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HomeMy WebLinkAboutCMEX PAPPERS0 Ilk _ r h? r00001ee whan etAa pw0 o / 3 s" 55-051097 S`wovt. L1»aw,adk aRrom.wm.•. uMerN.bO„uM.: aaremuPnc 3013169 MbSLEY & SON CO_NS_T_R_UCTION 1312 05/30/18 ..-.- .�_... _T .._.-_. _ - RdMtee:: —.. hq.dlE.; "' .. .. ... .... .A,WOrA-Mik'x."""" a,r�.ti lZAa' ' 4 978006 M T- ALL JOBS 0 PO 0 PO m.tor ._.__......�..-...�..------._._ ...--•wPP:a -..win ._... 05/30/18 WAWR FLORESTA AND PRIMA VISTA ErSTMIDWAY -RIGHT 25 S7/ST JAMES -LEFT AIROSOLFLORE87R -CORNER WITH•RRIMR VISTA r 35731979 c0 0" T, an.rxo*cu. pARE'0 wuwc r00 1 9.50 d 2P'_S8 022559 1 9257 A FREgp BROWN UNR83IGNED , MWM. I ca 1" 1 am .ureRuuewl I "flo"T 098CR TM I uor I uxrrmxe "rouw 5.50 5.50 5.50 1178024 3000 CMG W/SAND YD3 NN 30 PR 1:2 1.'00 L247819 FUEL SURCHARGE 1.00 120274 ENVIRONMENTAL CHARGE 1.00 L58605 SERV,CONCRETE HANDLING FEE P 1.00 r 157125E SERV,PAYLOADrCHARGE OVERr3 — ETE DISPOSAL FEE PARTIAL ; FULL LORD PREY TRKt WATERADDED:—P—GAL YARDS IN DRUM: WHEN ADDED, 4"TUPA CURB LINE CROSSEDAT OWNEWSIAGENT•S REQUEST: O LGAD WAS TESTED BY: - �12 5 I ORIGINAL County ✓ LOAD NUMB 1 I ^-FRECEIVED AUG 0 9 2018 ST, F4sie County, Permitting ',y ,ft :0 uee ywr 0mles when at IAe px*? 55050910 Cwaw,Caa: ' Q�4NNN.n.: CupsYJaDN.RAp: OrtMCa1/OW: � 3013169 MOSLEY 6 SON CONSTRUCTION, 87P 05/24/18 PrgrdQeM:.Him 05/24/18 {�9WA FLORESTR ANO PRIMA VISTA — ...r..- ._. .._-..- R i 1 C r- OY0.MyAVWGbri 10slmci l murray 35723867 awa+.b t15 w°o 9.50 1 TNANxdr 025318 1 omreu ar, 9255 A OMvNva,: THONY HARRIS UNASSIGNED OUAMrtY WW C F WTVM�wee I uam uxrtneee mom 2.00 2.00 2.00 1178024 3000 CMG W/8ANO YD3 L.00 1247818 FUEL SURCHARGE 1.00 J202749 ENVIRONMENTAL CHARGE 1.00 1586055 SERV,CONCRETE HANDLING FEE P KRY2 AO:5q Co.A te.a//M.MC°e•. eras a+.w etmm°.dom«e.orAvcak Cm Rnwx T =w+Uu ms caw WAYrRADDEO:R5 GAL YARDS INDRUM; WHEN ADDED. eglNNRf CURB UNE CROSSEOAT OWNER'SIAGENPS REQUEST: NCRETE DISPOSAL FEE PARTIAL _ FULL LOAD YARDS CLOADWASTESTEO SY: wuu: Our 6teM stl rrtl�.wy MM n Prae pWbW L hm Me,wvnr EnW+ bA er pp ywn. rnPor.e.MbO.lMen .a.ep Nr. k.W btr OultlNthcb. Mfkp �y OJ Mat IPWALTERW.Av�.,WW.lrOrnpelx/..wAAlt e.OwYN7Nmp0.°rcar.bMM00 Yeo PwPAMJ WAA WO: PgI W�y/e•.Nnb rdp lb=WIRION•MM.4 rt/f WlaMbu.p 1�MKY WIwIp. PMM UM+b OA MbW.afK/d+b kpWR Ynn °(MLN WK.Wrur OYed MY�pC.v7�'NY.K WM.deM•N p, IwtN MfWAbt r �wwd RMfbM�frprYlwM'dw�wrpr.00Ab+.iid`rne°!n� enxATeec• u�wmwbu. nrwv .�m.°Wtr�r�Nletr a ® 6'� �i Ti ���1 WNNGARAL PREV••TRKs •• oRIOINAI' LORD NUMB 1 ZZCC.MC-X It bWVa+dolourdlao 0fmW LMvwMWJV nfda? 3,OwY0UUs0y WpmWwhentlmepump? 4. DwYOU U90 YOM ssley Ow*s7 6. pdyataomnrdDmeuwb m+�QonDbdgdMM 55050724 . owwwc4ft Mwgwtk c CNWcaLJcaK 3013169 _ MORLEY 6.SQNGGNSTRUCTION—•,_ _ _-- 1083 05/18/18_� rRy�aCWc Agidt+s+x - i'nHwivblreni_. _�• ", 409760 ""aft pMyAObw: We psw n 0 /18/18 Wgvffi FLORESTA &PRIMA V•I,1�TFL,�,-_ _.. __�.._ .�___..� E L V I ST MIDWAY -RIGHT ST JRMES -IFFY gIR060 �adacilmurra �FT FLORESTA 35713641 ow on some TuAtA.arr. oM►Atwi�r. or w4R * : emne■. t45 5.00 1 064623 1 9253 K IS LIDSARD UNASSIGNED Win, W TA7 41IAMn1% WRAALcccL ►AceW�bMD[ICW11d1 WY ummeB AYC{WI 5.00 5.00 5.00 1176610 4000 REG YD3 FLAY 18 RN S:21 1.00 1247818 FUEL SURCHARGE 1.00 1802749 ENVIRONMENTAL CHARGE 1.09 1586055 SERV,CONCRETE HANDLING FEE P .1.00 f571252 SERV, PAYLOAD, CHARGE OVER13 - I Lwe v"PlAummemu rlw^OCMN. wne.oae• =0w hwgw as C" cxnwK WATER ADDED: ' WHEN M• ADDED. • swtuniaa CURB LINE CROSBEOAT OWNER'S/AOENTS REQUEST. NCRETE DISPOSAL FEE PARTIAL FULL LOAD YARDS OLOADWASTEBTEO BY: �NaptlrD1 yO" nwro Mnn ofkarmprlYy owmmm'oauvawsv�a rwAMn.r wipwaAbaav fimeryyrw:uw: Aro+'w►! em enMmip.M71amYG1tlalM th. N �WkrhpM WW wam mdaMrepAH•�nY wl nl epapuq�wpaVEGp'b NlhYtlry�yy,, tmaHlbq WmuyonrA �bGmWVibMebviMvmkbn. 1N tlfM IM tM nMMi1MNN INJ.bW mW16p MCMANRI. eeoNdenneAl PREY TRKt LOAD NUMB 1 RECEIVED AUG 0 9 2018 ST. Lucie County, Permitting eeoNdenneAl PREY TRKt LOAD NUMB 1 RECEIVED AUG 0 9 2018 ST. Lucie County, Permitting . doo� . zzcemex i 3013169,-MOSLEY 6 SON,.CON57RUCTION- - P+d�Cod. �Prc1et11Wf1. j 46978006. MAT- ALL. JOSS ta..ow oYMrYAbk..c i OS/16/18, ,wDigA FLORKSTA 6 PjtIMR VISTA oaq•Nbu�Y. 54830148 1347 05/16/18-„ - � •••Pri�PA �iId+H •'• •. -: dwv P.d, IA»E.i NO PD. NO PQ, i wv P.W W �nidtrtl=A.1 myCCsY-._.. _. naawa. U5710001 G are I low I =;x""N"WE %I wAmm Of1mmom wm tmffpl Cr AYWM 10.50 10.50 10.50 1176610 4000 REG YD3 1.00 1247818 FUEL SURCHARGE IM 16PH12:80 1.00 1202749 ENVIRONMENTAL CHARGE 1.00 1586055 SERYWCONCRETE HANDLING FEE P WATERADDED;GAL YARDS IN DRUM: WHENAODEO. CURB UN90ROSS90AT EfE DISPOSAL FEE PARTIAL _ FULL 68UNNERSAL PREY TRKt ORIGINAL ! LOAD NUM: 1 ,. Dk.pou doyp,r c6da m.eryr /,/r.,=.Mmx - 54830077 a Did rw 1 n.mn+rr s.o+aw��ebr�a000ls,.,1A,mRum.pm�rr. • . . • Ia.w..ca. w�w.»: aweee.loNl 3013169 MOSLEY,& SON CONSTRUCTION „_, „_440 O5/15/18 I •vu)wfC%.• yP�gdN.ro� � •••••. PgwV.C?JnW: pwP.O iOrnW. 49978006, MAT— ALL .TOSS NO PO N(1 PO. rowoe. 00%wA . wppop; 05/15/16 WAWA - FLORESTA &,PRIMA VISTA„ mrN..e.. Cirlm wyMUN1 I UANIRY� I WTIMNLC0m IROoY01,ONOfJCIIPfkdl 1N)d I IPo mcl I AMW� 10.00 10.00 100.00 1603448 4000 REG/HRWR YD3 i NAY 15 AM 6:41 I 1.00 1247&18 FUEL SURCHARGE 1.00 1202749 ENVIRONMENTAL CHARGE 1.00. 1586055 SERV,CONCRETE HANDLING FEE P E 0 •— WATERADDED:gL(a:�: GAL YARDS IN DRUM: WHENADDED, &M Tk t6 CURB LINE CROSSeDAT QWNEWSIAQENTB REQUEST: CONCRETE DISPOSAL FEE /, ekN�TImE PARTIAL _ FULL LOAD _a YARDS oLoaowAeTESTEO BY: eauRrveRSAI PREV TRKs ORIGINAL LOAD NUMB 1 RECEIVE-® AUG 0 9 Z018 ST. Lucie County, Permitting zKomix 1.01dYW&YW 8,deotuW 2OfdyouldsAaNle¢md1? . 0.0WSsAIUbyylxpppplyYAWIIMdIepIMNp? • 4.MyouuwYa ed*oonov? 0. DIdY��^^''ucsNovdaQNrbdlglkllbONtA1AOT 54830078 •WNmwO.ft GaMrxNrM PYnrJWNuepc ONYCONIMb 3013169 MOSLEY d SON CONSTRU!.. .._.. CTION, 440_- 05/15_116 :P W�'CeEi. .�4ry'bxN+•. .....�- ...--..... _...�Y.S�1��OY _.. .. -.. 4Q978006 MAT— ALL JOBS „ , ,,., NO.RV , .. N.P. r"Drr ooVTA"0. mwpvw - 05/15/18 „WAWA, FLORE§TA & PRiMA--YATq _. mdmc i 1.0 ur_r_ay_ __� I .65706290 i Ql1µ IY �•lUYIxAT1Y6 I =F I VATEMG006 I PAWVGIIOMDGCN�igN I DDr I VNRPIVDE I AIIDVNf 10.00 20.00 100.00 1603448 4000 REG/HRWR YD3 k i MY15ANG:59 , 1.00 19478LB FUEL SURCHARGE 1.00 1202749 ENVIRONMENTAL CHARGE 1.00 1386055 SERVTCONCRETE HANDLING FEE P s I OWPA A& > e..n a aiiwneea. Dww..aD,..n.a.. De..n• rNw Ieo°s bcm.a i ana ch" WATERADDED: GAl YARDS IN ORUM:I — NADDED. .� •CURB LINE CR ATO e. NT8REQUEST., t` C NCRETE DISPOSAL FEE e0f^n"E PARTIAL _ FULL LOAD YARDS 0 LOAD V,4 BT A. ` BEUNIYER&M. PREY TRKs 10067679 BOB MTAdWW LOAD NUMB 2 � ,.ONyoudoyel:rdidsaf.efeOR CCIi'ICX 2.Otd1ouWm*h=W&? a Ok you oae ivur oogda w�hall e! qw I.0MyduwoLuw$q"Qaw9 a pldyu::omnnlmbuwboanQNan+ 6MotG n 0 0' -54830079 PNr:b BNtd Loadln. To Jab: ktwo Job: SWIM FMbh UNWd: L"Vejot): Rmm PYnb 2/L 2 coiww codo slow xR� 3013169 MOSLEY & SON CONSTRUCTION „ 'Rq.ac.*. - .. rP.i{.alu&.. 40978006 MAT— ALL JOBS mwoa orr yAd*m O5/L5/18 WAWA - FLORESTA & PRIMA VISTA ,o*wyv&h a ' MmwJoernmpr o 7rrCoa7ow 440 05/15/18 • • •• •.—• AgianAll iev •• %Gi7,VAIMi10�: NO pO,_ NO PO • Mm Pro: n 135706349 t aa°AOwrm VaUM owKrt�Dry VAMMMcm moauomVu fffwx UOY uMrm+ca rxouKr 10.00 30.00 100.00 160344E 4000 REG/HRWR YD3 : WW i5 AN 7:12 1.00 1247818 FUEL SURCHARGE 1.00 120e749 ENVIRONMENTAL CHARGE 7 1.00 1586053 SERV,CONCRETE HANDLING FEE P YARDS IN DRUM: WHENADDEO. aowmmc CURB LINE CROSSED AT OVyfR'BMyNrS REQUEST: ETE DISPOSAL FEE D mm PARTIAL �•_;, FULL LORD ,_,_.•.,, YARDS OLOADWASTESTMI B —4 PREV TRKt 10OU393 KENN6FAVkQNE LOAD NUMt 13' RECEIVEb AUG 0 9 Z018 ST. Lucie Coun , Permitting n iic-mc-x 1.gdYaudoY�drded:eN4? 2. dd M & DW YM � Yom IdLDnH M1�ards7 vdien sttlgpwrOT cwarorAexmer coon Cod$ L1iWmNNwd1 3013169 MOBLEY & SON CONSTRUCTION prcrierD:Lr.tM 'a,q,,♦iw.. ...._'Crt}tlR..ir - . _ ... _ NO PO 46970006 ,MAT- ALL JOBS �Do" DWWA"A - 05/15/18 WAWA, FLOREST.A &,PRIMA VISTA •Drtnyiw�Loi. - i 54830081 aarceo.�wR 440 05/15/18 'dro:rraw�er: NO PO_ wawc. uasp.nx:.m: mdmc Im it .AY_ ___...._ I Tdmwh 135706436 0 :07µ 6.50 16025754 119214 T RONE WtL-rurtu ---- o rtr c ATmi a A°�vm wiraw in .Aommmom m " uar uxnawce 10.00 40.00 100.00 3603448 4000 REG/HRWR Y03 - I i 1F-47818 FUEL SURCHARGE MY15ANT30 1.00 1202749 ENVIRONMENTAL CHARGE 1.00 1.00 LSB6055 SERV,CONCRETE HANDLING FEE P aw: ETE DISPOSAL FEE PARTIAL T_ FULL LOAD � YARDS WATERADDED:.-. -.oAL YARDS RUM RADD acorn CURB LINE CROSSED AT OWNER'SIADENVS REQUEST: awiu DLOADWASTESTED BY: I eeuNrvEesa. PREV TRK: LOOM5403 JEFFWRYGIMILITER LORD. NUMB 4 I 0 IE ZZCsmmX 1, Ddyou do youro0'oM ofwW DId you d**hmwdt9 od you uto yowr♦oBObt vd,al atawpa+>pl' Dd ynu uee yuuraefey aonwT adyuuwmutmrotnidehv�hrbdApe0t'j tdw 54830082 PItnL• 8"In Lwdbp: To Jobl•• Mho Job: I SpKUnlwdt I Flnleh Untadi Law Job: I ReWtn pw* I �aerreee. gpwwwv.. 