HomeMy WebLinkAboutCONCRETE PAPPERWORKSCANNED
BY
St. Lucie Countv
69269476
� l_So7-Gly3
Plant:
Begin Loading:
To Job:
Arrive Job:
Start Unload:
Finish Unload:
Leave Job:
Return Plant:
Customer Code:. Customer Name:
ncr9 I CPARD I-: t}F1V tF' C.UP,1�Ti?UI` f 1 is;;
Project Code; Project Name:
Ticket Date: Delivery Address:
Delivery lnstmctions:
Customer Job Number.
Project P.O. Number.
RECEIVE
NOV - 2 2015
Order Code/Date: '
Order P.O.. Number: '
Map Page; Map/Row/Column:
Dispatcher:
Ticket Number.
Oue On Job:
Slump:
06
Truck Number.
U t.'„' t
Driver Number:
10'Ji_4?
Driver Name:
?LIVt!Y
I+li�i._f't -
End Use:
RDkIF1Y:
DRIr.11-:WAY
LOAD CUMULATIVE' ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNITPRICE AMOUNT
QUANTITY QUANTITY QUANTITY
,} ' -. 1'.r h%.f i',^rrl i' r , -Ilr 11) fz'I_f• vi..S.
f .•'1
I . i 7Ci
Cash Check #1 Auth Coda:
Check
Comments:
ti '-'l)L'i ijkC]f1RN`.e'i
:I,' ;T;:• f Idll I L!]f'.IItiiF: ! ITt{IJ/ C'FIARI,F
WATER
[oh i7ts.
Received: I Total COD Order Amount to Collect
YARDS IN DRUM: _
WHEN ADDED.
r
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
alnlrr.C_ r r.)r.(r l>l� t — t e_I_ :—
�'t4fiYSf-ll. _ FULL LOAD ''RRf)
+�✓✓ ❑ 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. WARNING: Product may cause skin and/or eye iritatlon. CAUTION: Material
terns 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 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. S
y
68UNIVERSAL F'RF_4 FRKc I(-l0,i5754 t_OPID NUH:
CUSTOMER
This Delivery Ticket incorporates her )y reference Buyer's previously execute' --edit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotas if any, and Seller's Order Confirmation , uding limitations of warranties), as if fully
set forth on this Delivery Ticket ("Agreement"). Seller will provide the Standard 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.
I'E / UEIVIEN'I' / CONURE'I'E 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, gravel, and
other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica.
Dry concrete and aggregate dust may 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. Avoidbreathing dust. If exposed to
dust above recommended limit's (see.WDS), 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 a] comprador (ya previamente ejecutada on su aplicaci6n de cr6dito); cualquier
tdrmino estdndar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y
garantfas), come, 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 compradoracepta los mismos ya antes mencionados y que las cantidades
y materiales fueron entregados como se expresa on el mismo. Acepta pagar el monto de acuerdo al contrato al menos que se identi-
fique con una rota al frente de este documento.
Fal" wk4 BUM 1iINVA
DE CONCRETO / CENIZAS
Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, coca volcdnica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita,
granito, rocs volcdnica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede
contener mds de 0.025% de silicio cristalino.
Peligros: Mezcla de cemento 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, cone y/o perforaci6n puede contener materiales
silicos, los males pueden causar 8ilicosis pulmonar y cdncer si son inhalados. En caso de'ser ingeridos, mantenerse
en temperatura cdlida, reposar y tomargrandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad: La humedad puede causar la liberaci6n del amoniaco. Lainhalaci6n del amoniaco puede causar toser, irritaci6n o
quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al 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 auantes, protecci6n en los ojos y ropa
Primeros adecuada para protecci6n. Ldvese las mans con jab6n suave y agua despues del manejo de materiales.Evite inhalar
auxilios: polvos. Si se expone a polvos mds de los limites recomendados, use protecci6n respiratoria.
Primeros auxilios: En caso de contacto on los ojos, inmediatamente fluya agua on 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 fondo con
agua. Acuda a atenci6n m6dica inmediatamente si la irritaci6n continda.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para mds informaci6n visita www.cemexusa.com.
I r�,
Ls CEMEX
p- -
58268430
Plant:
Begin. Loading:
To Job:
Arrive Job:
Start Unload:
Finish.Unload;
Leave Job:
Return Plant:
10-137
10_10
I1t.z5
Customer Code:
Customer Name:
Pro.- A-'C'
jectCboe"
'? r ( Ii31.1' L
Proiepl Name-
i;.}`y 1, I tJ
f
.[I�"-. •t 4i I}.� f%f`�
Ticket Date:
Delivery Address:
- lns.rc.h!_VE:
tfeliveey Wctionsi.
