The URL can be used to link to this page

Home My WebLink AboutCMEX PAPPERSll CEMEx 8 3392 oGANNED BY i ucie County Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: Customer Code: Customer Name: Customer Job Number. Order Code/Dale: " Project Code: . , 1 . 'Projedt}Jame: - .: .. � Project P.O. Number: Ober P.O. Numbb er. ._ Ticket Date: Delivery Address: Map Page: Map/RowlColemm ea.._'.- L7-_ C: .J::n Delivery Instructions: Dispatcher. Ticket Number. Due On Job: Slump: Truck Number. Driver Number: Driver Name: End Use: tl' �_4li +iIf H<--%' V MAL_ONE B:._LING.: rI_^O� LOAQUANTITY QD CUMUUANTITY LATIVE QORUANTDEREDITY MATERIALCODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT Check Comments: 'Check # / Auth Code: I Signature of Driver Receiving Cash:' ' RECEIVED MAR•23 7016 Received: To at COD Order Amount to Without Stan cry Charges: WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: ONL;RETL DISPOSAL FEE F'„R"r I!lI__ _ FULL LOAD VRRiIi 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 nsk. 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 inflation. 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 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 lnformallon. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us In writing AUT ORRED SIGNATURE: / within one business day after the receipt of materials. 66UNIVERSAL INVOICE This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard Terms and Conditions, Seller's Quo n, if any, and Seller's Order Confirmati( rcluding limitations of warranties), as if fully set forth on this Delivery Ticket ("A ment"). Seller will provide the Standard - ___is 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 LP), 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 t eeyes, skin; and/or respiratory tact. DusffPom 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 cr&lito); cualquier termino 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 proveera los t@rminos estandares 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 como se express en el mismo. Acepta pagar el monto de acuerdo al contrcto; al menos que se identi- fique con una nota al frente de este documento. / YKUl)UU IUN VE l;U1NUKEIU / U NILAN VULANYES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito. rota volcanica, arena. Brava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albailderfa, 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 volc5nica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener mas de 0.025% de silicio cristallno. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar it itaci6n en los Ojos, quemaduras en piel y ojos, y reactions 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 caso de ser ingeridos. ma-menerse en temperatura calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, initaci6n o quemaduras en la nariz, garganta y puhnones. Acudir inmediatamente al medico. El riesgo en la salud depende en la duration y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la pie]. Use pantes, protecci6n en los ojos y ropa Primeros adecuada Para protecci6n. Livese las manos 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 en los ojos, inmediatamente fluya agua en la pane afectada por 1.5 minutes. Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, livelos a fondo con agua. Acuda a atenci6n medica inmediatamente si la irritacion continua. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combinado Houston, Texas 77024 02/12 Para rods informaci611 visita www.cemexusa.com. e L� CPMEX bE C ,--in-a,r,`1 50583092 ' 'Plant Begin'Loading: To Job; Arrive Job: Start Unload:: Finish Unload; Leave Job: Raturn Plant: C „_ x , > , r,_ Customer Code: Customer Name: 'Customer Job Number!'.. de f`_C'ti,ic,1R13�.`Ca.O'': U-IC I Pm dctbo:protect Name; - ProJedP.O. Numider. Ticket Date:. Delivery Address_. IL Delivery lnstmctions:. Order Code f Date:. 52tom- 021 1 S �i.', Order P.O. Number:, Map Page MaplRow/Column: -17 esputcher;.. . Ticket Number: Due On Job- Slump: Tmck Number. OriverNumtier. Driver Name: End Use:. S('J£`f01- •T1.' if$9t i.J�i }, i::6'. i'i l'•�AL Q(JL_ LOAD dDANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIALCODE PRODUCTION DESCRIPTION UOM UNIT PRICE. AMOUNT ,.t' �v '' u:. :k J •t. 7J{l!y Yi, fj`l I''�1:: t3T:: i-i IZf••;:.ly 'TEl 1�;4.x ._. ,:i sue:.. i , Check M f Auth Charge ljiij }'. f C',I.II"".E_(•2 f r=li + `-i.5IF—Ez .. WATERADDED: GAL YARDS IN DRUM: WHEN. ADDED. -- - - - - SIGNATURE. CURB LINE CROSSED AT'OWNER'S/AGENTS REQUEST: ]OWM7TIE 1`f S`±rJ?.7.