3013169 MOSLEY & SON CONSTRUCTION 40978006 M4T— ALL JOBS Tkim0 . D.twTbs... �.05/15/18 WAWA FLORESTA & PRIMR VISTA orew,yww�cww cvow mpk-r4r a0wce 1pM 440 05/15/19 NO PO �� 1 nd®cllqurray_._ „ ; j TRbI WK.' O�t23 6.50 19068036 1cn JCHIV•94HRT I annaa.a,..-.. _., 4u7try oV "® wiwucooe 'rnooudnw oucumow .,Mr YNR once AYWNf 10.00 80.00 100.00 1603448 4000 REG/HRWR YD3 MW 15 Ax 7:49 1.00 IM47818 FUEL SURCHARGE ' 1.00 1202749 ENVIRONMENTAL CHARGE 1.00 158605E SERVtCONCRETE HANDLING FEE P ZTE DISPOSAL -FEE PARTIAL _ FULL LOAD 0—•_ YARDS OAVNNER6LL WATERADDED:�..—U GAL YARDS IN DRUM. WHEN ADDED, aaan—m CURB LINE CROSSED AT 0WNEfVSiAG9NT8 REQUEST., O LOAD WAS TESTED 8Y• PREV TRRt 100257S4 TYROWIdIFWORb LOAD NUMt 5 — — — — — — — — — — — — — ------s -- RECEIVED AUG 0 9 2019 ST. Lucie County, Permitting 8079347074 Ticket Page 1 of 1 Ticket # 1 of 1 requested i�1.oldlroudoyoureteNaetleyl CCmCx 54830083 ��Y. Did YW uM y�wMpOppIW M11Bn d 01B pmp¢. Ufdyou utN luw �efayaenw7 , d ddpuormxi�u umW mmyw b dkpudlpOwddarA C PAnk I Bptni-ow g: To Jab.'. AMnJob: ShA Unload: PMI�b Un1aW: lav�Jo6: R�hwn PYnk 2 1 92 a.anreee.: • •ww.ww�.. 3013169 MOSLEY b SON CONSTRUCTION 40978006. MAT— ALL JOBS In"ONa WY "Ad&'w 05/15/18 WAWA„ FLORESTQ 1:,•PRIMA•VISTA 'd+.ryvw.epon: u C,,k�.kbllwaw NP PO 440 05/15/18_ ONYPO Ratd.r N4 Pp wpPapa Mp�+e.l0rim 11ionMner. 135706556 OWN:OY MGRrnr gUAYnf'/ w�inw.eoot rRoouwwN Oe�cas�wx —_. uoY wur►Rce AMOUW 10.00 60.00 100.00 1603448 4000 REG/HRWR YD3 F�1415 AN 0:09 1.00 1247818 FUEL SURCHARGE 1.00 1202749 ENVIRONMENTAL CHARGE 1.00 L586055 SERV,CONCRETE HANDLING FEE P /on CURB RETE DISPOSAL FEE PARTIAL _ FULL LOAD _ YARDS 0LDAD tMINEHe1LL PREY TRKs 10066036 YARDS IN DRUM: WHEN ADDED. LOAD NUMP 6 I' zzcc_msx `DIdydldoy0wd bd*dW 2 DN YOUtdantlytpmda? Did You use YocrQOQQWSWW altW PAV? �a D1lxummrciam.anafr oad�6+mmd� 54830085 PI■nh Bspin Lmdhp: ToJob:'. �Vhjtjvobf, I BNAUrlWd: I Finhb Unload: I Laava Job. TRab.m Planb 2/1092 1e�rcoe.. awes.«xu,.. 3013169 MOSLEY R SON CONSTRUCTION lime. ..._..04w9&w _,....__ 40978006 MAT— ALL .LOBS •TKW. ft WmjAd&w 05/15/18 WAWA FLORESTA & PRIMA VISTA 0 c e�wraeew.e.n NO PO amvooato.m 440 05/15/1S NO PO MVP.o. o.A+.. n4mci1purmy _._• r4m mmim '35706612 C=m y W7ElINLCOCL MOOVC11GN nllCPoIRgM udl vwpm-CE Aww 10.00 70.00 100.00 1603448 4000 REG/HRWR YD3 MAY 15 m B:17 1.00 1247818 FUEL SURCHARGE 1.00 1202749 ENVIRONMENTAL CHARGE 1.00 1586055 SERVsCONCRETE HANDLING FEE P c}w ETE DISPOSAL FEE PARTIAL _ FULL LOAD _ YARDS mUwLQAAl CURB LINE CROSBEOAT OWHER'61AOENTB REDDEST: O LOAD WAS TESTED BY. PREV TRKs L0064623 KRIBdnbrfi&RD LOAD NUMt 7 p000920% ST. Lucie Coin 9 I eeya =041.*w UseV 009DlNwhen10thOP 0 uYe wut tl000ie� cw , c,eb cirbir "W arl Aabm.e w a,WCoft,Dar 3013169 MOSLEY 6 SON CONSTRUCTION 440 05/15/18 nvwcudr ' , INfuNrro: . .. — . pq.dda'Met.:' '&WPAR.w. 46978006 MOT— A1,t_ JOPS NO PP No PO i 05/15/18 ,4fkt4A � FLOR9STA,S,PRIMP VISTA.,, ab.nwe�wan. WLI�JT�IY WMIRY DIIANIifr' W7{IIW.COPC AAOCVe110N Ducumox ou I WrtMVCC AYdMt 10.00 00.00 100.00 1603448 4000 REG/HRWR YD3 1.00 1247818 FUEL SURCHARGE 1.00 1202749 ENVIRONMENTAL CHARGE 1.00 1586055 SERVICONCRETE HANDLING FEE P PARTIAL iW iRY�d1Y�n � ran G'�'reSr !�W 15 wt8s� WATER AOpE0:j.1dL_OAL HNEM.WEADDD � -- eiaRAYu� CURB LINE CROSBEDAI' OW R'SIAOENTS REQUEST: FEE FULL LOAD _. YARDS 13LOADWASr ED Y. tbO<.O. mMwr4 N1.1. Yr PnbfMf e.rpnr/, GAM NLONLRRMO 0 O.nlfrh YiMM•WdPlf�arbW mo�ww.Ynn .ep Mb wOa P^Dr1/Mr OrM�w �yb.bM rro y�pMrOYM MYnw intMbMrroOu CWM ke wWwl MvW rr Ow b..yr�4LL»WdW ,wge✓ bry bliuMAv Prr �Mr'b Yr bnl..1Yh �y0�Yr kbt l,PPirl w0ryt �n�oeMM HN4 MA.0..�w�:...e. �ineue W 1Mfdbrl✓i MrlL.wlt6aoYEan 68UNWERBAL PREV TRKe 10064589 JOHNNMItBtWSON 1 LOAD NUM3 8 1.O4y ueoswrdr*dwW 2OWYou Now h 4 dSgpr�?, R. Ota you u+o roar 9090" whm `obbewooe. cbmrrx.,r 3013169,,,M�SP,LEY & SON CONSTRUCTION pmpia0p tjwY NYr• 40978006 MAT— AQ- JOW 05/15/18 WF)WA, FLORE6TR & PRIMR VISTA, 'onaiwo� 0 .�• _ .'• 'Pq.d PO NnOr. „ NP PO 54830090 440 05/15/18 _ _pOPP.O brt0a NO PO ' uor.wr 1rs�P.aebr+ r O%16 I OM ryTM X uAwdi 000t PpOpp:IgMOd'm BOM I Uw M4fi I /MOM 10.00 90.00 110.00 1603448 4000 REG/HRWR Y03 1.00 1247818 FUEL SURCHARGE 1.00 1202749 ENVIRONMENTAL CHARGE 1.00 1586055 SERV,CONCRETE HANDLING FEE P lQRV 16 AN 0:53 WATERAD4E0:�/%/ GAL DRUM:YARDS IN WHEN ADD. E � v � ebNuuRe CURS LINE CROSSED AT OWNEWSIAOENTE REOUEST: (CONCRETE DISPOSAL FEE awRnn"e PARTIAL _ _ FULL LOAD Q YARDS oLOADWASTE 0 a NVVu Qr Mwn W,Nb HMy MY1b Wa-WAN Mn Wpubr�rbW^VW, bA dr NiCW TERNS YpapanYVanIW MwW rM0.0YnpUroa,vVYpiapT 0afpry VMlMrolflhit/AY dYnlpm lrW qRO aP'OGNNIM CIV4ti1r/VQW bVr rnp OV. P,od aA MYtWMIVtl adbeMM,NOM GUIIDN. WVVvI I.n,rd YL eq d.:nVnW qa.W tOlEflb Mr DW bVn+MW bs'n ww, Vnwtlai nWb WM *NgwAgMO?.{bVtW� mOd10r4�TrNr �tr/ WI9lKaG�Y/,aOwMb IM rM1Yplgrl4, pVOd1b YVJMMT11lpp WRtlwlpbWlOG pditt rW Vl VV00oW k1Mnpro — ,Wntl oaioVy_B.yM�M1WM WIDV ebmVd N.M WMVRMI bVV nwpp AV01011410 SSWIVERBAL PREV TRKv 10064924 RAY f l& LORD NUMt 9 LEIVED 92018nty, Permitting DIdyoudoyoureedeaf~ . \2. Did you Men* hwadn a Did yuo uae Your9MW when St"PNO � L DN ww wewou sswomft? zzc:c-mex 54830095 o�nv coer r ow*Nvft awrcearow 3013169 MOSLEY 6 SON CONSTRUCTION 440 05/15/18 f4eJ.tlaallt .... ...:gryq PA Neer .' .—& PO.NUMrI 49978006 MAT— ALL JOBS PP. Pp NO PP. ! IV)*0ew 06L,"Aon M,oP.ce wpww:calnn 05/15/18 WAWA FLORESTA & PRIMP VISTA DNrYY bWY4E0ri11 . • a`°' • ®dmc� i reuxr. �y.__ . . r , :35707028 !:48 I 6 50 14064589 09203 JOHNNY SIMPSON I UNASSIGNED I r0AUNAL00" raomxwmDmRwnar WN uwtrrucr FWuxr 10.00 100.00 110.00 1603448 4000 REG/HRWR YD3 r MY 15 AN 9:61 r 1.00 1247818 FUEL SURCHARGE 1.00 1202749 ENVIRONMENTAL CHARGE 1.00 1586055 SERVrCONCRETE HANDLING FEE P WATER CURB LINE CROSBEOAT OWNEWWAOERT'S ReCV03T: NCRETE DISPOSAL FEE note _ PARTIAL _ FULL LOAD T YARDS CILOADWASTESTED BY.' NO, wdnrxr rJ mrw•/MV wrinnPuo: PMCnY Kan VP apb�M bWvba MYr utcw,tlNYS MY MYftlOeQ�MermnMtewif�t YwlOrrY Wd0eJe0.td(nYSY� ay�v. w.ns ro r..ppVti: b OYwpw wtlr Ore p paPeq W QMb*Y W W b M •ro r MMy WAYtl tMoM oP rk PWM rMIMpIA w Irtb nbOw CA 14Y� Yme e(bYW�nryW mP+Oew.Y��. Qwb�bd heM MdwgRtlox myryyyb hoMMq b11+OK�YYdNY Year npohr ooretl.gtrabrrl.t�.rCMMM�r�bYG�/�G�r'rbY//M Or4`AhOluAl WGM,b AIRFOOR~� D�IIG"W bMmY�W rs4rybY ✓wMrb.Emrrvl.b'ulm �wY�a.ru by NwWIN�Vomr��d�da+arW Ibderma wrwf un11N w0�bvr niwtp WUNIrEN6N. PREV TRK: 10025754 TYRnWRI(WA LF'ORD LOAD NUM: 10 E youdoyDOr�efotyl ,����� ypu wD your Gately oone+T �„ wY&aoon�+&�a+�ra 54830096 PIsnU gopin LDadlnps To Job: AIIM Jeb: Shn mlood: Finl&h Ualod: LPaw Jabs RwmPW* 2 1092 F , 0oaft rt Duna..rx6 , 3013169 MOSLEY 3 SON CONSTRUCTION Pq acww-Pa4wlla t 40970006 MRT,— ALL SOPS twaD.r D*Mhsa..w 05/15/18 WPWA FLORESTA 6, 0AIMA,V,ISTA, aa.nwevouar. C�J*mx" o cwstD.Y 440 05/15/18 IY,}uVA.FMl.r biCrrPD,Mr,00r. NO PO NP PO. ' NIPP.P Y+f ladsge,llmMCray.. __... � idYIMM.I , 10.00 110.00 110.00 1603448 4000 RED/HRWR YD3 1.00 1247P18 FUEL SURCHARGE 1.00 1202749 ENVIRONMENTAL CHARGE 1.00 1586055 SERViCONCRETE HANDLING FEE P I / Ly CURS LINE CROSSEDAT C NCRETE DISPOSAL F PARTIAL �. FULL LORD __ YARDS 0LOAO T ST¢ DY: Ib✓P• QX ET1nN TW M7��YpM1M1bfro. mNw+N MMPN WHXYNfW�YR OutN YtCW. ■ I WM.,7 YPJtMMrgWT�gdha.��.�,E. wYq PWYyW CWYIw �YMibP. YMbyvy MI YmY q uM Yq 1I p4dMW� Oorcb p Y M tlnbh4ra bebn xlgi M M qaP ,nM O• - _ aoN�allwaW.wnav,Mv,��nn gnol wisNM#1tMnW.tlnMAa Nfa�b 1 � brdryfMrb,�gdmN�iW b •tl,.0 v�lnmWebwhxK,V � _.� _ e MUNWERSAL PREY TRK& 10064589 J'OHNtQMldmidPSD HRY 16 AR10:16 9 YARDSINDRUM: WHENADDED. REQUEST: b LOAD NUM&I 1t L EIVED 9 2018 nty, Permltting 8079350775 Ticket Page 1 of 1 0 54830103 ' �eUtx�Y'�f9wlmRelfs;bfxaedl // �a.t�5�'bf,99uxs�H�ol+es4 � G b s.�tb`7a��veuw.msm.maro�a+o�aa+�4� v � . Pu24 01QIn Lp{WnBf To Job: ,' Am"Job: I suitUnuad: Flnkh UnloW: 4Nve Jobe RMunt PUM: 1092 3013169 MOSLEY & SON CONSTRUCTION 40978006.,,MAT- qLL .TOSS p"o.r D*MY Na ' 05/15/18 .WAWA FLORESTA & PRIMA, VISTA 'od,.rywwiow 1 waw bb NunMr o.-0.reaa.laa. 440 05/15/18 . NO PO NO PO way.p• wyna+.cr.•n '35707304 m °ry 6 N111V "y9R4C008 t+roouenox OltC11VDCR I VOY I WITME I AMOV!(f 5.00 115.00 115.00 1603448 400.0 RED/HRWR Y03 ► W 15 A%11:2D 1.00 1247818 FUEL SURCHARGE 1.00 1202749 ENVIRONMENTAL CHARGE 1.00 1586055 SERVtCONCRETE HANDLING FEE P ETC DISPOSAL FEE PARTIAL _ FULL LOAD _ YARDS s.*oNmuc CURB LINE CR03SEDAT OWNSi2/ApENI'S REQUEST.* wdmkTutw O LOAD WAS TESTED BY: _ WUNIVERS& PREY TRKt 10064924 RAY MRAblM LOAD NUMB 12 SD79128272 Ticket Page 1 of 1 Ticket ft 1 of 1 requested a Dld you de your circle of SAFETY? „C—WIC—}� Did you Identify HA7ARDS? 55054277 Did you use goggles at pump? ,Did you use your safely cones? Did you communicate unsafe cons to dispatchfulhRr efriper9? 7 _1_- Plant- I Spin loadlnps I To Job: Ant" Job: Bhrt Uni"ds I Finish WWI I L"" Job: RNom KwlhC 2 1 5 C. caa: can fww C,~Jte6t.,er o.rvcb.so.s: 3013169 MOSLEY 6 SON CONSTRUCTION 836 04/26/18 .. . •- • NgdP41Ai+Jwr - .