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Home My WebLink AboutCEMEX RECEIPTRECEAPR N 587301397- SCANNED sy St. ude County t� 3� -"LT-ld `JqJob:�, &ivq,�ob Start Unload::' Finish T ,Return A l, .g�Plan oo/109 Customer Code: Customer Nam . a: Customer Job Number: Order Code I Date: A T' I N 78(l) 0 411. /0 5 C-, 3080240 PAULE-'EN G 0 1\1 NTP, C71,N6 C 0 a: Project 0,0. Number: Order P.O. Number: jWct C, ProjectName: Ticket Date: Delivery Address: Map Page:,, Map/Row/Column: "IYE 114 3 1 G, '2 57 'L R R 0 A D Delivery !nstructions: 'Dispatcher' . ST !A_JCJ ak n I I Ticket Number: .3 43 0 Dbe On job: , Slump:, r . ' Truck Number: .1 Num ber: mber: . Driver Name: ' . End Use: 0�9 ff 3 1). o 10025 6 � 1 i)� ?..�2 3 M LKE LOUNSB ERRY' LALDNG. EXT '31HE- LOAD CUMULATIVE ORDERED I MATERIAL CODE PR QUANTITY QUANTITY- QUANTITY PRODUCTION DESCRIPTION UOM UNIT ICE AMOUNT Q i 0.00 10W 12566.-49 3000 REG,/F1114ER- F 7. b V:02, 4 .1 i7 .4,118 F 0 "jAS') "01 IMENtAL. 10, H n R" G E' Cash Check # Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Check Without Ste . ndby Charges: Charge ComrPents:. WATER ADDED: GAL YARDS IN DR6IViffJ/J WHEN ADDED, SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: IN / RE TE-DISPOSAL FEE SIGNATURE PJARTmL FULL' LOAD YARDS El LOAD WAS TESTED BY: Notice: Our drivers,will make every 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 ]Aside curb or property line. Cust9mer agrees to the is no longer guaranteed. WARNING: Product may cause skin and/or eyie-irritption. 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 sapty 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. No credit for safety handling informatiogill n'd to the. terial sa Ia ty data sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemedwaived unless made ,to us in writing AUTHORIZED SIGNATUR within one bbsiness day after the receipt of materials. 68UN.IVERSAL P RE V 1"RK o -INVOICE LOAD NUM.i. - This Delivery Ticket incorporates herein by reference Buyer's previously execul—I Credit Application, if any, Seller's Standard Terms and Conditions, Seller's Quo n, if any, and Seller's Order Confinnatio cl.uding .l.imitation4pf warrarities), as if fully set forth on this Delivery Ticket ("Ar,.,,,meat"). Seller will provide the Standard I t,...s 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 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 '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. Il 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. i Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appro}r;ate 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. I' 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. j Este ticket de entrega in' cluye como referencia al. coinprador (ya pieviamente ejecutada en su aplicaci6w.de:,cr6�1ito); cualquier termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitact ones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los terminos estandares y condiciones detal- lados en caso de asf 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 memos que se identi- fique con una nota al frente de este documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOL'ANTES Los productos de agregados son materiales naturales como pi.edra caliza, dolomita, granito, roca volcanica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo 1IP), azulejo 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) .la coal puede contener mas de 0.025% de silicio cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritacion en los Ojos, quemaduras enl ,pie.l y ojos, y reacciones alergicas en la piel. Concreto seeo y polvo de agregados, pueden causar irritacion en los Ojos, piel y/o en la zona respiratoria. Polvo del manejo en el trituramiento, pulido, corte y/o perforaci6n puede contener materiales silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura calida, 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 toser, irritacion o quemaduras en la nariz, garganta.y pulmones. Acudir inmediatamente a] 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 1os ojos y ropa Primeros adecuada para proteccion. Ldvese las manor con jab6n suave y agua despues del manejo de materiales. Evite inhalar auxilios•• polvos. Si se expone apolvos mas de los limites recomendados, use proteccion respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada for 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 irritacion continua. i CEMEX, Memorial Hermann Tower 929 Gessner, .Suite 1.900 V7 combinado Houston, Texas 77024 02/12 Para mds infornlaci6n visita www.cemexusa.com.