • • AMOUNT
s� �
-1 �t��i..�'RG
EtaVI RPj,,,4MENTAL Gi`dAR6'
.. Si - :} tier. @ t ii' � ', �. .. �` • Y � `
.N
Cash Check # /Auth Code i Signature of Driver ReceivingCash: o ^� to t. - Cash Received: Total COD Order Amount to Collect.
Ch ck. Without Standby Charges:
Charge
r �J Y,
Comments: t r rt
� ADDED: WATER 'D:
- r '' ;+, e,,e, •, •,* GAL YARDS IN DRUM:
WHEN ADDED.
I Y7�Y7 Rti SIGNATURE
° AT OWNER EN REQUEST:
III fit, <r f CURB LINE CROSS VAG T'S R ,
A. .
SIGNATURE
❑ LOAD WAS TESTED BY:
Notice: Our driv rs will make every°effortto plate 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, assum no responsibilitytfor damages iriside 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 an delivery and accepts concrete as is. Due to important factors which' are out of our?'ina'y be hazardous to your safety and health. Please refer to the ttqckssle of this ticket for important
control, after delivryy, this Company will not accept any responsibility for the finished results. No credit for' safety Ran ling informati end to the material safety datesheets f�addi tonal information.
returned concrete i ,Buyers exceptions and 'claims shall be deemed waived unless made to us in writing AUTHO ED SIGNA 1
within one busine 's day after,tha receiptof materials:
ssuNIYERSAL � PRE'J "f R o100a5756. L CJ ' LOAD NUM o
1NV ICE
is Delivery Ticket incorporates here"' k,( reference Buyer's previously executed Credit Application, if any, Selle
rms and Conditions, Seller's Quotati4 f any, and Seller's Order Confirmation (i ding limitations of warrantie,
forth on this Delivery Ticket ("Agreemu,it"). Seller will provide the Standard Tem.--ad Conditions upon request. I
1 at, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expres
y in accordance with the Agreement.
AGGREGATE / CEMENT / CONCRETE PROD�JCTS / FLY ASH
Aggregate products are naturally occurringpaterial$including limestone, dolomite, granite, volcanic .rock, sand, grave
siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type IP), roof tile, and stuca
products include Portland cement and aggregate products including limestone, dolomite, granite, volcanic rock, sand,
other siliceous materials. These products, includi.hg-fly`ash, may contain more than 0.025% crystalline silica.
s Standards,
, as if 'fully
ryer agrees
y agrees to
and other
Concrete
;ravel, and
Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye burns and allergic skin jreactions.
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 aid 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 referenc.ia al comprador (ya previ.amente ejecutada en su ap.licaci6n de credito); cualquier
termino estdndar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con lAitaciones y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los terminos estandares y condiciones detal-
I.
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 contaato; al menos que se identi-
fique con una nota al frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLAN;TES
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 albaiiilerfa, pozzolan (tipo IP) kazulejo 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) .]a'�ual 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 piol y ojos, y
reacciones alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en los ojos, peel y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, torte y/o per_foraci6n puede contener 'materiales
silicos, los 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 contenerlamoniaco.
La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, tiTitaci6n o
Seguridad: quemaduras en .la nariz, garganta y pulmon.es. 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 la piel. Use guantes, protecci6n en los ojos y ropa
Primeros adeeuada para protecci6n. Ldvese ]as manos con jab6n suave y agua despues del manejo de materiales: EVrte inhalar
auxilios: polvos. Si se expone a polvos mas de los limites recomendados, use protecci6n respiratoria.
ii
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 -fondo con
agua. Acuda a atenci6n medica inmediatamente si la irritaci6n cont.in6a.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite .1.900
V7 combinado Houston, Texas 77024
02/12 Para mas informaci6n visita www.cemexusa.coin.
CEMEX
55,996540.
Plant:
B egin Loading:
To Job. -
Arrive Job:
Start Unload:
Finish Unload:
Leave Job:
Return Plant:
090/109(:I';
Customer Code:
Customer Name:
Customer Job Number:
Order Code / Date:
'30261505
RODNEY HALL' S CONCRETE C 0 N ST
201-3181
934 12 1 1:-) 131
'ProjectCocle:- '
0�-dject-Nanl ' ' ' " -- - . . I . - -- - - - - - . — - - —
— � .1 -1.
Project P.O. Number.