• .• • PdrPA.J(u�or •_ —•• ••_•� 4Q978006 _7 qLL, �088 _ •�_„ _, _NO PO NO PO .... __.. — _.__._ .__...._ war.Pc YrP+bvCaMa Tueo.ry 04//22_6_/1,8«�WAWA FLORESTA, & PRIMA VISTA PSL o • „•-•,• ,• E ST MIDWAY —RIGHT ST JAMES— LEFT AIROSO mdncilnurray L FT FLORESTA I ,3SG70814 $e30 T I 5.00 I+OW607 1+4203 J�HNNY SIMPSON UNASSIGNED awLOAOirm ° iii'm w0A4f1fixme°r _ wV-=LC oe nsooWWRPnsW"m sroR I wnrsare� �novRr 10.00 10.00 10.01 1176610 4000 REG YD3 1.00 1. 00 1.00 IETE DISPOSAL FEE PARTIAL _ FULL BAUNWIIAL PREV TRKI APR 26 PH12:11 LE47818 FUEL SURCHARGE 1202749 ENVIRONMENTAL CHARGE 1586055 SERV4CONCRETE HANDLING FEE P CURB LINE CROSSEDAT OWNER'SUOENrS REQUEST: YARDS ' O LOAD WAS TESTED BY: ORIGINAL p L NUMe 1 RECEIVED AUG 0 9 2018 ST, LWG19 6eL+nty, Permitting Did you do your circle of SAFETY? Did you Identify HAZARDS? Did you Use gaggles at PUMP? Did you use your safety cones? Did you communicate unsafe condo dispatchlothar drivers? .I��cmcx A 55054286 Cu Cwv cu wK" GY Jblfn`ur. Qdwovoloft 3013169 MOSLEY & SON CONSTRUCTION 836 04/26/18 40ngwewC .. �b4WWTr ... . vpwvo.nime:c ' "po khtro, ......_ 978006,. Mf T- ALL JOBS NO PO NO PO l t)duttxhc o.uwvad.m lMvof wpimrrd�a 04/26/18 WAWA FLORESTA & PRIMA VISTA PSL wiwy N.euefaw.' ...... ._ . .. ...... ... . _ _ .. - -- - -• • - - fir; .. . - -•--.....� E ST MIDWAY -RIGHT 8T JAMES- LEFT AIRO80 Ad®ial.). ray L FT FLORESTA T•. 135671138` ..�._._. 0321 V11 5.00p� 10065283 1P9252 MPLVIN RODRIGUEZ I UNASSIGNED W1° i�iTY COulllfalu�Mo W ff I lunwuwce I Y0m uIMMbCC A-PW 10.00 20.00 20.Oo 1176610 4000 REG YD3 . 1 WR 26 PH 1:46 1.00 1247818 FUEL SURCHARGE 1.00 y 1802749 ENVIRONMENTAL CHARGE 1.00 1586055 SFrRVrCONCRETE HANDLING FEE P 0 YARDS IN DRUM WHENAODED. CURB LINO C80SSEDAT OWNER'S/AOENTS REOUEST. ETE DISPOS FEE PARTIAL FULL LOAD YARDS 0 LOAD WAS TESTED BY: eeuwrvcRau PREV TRKt 10022607 JOHNNIOWAPSON ----- LOA NUMr-2 Did you do your circle of SAFETY? Did you Identify 11 1 II ! ; Did you use glesat um al pump? •CCm 55053991 your safety Did you use your safely cones? I` • Did you communicate unsete con dispatch/other davors? 0 •�. i; 2/l092 0 � � I MonJoSc aro rM►wbr Nasser, onwxw q I sro t00 5.00 1 068283 1 32 M LVIN il•D,,IGUEX UNASSIGNED a wmv caum °wo0.wem YAWAALaoOt ;[ tnoaaatwN um I mnnoa Amount 10.50 10.50 70.01. 1176610 4 .00 R£G ;� 19 AH11:37 II 1.00 1247816 F EL SURCHARGE t 1.00 1202749E VIRONMENTRL CHR G ' 1.00 1586055 S RVICONCRETE HAN L.NG FEE P 11 DISPOSE FE6 LL 'IAL _ u.. FULORD 13 LOAD daUNVERSIn PREY TRKt ORIGINAL YARDS IN DRUM: WHEN ADDED, REQUEST* LORD NUMt 1 L IVED 9 2018 nty, Permitting ,Aid you do your circle of SAFELY? / jd you identify HAZARDS? Id you use goggles at pump? Did you use yow safety cones? Did you communloate unsafe conditions to i dispatch/other drivers? T• . .d I N.IORM reb: GW1MwNYM: 3013169 MOBLEY & SON CON S7RUI ION 4097B006_-MfiT— ALL JOBS_ iacnwr: ieaae: 04/19/18 PRIMA VISTA 8 FLORES�F�F 55053992 i 'JabMmGr. crfrcad.tom 1 784 04/19/18 • i PA.NwiE.r.' '�Odlf►0.Nx0ir. ... •.. i 5�4 pt) r{O.PO _ .. wotia.. Wppw.ci4tie-.._ .. WAWA BW CORM PSL it nd�af;lnurrav �,� ' I; •� 1 fiunroaraiv :356S6e42 niv. 0.rMtNrry. • udu.• s22 1 5.00 10022589 109946 V CTOR qEL EZ I ASSIGNED tMe TOW" Z WYMMU r"at"0Mq u0u u�rt/FYCC AMM gY�1rtIrY nu�M111Y auurmr 10.50 21. 00 70.01 1176610 •000 REG it I • ! YD3 1.00 1.00 1.00 ETC DISP08RL FEE PARTIAL _ FULL APR 19 rmi1:39 1247818 YEL SURCHARGE � 1202749 MVIRONMENTAL CR E 1586056 ERV, CONCRETE HF>I g INS FEE P ' ;roT.rn.a�o ` cnnrt.,w.e: �owrowr YARDS O ,GAL YARD8 IN DRUM: WHEN l ` WNEN ADDED. i wa"nm SEOAT OWNER'S/AOENTS REQUE9T: 5WNNEesu PREY TRKt 100652g8 ; MELV6WI jWRI�U�2 I DAD NUM: 2 Ad you do your circle of SAFETY? d you Identify HAZARDS? qid you use goggles at pump? ✓Did you use your safety cones? Did you communicate unsafe conditions to. .I ' dispatchrctherdrivem? Ai t II 55053993 0 tuneveoaK a.mnwmp R/1096 3013169 MOSLEY & SON CONSTRUCT i VMYd"o ''* :Pml.dK+ . .. .. 4t978006 _MRT— ALL 7068 a. a 71iN e.IK DY.My/Aeiw 04/19/18 PRIMA, VISTA &-,FLORESTA�. WAWA c • II 1 .Jonx�w: arcee.row: 784 04/19/18 PO NO PO wonaK wa7rd.'od+m. WAWA SW coRNER; PSL mdxcilmurray i iT4AMM W i135656281I QWV" C Y O NA.Ur r.Cda 11. 1 wa I wffP to Ammom 10.50 .1.50 •70.01 11766101p0 RED (I I I YD3 i I Am 19 AN11:50 1.00 1247818 F EE11,,.. SURCHRR6E • ' 1.00 1202749E VIRONMENTAL CHA�t(a 1.00 1586055 SIRVrCONCRETE HR L NO FEE P h it A WATER 0 : DAL YARD8IN DRUM: WNENADDED, f I, aoxnnma rNrRETE: DISPOSAL FEE CURB LI1 I405JEDATOWNER'91ADENT'B REQUEST. NCRETE DISPOSAL FEE ''• I ,� PRRTIAL FULL LORD �1YARDt3 CLOADW41540TED BY: &4 eeuRrveAeAl PREY TRKi 10022589''VICTIMONALEZ . . ! 1P.--. IF LORD NUML 3 RECEIVED AUG 0 9 2018 ST. Lucie County, Permitting so Did you do your circle of SAFETY? i ' Old you Idenllfy HAZARDS? Did you use goggles at pump? , Did you use your safety cones?- ; t. Did you communlcale yyi�n ate conditlons to , dlspalchrother cldvarsp 55053994 1 plmU Bpin Lwdlnpt To Job: .A Ivs Job: Sort Unl 'FIn4h UFJ0Ld1 to"Job: RkumMm 2/1092 0 GMnrOrOv MtMMrNMn.: ' • t CYrs.rnrJ.bmrtt.. PtW WdlrWi 3013169 MOBLEY & SON CONSTRUCT IbN.. '. }� 78k 04/19/iB P'M1fMl C.O.. • +RgMNun. •.• • • • 7, • • •• P�L P.O.N.[OM' OL P.C.I7�m5.R •• 40978006, ALL. JOBS ,. ..'.. No PO .. .. _ NO PO.._.... .M4T- ...._ . _ nonowi MrrMN�dO,.rs .� rnPPpu wa�rie+•r�----. . 04/19/19 PRIMA VISTA & FLORESTA. WAWA SW CORNrFR PSL R'r.a..mw ._.........- .-..__ . --, m�cllmurrSy WA" I "- I �Twratnmew'-- I, •t � 36656354 n I t W.MA'k was - Tra.Mobw DAW Wri». 1 PMYM: 1-t35 5.00 10066393 ! P-07 ,. K NNY MR 0 E , 11NASSIRNED OOA1rIT' OM111MR1 0MMO 00UA vAnA•ALcmv PnD wrm ' M Um ur pmm MIOW(f 10.50 42.00 - 70. 01 1176610 400 r REG II YD3 APR 19PH12f06 1.00 1247SIS F EL SURCHARGE it 1.00 1,a02749.E1pVIRONMENTAL CHARD 1.00 •• L5B6055 S .RV. CONCRETE HAN§L NGI FEE P r : WATEAA DEQ: GAL YARDS IN DRUM: II WHEN ADDED, . AwM.Tvne ' CURD LIP C Q9 EOAT OWNER'SIAOENrS REQUEST: NCRETE DISPOSAL FEE PARTIAL — FULL LOAD ,.YARD9 0 LOAD W J STE ) BY: rememsw.a «...dabvwwn..v.Wdw-r w"w 'mu.»u.�xao wrxonmea�gxL ara.enOwWrd.Y.MMr.r.Lva.maNw � �.�, tbURNERSAL PREY TRKt 100254031•1JEFFOMI IT LOAD NUMB 4 I 0 3013169 MOSLEY & SON CONSTRUCT 4�7800G-.MQT••• RLL JO85._ ,,,-_ , - �aww o.rr'y�eiyi:: 04/19/18 PRIMA VISTA & FLORESTA ifs:. . . WAWA 1 Old you do your circle of SAFETY? Did you Identify HAZARDS? Did you use 9099tes at pump? Did you use your safety cones? Did you communicate unsafe ap.n� t d i dispatchlotherddvore? I'' i 65053997 PISM: eapin Loadlnp:' TOJob: A:dvo Job; efart Unlaad;! Finhh Unload: I LIM Job: RIWMPgM; 2/10 I, i dirxar0oetu+a. aa.ro.euee. y l� 784 04/19/19 r.�. Nuae.F ;Sro..ra'ron-or �,_I 0 PO NO PO WAWA SW CORN+ 9L adccilmurray !� •i t tiSaixww 135656487 1 r si• • 5.Oo 1 065283 1 El52 M LVIN RJDDiIISUEZ UNASSIGNED ai°�ry Pa Am a°tri = WATEMU 0,oe 1• moeuelwxo uar urrtruce �rourr 10.50 52.50 70.01 1176610 4 00 RES YD3 �c .I WR19PR12t43 I 1.00 Le47818 1.00 1202749 1.00 1586055 P SURCHARGE B FEE P I cen.rmm t WATER • D ' OAL WHEN AD D D. I �, � •• ' WHEN ADDED. : egNATYFE . I CURB LI G 0 EDAT OWNEKWAGENTa REQUEST: NCRETE DISPOFEE ,I i +one PARTIAL FULL LOAD YARDS nloADw T sTEO By, Nine. ov dA.r. wq m.Y avlM MrdrtMprt •MnM (NrMrl,b VI IF-CIAIF-CIA U111114.1nY W11Lrroa9lm amiW HWW rN7100npDya�W;7a�Yi asuffKAW PREV TRI(f_ 100683931. Q�NN�jq(�jj ENE 6isfil'"v LOAD/ NUMt 5 RECEIVED AUG 0 9.0;8 5T. Lucie County, Permitting 0 Did you do your circle of SAFETY? lyi Did you identify HAZARDS? Did you Use goggles at PUMP? , Did you use your safety cones? Did you oommunlcete unsafe conditions to ! ' dispatchlother drivers? 55054000 1 zno9a QMTY hit C.MteM W(ib: j• I JOD N/ebv dkwCeO.lpb: 30 13 169 MD,1JLtY 4 UUN .:J,:�:.r.Z [ON t tp, 784 04/19/18 ►IoPnVod.: • �PRjNiN4nr • —• ,• • • • .• i.AS.c➢.c OrtirP.O,NULi; 4Q978006 _MAT— ALL JOBS D Pp 04/19/18_ PRIMA VISTA & FLOREST ` WFJWA SW CDR W WA mdmailmurray • `triw�iom�wi —_� i35656573 ' I' : r cwarba au•a rraala„ow: anrxar i a.aw.. 11126 S.00 1 025403 Il '9801 • J FFREY B IT1rR UNASSIGNED au nY o rvumna dTM wmau. rnooucr:ON r uox van Hutt •rouxr i ; to. 50 63.00 73.50 1176610 Q00 RES YD3 r r 1.00 1247818 1.00 1202749 1.00 1586055 SURCHARGE ONMENTAL CONCRETE i cum C NCRETE DISPOSAL FEE PARTIAL FULL LOAD -YARDS pLOAI M•Aac Ou bIM 110 MM �iK/ rrlg7 b nk'1 RibN1.1.Nf1 ar drupwW. W ib lKCl1L1 �y NMI1YM(.ppYLtyb6n�gYtblb tY9p r QypiYt biM Iwo bmP Nx4 WOR.W rnO.egW mw.ba M. 0.t bhobW Ksh �iMdw n+VgN oo'as.r.:aown.w.�r�m�ugybanx.oaa.�r 4aw wMlr. No mdlbr WyMn ,Hl�awe°'w "' a.°vj 'mw rw negva �••Ma 'r �.a. a�. a.,d�P /�:bOeO muNrvEsaAL PREV TRKa 10065 3 MELV6WIGWRI AFR 19P91:09 E , INS FEE P IED:J OA4 WHEN DDED. ROSIN RU Immm c 011080E0 AT OWNPWWAQSNTS REQUEST: TESTED BY: LOAD NUMt 6 Id you do your circle of SAFETY? `Did you Identify HAZARDS? I Did you use Bodgtos at pump? E C —M ` Did you use your salary cones? , Did you communicate unsafe oondi ions to dispatchfother ddvers? 