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Home My WebLink AboutPROJECT INFORMATION9/11 kc zzcc—mc—x SCANNED BY St. Lucie county 57812.3350 Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: Cu.tomerCode: Pro?'r I I 't Coue�-' Customer Name: 5F7RQ1f,FS TNC Ticket Date: DeliveryAddress: 'T " I — - F U �� r"'i V 1 S RD, FT PTERC, i)N IDA RU5�"N'ls Customer Job Number. Project P.O. Number. Order Code I Date: 9f�,Cdal P.O. NtimQ,9 i, lva�pag2r) Map/Row/Column: jrs—pla'� r?7�317'l tch. il,lkiiT46"'eP 1 `� 0 Due On Job: Slump: Truck Number: Driver N um at. Is Dri er,N in. v a End Usir � 1--, , . , LOAD CUMLII-ATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE QUANTITY QUANTITY QUANTITY C (D a 1. :It, r FLj!-- L r 71 -, �131) T RONMENTl".L. fHnr%(3E Cash Check # / Auth Code: Signature of [)river Receiving Cash Cash Remlved: Total COD Order Amount to Collect I Without Standby Charges: Check I � Charge I Comments ONCIRETE DISPOSAl- FEE- PARIIAL FL2LL 'LOAD VARD5 WATERADDED:-GAL YARDS IN DRUM: WHEN ADDED. CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: El 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 Oak. 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 cause sWin andfor eye Irritation. CAUTION: Material terms of sale and delivery and accepts concrete as is. Due to impitraint factors wNch are out of our R 0 � �y be hamrdous t Your )afietyVnil 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 6dfqty handling inforr he Q2ataaNafetXdata sheets for additl6nal Information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTPRIZED SIGNATURE., Within one business day after the recelpt of materials, ( I This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application. if any, Seller's St ndar4j Terms and Conditions, Seller's itation, if any, and Seller's Order Confin ni (including lintitations of warranties), as ?" fully* 0 set forth on this Delivery Ticke areerneiit!'). Seller wilt provide the Stan( rerms and Conditions upon request. Buyer agrees that, unless otherwise noted on t e front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. REGNI'L / UEMENY/ UOINUKETE FRODUUTS / FLY ASH Aggregate produbmarb,naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliccous materials. Cement produc.ts include Portland,�cmcnt, masonry, pozz ' plan (Type IP), roof tile, and stucco. Concrete products include Portland cement and aggregate products'including, limestone, dolomite, granite, volcanic rock, sand, . -ravel, and other.sili6eaus materials". These products, including fly ash,'inay contain ftiore than 0'025% brystalline silica. i -burns andli lergicskiffre7actioli§_ -Hazards.. - --FreshlyzmikR�wet ceffient and/or flyash can causeeye-irritation, skin and eye at Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling, crushing, grinding, cutting and/or drifling may contain silica, which may cause silicosis and cancer if inhaled. 0 If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of amino- nia. Moisture can cause the ammonia to be released. Inhalation 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 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 02112 For more information please visit www,cemexLisa.com. Este ticket de entrega incluye como referencia at comprador (ya previamente ejecutada en su aplicaci6n de cr6dito); cualquier t6i-mino estdndar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y .-arantfas). come acuerdo total del ticket de cutrega ("Contrato"). El vendedor provecri los tdrininos estindares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el compractor acepta los mismos ya. antes mencionados y que las camidades y materiales; fucron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo at contrato; at menos que se identi- fique con una nota al frentq de este documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca volc6nica, arena, grava y otros materiales silicios. Los productos de cernento incluyen Cernento de tipo Portland, de albaflilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concrete incluyen cemento Portland y productos de agregados corno piedra caliza, dolomita, granite, roca volcdnica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener mis de 0.025% de silicio cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en Piet y ojos, y reacciones al6rgicas en la piel. Concreto seco y polvo de agregados, pucden causar irritaci6m en los ojos, piel y/o en la zona respiratoria. Polvo del manejo en el trituramiento, pulido, corte y/o perforaci611 puede contener materiales silicos, los cuales pueden causar silicosis pulmonar y cAncer si son inhalados. En caso de ser in.geridos, mantenerse en temperatura cAlida, reposar y tomar grandes cantidades de a.gua. Las cenizas volantes pueden contener anioniaco. La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o Seguridad: quemaduras en ]a nariz, garganta y pulmones. Acudir inmediatamente a] medico. EI riesgo en la salud depende en la durac!6n y cl 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 protecci6n. Livese las manos con jab611 suave y agua despuds del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a pelves inds de los limites recomendados, use protecci6n respiratoria. PrifflCr0s auxilios: En caso de contacto en los ojos, ininediatamente Enya agua en la parte afectada por 15 minutes. Si se inhala polvo, cxp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lAvelos a fondo con agua. Acuda a atenci6n mddica inmediatamente si ]a irritaci6n continda. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combinado Houston, Texas 77024 J0 57823347 kT- l-1 Plant: Begin Loading: To Job; Arrive Job: Start Unload: I Finish Unload: Customer Code: Customer Name: act T ,I Ticket Date: DeliveryAddress: 'Ge In.' Project P.O. Number. Order Code I Date: "&2r P.O. N.m6Jr'-' 1 ge: Map/Row/Column; Me Pa Dispal Tickel' 66r'r' L) IDue On Job: Slump: j Truck Numb.,. Driver Number Driver Name: End Use: - . � r- I-, ("'� Ciri III --Z q ('rll I f-1-1 �'! Dh!""- "-" . LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM�UNIT PRICE QUANTITY QUANTITY QUANTITY T �-NVIRON11FNTAL CHARGE Cash Check If /Auth Code: Signature of Driver Receiving Cash: Cash Received: To .[ COD Order Amount to Collect Check I I I Will Standby Charges: Comments; WATERADDED: L,/ GAL YARDS IN DRUM: WHEN ADDED. CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: CINCRETE DISPOG9�11�FFZF- SIGNATURE P`41 R T I A L LOAD Y(4RDS _ 11 1 — El LOAD WAS TESTED BY: Notice: Our drivers .111 make every effort to place arsenals 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 cause skin andfor eye initation. CAUTION: Material tens of sale and delivery and accepts concrete as is. Due to important factors which am out of our may be hazardous to your safety and health. Please'refer to line backside of this ticket for important safety handling inlo'Miation, a cOntrul after delivery. this Company will not accept any responsibility for the finished reselts. No credit for nd to the matemal safetl sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing within one business day after the recelet of materials. 68UNIVrRSAL PrEV 7PK: NUM. I INVOICE This Delivery Ticket incorporates herein by reference Buyer's previously qxecuted Credit Application, if any, Seller's St ndard., Terms and Conditions, Seller' otation, if any, and Seller's Order Confij on (including limitations of wifrantic!s), asZ-1f f6u�y� set forth on this Delivery Ticki _ kgreemenC'). Seller will provide the Star Terms and 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. 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, dolotnite, granite, volcanic rock, sand, gravel, and 7 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 aagLieg�te dust Miy,�au-se-irri-tation-to�ey-esi-.skin;.and/or respiratory tract.-Dust--from-handling-. cnisnln,-, g-rinding, 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 al comprador (ya previamente ejecutada en sti aplicacidn de cr6dito)� cualquier tdrmino estdndar, condiciones del vendedor. propuestas del vendedor y orden de confirmacidn del vendedor (con limitaciones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los t6rminos estdndares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes 1-nencionados y que las cantidades y materiales fueron entregados corno se expresa 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. AUXELwAJJU6 / 4-hIVILhIN I U / JrJKkJJJU U I Vb V-L UUIN UKh I U / UhiN ILAN V ULAIN'I'EN Los productos de agregados son materiales naturales corno piedra caliza, dolomita, granito, roca volednica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albafiilerfa, 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 mAs de 0.025% de silicio cristalino. Peligros: Mezcla de cernento 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 trituramiento, pulido. corte y/o perforaci6n puede contener materiales silicos, los cuales pueden causar silicosis pulmonar y cAncer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura cdlida, reposar y tomar grandes cantidades de a.gua. 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 ]a nariz, -ar.aa-nta y pulmones. Acudir huriediatamente al medico. El ries.-o en la salud depende en In duraci6n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecei6n en los ojos y ropa Primeros adecuada Para proteccidn. Livese las manos con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos m6s 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 con sus ojos, 16velos a fondo con agua. Acuda a atenci6ri m6dica inmediatamente si la irritaci6n continda. CEMEX, Memorial Hermann Tower 929 Gcssner, Suite 1900 V7 combinado Houston, Texas 77024 02/12 Para mds informaci6n visita www,ceinexusa.co