The URL can be used to link to this page

Home My WebLink AboutCONCRETE PAPPERWORKCC. 7zCC-MC-x 57723077 SCANNED BY St. Lucie Countv Plant: I Begin Loading: To Job: Arrive Job: start unload; Finish Unload: Leave Job: Ret 09021109Q� N Customer Code: Customer Name: 3 CY 0 119 TS TEAM PARKS INC Pm;ed Code: Project Name: —Ire, 144 Ticket ate: Delivery Address Cl8/11/15 110Q-SOUTH OCEAN DRIVE I Delivery Instructions: JENSEN I-3EACH,JUST NORTH Or J�Nrir-N DEACH BLVID STREET AT T14E CUMBERLAND FnRMS JUST SOUT14 So erJoZ , I gde / Date: .5 OPI/11/15 PIOZO Number. Order P.O. Numb r 1-:7L GARY 16KER Map Page- Malpffitow/Column: Dispatcher. F,-m rt i n Ticket Number. 33883936 Due On Jo 08 �()O slump: 5. 00� Tru�IkNuarbar. 10()253241 Driver Number. 1091:105 Driver Name: HAROLD FLOYD End Use: SI-DNG. 09TY OULA I CUMUIATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE I I PRODUCTION DESCRIPTION UOM I UN I lu. 10.01 1163766 3000 STMP YD3 7. SO 50 1.30 1382,600 FIBERMESH 15�- LP AUG 11 Am 7:41 t. 00 1247318 FUEL. SURCHARISE 1.00 12027�9 ENVIRONMENTAL CHARGE Cash Check # /Auth Code: Signature of Driver Receiving Cash: Cash Receivad: To a[ COD mount couenct Yfi:hm' S, Order A Check an4by Charges Charge Comments WATERADDED:-GAL YAVQS IN DRUM: FILE COPY - DED. ?/�—SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: CONCRETE DISPOSAL FEE — PARTIAL FULL LOAD -- YARDS � C) LOAD WAS TESTED BY: SIGNATURE Notice: Our drivers will make every effort to place materials where the customer designates. but the SPECIALTERMS: Any water added is at customers own Ask. lfwater is added onjm, concrete strength company assumes no responsibility for damages inside curb or property fire. Customer agrees to the is no longer guaranteed. WARNING: Product may muse skm and/or eye indtation. CAUTION: Material terms of se. and delivery and accepts concrete as Is. Due to important factors which are out of our may be haaardous to your safety and health. Please refer to the backsIde cf this ticket for important cantrol after delivery, this Company wall not accept any responsibility for the finished results. No credit for safety handling Information, and to the material safety data sheets for additional information. returned concrete. Buyers exceptons and claims shall be deemed walved unless made to us in warflUng AUTHORIZED SIGNATURE: within me business day after the receipt of materials. 'NIVERSAL — PREV TRK: INVOICE LOAD NUM: I This Delivery Ticket incorporates herein ` -eference Buyer's previously executed Credit Application, if any. Seller's Spndai'o Terms and Conditions, Seller's Quotation ny, and Seller's Order Confirmation (in( ng limitations of warranties), as if full� set forth on this Delivery Ticket ("AgreerueFft'). Seller will provide the Standard Tcrrni -_ CondifiODS upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items weie delivered as indicated and further expressly agrees to pay in accordance with the Agreement. AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH Aggregate products are naturatly occurrin.g materials includin.g 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 includin.g 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 irri - tation, skin.and eye burns and -allergic -skin reactions. - Dry concrete and aggregate dust may catise irritation to -eyes, sk-iii, and/o-r-respi-ratory tract. Dust from handling, crushing. grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If irgested, keep warm. at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo- nia. Moisture 6an cause the ammonia to be released. Inluilation of ammonia can cause coughing and irritation or bums 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 ggloves, 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 al comprador (ya previamente ejecutada en su aplicaci6n dc cr6dito); cualcluier t6n-nino estdndar, condiciones del vendeclor, propuestas del vencleclor y orden de confu-maci6n del vendedor (con limitaciones y aarantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los t6nninos estdridares y condiciones detal- lados en caso de asf ser requeridos. Con este clocumento, 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: at menus que se identi- fique con una nota al frente de este documento. / UEMENYU / FJK0VUU'1(_)h JUE UUINUKE'111.) / UENIZ�Ab Los productos de agregados son materiales naturales como piedra caliza. dolomita, granito, roca volcdr�ca, arena, grava y otros materiales silicios. Los productos de centento incluyen Cemento de tipo Portland, de albaffilerfa, pozzolan (tipo IP), 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 cual puede contener mds de 0.025% de silicio cristatino. Peligros: Mezela de centento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en piel y ojos, y reacciones al6rgicas 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 trituran-�iento, pulido, corte y/o perforaci6n puede contener materiales silicos, los cuales pueden causar silicosis pulmonar y c6ncer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura cilida. reposar y tomar grandes 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: queniadLirasenlanariz,aargantaypulinones.Acudirinmediataniciiteaimedico.Elriesgoenlasaluddependeen la duraci6n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolon.-ado con la pie]. Use guantes, protecci6n en los ojos y ropa Primeros adeCUada para protecci6n. LAvese las manos conjab6n suave y agua despu6s del manejo de materiales. Evite inhalar aaxflios: polvos. Si se expone a polvos mAs de los limites 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 cernento fresco tiene contacto coil sus ojos, ldvelos a fondo con aaua. Acuda a atenci6n m6dica inmediatameDte A la irritaci6n continda. 0 CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combinado Houston, Texas 77024 02/12 Para mis informacift visita www.cemestisa.com. /5o7-op KC-MC-X 57723078 /0 S. I Plant: - I Begin Loading: To Job� Arrive Job: Start Unload: Finish Unload: Leave Job: Retum Plant: wa.o/ 10-3ol Customer Code: Customer hlma`� 3003978 TEAN PA�KS INC Prcqed Code: Project Name: 11 1, Ticket Data: DefiveryAddress: 1100 SOUTH OCEAN DRIVE Delivery Instruction. �iEhCH BLVD ,JENFEhA BEPCH,JUST NORTH OF JENSEN ST:,Er-.T AT THE CUMBERLAND FARMS JUST SOUTH Customer Job Number. Order Code I Data: 765 08/11/i5 Projeci P.O. Number. Order P.O. N.mbac GARY ESKER Map Page: Map/RclColumn: Dispatcher. GFanrling Ticket Number. 3388417P Due On Job: Slump: Truck Number: Driver Number lrigjNmme� End Use: 2 0,3. 5'* 5 .0o 10064624 i)�) �21 .0e 1 1 I_L� KRIC1' PLDNG: EXT SHEI LOAD QUANTITY CUMULATIVE QUANTITY j OUDETRIED Q AN Ty MATERIAL �ODE RIP-1011 PRODUCTION 6ESC UOM UNIT PRICE 20. "_I?_� -eq. 0o 11 GS766 3000 STlylp yl)� 7.50 1 15. 0 7. 30 13826CIO FT!BERMESH 130 L-9 Ise AUG 11 AM 0'19 1. 00 1247818 FUEL SWRCHqRG[_ i. 00 i 202749 ENVIRONMENTAL CHARGE Ch..k#/Auth Code: Signature of Driver Recei�hng Cash: Cash Received: Total COD Order Am ... tt.C.Ilect HCash Check I I I Without Standby Charges: Comment. WATERADDED:_GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: CONCRETE DISPOSAL FEE SIGNATURE PARTIAL FULL LOAD — YARDS Q LOAD WAS TESTED BY: I / Notice: Our drive. will make every effort to place materials where the customer designates, but the SPECIALTERMS: 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. WARNING; Product may muse skin andlor eye lartaton. CAUTION: Material terms of sale and delivery and accepts concrete as is. Due to important factors which are out of our may be ha�ardous 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 Me finished results. Nocreditfor 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 recelpt of materials. AtUNIVERSAL, PREV TRK: 100253-24 LOAD NUM: 2 IN.VOICE This Delivery Ticket incorporates herein '-- --Iference Buyer's previously executed Credit Application, if any, Seller's Sk-aridar Terms and Conditions, Seller's Quotation ny, and Seller's Order Confirmation (inc i ig limitations of warranties), ag'if