HomeMy WebLinkAboutCONCRETE PAPPERSr IYC10*__ B Y NEC 1 �II1II6IISIIIIII�I9I5IIII0�III�
1142 Water Tower Road, Lake Park FL 33403 St. Lucie County
O,fice:1-877-484-9994 / Fax:561-844-7102 9°�
South East Florida Division Dispatch: 561-844-.9994 / Central Florida Division Dispatch: 407-339-5311
Concrete Tested ❑ Yes LOT # -
Water Added at Customer's
Cylinders Taken ❑Yes p No
als. to full load
Comments
als. to 2/3 load
als. to 1/3 load
*ustomerrs
n FC4_�S Tir4'+GTC.
ater Added
3
- _
NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES
ADDITIO AtrWATER.ADDED.TO THIS
VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin InJu'y. Avoid contac(,with
akin and wash exposed skin areas promptly with water. If any cement powder or
CONCRETE WILLREDUCEITS'STRENGTH
SURFACE' DISCOLORATION mixture gets intoeyes', rinse immediately and repeatedly with water antl get prompt
AND DURABILITY.' ANY WATER ADDED IS
eATCHTIME medical attention. Keep children away from cement powder and all freshly mixed
CUSTOMER'S OWN RISK.
1 6 5i� cement products.
,AT
To Plant-] I At Plant
PLANT I
TICKET#
ORDER #
RUCK'#
LOAD SIZE
Mix SLUMP
DATE
107
2421850
361
178
10,0
4000 SIDEWINDER
6.00
09/06/17
CUSTOMER#
SOLDTO
P.O.#
PROJECT#
2007
TNT BUILDERS!
1 7814:
DELIVERY ADDRESS
ZONE#
USE
DRIVER
1225 Pandora Ave -- Ft P
IND
Mario Stinson
INSTRUCTIONS -
TIME DUE
11026 AM
�ELOYiNg
. . .
PRODUCT ..
-•r DESCRIPTION
U.O.M.•
10.00
10.00
40.01
40850000
4000 SWP
yd
1.00
1.00
10.00
1
.OtZ
FIBERS— COMMERCItL
ENVIRONMENTAL DIMPO
ea
ea
4Q�1.00
0.00FUEL
SURCHARGE
e''A
LENVIRO.
�IG ATURE
OR flECEIPT-
DNCAETEANDAC
MLEDGEMENTOF.HAZARDIN
RNING
• asc me er oncre prpa w no assume a y or any propertyamaRe or any
equlpme t a age for An de ✓e lebtSmad-th cu b �Ilne. SUBTOTAL
TAX
AUTHORIZED BM
SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE. TOTAL
WI 0
1142 Water Tower Road, Lake Park FL 33403
Office;1-877-484-9994 / I'm561»944-7102
South East Florida Division Dispatch: 561-844-9994 1 Central Florida Division Dispatch: 407-339-.5311
to VU
s 2 1 8
091500
Concrete Tested ❑ Yes �: LOT #
Water Added at Customerls
Cylinders Taken El Yes "qNo
�, Requestt
_
-�gals. to full load
Comments -
gals. to n load
-
"gals. to 113 load
- - - - -- - -
- - -
� Ustomers BD - Water Added
NOT RESPONSIBLE FOR. '" WARNING IRRITATION TO THE SKIN AND, EYES
ADDITIONAL WATER ADDED TO THIS
VARIATION IN COLOR RR cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with
skin and wash exposed skin areas: promptly with water. If any cement powder or
CONCRETE WILL REDUCE ITS STRENGTH
SURFACE DISCOLORATION
y prompt
- -� 9 K Y P Y get p P
" m dical gets into . e rinse Wide away om a ent l ,with w d all freshly
�' medical attention. ee children awa from cement powder and all fresh) mixed
AND DURABILITY. ANY WATER.ADDED;I& "
BATCH TIME - cement products 1
AT CUSTOMER'S OWN. RISK.
1 �
J
to Job On job Begin Pour Begin Wash
To Plant At Plant
-.
111"3
I .
PLA rT
TICKET# ORDER #
UCK #
LOAD SIZE
mix V- " " ^- - - SLUMP
:DATE
CUSTOMER$
SOLDTO - - ---
P.O..# -
PROJEOTp -
-
DELIVERY' ADDRESS -
ZONE#
USE
DRIVER - -
-
INSTRUCTIONS r-.: s " + -
TIME DUEULATIVE
ORDERED
PRODUCT CODE
PRODUCT DESCRIPTION
ll�{.,'�i_
4Y-
I,r';1
1, -�'N'
yil3
,1 f. i{211
'SIGNATURE
w1A NINE.
OR RECEIPT'''-: CONCRETE
AND. CKNOWLEDGEMENTOF
HAZARD
asc meyer oncre e. onpany. winno assume -Inutility, or any -prope y`damage or any SUB' -TOTAL
equipmer tdamagefef _ ny de liveriestbayopd the cu 6 line.
`tom ,, - f 7 TAX
AUTHORIZED B
_
SHIPMENT -SUBJECT 10 CONDITIONS -O 'REVERSE SIDE:: - ,, - - - TOTAL