HomeMy WebLinkAboutCEMEX PAPERWORKZZCEMEX
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Unload: Leave Job: a Return Plant:
Plant:
Begin Loading:
To Job:
Arrive Job:
Start Unload:
Finish
CustomeeCode: Customer Name: Customer Job Number: Order Code /Date;
Project Code: Project Name: Project P.O. Number' Order P.O. Number.
Ticket Date: Delivery Address: Map Page: Map/RowlColumn:
Delivery Instructions: Dispatcher.
Ticket Number.
Due On Job:
Slump:
Truck Number:
Driver Number:
Driver Name:
End Use:
'Due
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LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNITPRICE AMOUNT
QUANTITY QUANTITY QUANTITY
u__, 1
Cash Check ft/Auth Code: Signature of Driver Receiving
Check
WATER
GAL YARDS IN DRUM:
WHEN ADDED.
Charges:
Q/�� CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
2 SIGNATURE I
❑ 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 lob, 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 andlor eye initation. CAUTION: Mptedal
terms of 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, this Company will not accept any responsibility for the finished results. No credit for safety handling information, and to the material safety data sheets far additional information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us In writing AUTHORIZED SIGNATURE:
wlthln one business day after the receipt of materials. 0 /1 —
68UNIVERSAL PRFU TRN.r 11111;'237f3
his Delivery Ticket incorporates herein by ference Buyer's previously executed CrApplication, if any, Seller's Standard
'elms and Conditions, Seller's Quotation, it ny, anti Seller's Order Confirmation (inch mg limitations of warranties), as if fully
.et forth on this Delivery Ticket ("Agreement" ). Seller will provide the Standard Terms1 Conditions upon request. Buyer agrees
that, unless otherwise noted on the -- - here f, all quantities and items were delivered A ndicated and further expressly agrees to
pay in accordance with the Agreement.
AGUKEUA'1'L / UhY1h1V 1 / UOlN ;KhJ YKVUUU1N / FLY AJtl
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.c*vrcause eye irritation, skin and eye burns and allergic skin reactions,.
Dry concrete and-aggregate,d"ustinay 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
02/12 For more information please visit www.cemexusa.com.
Este ticket de entrega incluye como referencia at comprador (ya previamente ejecutada en sit aplicaci6n de credito); cualquier
termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confinnaci6n del vendedor (con limitaciones y
garantfas), como acuerdo total del ticket de entrega ("Contrato" j CI vendedor provecra los terminos estandares y condiciones detal-
lados en caso de asf set requeridos. Con este documento, el comprador acepta los mismos ya antes niencionados y que las cantidades
y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; at menos que se identi-
fique con Una nota al frente de este documento.
Los productos de agregados son materiales naturally como piedra caliza, tlolomita, granito, rota volcanica, arena. Brava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo 1P), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, tlolomita,
granito, coca volcanica, arena, Brava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede
contener mas de 0.025% de silicio cristalino.
Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritation en los ojos, quemadurasen piel y Ojos, y
reacciones alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en los ojos, piel y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido. torte y/o perforaci6n puede contener materiales
silicon, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En casq de set ingeridos, manterierse
en temperature calida, reposar y tomar grander cantidades de agua. Las cenizas volantes pueden contener amoniaco.
La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o
Seguridad: quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente at medico. El riesgo en la salud depende en
la duraci6n y el nivel de la exposition.
Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa
Primeros adecuada para protecci6n. Lavese las manos con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar
auxilios: polvos. Si se expone a polvos mAts de los limiter recomendados, use protecci6n respiratoria.
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 a tondo con
agua. Acuda a atenci6n m6dica inmediatamente si la irritaci6n continua.
CEMEX. Memorial Hermann Tower
929 Gessner, Suite 1900
Houston,Texas 77024
Para mas informaci6n visita www.cemexusa.com.
`W camax
55776333
SCANNED
St. Luce county
Plant:
Begin Loading:
I To Jo
Arrive Job:
StartUnload:
Finish Unload:
Leave Job:
Return Plant:
Customer Code: Customer Name: rl Customer Job Number: Order Code/Date:
Project Code: Project Name: Project P.O, Number. Order P.O. Number.
Ticket Date: Delivery Address: Map Page: Map/Row/Column:
i0-_- .r. .r.
Delivery Instructions:
Dispatcher.