55054003 Phnu BegIn Loadlna: To Job: I Antes Job: I Suit Un d: I I FInIsh Untaad: Lava Job: JillRaWM PIanC lig/logeI 0 :• ou.bT.,n.O.: Cw7awN.m.: :• 'J.nNWrnr. MkteGlP2.: 3013169 MOSLEY & SON CONSTRUCT ON• 784 04/19/18 rn�..lccds' �Prtj.GfLm.c .- .-. ..•. .' •• _ '+PiO.bnnYi •PbPA(N,bPI — ---- _ NOI pO _ _-_ - -NC) PO — — IYaNU.Y; c.rwY%e0n.i: • Rip Pp: wpRbYCtlwn 04/19/,18 PRIMA VISTA & FLOREST NAWA SW CORNrR, PSL WWA ndgailrurray-_—__ f , 1 ^� I '35656632 'I I 155 1 5.00ppp�pp��11pp022607 .1 9203 J HNNY i(7 6 N unt+Wp"LUNeU .WMNn1Y c GLUMm'! aN7bAW.c'co I�+ MObVcrgll ' N M Umb paw 10.50 73.50 73.50 11766tO 00 REG I� Y03 APR 19 PH L'26 i 1.00 1247816 SEL SURCHARGE I J 1.00 1202749 NVIRONMENTAL CH RRE 1.00 1586055 ERVrCONCRETE HA DIIINO FEE P A �y� Cn:, cMPlalNa:000K bt,+nndaA«nvwwo EnhAwMIQ: Nltl,a.a�lb !*Ceabl clwa 1 c++v� cw.nnta WATS J ED:L OAL YARDS IN DRU : , i WHEN ADDED. I biota CURB IN91CROSSEDAT OWNEWSIAGENISRECIUEST: , NCRETE DISPOSAL FEE , awn�rvPa PARTIAL •_•_ FULL LOAD YARDS OOOAD ' YEBTED BY: Now ow 01 f0 m. ovwi Ow briwWAb NM. vwC.f�7N Wft NLOW. iyJ.Y,.ebaYnw.baw wnP.latvY.YaJJ10m)el.mwW..yy��,, pyw,�y wunlnr+MpOrNtar Yr bmp..Ibr dApOpOYN , EuWiw wwbM YM tl am WOLW �.yNVIa MNM65Yy.lAmbn OaUibik YXIA.1 Ynis OrYY W W �oc,l OlMd1 M• 'bN bheoqd .Aitn Yr w des+ ,wr a b 1M/ hnfi. PMw rt50 b M GOM1ni d RY bdW Yt Fpo-f W mvmWrb.pMr.Nl _ 22 btW nYM. we.akw yp wx.arammon0»,nxm b�'.drwrp. dd yb�dw MVMa ny4nnNnAW MUNIWAIIAL PREV TRKr 100254 3 'JEFFB%?6I ,ITI + I LOAD NUMr 7 L EIVED 0 9 2018 unty, permitting 8079052451 l� I Did you do your circieofSAFETY? ' 1 :CC-t11 Ilk 55054005 Did you identify HAZARDS? Did you use gaggles at pump? Did you use your safety cones? i; ! Did you communicate unsafe dispatohlother drivers? PIanB I S,apin Loads a ,Amin Job: Shr1Un :1 1 FInNh Unload: Laaw Job: Rrlum PWd: 111092 092 it ra,ImwwTwa: /Y arrnrrxma I 3013169 MOBLEY 6 SON CONSTRUCT bN 'A*Abo* -' -, Ntodanr: ..."'-_. .. .. 97A006 4¢MqT-_ALL JOBS O PO ., NO PA 71"INI: 00'"Aada.: Mao rioc04/19/18 PRIMAVISTA b FLORESTA WRWA BW CORNR1 I PBL W�aa,�ibewiit .. .. 11 w'a - WA mdmailmurra (-TtsalCnd.r f .� 135656711 owaaJoa wro. Tw,i eamw awrxer: "uU 1 at4 3.00 1 065283 1 252 M LVIN DAIOUEZ UNASSIGNED aw�i "0r °WMX�mr VAN wmdueem raaburnox uor LIMPI A Amom 5.00 78.50 78.50 1176610 4 00 REG i ) YD3 i 1 I i taPR 19 PH 1:56 1.00 1247818 F E(. SLIRCHARBE 1.00 1202749 E'VI'AONMENTAL CHOE 1.00 1586055'8RV;CONCRETE HRN L NO FEE P ' ceN ptrpkarAuhEtDdv alpnar.aomaa.aMv cwnawn a: wMnwacm mdum ava�gC mcard I w� ar► ! . I! I WATER , 3 D. DAL YARDS IN DRUM: WHEN ADDED. � t I i i l CURB LI! E IOSSEOAT OWNER•S/AOENrS REQUEST. { C tc!EETEFOFEE ALPO FULL LOAD Y($Rfls I D LOAD WAB ESTED BY: - FWWowdamnVal MIRlwg09bp�avrh4wwma140 GPpM3M. IN Cr f}fCIFLTRW—rV= mawnrrt ttwvmr�m.ranTb.arow q(rWlmrfO arperWybfGNrpH WlL N9H pM. IM�b9r bl0rr�wawNn Yi «wsaw mn atrnD•WlowS itWgdw Ywnbr Web�ItMMIv� oar d� G�Ownd+thrd aYNpWbwtlYO 1 NWNNERSAL PREY Tr'tj_jo022601,:; JOHNbA&WFSO' i i LOAD NUMf 8 0 you do your circle of SAFETY? 1 r' GG GX 5 50 5 5 0 91 nu Identify HAZARDS? ou ull got;ples at pump? you use your safety pones? 'l d you communloate u e cogdif�on@40 de"1hiberddv 7 sga I' PanU Bpin : To Jlpb: AMn Job: I cart UnWd: I Flnab UnWd: Lxw Jeb: I RNum PaM: j 0 2/1092 I. �c 3OL3169 MOSLEY & SON CONl�TRUCTION 793 04/04/16 PmWPodc ,vRfb Muni: •.� � .. •. •. _. - •— _._ .. Ad.i1P.q NsrAr . . harPA lAar°r. 4r 78006 .IONS MAT— ALL NO PO NO PO �r��.... ....._I.. ....... — .. 11dwDir ._.. 04(/04/10 PRIMA VISTA & FLORESTA WAWA- SW __. C�IRNER PSL 41pFYq. /IipWia'ftl.m i WAWA .im*vv%w .. - .. .. �Nd oilwurray.......' 1 jiwwiane:r I I I 135625364 w.axn. 1715. mw ma mnrr.nuu: .m.'..o, 1 r00 ;,5.o0 1 0680 1 �20L J FREY 9EITER � ai°umrr o°"�"m"" °awm °r w oaoe PRoouan°wouavnoat 9. Do 1 9. 00 9.00 1'176610 •4000 RES ' 1 .1.00 124�818 FUEL SURCHARSq 1.00 120 749 ENVIRONMENTAL HA BE t 1.00. 15S605S SERV,CONCRETE NANOLINO FEE P I CtNC• C NCRETE DISPOSAL FEE PARTIAL _ FULU I• I YARDS 0 .I UW I IWPWA I MOM YD3, • APR 4 PK 1:09 LYARD¢IN DRUM: WHEN ADDED. CU 'LINE CROSSEOAT OWNER•6:AOENT'S REQUEST: T BY., OBUNWAML PREY TRKt ' Z4 � LOAD -NUMi 1 ORIOINA4 � ; �. L ECEIVEb G 0 9 J9.? County, Permittnq i r:CKeL if i Ui i regL DId you do your circle of SAFOY? � r ,-,,Old you IdentiF/ HAZARDS? I . , �D d you use 9000163 at Pum01 id you use your safety' cones?. I -,,Did �you communicate un$Wo doVdlttons to • I d(spatch/other drivers? n Plant! B &Lo+drn0: To Job:' ArtWr Job: I 6hrl UrtWdi FIn1mh UnloW: '• Lave Jobl . PAn E!%1092 r,fi ' aw>nreoe.: a�+.ir,.: •�' � eu.aw::ou:rufar. od.rrm.rorRa ' 3013169 MOBLEY & SON CONSTRUCTION 343 03/30/18 R��.". •.. �npn1»n• vrtjicT6arinc` WrYpl+irAri _._ 4.978006 MAT -_ALL JOBS T1dM Dtl.: W yAea.i �.—u•owoc 03130ILS -PRIMA VISTA 6 FLO,RX�STA SW CORNER PSL 35616987 o.on,wtr Ww.a TrY04 GMin ner. anwrlwr• • rou» rL'�6yy�pp 5.00pppppp1U�0646P 1 9250 A LRICH JEAN-MARY. 11,1 UNASSIGNED OiMimrY C m1' 4U//r111Y' II�1nUA}eoW PRODUCT" Owavy OM um VMRRUCe IM9VN1 10.50 1105.00 115.50 11766TO 4000 REG YD3 I ' WkR 80 PH 1:14 1.00 1247818 FUEL GURCHAOSE 1.00 1209749 ENVIRONMENTAL CHARGE 1.00 1386033 SERVrCONCREU HANDLIN13 FEE P Ir ' 1• {i ';WATEhA00EDi LZ wi Ydos INORUM: + 1 WHEN ADDED. ' :CURBLI iECROSSWATOWNER'S/AOENTS REQUEST: NCRETE DISPOSAL FEE `'' PARTIAL _ FULL LOAD.' YARDS? - q'LOAD WAS T6&TEO BY, .aa.overww»M'wrwrwpa�awr •) I ® /A� e6uuNEr+ew .1RRVV TRKt 100�6407 JOHNBX,, (1DbO1N v!/ LOAD NUMr 10 E. ? '. : id you do nt!fy HrctAof SAfEFV?I /.,/rc7mc V IU you tdont:Ey HAZARDS? �,�1 you use 9099,00 at pump?, ldou use your safety conas r ' ' to d]sDu ,unloate patchldtherddjafe 55054857 Plitt InLaadlny: oZ: AWY030b: $tMUAloadl Silhh Unload: L&m Jnb: RAwmP 2/1092 ' .� . ..• oaan.caa: ewar«xamr. QngnRfiYNunpn: oPircoe.Yow 3013169 MOSLEY & SON CONSTRUCTION 343 03/_3.0/18• Pr�LvOK_��P�lN:mr aa. .....-.__._......Y., ..__.... _ P.O. O PO fSWFJa.ILi'ble •., ` NO PO j 4 978006 M T- ALL JODS 03/30/18 PRIMA VISTA & FLORESTA SW CORNER PSL r22 5.00 1�022607 ',1Q9203 JtHNNY SIMPSON UNASSIGNED ��� oVtne INiLA7111'A000 rAoauenalloueumex uoY wrhAvcA A11WNr I 10.50 94.50 105.00 1476610 4000 RES YD3 ' I L.00 1847OLS FUEL SURCHARbE t L.00 1802749 ENVIRONMENTAL.CHARGE i 1.00 1/7 s= SERq, CONCRETE HANDLING FEE P { CasA enYA�YAwlsoa:• Aq,.waoar CWc e.w n..r+na• e°°oro.r wrnaa°°.'a ' 4VATEi A ED: 6L YARDSI ' M: WHENA D L.On�i11AP • I• ' AURe LINECr(OSSEOATdWNER'SIADENPertpaurer. NCRETE DISPOSAL FEE dune PARTIAL— FULL LOA YARDS GLOADWASTESTEO 'ay.' Nabr: Ow mm wo mad"m Mal b V"nW.AaY• �wamnr dx\YUW. b,AM ktGULLttnY7. MY%vIWWWsIIGAww rl% [wrYaOiMonkY•tdwW wMp9. b.m. N.w,.•.Y aro nrd madro.,+Yww..nd.a�rnwe.wn •whc�:..naYHtlw\.wwwauA wa ausr e.vul b9AW&W WAMMYNM�^'d ipq NMWMWMx nbMIr OHMaN. iOWAUunl'ObW .ryn.uYW.YCMOMromywbah: Np ti l --- L.••Y\YNr1 .r • • 4..•\M V IIYlWt11.lFl RUNWERSM. PREV TRKs 1006.8393 KENNSR(MNE • LOAD.NUMr 9 __ _ ••ITV.._.^--- -----'— -- --- Did yd 1 a. yaLr Circle e of SATY?: old you ldUhtifyHAURDs? „smC}� 55054 56 - Did you U08 gagpias at pump? Did you u9e your Safety canes? ' Did youcrothmunLCa un afecontwonsto ( t dispetah/aiherdRvar�?•�-. •.�t�.�a�._ • I . 092%'109E I I �;' I I r' • :I I .... i . fQAb-WGWL' QIIIp11YNYn: ,' WImrAO NndF. OId1tCAd (CII.' 3613169 MOBLEY 6 SON CON&RUCTION 313 03/30/18 •fsb•. • A;Aj- 4�978006 - .. -' -- '- .-..._. .� I�•PRIIOI Anil. MAT- ALL JOBS _. . PR{W PS"A'eN.n ••. �•_' tSO PQ •- t31UMPO. italtvr. _. ... 1 ND PD ? I 0 /30/18 PRIMA VISTA & FLON813TA SW CORNER PSL f and ellmur_ray TwAm0fto :1 07 I S.•00 1�086393' 1�420"�7 Kff MALONE I` TjkA8sxGNED OI�M l'f CO My =m iNTRWiCMt IROOIIOTION KRVlgll fell umpma AVOW 10.50 84.00 105.00 1176610 4000 RES YD3 . I ' l � t�Kt80ptt12:81 1.00 T247818 FUEL SURCHARGE : l 1.00 1202749 ENVIRONMENTAL PHARGE S 1.00 IIIWO056 BERVICONCRETE HA DLING FEE P • i rsS3 i, tCRETS DISPOSAL. FEE PARTIAL — FULL W+ewc WON•MI N/NU MyNbRp W+AR �dRNY�ryml��YR01.IPY ��11.1�ID�GbpYIEYIYQM YWtl 0.eRd d�rbl w/iaral a.dyl W�mp0fl p�Y OI�YW Pw IReI'atga.tW(4 (�f AD YARDS. ' WATER 4DOEO; ,4/. ,DAL YARDS IN DRUM: WHENADDED. L' . OWNITVPE l: CURB LINE CROSSED AT OWNEWSIAOEN'Ce REQUEST: , l . TVRe �O LOAD WAs TESTED By: UMNEA M. PREY TRKs 10024499 CHARM4118G LORD NUMB. 6 d you do your circle of SAFETN4; I I Jgqld you ldenlNy HAZARDS? ' ! I "ZMEX •'bld you use goggles at pump? 5 05 85 3 rr//ttd you use your safety dons? rOld you communicate unsafe gOpoltlolietA , dispatdVotherdrivers? �o ,a mwax., ow 14 m. •'•• .• .- o wnrxax:i'tr• awcof.t0" 3013169 MOSLEY 6 SON COJJSTRUCTION 343 03/30/18 PRFuco��. 4 978006 Ra9ic�Nrni �• MAT— ALL JOBS -•__.�_. __. _.�._..._ PR. ". `NO PO No odirF.O.