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HomeMy WebLinkAboutCEMEX PAPERWORK'r _ a Z ccmcx 56276901 Plant: Begin Loading: To Job: Arrive Job: StartUnload: Finish Unload: Leave Job: Return Plant: 09 Z': 109F: Customer Cade: 1 Customs, Name: o Q � 611slomer Job Number:' VVV 1 I11 'I :I I 'II-. Mr.I,r.. L.oUPIT f V Project Code: Project Name: Project P.O. Number. t5,+, �: r :.._ ,-.,:, r,,, •• �,}; rrJc I`r1 ran Ticket Data:. Delivery Address: +7l 37? MEL.TON DR, rrIF'T PTERCc. .phi:S' t Delivery lnsWctlans: 1 1,r1Ir nl `�1-LI(-i1^r.T n1 SCANNED BY St. Lucie County f• Oder Code / Data: 1079 1 0;'04 ' 19 Order P.O. Number: Map Page: Map/Row/Column: -r_:=8ra1 s Dispatcher. -" -- —_-- -I Ticket Number. 36681-)69c Due On Job: Slump: Truck Number: Driver Number: Driver Name: End Use: c, i ii i0 i 6�rii; 1c`926= CEANA STF_WP-,RT UtJ(F3C,I6NFD LOAD QUANTITY CUMULATNE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION DESCRIPTIOI 10. Of) r(f, l-n;, . �O, (.r-) i. j.52S J 3000 RE& 7'1 1'5C'9t33". MPCI01= T;_ArlErl"r P IRFR UOM I UNITPRICE I AMOUNT Y_s., 7,._r L_? K-1 iil pt,112:01) 7818 FUEL- SURCHAPISE 7 Ou 1„t7tr 12t-,.=74S' FNVTR0i-gMENTA;- CHARE'l 20•+iti 1. 00 150C 55 51-R4', CONCRETE HRNDI_TNC r E-F' P TOTM- F?^'i1OLIFf POP r•i i;g TICKET NO 1NCL_1;!)1N0 ,-i NNPBF CtiF•iPSES, Cash Check# /Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Al I Without Standby CI I Check Comments: YARDS IN DRUM: WHEN ADDED. `, C? I I r1 .CIO mnt to Collect gas: CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: CONCRETE FEE .='ARTIA._ FUt_L❑ . LOAD*,mi ARDL SIGNATURE '�'— -"�--" LOAD WAS TESTED BY:Notice: Our drivers will make every effort to place materials where Na cuis, but the SPECIAL TERMS: Any water added is at customers own risk. Ifwater 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:Maleial 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 delidery, this Company will not accept any responsibilityforthe finished results. No credit 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 AUTHORIZED SIGNATURE: within one business day after the receipt of materials. © 68UNIVERSAL PREY TRY. 10i 26410 CIWd1ZGE5rEWART" - LOAD NUM: 2 hits Ueevery 11cKe1 mcorporares nereip,.py reterence nuyer s previousiy executea c,reutt Hpgncatton, a any, 6ener s manaara Terms and Conditions, Seller's Quotatid any, and Seller's Order Confirmation (ir-`-ling limitations of warranties), as if fully set forth on this Delivery Ticket ("Agee t"). Seller will provide the Standard Tern d Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivereu 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, gavel, and other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica. Hazards: Products contain components that may cause eye irritation, skin irritation, eye burns, allergic skin reactions, and respiratory tract irritations, Dusts from handling, crushing, grinding, cutting, and or drilling may contain silica. Reference respective SDS for additional Hazard Information. Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective clothing. If being exposed to dust above applicable regulatory limits wear appropriate N10SH Approved respiratory protection. Wash skin thoroughly with mild soap and water after handling. Reference respective SDS for additional Safety Information. First Aid: In case of eye contact, cautiously rinse eyes with water for several minutes and, if applicable, remove eye contacts. If inhaled, remove affected to fresh air. If on skin, wash skin thoroughly with mild soap and water. If concerned or irritations persist, get medical attention. Reference respective SDS for additional First Aid Information. ' CEMEX 10100 Katy Freeway, Suite 300 V9 combined Houston, Texas 77043 12/17 For more information please visit www.cemexusa.com. Este ticket de entrega incluye come referencia al comprador (ya previamente ejecutada en su aplicaci6n de cr6dito); cualquier termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitations y garantfas), comp acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los terminos estdndares 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 come, se expresa en el'niismo. Acepta pagar el monto de acuerdo al contrato; al menos que se identi- fique con una nota al frente de este documento. 