HomeMy WebLinkAboutMASCHMEYER RECEIPT•
WI
1142
Water Tower F bad, Lake Park FL 33403 41-11
gispatc6h: 'Dispatch: SCANNED
South
East? I da D99si n 561-844-9994 / Central Florida Division 407-339-5311
Concrete Tested❑Yes ❑ No LOT # Water Added at Customer's
St Lucie C Request
Cylinders Taken ❑ Yes ❑ No my
I� RECE gals. to full load
omments 0
ffigals. to 2/3 load
gals. to 1/3 load
r7o7w fl T nt I�! I Iry ^
Al
Customer's Rep - Water Added
--
i
NOT RESPONS118LE FOR WARNING IRRITATION TO THE SKIN AND EYES
VARIATION IN COLOR! OR Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with ADDITIONAL WATER ADDED TO THIS
SURFACE DISCOLORATION skin and wash exposed skin areas promptly. with water. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH
mixture gets into eyes, rinse immediately and repeatedly with water and get prompt AND DURABILITY. ANY WATER ADDED IS
BATCH TIME • . medical attention. Keep children away from cement powder and all freshly mixed AT CUSTOMER'S OWN RISK.
jD�; aaj cement products.
i
i
IILLA�/N'T
l
TIC�K�ET#tt
ORDER #
T�,R'UCK #
LOAD S�IZEj•77
MIX ,�
SLU�M!P
DATE
103 a.'t
j!
!..Y ' S •`f �I' E_.
.{. �! �:1 ..
L! �-
ffa a tt,^
10.0
� p y
K.� �d.� l Iw7 SS f"�1' i /f O /I• ('j r+..._
�y f�
4', a F -, r •
y� q / 9 � 7
o A f L.. •..: F .7. J
USTOMER #
SOLDiTO
P.O. #
PROJECT#
1971
IS & 1 1✓(DNTRn T I NG CORP
280
900936
ELIVERY ADDRESS I
ZONE#
USE
DRIVER
6�l3G N O�:i ani •�••#•VERIFY MIX*,**
P COUN'ry
PILINbs
J•Gavon Mathis
INSTRUCTIONS
TIME DUE
1 a 52 PM
• •
• •PRODUCT•
• B •
•AMOUNT
IV). 00
1.0 0111
10. clo
I°
1.0. 00
0.00
0
ENVI'tQ Q
5000 PRj M
kYNV1R0NlAENTP)L.. I)1,i='f1
yd
e et
1 e 00
I
I21, 00
21.
FUEL SURC,I- ARGE
ea
rp
SIGNATURE
OR RECEIPT -
C'oNCRETE AND ACKNOWLEDGEMENT
OF HAZARD
WARNING
mpany wl not assumeliability or any property damage or any SUB -TOTAL
asc meyer �Fff."ny
equipm deliveries beyond the curb line.TAX
Intar
I yV AUTHORIZED BY
SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE. TOTAL