•d�iva�n •.. _..._.' PO 1 t"Oor �. ._ 00 M• AEWu.' ...,...,._.._�.�_�..�.....�.. •WpP�gi µme..•...-. 03/30/18 PRIMA VISTA 6 FLORESTA SW CORNER PSL _ Wmr ailmurray r29� 5.000Tnoo1up024b�9 1 9P84 C RLfi$ SIO[i �� UNASSIGNED aVM IY qMM aVNnnY auAMrtfY m:7: wa[ om"F 4m u0m umpme mww 10.50 '73.50 105.bO i176610 4000 RES YD3 i KW30 02:21 1.00 1247018 FUEL SURCHARGE 1.00 1202749 ENVIRONMENTAL CHARGE 1.00 1586035 SERVrCONCRETE HIINDLING FEE P ! ' f I • GN CMtk1/&mf ft ft,^"dagb p.*Ncfth • Co-,.nrh• , � WATERADDED; OAL • • �ENSIADDED. unxnnme • . i CURB LINE CROSSEDAT OWNERZIIAGENTs REQUEST: NCRETE DISPOSAL FEE ' - a 70Pr PARTIAL FULL LbAp •.- YARDS .0Lbom WAS TESTED BY: e8UNNst"t. PREV TRKr i0067679 Bos- N AUG 0 9 (v8 ST. Lucie Cmmh, Ua.,.,,_ WnIC Bp(n I.aad7npl To Jab: Antes Job:. ahH UAlatl, flnlrh Unbad: Luw Job: R�4un P1� ailo9a Old'you do your circle of SAF6b.TV.? I Did you ldentifyHAZAkDS? „Cjjj }� 55054850 Did you use goggles atpump? Did you use your safety —cones?, Did you.communicate ugsafo copo"on to d18Aelch/nlher drivers? `• • - ' 0�8/1092 I, 1 tlf, Qebn�hdr. C,eIaM WT1C ' •• � •, t P1mnr.bYM.ri+.f. deL,f<d.fpL: 30131.69 M136LEY S SON CONSTRUCTION 343 03/30/16 qcdyi _. Pf�.nry,�,.• ••• •• .•• •. AijrtlPA.eSeLc '-••—_-.•• --' -- n'ELIP.4 Ni,Fr. 4pp„W978006 MAT— ALL JOBS NO PO i No POiktko;t� IN 03/30/16 PRIMA VISTA & FLORESTA SW CORNER PSL adooi3murra --• fi - t 74f;t H7AA [t03 I'5.00 1�t6 67kj, 1`192�0 ' B�D MtMRN '.If''-TNASSIGNED gMN�TIfY WNI111Y n1M1IR�fY WIDWLCOOL fitGpIOTOM DlXPDfIGI IIOY tWFWL AMWf W.50 63.00 100.00 1176610 4000 REG YD3 t 1�1R30AN11:39 t.00 1247618 FUEL SURCHARGE 1.00 102749 ENVIRONMENTAL CHARGE •1.00 1586055 SERVtCONCRETE HANDLING FEE.P ` . i 1 1 ETE DISPOSAL FEE PARTIAL FULL LOA, YARDS i• wATERipDOED: OAL YARDS IN DRUM: " WHEN ADDED, 1 !! .. eaturuaE ' CURB LINE CROSSEDATOWNER'&AOENPO REQUEST: . wee O LOAD WAS TESTED ' BY: ` eauRrveRaAe PREY 7RK1 IOQ22607 JOHN6XIG4WO3ON LOAD KUMt 6 i Dfd you do your circle of SAfE? Did you Identify MAZARDS? !!! U Did you use goggles at PUMP? 1 j Did you use your safelyGorier?Ij���jjj you communicate unsare acRdlllons � dlspatahrothar drivers? 1 . Z. •-55054847 FUnh I Dapin Undln90 • •- • •TO Jo l - . At"Job: Skirl Unroll Frnbh Unlordi Laaw J* Ratum PU 2/1092 1 1 1 ' : • w C&6.. r & m " . . ' u a..eoew,mw: orowcoardew ' . 3013169 MOSLEY 6 SON CONSTRUCTION 343 03/30/la _ NO PQ NO PO 4Q979 60 6 MATS— ALL JOBS _ r .._ --u,n«i;�e._—_. _ r 03/30/1a PRIMA VISTA 6 FLESTA SW CORNER PSL f cdmailuurray I 'na, 1` 5.00 14o226U7, 1+9E03 J�HIVNY BIMPSON. UNASSTONED" j W cu u T� MMMIALWD1 MOWCrgMOfACWT6M .• mm WM►KCa 'Aa1WNr 10.50 52.50 100.00 L176610 4000 RES Y63 + i . p WAR301ali.l:i6 •' L.00 1247a1S FUEL SURCHARGE' 1.00 1802749 ENVIRONMENTAL CHARGE 1.00 11564055 SERV,CONCRETE HANDLING FEE L PARTIAL "UNWERDAL PREY TRKr 16064589 M C c e �/ WHEN AWED. \\ • CURD iN ' ECROSSEDATOWNEIrStAGENra REQUEST: • • O LOAb WAS TESTED OY: _— to ED AUG 0 9 ' 0?° ST. Lucie County, Permitting Dit' ycu do your aircie of SAFM"? l� Old you Identify HAZARDS? , : ' • .���x 55054846 Did you Use 9009108 at PumP7 ' Did you use your safety cones? I i . Did you communicate unsafe r a to ' dispatch/othefddvers? t U Plant Sepin Loacfl6az I Tod b: I Ardv*Job: Sort Unlad: Finch Unteuh Lave Jab: Rnum PY $ :owlar+oe anbwrWn •ft ` •' . . " '. Cmrr baN.m6.r: 00400 10". 1. 3013169 MOBLEY 6 SON Cg1�8TRUCTION 343 03/30/18 iRFltlfu3l.' 'piglxl Niel • • •• - - _. .... I1gMPA lliiE�: �•• ••• • •; oiii4;ir1•MnEr •• : 4 978006 N�jT— ALL JOBS qD PO NO PO + _ � 03/30/16 PRIMR VISTA 8 FL'ORESTA SW CORNER ' PSL ■dFtcilBurray + �wasxmar. _ 135616550 Y LKT;F8 1R 5.00 1116B;$89_ 10M6 ­ MKj VIN'fiODRIRUEX I UNASSIGNED .1 e1rA��1191Y 'X ry u WANiMUM00 P**W1GN I WY vw"J" Al10WR W.50 42.00 100.00 117661'O 4600 AEG r Y03 'MR30ANII:04 1.'0b L247S18 FUEL SURCHARGE' 1.00 120274,9 ENVIRONMENTAL CHARGE .1.00 :`„ : 1589055 BERV CONCRETE HANDLING FEE P t W� t:angnw• � •. WATERAODED: CAL YARDS IN DRUM: s*a s WHEN ADDED, : • � .. enrusvae / CURB LINE CROSSEDAT OWNERWAOENTD REQUEST: i CRETE DISPOSO[ FEE t PARTIAL // FULL LORD YARDS 110NA i Q LOAD WAG TESTEO BY: asUNrvensu PREV TRKa 10064924 ' RAY NQIT9§Aj I L13A6 NUMa 4 i 4 �Old Id you do yoyr circle of SAF6TY4 4 d you Identify HAZARDS?�Em-you useyogrsafet cniR9?` '55654843Id you use your safety oone A/Old you communicate unsafe pdn�iVons to dispatchlother drivers? l Puna Bpin Ladhq: J Anha Jobs aun UjjWdt Flesh Unlaodi UnVoJobt ReWm U 2/1092 '� I 0 N'• .. 11,. w _.1: 0AA1INabMntnn: oerooe.lo.lr ,, 3013169 MOBLEY R SON CON TRUCTION 343 03/30/18 4'978006 MHT— RLL JOBS0 r�iiAi6:�7:. ._.. PO _ ___ NO PO__ lkwom oeeatiranw _�..—..,-- ._._... Myr.p6 wIGiOM*U" 1 03/30/18 PRIMA VISTA 6 FLOhESTA 8W CORNER PSL P 6489 AOm wo.wr�tm n°I�'"'° W7h"Caa rtoouonox IunloN veil uxrraet �lWW $0.50 31.50 100.00 1,176610•,4600 REG YD3 E I I 1 N W 30 &10:49 ` '1.00 124ULS FUEL SURCHARGE 1.00 1200749 ENVIRONMENTAL CHARGE .1.00 1586033 BERV,CONCRETE HANDLING FEE P i I I I ce. w eam�. t I, I:WATERADDED: OAL YARDSINDRUM: WHEN ADDED. I � t j i awxAnms '•t ' CURB LINE CROSSED AT OWNER'SIAOENTB REQUEST: NCRETE DISPOSAL FEE PARTIAL — FULL LOAif ,, YARDS I LdADWASTESTEO BY: UUNMRS& PREY TRKt 104AO7 70HNUX10WPSON 1(" o LOAD NUMt 3 — —�/— —L RECEIVED AUG 097"9 cie County, Permitting DItl you do your circle of SAFETY? ptdyouue WAsatpum ZZCCmCVyou 00 uae tinpptes Bt pump?I:Glll Otd you use your safety cones? ) ' ' Old you communicate unsafe conditions to d+spBfcNofhsr ddvera? 55054839 Pb::b 8p16 LoadkV: To Jabt Ant" Job: Start UnW& FIn4b Unfad: ' Lem Job: Rolumpwft 0 gw+.«cea.. CV.bnrH.m. ciManr,:ub ' aar.c.a.lor»• 3013169 MOSLEY Q SON CONSTRUCTION '.. 343 03/30/1S .. ._. .. .. .. , a ........_ drill .. - ...Q 4 78006 MAT- ALL 3088 t40 PO N Twrow o.nrQ;:r 03/•30/18 PRIMA VISTA ti FLORESTA SW CORNER PSL - � I �3361630:3 i a.axa *� w I1.00 1 r..a"'Z" 082fi07 1 sio"3** 9203 J oma 7 HNNY 8IMp6hN Pieta UNASSIGNED a44 ,, •Qg% I COW I c°"Oua�O10mr I NAWULLcoar I , "i I .WW I tnaPPR" I AMMW 16.30 21.00 100.00 L176610 4000 RES. YD3 t _ MpR9pRNiQ:04 1.00 124781a FUEL SURCHARGE ' •1.00 1902749 ENVIRONMENTAL CHARGE 1.00 W416033 SERV,CONCRETE HANDLINd FEE P k ca+w WATERADDED: " GAL YARDS IN DRUM: WHEN ADDED. • , , agNATupe ' CURB LINE CROSBRI) T OWNER'WAGEMTS REQUEST: CRETE DISPOSAL FEE , PARTIAL . FULL LOAD 'YARD6,;;.'; dLOAD WAS iesYko'!•tivi 4 eauNrvEnsa PREY TRKt 10064SS9 MELVSWIaRIGUEZ t• • LOAD NUMB 2 18078822218 Ticket Page I of 1 Ticket # 1 of 1 requested . !:i ` Did you do your circle of SfiFE7YzKow-max DldyOuidpntliyHAZARDr47 55054838 Did You use 09918s at pump? Did you use your uafety cw0e57 Did YOU communicate unpsife:. Itions tb dl6pptchl0ther driverA'f 10 ' tt: • t :CuM+'C0ft CW Rm �: 'Cweew b4 Nura•r. 3013169 MOSLEY 3 SON CONSTRUCTION wp•acoa: ,peo}aiin.: ' ... __ .._.. .. __ �'vigav6fSny.r 4 978006 MAY— ALL JOBS 1 NO PO 71d.+0.0 f 0i/30/18 PRIMA VISTA b F4DRESTR SW CORNER PSL aMC0010r 343 03/30/18 sb.ai,p0.ea. ' . - ( 1 NO PO L I • �D.nnyinilicteir •.. _ .._ ..... .... �I _. . .... ..... .. ..._ _ ..._: _... .. __............ .. •r6+vini•r .._._.... � ... f • �docilwurray 1 . 1 I3S616266 �1• e30 5.00 102,41189 i 9E5Q MELt N-RODRIDUEZ "UNABBISNED II ` I 0a<°�M I,�T�Iap.Caa. I yuoouct�a(oc w"m vow uRapp,oc ,WaaR, 10.50 10.50 100.00 1176610 4000 RES Y03 f W�IRSOAMS:53 s i 1:00 1947818 FUEL SURCHARGE 1.00. S,E09749 ENVIRONMENTAL CHARGE s,1.00 3586083 SERV,CONCf�ETE WANGLING FEE P f a•e u.a.uua,ea., gp.e+.aabvM1.pws.oem , GMR•CW.amn{c00oy,•.n�.�wcawe ee "rn'• .. IU• II tl WATEh ADDED: GAL YARDS IN DRUM: WHEN ADDED, . I;• 1 1 ' 1 BWlUD4iE ' 1 CURB LINE CROSSEDAT OWNER'BIADENrs REQUEST: NCRETE DISPOS FEE PARTIAL FULL LORD YARDS . O LOAD WAS TESTED • BYt MUNWORML PREY TRKe ORIGINAL I L D NUMii 1 �-RECEIVED AUu 0 9 `"_ ST. Lucie County, Permitting Ptml• BgM Loadlnp: To Job:. Arttw Jab: Sbn DRlad; flM1Uh UM1toWt L•�w Job: R+A�m Plo /1098 ''1'' ' CEMEX SCANNED BY St. Lucie County Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: Customer Code: Customer Name: Project Code: Project Name: I Ticket Date: Delivery Address; Delivery Instructions: r i LL Customer Job Number: Project P.O.. Number: Order Coda I Date: Order P.O. Number. Map Page: Map/Row/Column: Dispatcher: ' Ticket Number. Due On Job: Slump: Truck Number: Driver Number. Driver Name: End Use: - - . LOAD CUMULATIVE OROEREO MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT OUANTITY QUANTITY QUANTITY r.. -i - i• Cash Check#/Auth Code: I Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Check 41I Without Standby Charges: Charge Comments:-RF!•"l=T\/erg: i I WATER ADDED: GAL YARDS IN DRUM: 1 WHEN ADDED. APR 18 I Lucie County_Permittinq' SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: SIGNATURE ElLOAD 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 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. 