'r AIiKV, iALVa / UEIVIE.NIV / JrXUVUUIq-)b Vh Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, rota volednica, arena, gava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albaiiilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados Como piedra caliza, dolomita, granito, rota volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener mas de 0.025% de silicio cristalino. Riesgos: Los productos contienen componentes que pueden causar irritaci6n ocular, irritacion de la piel, quemaduras en Ids ojos, reactions alergicas en la piel a irritaciones de las vfas respiratorias. Los polvos de manejo, trituraci6n, molienda, cone y 7 o perforaci6n pueden contener silicio. Consulte la SDS respectiva para obtener informaci6n adicional sobre peligros. Seguridad• Evite el contacto con los-Ojos y el contacto prolongado con la piel. Use guantes, protecci6n para los Ojos y ropa protectora adecuada. Si esta expuesto a polvo por encima de los limites reglamentarios aplicables use la protecci6n respiratoria aprobada por NIOSH apropiada. Lave bien la piel con agua y jab6n suave despues de la manipulaci6n. Consulte la SDS respectiva para obtener informaci6n de seguridad adicional. Primeros En caso de contacto con los ojos, enjuaguese con cuidado los ojos con agua durante varios minutes y,si auxilios: aplica, remueva sus lentes de contacto. Si se inhala, retire los afectados al aire libre. Si antra en contacto con la piel, lave bien la piel con agua y jab6n suave. Si le preocupan o persisten las irritaciones, busque atenci6n m€dica. Haga referencia a la SDS repectiva para informaci6n adicional de primeros auxilios. CEMEX 10100 Katy Freeway, Suite300 V9 combinado Houston, Texas 77043 12/17 Para mas informaci6n visita wm D I ZZCC-MC-X 56276886 Plant: Begin Loading: '.. To Job: Arrive Job: Start Unload:.: Finish Unload: Leave Job: Return Plant: 0'�. rL:/10`- `` Customer Code: Customer Name: / 9e Y e9& (justoa Jab:Numbeay CF?SFt1 11. 1 10` 2--MI.KE LOUPE (1 Project Code: Project Name: Project P.O. Number. ,.I j'06:,7 P':',': COUNTY ORICIINd�j NO PO Ticket Data Delivery Address: i0/04/19 rc MELTON DR,, FORT P1ERCEkt104•C\** Delivery Instructions: STt3`i 11,fDROT='D! PPTD IN STUA^T SCANNED BY St. Lucie County Order Code f Date: 1079 10/0W i9: Order P.O. Number NO F'O Map Page:Map/Row/Column: 272 2-7.PO4ft19 Dispatcher. rl i, y.,. 1.`2s d.P y-. - Ticket Number. 56�$9155 Due On Job: Slump: Truck Number: Diver Number: Driver Name: End Use: t?;01] 5.00 10t7=6ir10 i0)c.6 GERYvA STEWAR,T 1hlRci .[tiNGD LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION QUANTITY QUANTITY QUANTITY ?ii 00 7,0.C10 10.CO 11525 9 0017t REG 5;. 7.,'Y• 7 iSB'� _1 �17EJOF71_F�MEtlT__f TB=1 DOM I' UNITPRICE I AMOUNT YD3 71 . 62_ -11E,. -0 i..S3 5, ,14 4U i OCT fi Am 5:45, i., 00 1247813 FUEL SURCHARGE 17. Ot") 17. C"O 1;"0'''7?9 ENVIRONMEN'1-F'.L CHARGE: 2o. CiC' C"l). 00 ]0 158605-5 SFR'J, CONCRETE HANDLING FEE. P 10. 00 10, 00 SALES TA:'.. .. - TrjT�}i AMOUNT FOR THIS TICKET NOT IFiCI_UniiN!c STANDPY CHARGES: C15`) a8 Cash Check#/Auth Code: Signature of Driver Receiving Cash: Cash. Received: Total COD OrderAmount to Collect Without Standby Charges: Check ..._.__ P WATER YARDS IN DRUM: WHEN ADDED. SIGNATURE, CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: CONCRETE DI SPOSPil. '-EF SIGNATURE PGRTTAL FULL LOAD CWIRDS El LOAD WAS TESTED BY: Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIALTERMS: Anywater added is alcustomers own risk. lfwaler is added onjob, 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 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 afterdelivery, thi3 Companywill not accept any responsibility for the finished results. No creditfor safety handli�ngg intoonalion, 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 AUTH 2EDSIGNATURE: _ within one