`I i•ir F_. _ _ �j(i F{l i'I E._ _ f_1�..,1. 3...[3�3}..7 _ YARDS SIGNATURE ❑ LOAD WAS TESTED BY: Notice: Our drivers will make every effort to place materials where the customer destgnates,'but the SPECIAL TERMS: Any wateradded is at customers own risk Ifwater is added: on fob, 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 after delivery, this Company will not accept any responsibility for the finished results. Nocreditfor safety. handling information, and to malehaI safety data sheets. for additional information. returned concrete. Buyers exceptions and claims shall he deemed waived unless made to us in writing AUTHORIZED SIGNATURE !I } within one business day after the receipt of materials. 68UNIVERSAL F'iiL-t' tlil-;g LOH',a NUM CUSTOMER This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard Terms and Conditions, Seller's Qu( )n„if any, and Seller's Order Confirmati ncluding limitations of warrantties), as if fully set forth on this Delivery Ticket ("A anent"). Seller will provide the Standard - __:ns 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 aecordatce with the Agreement. AGGREGATE / CEMENT / CONCRETEPRODUCTS / 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. liry concrete aria aggregate oust may cause irritation to eyes, sxrn,anwor respiratory tract. oust rrom nanaung, 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 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,3vater 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 V7combined Houston, Texas 77024 02/12 For more information please visit www.ceinexusa.com. Este ticket de entrega incluye como referencia at comprador (ya previamente ejecutada en sit aplicaci6n de er6dito): cualquier t6imino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmation del vendedor (con limitations y garantias), como acuerdo total del ticket de entrega ("Contrato'). El vendedor proveera lost6rminos estdridares y condiciones detal lados en caso de as set requeridos. Con este documento; el comprador acepta los mismos ya antes mencionados y que las cantidades y materiales' fueron entregados como se expresa en el m ismo. Acepta pagar el monto de acuerdo at comrato; at menos que se identi- fique con una nota at frente de este documento. Los productos de agregados son materiales-naturales como piedra caliza, dolomita, granite, rota volcanica; arena, grava y otros materiales siliciost 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, granite, rota volednica, arena, grava, y otros materiales silicios. Estes productos incluyen cenizas volantes (fly ash) la coal puede. contener mas de 0.025% de silicio crystalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en Ins ojos. quemaduras en piel v ojos, y reacciones, al6rgicas' en la piel. Concreto seco y polvo de agregados, pueden causar irritacion en los ojos, piel y/o en ]a 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 set ingeridos, mantenerse entemperatura,cdlida,reposar ytomar 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, irritation o quemaduras en la nariz, garganta y pulmones. Aeudir himediatamente at medico. El riesgo en la salud depende en la duracio'n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci611 en los ojos y ropa Primeros ' adecuada Para protecci6n. Lavese las mans con jab6n suave y aqua despues del manejo de materiales. Evite inhalar auxilios: pelves. Si se expone a polvos rods de los timites, recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente Maya agua en la parse afectada per 15 minutos. Si se inhala polvo,, exp6nga_se a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci611 medica inmediatamente si la itritaci6n continda. CEMEX, Memorial Hermarm Tower 929 Gessner, Suite 1900 V7 combi_nado Houston, Texas 77024 02/12 Para.. mas informacion visita www.ce ��cmcx58583666 Customer Cade: Customer Name:. Customer Job. Number: Order Code/Data ' S ProledPrged Name A : t r �• � ��I .: .r E.Ty j .i; Project P.O. Number. 'Omer P.O NumoeC. ticket Date: Date: .Delivery Address: MapPage: I Map/Row/Column.- �Delrvetygostructfons; ✓'t' +""• ?'4c . r ...;Lr �3. Dispatcher: " " Ticket Numdec Due.On Job: Slump' Tmcl Number: Driver Number: Driver Name: End Use. - f, �.r-..y,+ yn —d .rlylr'1= f1t-'.