Ticket Number:
Due On Job:
Slump:
Tmck Number.
Driver Number:
Driver Name:
End Usa:
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LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNITPRICE AMOUNT QUANTITY QUANTITY QUANTITY
Cash Check #/Auth Code: Signature
I Check
Receiving Cash:
Cash Received: I Total CCD Order Amount to Collect
WATERADDED: GAL YARDS IN DRUM:
WHEN ADDED.
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
SIGNATURE
❑ 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 Inside curb or property line. Customer agrees to the is no longer guaranteed. WARNINGL4f6duct may cause skin and/or eye Irritation. CAUTION: Material
terms of sale and delivery antl accepts mncrete as is. Due to important factors which are out of our may be hazardous to your safety,apid health. Please refer, to the backside of this ticket for important
mntml afterdelivery, this Company will not accept any responsibility for the finished results. No credit for safety handling jnfionnationfand to the material safety data sheets for additional information.
returned concrete. 94ere eiceptlons and claims shall be deemed waived unless made to us in writing AUTHORIZED
AUSIGpATUURE:�
within one business day after the receipt of materials.
68UNIVERSAL PRI-=V TRFt: ili0=•F.4'? ._..._.__ ITV I non IJI iris 0
�`aelivery Ticket incorporates herei- reference Buyer's previously executedir'—dit Application, if any, Seller's Standard
/and Conditions, Seller's Quotatic any, and Seller's Order Confirmation (it ling limitations of warranties), as if fully
&th on this Delivery Ticket ("Agree,ucnt"), Seller will provide the Standard Ternia a„d Conditions upon request. Buyer agrees
/, 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/C
PROD UUI'S / YLY ANH
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 ancllor-respiratory-tract Dust from -handling,;=
craashing; grinZling; cutting-aiid/or drillurg may contain silica: whicli may cause silicosis and cancer if inhaled.
If ingested, keep warn. at rest and Fk large amounts of water. Fly Ash may contain trace amounts of ammo-
nia. Moisture can cause the ammonTa mto 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
02/ 12 For more information please visit www,cemexusa.cmn.
Este ticket de entrega incluye como referencia at comprador (ya previamente ejecutada on su aplicaci6n de er6dito): cualquier
t6rmino estandar, 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 proveerd Ins tdrminos estandares y condiciones detal-
lados en caso de asf set- requeridos. Con este documento, el comprador acepta Ins mismos ya antes mencionados y que las cantidades
y materiales fucron entregados como se expresa en el mismo. Accplapagar el monto de acuerdo al contrato; at menos que se identi-
fique con una nota al frente de este documento.
AGREGADOS/CEMENTO/
FU) / (:ENI'L.AJ
Los productos de agregados son materiales natw•ales como piedra caliza, dolomita, granite, rocs volcanica, arena, Brava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de ilbaniierfa, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolonta,
granito, rocs volcanica, arena, Brava. y otros materiales silicios. Estes productos incluyen cenizas volantes (fly ash) la coal puede
contener mas de 0,025% de silicio crystallno.
Peligros: Mezela de cemento fresco y/o cenizas volantes pueden causar irritaci6men Ins Ojos. quemaduras:en piel y, Ojos, y
reacciones al6rgicas en la piel. Concreto seen y polvo de agregados, pueden causarirritaci6n en Ins Ojos, pie] y/o en
la zona respimtoria. Polvo clef manejo en el trituramiento, pulido. cor•te y/o perforaci6n puede contener materiales
silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso-de ser ingeridog, manterterse
en temperatura calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
$e uridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o
g queimaduras en ]a nariz, garganta y pulmones. Acudir inmediatamente at medico. El riesgo en la salud 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 Ins ojos y ropa
Primeros adecuada para protecci6n. Lavese las mans con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar
auxilios: polvos. Si se expone a polvos mfts de los limites recomendados, use protecci6n respiratoria.
Primeros auxilios: En caso de contacto en Ins ojos, inmediatamente fluya agua en la pane afectada per 15 minutos.
Si se inhala polvo, exp6ngase a wire fresco. Si el cemento fresco tiene contacto con sus ojos. lavelos a fordo con
agua. Acuda a atenci6n m6dica inmediatamente si la irritati6n continua.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
non,) ; Para m5s informaci6n visita www,ce