' -
Fr F'TFrJF
-
Customer Job Number:
Project P.O. Number.
RECEIVED
NOV - 2 2015
Order Cotle / Date:
Ober P.O. Numtiec '
` 1 .
Map ge` -fI MAp/R&/Column:
Dispatcher:
Due On Job:
Slump:
Truck Number
Driver Number.
Driver Name:
End Use;
-' �1"
Fl.tit; fo}T;1�7=,G
fir=T=•
r. TVRO'ir-
IvII.1_.1-npC
I RDWAYr, DRIVE--WI'11IF
LOAD 'CUMULATIVE I ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT
QUANTITY QUANTITY QUANTITY
_Ifr -. . j'.t}f1 , . , ;t IC)IY pkO t/i.
IT1 ;_'1 r" I;ii..Frrll r..!'
i i ", - - --r/, .• coati iy Iq'_
_ . _ ,_ _t,r • ,- rt�Tr•...lc , ! rt. rr-;,;RFC=
Cash Check #/Auth Code: Signature of Odder Receiving Cask.
1 Check T.
Comments:
r
t:
Total COD Order Amcunt to Collect
Without Standby Charges:
WATER ADDED: 03AL YARDS IN DRUM:
WHEN ADDED.
1 �( SIGNATURE
I ad'
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
i
ria'ar,Rrrr ellrPOs3Pr r EE
PARTIAL, J_., FULL I_OfiG YY Rr,.S SIGNATURE
V I O LOAD WAS TESTED BY: I
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. WARNING: Product may cause skin andlor 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 he the backside of this ticket for important
control after delivery, this Company will not accept any responsibility for the finished results. Nocreditfor safety handling information, and he the material safety data sheets for additional information.
returned concrete. Buyers exceptions and claimsshall be deemed waived unless made tous in writing AUTHORIZED SIGNATURE:
within one business day after the receipt of materials. O
PREi.I TR t LOAD
68UNIVERSAL
CUSTOMER
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Teams and Conditions, Seller's Quota if any, and Seller's Ostler Confirmation luding limitations of warranties), as if fully
set forth on this Delivery Ticket ("Agr_____ent"). Seller will provide the Standard Te....- 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.
AJL h / UhIV1EA JL / UUNUXk;'lE JrKUUUl YN / N'LY
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.
Freshly mixed wet cement and/or fly ashcan cause.eye irritation,:skin.and.eye.burns and,allergic skin_ reactions.-
�_ --
Dry concrete and`aggregafe dust may cause irritation t -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 al comprador (ya previamente ejecutada en su aplicaci6n de cr6dito); cualquier
t6rmino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitations y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveer5 los t6rminos estandares y condiciones detal-
lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que Ins cantidades
y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; al manos que se identi-
fique con una rota al frente de este documento.
/PRODUCTOS
Los productos de agregados son materiales naturaley como piedra caliza, dolomita, granito. roca volcdnica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albaflilerfa, 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 voledanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) ]a cual puede
contener rods de 0.025% de silicio cristalino.
Peligros: Mezela de cemento fresco y/o cenizas volantes pueden causar initaci6n en los Ojos, quemaduras en piel y ojos, y
reactions al6rgicas en la piel. Concreto seco y polvo de agregados, pueden causar in•itaci6n en los ojos, piel y/o en
la zona respiratoria. Polvo del manejo on el trituramiento, pulido, torte 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 calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad: La humedad puede causar la liberation del amoniaco. La inhalaci6n del amoniaco puede causar toser, initaci6n o
quemaduras en la nariz, garganta y pulntones. Acudir inmediatamente al medico. El riesgo en la salud depende en
la duraci6ny 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 protecci6n. Laveselas manos con jab6n suave y agua despuds del manejo de materiales.-Evite inhalar
auxilios: polvos. Si se expone a polvos mas de los linnites recomendados, use protecci6n respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la pane afectada por 15 minutos.
Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con
agua. Acuda a atenci6n m6dica inmediatamente si la irritaci6n continua.
CEMEX, Memorial Hermamr Tower
929 Gessner, Suite 1900.
V7 combinado Houston, Texas 77024
02/12 Para rods informacion visita www ce