HomeMy WebLinkAboutCEMEX 7-10-15AVAIIV CEMEX _
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Customer Cade: Customer Name: Customer Job Number: Order Code / Date:
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Dispatcher:
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TO R1 VERE 3383 1407
Due On Job: Slump: Truck Number: Driver Number: Driver Name: End Use:
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LOAD
QUANTITY
CUMULATIVE
QUANTITY
ORDERED
QUANTITY
MATERIAL CODE
PRODUCTION DESCRIPTION
UOM
UNIT PRICE
AMOUNT
o'
1 ct 10.00
1509905
..000 BL.ENDEDPRPM
3
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12�-",,7816
:2UEL SURCHARGE
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Cash Check #/ Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect
Without Standby Charges:
Check
Charge
Comments:
WATERADDED:1 -J " �✓V'GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
,'0NCRETC_: -DISPIDGAL. FEE
I SIGNATURE
PARTIAL FULL. LOAD YARDS
I El LOAD WAS TESTED BY:
'Notice: Our drivers Twill makeevery 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'bf 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, jthis 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 AUTHORITED SIGNATURE:
within one business day after the receipt of materials.
68UNIVERSAL PREV TRK- LOAD NU
M I
INVOICE
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, .if any, Seller's Standard
Terms and Conditions, Seller's Quotatioi any, and Seller's Order Confirmation (in ing limitations of warranties), as if fully
set forth on this Delivery Ticket ("Agreer___"). Seller will provide the Standard Term 1 Conditions,up6n 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 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 skiii 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 1900
V7 combined Houston, Texas 77024 II
02/12 For more information please visit www.cemcxusa.com.
Este ticket de entrega incluye comp referencia al comprador (ya previamente ejecutada en su aplicaci6n de crediio); cualquier
termino estdndar, 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 los terminos estdndares y condiciones detal.-
lados en. caso de as.f ser.requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que la's cantidades
y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; al menos:4be se identi-
fique con una nota al frente de este documento.
A(TREGAUUS / UEMEN'1'U / PROD U C: TOS DE UUN C;IZL'1'U / C;L+'N1GAS V UL�
Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca volcdnica, 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, dol.omita,
granito, roca volcdnica, arena, grava, y otros materiales silicios. Estos productos .incluyen cenizas volantes (fly ash)1'a cual puede
contener mds de 0.025% de silicio cristalino.
Peligros: Mezela 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 polvo de agregados, pueden causar irritacion en los ojos, piel y/o en
la zona respiratoria. Polvo del manejo en el tritu.ramiento, pulido, cone y/o perforaci6n puede contener materiales
silicos, los cuales pueden causar silicosis pulmonar y cdncer si son inhalados. En caso de ser ingeridos mantenerse
en temperatura cdlida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar tose4l i_rritaci6n 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 exposicion.
Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en lo's ojos y ropa
Primeros adecuada para protecci6n.,Ldvese ]as mantis con jab6n suave y agua despues del manejo de materiales. Ev.ite 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 iluya agua en la parte afectada por 1.5 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 mddica inmediatamente si la irritacion dontinda.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02/12 - Para mas informac.i6n visita www.ceinexusa.com.
JUL 0 % 2015
I
July 2, 2015
Building Department
Re: Riverbend Lot 45
To Whom It May Concern:
ASE Engineering Services, Inc.
Consulting Structural Engineers
Threshold Inspectors
Certified MBE
Foundation and slab concrete strength
It is acceptable to use 2,500 psi concrete for the foundation and floor slab for the building.
Sincerely,
Mason Xie, Ph.D., P.E.
10244 East Colonial Drive, Suite 202, Orlando, FL 32792
Tel. (407) 677-5565, Fax (407) 730-2999
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