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. 68UNIVERSAL - INVOICE I]�ji l •Ir-)�,' " This Delivery Ticket incorporates herei- reference Buyer's previously executed C—dit Application, if any, Seller's Standard Terms and Conditions. Seller's Quotadt any, and Seller's Order Confinnation (ii ling limitations of warranties), as if fully set forth on this Delivery'ficket ("Agree ------ t" ). Seller will provide the Standard Tem.. —A Conditions upon r(Auest. 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, 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 dustmay_cause in-itation.to-eyes, skin; and/or -respiratory tract.-Dusr-from-handling; crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. if ingested, keep wann, 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 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01/17 For more information please visit www.cemexusa.com. Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier termino estindar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci& del vendedor (con limitations y �arantfas), como acuerdo total del ticket de entrega (" Coutrato"). El vendedor proveera Jos tzrminos estandares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que ]as cantidades y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato: al menos que se identi- fique con una rota al frente de este documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomira, granito, rota volcanica, arena, Brava 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 conereto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, coca volcanica, arena, Brava, y otros materiales silicios. Estes productos incluyen cenizas volantes (fly ash) ]a 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 piel y Ojos, y reactions aldrgicas 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 silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura calida, reposar v 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, irritaci6n o quenmduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en la duraci6n 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 I'rimeros Ideuiada para protecci6n. Lavese las mans con jab6n suave y agua despues del manejo de materiales. Evite inhalar auxilios: 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 pane afectada por 15 minutos. Si se inhala polvo, exp6ngase a wire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n medica inmediatamente si la irritaci6n continda. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 �ontbivado Houston, Texas 77043 01/17 Para mas informaci6nvisita www.cei I L IC r. I y ti)cf,c.j, Plant: Begin Loading: To Job: Arrive Job: Start Unload: Flnlsh Unload: Leave Job: Retum Plant: Customer Code: Customer Name: Project Code; Project Name: i Ticket Date: Delivery Address: I Delivery Instrudlons:FIE- 7, , — Ir�¢�✓ L _l Customer Jab Number: Project P.O. Number. Order Cade / Date: Order P.O. Number: Map Page; Map/Row/Column: Dispatcher: Ticket Number: 'Due On Job: Slump: Truck Number: Crlver Number: Driver Name: End Use: LOAD CUMULATIVE I ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNITPRICE AMOUNT QUANTITY QUANTITY QUANTITY Cash Check # /Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Check Without Standby Charges: Charge Comments: 1 WATERADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: � JI V IVN I V M1C ❑ 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 irritation. CAUTION: Material terms of sale and delivery and accepts concrete as is. Due to important factors which are out of our may be hamrdous to your safely 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 Infornafion, 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. 1 68UNIVERSAL INtvnlrc This Delivery Ticket incorporates herein by reference Buyer's previously executed rlit Application, if any, Seller's Standard Terms and Conditions, Seller's Quotatic any, and Seller's Order Confinnation (ir ling limitations of warranties), as if fully set forth on this Delivery'i'icket ("Agree... -..I"). Seller will provide the Standard Term, u,,d 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 / CLME 'Q' / (_'(;` BETE PRODUCTS / FLY ASH Aggregate products arc naturally occurring materials incle. timestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous matcri tls Cement products include PortlandlLpinent, masonry, poaolan (Type IP), roof tile, and stucco. Concrete products include Po- Hand cement and a",n p , - i)RICILIAlk4luding limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous ntau:6als. These; products. incirxtmg 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 to eyes, skin, and/or -respiratory -tract. Dust_fromjlandling,_ -- — --crvshurg, gnnding,-cutting and/or drilling may contain silica, whrcli may cause silicosis and cancer if inhaled. 11' 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 hf.ms 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. 11irNt Aid: hL cat:. 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 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01/17 For more information please visit www.cemexusa.com. Este ticket de entrega incluye como referencia at comprador (ya previamente ejecutada en su aplicaci6n de crddito); cualquier t6nnino c:ahndar, 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 tdrminos est3ndares 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 nateriales fueron cmrcgadozcorho se expresa en el mismo. Acepta pagar of monto de acuerdo al contrcto: at menos que se identi- fique con una nota a1 frente de este documento. / YKOV UU I O5 VE UONUREi 1'O / UEN1'GA5 Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, coca volcanica, arena, Brava y otros nmteriales silicios. Los productos do cemento incluyen Cemento de tipo Portland, de albatiilerfa, pozzolan (tipo IP), az.ulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, roca volcanica, arena, Brava. y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la coal puede contener mas de 0.02517a do silicio cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar in itaci6n en los ojos, quemaduras en piet y ojos, y reacciones d6rgicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en Ins ojos, piel y/o en la zona respiratoria. Polvo del manejo en el trituramiento, pulido, cone y/o perforaci6n puede contener materiales siticos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de set ingeridos,mantenerse 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, irritaci6n o yuemadtuas en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en Ill duraci6n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la pie]. Use guantes, protecci6n en los ojos y ropa Primeros adecuada para protecci6n. Ldvese ]as mans conjab6n suave y agua despu6s del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mas de Ins limites recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente 11uya agua en la parte afectadapor 15 minutos. Si se inhala polvo, ezp6ngase a aire fresco. Si el cemento fresco tiene cony ,to con sus ojos, ]ftvelos a fondo con agua. Acuda a atenci6n m6dica inmediatamente si la irritaci6n coutinda. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 VS combinado Houston, Texas 77043 01/17 Para mils informaci6n visita www.ce Zzmi-nax 55054830 Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Retum Plant: Customer Code: Customer Name: 'Customer Job Number: Order Code/Date: Protect Code: i Project Name: Project P,O. Number. Order P.O. Number: Ticket Date: Delivery Address: Map Page:; . Map/Row/Column: Delivery Instructions: Dispatcher. Ticket Number: Due On Job: Slump: Truck Number: Driver Number: Driver Name: Entl Usa: QUANTITY I OQUANTITYLOAD UMUTIVE I QUANTITY ORDERED MATERIAL CODE I PRODUCTION DESCRIPTION UCM UNIT PRICE AMOUNT Code: Check Receiving Cash: Cash Received: I Total COD Order Amount to Collect 1 "'• WATERADDED: _ GAL YARDS. IN DRUM: WHEN ADDED, APR 18 2C,$ L cie County, permitting SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:. 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�4t cust4ars own �Isk: if water is added an job, concrete strength Company assumes no responsibility for damages Inside curb or property line. Customer agrees to the Is no longer guaranteed. WARNINrI:/Product'may cause akin end/or eye Irritation. CAUTION: Material teens of sale and delivery and accepts concrete as is. Due to Important factors which are out of our may be hazardous to your safety ¢gntl health! Plees9fefar 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 Inorm lon,entl foI eteflalsafety data sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us In writing AUTHORIZED SIGN ATURE:/� within one business day after the receipt of mstedals. BBUNIVERSAL This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any; Seller's Standard Terns and Conditions. Seller's Quotation any, and Seller's Order Confirmation (in ing limitations of warranties), as if fully set forth on this Delivery Ticket (`Agrees-_----"). Seller will ide the Standard Term., .. J Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantitied items were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. AGGREGATE / CEMEANOY / UUNUKE7 E / k L X A,11 Aggregate products are naturally occurring materials inLWrA?ng 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. 