Order P.O. Number.
'.4-0.9 10256 �:iliqDll
HALL ALL WORK,
-
VERBAL_ RODNEY
I
.',Nb PQ
,Ticket Date:
D - I elivery Addl -
Map Pa w ge: - Map/Row/Column:- - -
I L-11 11 9/ 1. 3-1
4,01 69` SOUTH OCEAN DRIVE'
271 27198013
Delivery Instructions:,
Dispatcher.
EA-*-ACHv
3/8 WT L. E NORTH f F 1-40LIDPlY OUT
GFa n n i n q
Ticket Number.
32930014
Due On Job,
Slump:
' 'I
Truck Number.
Driver Number:
Driver Name:
End Use:
5..00
lo025756
109009
N D ILLIAEPO
INLDNG:
B SLAB
LOAD
QUANTITY
I; QUANTITY
QUANTITY
ORDERED
QUANTITY
MATERIAL CODE
PRODUCTION DESCRIPTION
UOM
UNIT PRICE
AMOUNT
1'0. 50
EA 00,
31, 50: 1*02-808*2
3000 REG
Y D3
!L5.75,
-p,3
1. 5o,'1382600
FIRERM'ESH 150
10 oo
li-47818
FUEL 5
1. 00
12 02- 7 49
ENV i-.RbN1YlENTAL CHARGE
'29 6EC 19 �mll-
I Cash Cl # Auth Code: Signature of Driver Receiving Cash: 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 CROSSED AT GWNER'S/AGENT°SREQUEST:
SIGNATURE
LILOAD WAS TESTED BY:
Notice: Our drivers wi make every effort to place materials where the customer designates, but the SPECIAL TERMS: Any water added is at customers own risk. If ter is added on job, concrete strength
Company assumes no 4sponsibility 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 safe and delivery and accepts concrete as is. Due to important factors which are out of our may be hazardousto s 'ety 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. Nocreditfar safety handling information, ,a o the material safety data sheets for additional information.
returned concrete. Ill exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGN
within one business day after the receipt of materials.
,68UNIVERSAL PREV TRY'. 1002,5316 LOAD NUlyh , 2
INVOICE
This Delivery 'Picket incorporates herein by reference Buyer's previously executed Cl-edit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotat if any, and Seller's Order Confirmation I uding limitations of warranter), as if, fully
set forth on this Delivery Ticket ("Agrc���,, nt"). Seller will provide the Standard Te1,,,z. and Conditions upon request.I uyer agrees
that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expre sly agrees to
pay in accordance with the Agreement. I _
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%n 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 anunonia 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.
i
Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and approprate protective
clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust.1If 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,lmove to fresh
air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if irritation persists.
CEM.EX, Memorial. Hermann Tower
929 Gessner, Suite 1900
V7 combined Houston, Texas 77024
i
02/12 For more information please visit www.cemexusa.com.
Este ticket de entrega incluye Como referencia at'comprador (ya previamente ejecutada en su aplicaci611 de crediito); cualquier
termfno estandar, condicfones del vendedor, propuestas del vendedor y orden de confirnaci6n del vendedor (con(llrmrtacrones y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los t6rminos estandares y con�dicignes 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 ;xpresa en el mismo. Acepta pagan el monto de acuerdo al Contrato; al mends que se identi-
fique con Una-nota al frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOL
Los productos de agregados son materiales naturaley como piedra caliza, dolomita, granito, rota volcanica, arena;Igrava 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, .coca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) a Cual puede
contener mas de 0.025% de silicio cristalino.
Peligros: Mezela de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en Ipiel y ojos,y
reacciones alergicas en la peel. Concreto seco y polvo de agregados, pueden causar irritaci6n en los o#;, pie] y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, Corte y/o perforation puede contener materiales
silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeri.dos, mantenerse
en temperatura calida, reposar y tomar grander cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seouridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toner, irritacion o
b 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. I`
Seguridad: Evite el contacto con ojos y contacto prolongado call la piel. Use guantes. protecci6n en los ojos y ropa
Primeros adecuada Para protecci6n'. Lavese las manor con jab6n suave y ag la despues del manejo de materiales. Evite inhalar
auxilios: polvos. Si se expone a polvos mas de los limites recomendados, use proteccion respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya aqua en la parte afectada par 1.5 minutos.
Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavell a fondo con
agua. Acuda a atenci6n medica inmediatamente si la irritacion continua.
r�
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1.900
V7 combinado Houston, Texas 77024
02/12 Para mas informaci6n visita www.cemexusa.com.
1142 Water Tows Road, Lake Park FL 33403
Office•1-877-484-9994 / Fax•561-844-7102
Y lLil'1��
�I.��AI II� }¢ �+a, �.}� ,.y j{ .•., !r, l.(!i,l ,, t III!
..,use Ju ,u� f ti
South East FloridaDivision Dispatch: 561-844-9994 / Central Florida Division Dispatch: 407-339-5311
Concrete Tested ❑Yes fit] No LOT #
Water Added at Customer's
Request
Cylinders Taken ❑ Yes r{] No
to full load
Comments
gals. to 2/3 load
a gals, to 1/3 load
1(;Ustdmel-= ,, 2 Wate[ Added
/ k'
NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES
ADDITIONAL WAiEF�ADDED TO THIS
VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin injury, Avoid contact with
wash exposed skin areas promptly with water. If any cement powder or
CONCRETE WILLREDUCE ITS STRENGTH
SURFACE DISCOLORATION skin and
mixture gets into eyes, rinse immediately and repeatedly with water and get prompt
AND DURABILITY. ANY WATER ADDED IS
medical attention. Keep children away from cement powder and all freshly mixed
AT CUSTOMER'S OWN RISK.
BATCH TIME cement products.
Begin Pour Begin Wash
Begin Pour
To Plant -At Plant
7#ZOAD
PLANT
TICKET#
ORDER#1
MIX
SLUMP
DATE
. 1
CUSTOMER #
SOLDTO
P.O. #
PROJECT#
4!, t
_ i ,�
DELIVERY ADDRESS ZONE# USE
DRIVER
TIME DUE
_-'-7CTIONS
• • PRODUCT DESCRIPTIONU.O.M.
V11
! !01 I!
SIGNATURE OR RECEIPT -CONCRETE AND ACKNQWLEDGEMENT O H D WARNING
"
asc meyer oncre a ompany wi no assume a y of?a!Zr ppoPe amage or any
hey�ond.thlcurti
SUB -TOTAL
gqulpment damage for any-Pellveries
u.`TAX
=CTIT000NL)IFIUNtSUNhtVMhZ�t=
AUTHORIZED'BY SIDE.
TOTAL
l
{
THIS DELIVERY IS�,IADE'3UBJECTTOT.HEf-OLLOWit4G CONDITIONS:
=,.rr aer afire es to provide a soitabW roadvlay for our trucks froft-, the street pa a v e, mt to the places of deli ory of material.
If -sucb suitable roadways are not prcv1ded, we reserve the rigrit to stop deliveries ntit conditions areremec ed and, in such
event, customer will be held responsible for any!oss caused thereby. I
2. kMhen defivwy is made beyond the curb line at the customer or custornier re I presentative's quest, any dam I ages indiuding,
Se
but not;imited to, sidewalk&, driveways, buildings, trees, shrubbery, septic tanks and septic systems, including the drain
fiefd, are at the ovmer's risk.
3. Tne customer agrees to reirnburse said Company -for loss of time and equipment by reason of such delivery, arid also t
lndernnifV and save harmless said Company fronn any and all claims, demands and suits for or on account of or in any
manner caused by or arising f rorn private driveway delivery,
4. ,Pi4stomer acknoMedges that alp material and services shown have baen received, that truck times shown are correct, and
that the amount of water added at the customer's request is shown correctly,.. CAUTION: The addition of viater reduces
concrete strength and durability.
5. We are not responsible forf.,"nished results obtained from this J(aad of concrete; many i�poytarlt factors affecting the ultimate
quality of the completed job are beyond our scope ofresponEtoility and control.
S. A charge of $ 1.00 per minute will be charged after 8 minutes,per cubic yard unloading time is exceeded.,
7. The Customer agrees to provide a suitable wash down facility for our trucks and tools at the place of delivery of material.
S. ire customer hereby Agrees to pay all costs arid expenses of collection, including a reasonable attorney's fee, if he shall
fail to pay for the merchandise reflected in this invoice, when dare: Past due accounts are subject to a 1-1/2% service
charge on the unpaid past due balance, The customer hereby acknowledges recGiPt Of the complete copy of this contrac