fulf; set forth on this Delivery Ticket ("Agreement ). Seller will provide the Standard Terms 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. AUUMEUNYE / UE1V1E1N'1'/ U0AUKETE FRODUUTS / FLY Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. Cemej4 prRhWts include Portland cement, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete products include Portland cernqqh�ga rUgM products including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliccous materials. These produV , fficluding fly ash, may contain more than 0.025% crystalline silica. Hazards: Fres, TiXMI cement and/or fly ash can cause eye irritation, skin and eye bums and allergic skin reactions. c§ ust may cause-initation to eyes, skin, and/or respiratory tract. Dust from handling g may contain silica, which may cause silicosis and cancer if inhaled. crushing-,-g-rj'n'�dina,AcRut�tl�Zn-.,4id/6r dfillin If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of arnmo- nia. Moisture can cause the ammonia to be released. Inhalation of aninionia can cause coughing and irritation or bums of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure, 'l-q cA4unao Safety: Avoid contact w2t�,% n4,pEpAged contact with skin. Wear gloves, eye protection. and appropriate protective clothing. Wash ds thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to dust abov Wnheb OgIA (see MSDS), wear suitable NIOSH-approved respiratory protection. First Aid: In case of G.7�BRffiert-rri . im7diltely flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh air. If wet cement Mi;fLMA I 11COUse,thoroughly with water. Get proper medical attention if irritation persists. CEMEX. Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combined Houston, Texas 71024 02/12 For more information please visit www.cemexusa.coni. Este ticket de entrega incluye como referencia at comprador (ya previatriente ejecutada en su aplicaci6n de crddito); cualquier t6rmino estdridar, condiciones del vendeclor, pr6pue-stas del vendeclor y orden de confirmaci6n del vendedor (con linlitaciones y ,aarantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerg los t6rminos 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 mismo. Acepta pagar el monto de acuerdo at contrato; al menus que se identi- fique con una nota at frente de este documento. FkT"-Z4XLMj / PRODUCTOS DE CONCRETO / Los productos de agregados son materiales naturales como piedra caliza, dolon-tita, granito, roca volcAnica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albaffilerfa. pozzolan (tipo 1P), azulejo de azotea y estuco. Los productos de concrete, incluyen cemento Portland y productos de aggregados como piedra caliza, dolomita. V a -anito, roca volcAnica, arena. grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener inds de 0.025% de silicio cristalino. Peligros: Mezela de cemento fresco y/o cenizas volantes pueden causar irritaci611 en Ins ojos, quernaduras en piel y ojos, y reacciones al6r.alcas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en los ojos, piet y/o en ]a zona respiratoria. Polvo del manejo en el triturainiento, pulido, corte y/o perforaci6n pued6 contener materiales silicos, los cuales pueden causar silicosis pulmonar y ctincer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura cilida. repqsar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toscr, irritaci6n o Seguridad: quemaduras en la nariz, gargatita y pulmones. Acudir inmediatarnente 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 los ojos y ropa Primeros adecuada Para protecei6n. I-Avese las manos coiijab6n suave y agua despuds del manejo de materiales. Evite inhalar atLxilios: polvos. Si se expone a polvos ings de los limites recomendados, use proteeci6n 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, ldvelos a fondo con agua. Acuda a atenci6n m6dica iniriediatamente si la irritaci6n continda. CEMEX, Memorial Hermann Tower 929 Gessner. Suite 1900 V7 combinado Houston, Texas 77024 02/12 Para mds informaci6n visita www.ce