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 to,eyes -skin,- and/or .respiratorytract. Dust-fron-rhandhrig; -=— --=—=crushing, grndino`cutting and/or drilling maynta coin silica, which may cause silicosis and cancer if inhaled. if ingested, keep wann, 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 Hemtann Tower 10100 Katy Freeway, Suite 300 V8 combined Houston. Texas 77043 01/17 For more information please visit www.ceniexusa.com. Este ticket Lie entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de eredito); cualquier termino estiindar, 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 proveerd Ins tzrminos estdndares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta Ins mismos ya antes mencionados y que las cantidades y materiales fueron entregados como se expresa en el mismo. Acepta pagan el monto de acuerdo al contaato; al menos que se identi- fique con una nota al frente de este documento. ADDS/CEMENTO/ VE l-;UNUKEl U / Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, rota volcdnica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albai3ilerfa, 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 mils de 0.025% de silicio cristalino. Peligros: Mezela de cemento fresco y/o cenizas volantes pueden causar irritaci6n en Ins ojos, quemaduras en piel y ojos, y reacciones alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en Ins ojos, piel y/o on la zona respiratoria. Polvo del manejo en 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 set ingeridos, mantenerse en temperatura cdlida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar In liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o quemadm as en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en la duraci611 y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use:guantes. protecci6n en Ins ojos y ropa Prittteros adecuada Para protecci6n. Ldvese las mans con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mds de Ins limiter 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 cemento fresco tiene contacto con sus ojos, ldvelos a Tondo con agua. Acuda a atenci6n mcdica inmediata uente si la irritation continda. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 Lombinado Houston, Texas 77043 01/17 Para mds informaci6n visits www.cei Arc l= A C 55a554843 Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: p?; Customer Code: Customer Name: Project Code: Project Name: Ticket Date: Delivery Address:. Delivery Instructions: Customer Job Number. Order Code / Date. Project P.O. Number. Order RO. Number - Map Page: Map/Row/Columns Dispatcher: Ticket Number: Ir Due On Job: Slump: Truck Number Driver Number: Driver Name: End Use: j:if` 'n lle17 LOAD CUMULATIVE ORDERED QUANTITY QUANTITY QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT I ,_ I Cash Check k /Auth Code: Signature of Driver Recelving Cash: Cash Received: Total COD Order: Amount to Collect ] Check Without Standby Charges: - Charge Comments: -- WATERADDED: GAL YARDS IN DRUM: RECEIVED _ WHEN ADDED. APR 18 L'J1U I SIGNATURE,I ST. Lucie County, Permitting CURB LINE CROSSED AT OWNER'S/AGENTS REQUEST: r ,,_v.�i *1r 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 awn risk. If water Is added on job, concrete strength Company assumes no responslblllty for damages Insido curb or property line. Customer agrees to the Is no longer guaranteed. WARNING: Product may cause aide end/or eye InItatlon. CAUTION: Material terms of sale and delivery and accepts concrete as Is. Due to Important factors which are out of our may be heamdous'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 addItionel 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. 68UNIVERSAL . " ". , '1'r r 'Cl„ ,'I `- i , at ' INVOICE' This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any; Seller's Standard Terns and Conditions, Seller's Quotation try, and Seller's Order Confirmation (in ing limitations of warranties), as if fully - set forth on this Delivery T icket ("Agreer........ ). Seller will provide the Standard Tenn- —.1 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 / CEME�:IN CONCRETE PRODUCTS / FLY ASH Aggregate products are naturally occurring materials in&uding 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. Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye bums and allergic skin reactions. Dry concrete and aggregate dust may cause.initation to eyes, skin, and(or respiratory_tract. Dust. from.handling,. =-- — -----crushing, grinding,—ctittin and/or drifling inay contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warn, 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 imitation or burns of the nose, throat and ]nngs. 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 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01/17 For more information please visit www.cemexusa.com. Este ticket de entrega incluye como referencia al conmprador (ya previamente ejecutada en su aplicaci6n de cr6dito); cualquier t6rnino estandar, condiciones del vendedor, propuestas del vendedor y orden de conFirmaci6n del vendedor (con limitations y garantfas), como acuerdo total del ticket de entrega ("Coutrato"). El vendedor proveera los t6rminos est'andares 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 en el mismo. Acepta pagar el monto de acuerdo al contrato: al menos que se identi- fique con una nota al inente de este documento. XLUAVUl / ULIV1EN1 U / FKU1JUh'1'US llE UONUKETU / ULINILAS VULANl'ES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, rota volcdnica, arena, gravy y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, tie albariilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, coca volcdnica, arena, grava, y otros materiales silicios. E-stos productos incluyen cenizas volantes (fly ash) la cual puede contener mils de 0.025%, de silicio cristallno. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en piel y ojos, y reactions al6rgicus 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 set ingeridos, mantenerse en temperatura c1lida, 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, irritaci6n o yuemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en la duraci6u 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 proteccidn. LSvesc las mans conjab6n suave y agua despu6s del manejo de materiales. Evite inhalar auxilios: polvos. Si se expose a polvos m3s de los limites recomendados, use protecci6n respiratoria. Prinmeros 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 imnediatantente si la irritaci6n continua. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 01/17 Para mils inforrrnaci6n visita waw.cei Plant: Begin Loading: To Job: gnrive Job: Start Unload: Finish Unload: Leava Job: Return Plant: Customer Code: Customer Name: Project Code: Project Name: TmketDater Delivery Address: Delivery risirucfib;s: i . 00 LOAD CUMU QUANTITY QUANTITYLATNE QORADEREDTITY MATERIAL CODE UN Cash Signature of Driver Receiving Cash: Customer. Job Number' Project P.O. Number. =LU hi RODRIGUL_< PRODUCTION DESCRIPTION Order Code/Date: ' Omer. P.A. Number. IT' v Map Page:_ Map/Rdw/Columm , Dispatcher: _ Ticket Number. ,>rC/ i F..41 iU r Cash Received: 11r f `aG T f7,i1 .D UOM •UNIT PRICE AMOUNT t. v ;,.,11:li�. Comments: - - - -- WATERADDED: - - GAL YARDS IN DRUM:, WHEN ADDED. • .. ., , _ SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: _ JNC'R TI_ DISPOSAL r-E r`FiR7 T_; aL FULL LORD YA R.Dt 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 awn risk.'Ifwater 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: Productmaycause akin 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 backsideof 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 date sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us 1n writing AUTHORIZED SIGNATURE: within one business day after the recelpt of materials. 66UNIVERSAL r-'Rt-t T PI' : L <r{.Ir;r, C'IOti RAY MOf R T S lei\/!\If�C This Delivery Ticket incorporates herein `-- -4erence Buyer's previously executed C—,ra Application, if any, Seller'sStandard Terms and Conditions, Seller's Quotation.. ty, and Seller's Order Confirmation (inc rg limitations of warranties), as if fully - set forth on this Delivery Ticket ("Agreement ). Seller will provide the Standard Terns anu 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 / Yl(ULUf-16 / NLY A6n 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. 