business ddy after the receipt of materials. X 11/ 66UNIVEIiSAL PREII TRKd INVOICE LOAD NUM, 1. rnls LellVGry 11cKel mcorporaLes nercr➢,gv relerrMe 13uyer s previously eXCULILULI l LUUIL [ilppueaL1V11, 11 ally, 3CUU1 J OLULLUUJU Terms and Conditions, Seller's Quotation my, 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 I Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivereu 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, dolonvte, granite, volcanic rock, sand, gravel, and other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica. Hazards: Products contain components that may cause eye irritation, skin irritation, eye burns, allergic skin reactions, and respiratory tract irritations. Dusts from handling, crushing, grinding, cutting, and or drilling may contain silica. Reference -respective SDS for additional Hazard Information. Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective clothing. If being exposed to dust above applicable regulatory limits wear appropriate NIOSH Approved respiratory protection. Wash skin thoroughly with mild soap and water after handling. Reference respective SDS for additional Safety Information. First Aid: In case of eye contact, cautiously rinse eyes with water for several minutes and, if applicable, remove eye contacts. If inhaled, remove affected to fresh air. If on skin, wash skin thoroughly with mild soap and water. If concerned or irritations persist, get medical attention. Reference respective SDS for additional First Aid Information. CEMEX 10100 Katy Freeway, Suite 300 V9 combined Houston, Texas 77043 12/17 For more information please visit www.cemexusa.com. Este ticket de entrega inchrye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier t6lmino estdndar, condiciones del vendedor, propuestas.&I vendedor y orden de confirmaci6n del vendedor (con limitations y garantfas), como acuerdo total del ticket de entrega (" Contraio" ). tl vendedor proveera los terininos estdndares y condiciones detal- lados en caso de asf ser requeridos. Con este docnmento, el comprador acepta los mismos ya antes mencionados y que las cantidades y materiales fueron entregados como se express en el mismo. Acepta pagar el monto de acuerdo al contrato; al menos que se identi- fique con una nota al frente de este documento. AGREGADOS / CEMENTO / PRODUCTOS'DE CONCRETO / CENIZAS VOLANTES . Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, rota volcdnica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albaliileria, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, rota volcdnica, arena, Brava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la coal puede contener rods de 0.025% de silicio cristalino. Riesgos: Los productos contienen componentes que pueden causar irritacion ocular, irritation de la piel, quemaduras en los ojos, reacciones aldrgicas en la piel a irritaciones de las vfas respiratorias. Los polvos de manejo, trituraci6n, molienda, torte y / o perforation pueden contener silicio. Consulte la SDS respectiva para obtener informaci6n adicional sobre peligros. Seguridad: Evite el contacto con los ojos y el contacto prolongado con la piel. Use guantes, protecci6n para los ojos y ropa protectors adecuada. Si estd expuesto a polvo por encima de los limites reglanrentarios aplicables use la protection respiratoria aprobada por NIOSH apropiada. Lave bien la piel con agua y jab6n suave despu6s de la manipulaci6n. Consulte la SDS respectiva Para obtener informaci6n de seguridad adicional. Primeros En caso de contacto con Los ojos, enjudguese con cuidado los ojos con agua durante varios minutos y,si auxilios: aplica, remueva sus lentes de contacto. Si se inhala, retire los afectados al aire Libre. Si entra en contacto con la piel, lave bien la piel con agua y jab6n suave. Si le preocupan o persisten Las irritations, busque atenci6n medica. Haga referencia a la SDS repectiva Para informaci6n adicional de primeros auxilios. CEMEX 10100 Katy Freeway, Suite 300 V9 combinado Houston, Texas 77043 1 �Pn 7 Para inas informaci6n visita wv