`P.T!l�P i'r F.l fif.a:,e C11I P-Ill.. wHu QUANTITY' uulvuLnuvc pNNTITY urturrt�u GUANTITV , MATERIAL.COOE - PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT 7ttx=`? J i.'LI -, L. ws, WATER ADDED; 'YARDS IN DRUM: WHEN ADDED. CURB LINE CROSSED ATOWNER'S/AGENT'S REQUEST: ILL. L T.1? Y A r LW ❑ LOAD WAS TESTED BYr Notice: Our drivers will make every effort to place materials where thecustomer designates, but the SPECIAL TERMS: Any water added is at oust Company assumes no responsibility for damages inside curb or property line Customer agrees to the is no longer guaranteed.. WARNING: Product terms 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. centralafter delivery, this Company will not accept any responsibility for the finished results. Nocreditfor safety handling information. and to the material returned concrete. Buyers exceptions and claims shall . bedeemed waived unless made to us. in writing AUTHORIZED SIGNATURE: 'within one business day after the receipt of materials. 68UNIVERSAL PRE`? ."i Ri' - CUSTOMER is added on job, concrete strength ye irritation: CAUTION: Material ckside of this ticket for important This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard Terms and Conditions, Seller's Qu( in, if any, and Seller's Order Confirmati ncluding limitations of warrants), as if fully set forth on this Delivery Ticket ("A,,; ment" ). Seller will provide the Standard __1is 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, TE i CEMENT / CONCRETE PRODUCTS / FLY ASH Aggregate products are naturally occurring materials including limestone; dolomite, granite, volcanic rock, sand, gravel, and other siliceous material's. 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 trom handlii crushing, grinding., cutting and/or drilling may contain silica, which may cause -silicosis and cancer if inhala If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of amr nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritat 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 clothing. Wash hands thoroughly with mild soap and water after Handling. Avoid breathing dust. If e 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 wvvw cemexusaTco�. Este ticket de entrega incluye como referencia al cotnprador fya previamente ejectuada en su aplicaci6n de crecht0. ) cualquier termino estandar, conditions del vendedor, propuestas del vendedor y ordeii de confirmaci6n del vendedor (con liriitaciones y garantias), Como acuerdo total del ticket de entrega ("`Contrato"). El vendedor proveera los terminos estandares y condiciones detal- lados en caso de asi ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y q1c las;canddades y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; al mends quo se i'dcnti- fique con una nota al fr'ente de este documento. Los productos de agregados son materiales ,naturales como piedra caliza, dolomita, aranito, rota volcdnica, arena, gz, t'a y otros materiales silicios. Los productos de cemento ihcluyen Cernento de tipo Portland, de albailderfa; pozzolan (tipo IP . azulejo tie azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra calaza, dolornita; granito, coca volcanica,-arena, giava, y o'tros materiales,silicios. Estos productos incluyen-cenizas volantes (fly ash) lu ct a p.3cde contener mas de 0.025%_de silicio cristalino. Pellgros: Mezela de cememb fresco-y/o cenizas volantes pueden causar initaci6n en los ojos: quemaduras cr' piel y ojos; y- reactions°al6rgicas en la piel. Concreto seco y polvo de agregados, pueden causar.irritaci& on los olos`picl y/o en la zona respiratoria. Polvo del manejo en el trituramiento, pulido, torte y/o perforaci6n puede comener_materiales silicos, los cuales pueden causar silicosis'pulmonar v cancer si son inhalados. En caso de ser ingei-idol, n antenerse en temperatura calida, reposar y tomargrandes camidades de agua. Las cenizas volantes puedencoutener amoniacd. La humedad puede causar la liberaci6n del amoniaco. La inhalation c del amoniaco pue& nus. , toner; in-itaci6n o Seguridad: quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico: El riesgo en la salud depende on la duraciin y el nivel de la exposition. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protection en los ojos y ropa Primeros adecuada para protecci6n. Ldavese las manor con jaGon suave y agua despues del manejo de materiales. Evite inhalar auxilios: polvos. Si se export a polvos mas de los limiles recomendados, use proteceion respiratoaia. Primeros• auxilios: En caso de contacto en los ojos, mmediatamente fluya agua en la ptrte afectada por 1.5 minutes. Si se inhala polvo, expongase a aire fresco. Si of cemento fresco time contacto con sus ojos; lavelos a fordo con agua. Acuda a atenci6n m6dica inmediatamente si la irritation continua. CEMEX, Memorial Hermann Tower 929 Gessnef, Suite 1900 V7 coinbinado Houston, Texas 77024, 02/12 Para mds informaci6n visita www ce