HomeMy WebLinkAboutCONCRETE BILL����� ��
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1142 Water Tower Road,- Lake Park FL 33403 /
'§o6th,East Florida Division Dispatch: 561-844-9994 / Centr6il Florida Division PL_Ipate"�
Concrete Tested E Yes F-1 No LOT #
Water Added at Customer's
Cylinders Taken
Request
gals. to full load
Comments'
co'-111ty,
gals. to 213 load
Iclr,
gals. to 1/3 load
Customer's Rep - Water Added
NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES
ADDITIONAL. WATER ADDED TO THIS
VARIATION I IN COLOR OR Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with
skin and wash exposed skin are@�,promptly with water. If any cement powder or
CONCRETE WILL REDUCE ITS STRENGTH
SURFACE DISCOLORATION mixture gets into eyes, rinse immediately and repeatedly with water and get prompt
AND DURABILITY. ANY WATER ADDED IS
BATCH TIME medical att ntion. Keep children away from cement powder and all freshly mixed,
IS
AT CUSTOMER'S OWN RISK.
LPEC cement products.
7,2/7
�ICKET#
7
P�ANT
ORDER #
TRUCK 0
LOAD SIZE
MIX
SLUMP
DATE
1
DELIVERY ADDRESS
USE
�DRIVER,
INSTRUCTIONS
TIME DUE
18 PM
ORDERED
PRODUCT CODE
'PRODUCT DESCRIPTION
U.O.M.
UNIT PRICE
735M7
QUANTITY
IZI
SCANNED
00
BY
St Lucie.County
SIGNATURE
OR RECEIPT CONO�E,,TVANO.
ACKNOWLEDGEMENT
OF HAZARD
WARNING
MaSchmeyer rjopprete'qomparry will not assume liability for any property clamage or any
equipment ddi'nAg'W or am? deliveries beyond the curb line.
TAX
AUTHORIZED BY
,SHIPMENT SUBJECT TO CONDITION9 OiThEVERSE SIDE.
TOTAL