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 to eyes, skin, and/or respiratory tract. Dust from handling,_ crushing, grinding, cutting and/or drilling may contvir silica, which may ciiuse silicosis and cancer if'inhaled. i f ingested, keep wann, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of anuno- 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 eves 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. Fic;t Aid: hr 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 10100 Katy Freeway, Suite 300 V8 combined Houston. Texas 77043 01/17 For more information please visit www.cemexusa.com. Este ticket de entrega incluye conro referencia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier termino estdndar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y garantias), como acuerdo total del ticket de entrega ("Contrato"). Ei 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 mencionados y que las cantidades y materiales fueron eutregados como 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. AGxr,(TAl)ui / ULL ILIN 10 / ULS UUNI—KL+ I U/ l EINIZ AJ V lJLA1V I L' .7 Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, rota 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 estrco. Los productos cle concreto inchtyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, rota volcdnica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener mils de 0.025% de silicio cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en Ins ojos, quemaduras en piel y ojos, y reacciones al@rgicas en la piel. Concreto seco y polvo de agregados; pueden causar irritaci6n en Ins ojos, piel y/o en la zona respiratoria. Polvo del manejo en el trituramiento, pulido, code 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 edlida, reposar y tomargrandes 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, irritaci6n o yuemaduras 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. Seguridadi Evite el contacto con ojos y contacto prolongado con In. piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuada para protecci6n. Ldvese ]as manos con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar auxilios- polvos. Si se expone a polvos mds de los limites recomendados, use protecci6n respiratoria. Prinreros 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, Idvelos a fondo con agua. Acuda a atenci6n m6dica inmediatamente si la irritaci6n contimla. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V3 combinado Houston, Texas 77043 01/17 Para mds informaci6n visita www.cemexusa.com. r.. 6505484T a Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job; Return Plant: Customer Code: Customer Name: Customer Job Number: iProject Code: Project Name, Project P.O. Number: Ticket Date: Delivery Acidness: j Delivery Instructions: Order Code / Date: Order P.O. Number: .Map Page: Map/Row/Column: Dispatches Ticket Number. Due On Job: Slump: Truck Number: Driver Number: DrNer Name: End Use: , •'-ii� LOAD CUMULATIVE I ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY I QUANTITY QUANTITY F r - •rl i_I --..... Cash Check p /Aulh Code: I Signature of Driver Receiving Cash: Check Cash Received: I Total CC Without Comments: LAPR IIVED WATER ADDED: GAL YARDS ENADDED.IN M. 8 2018 SIGNATURE ty, permitting CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: Ji'CRUT I-" DIrTOf',?''.. 1-'f= _ SIGNATURE rer}•••.r Tfii_ 'Ji_._ � �1�:D �, '1 F; Dii --" - -" —" ❑ 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.: tfwater Is added on Job, ecnwete 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 end/or eye Irritation. CAUTION: Material terms of sale and delivery and accepts concrete as Is. Due to Important factors which ere out of our may be hazardous to your eatery and health. Please refer to the backside of this ticket for important wntrol after delivery, this Company will not accept any responsibility for the finished results. No credit for safely.hondling Information, and to the material safety date sheets for additional Information, returned concrete. Buyers exceptions and claims shall be deemed walved unless made to us In writing AUTHORIZED SIGNATURE: within one business day after the receipt of materials. 68UNIVERSAL '�i�i_'� TRI'.nF.-1 `; ).:�.. r''..IrI !01�1) i'1,r.1, 1, This Delivery Ticket incorporates herein t.,, reference Buyer's previously executed C-clit Application, if any, Seller's. Standard Terms and Conditions, Seller's Quotation ny, and Seller's Order Confinnation (inc ig limitations of warranties), as if fully - set forth on this Delivery Ticket ("Agreerr.,,... ). Seller will provide the Standard Terns ,..... 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 th_e At. AGGREGATE / CEMENT / CO1 CRETE PRODUCTS / FLY ASH Aggregate products are naturally occurring materials i rcluding 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. Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye bums and allergic skin reactions. Dry concrete and aggregate dust_may cause imitation to eyesskin, mtd/or respiratory_tract,Dustirotr>_handling;: -----crushing grgrinding.�cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep wane, 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 cougl-ing 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 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01/17 For more information please visit www.cenicxusa.com. Este ticket de entrega incluye como referencia al comprador (ya previantente ejecutada en su aplicaci6n de cr6dito); cualquier t6rrnino estindar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y earantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedorproveera 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 enu•egados como se expresa en el mismo. Acepta pagar el manta de acuerdo al contrato; al menos que se identi- fique con una nota al frente de este documento. DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, aranito, coca volcfmica, arena, grava y otros materiales silicios. Los productos de cemento inchryen Cemento de tipo Portland, de albat5ilerfa, pozzolan (tipo IP), azulejo de azotea y esmco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito. coca volednica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener mas de 0.025%n tie silicio cristalino. Peligros: Mezela de cemento fresco y/o cenizas volantes pueden causar irritation en los Ojos, quemaduras en piel y ojos, y reacciones al6rgicas en la piel. Concreto seco y polvo de agregados, pueden causar iritaci6n 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 set ingeridos, mantenerse en temperatura edlida, reposar v 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, iritaci6n o quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El rjesgo 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 protecci6n. Lavese las manos con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mas de los limiter recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 1.5 minutos. Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a rondo con agua. Acuda a atenci6n m6dica inmediatamente si la irritation contin6a. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 VS combinado Houston, Texas 77043 01/17 Para mas infor•maci6n visita www_ce Y t `��cmcx 1 r, 55954850 Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Rat um Plant: Customer Code: Protect Code: Ticket Date: Delivery Instructions: Customer Name: Project Name: Delivery Address: Customer Job Number: Omer Code / Date: Projact.P.O. Number. Order P.O, Number: , ,t ( Map Page:'. Map/Row/Column: Dispatcher.. Ticket Number: Due On Jab: Slump: _ Truck Number: Orive� Number. Driver" Jame: - End Use: - - 'lrl l�rr r/- rr r} I l' r..r )-. 1.' .L_. rr� ' _ I,'Ar rl. LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTITY Cash Check #/Auth Code: Signature of Driver Recelving Cash: Cash Received: Total COD Order Amount to Collect Check Without Standby Charges: Charge Comments: RECEIVED WATER ADDED: GAL YARDS IN DRUM: WHEN:QDDED. ` APR 18 20i8 - - ST, Lucia County, Perm_itting SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: c'I-r '•'L '��_.: f;"rt �, 11i'. r'_, SIGNATURE T ❑ LOAD WAS TfSTED BY: Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Any w r atltled Is elcus[omers own nsk. lfwater is added on lob, concrete strength Company assumes no responsollity for damages Inside curb or property line. Customer agrees to the Is no longer guaranteetl. WA ING: Praductmay cause skin and/or eye Inileticn. CAUTION: Material terms of sale end delivery and accepts concrete es Is. Due to Important factors which are out of our may be hazemcus to your safe antl health. Pleas 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 lnfonnatjojj: tot material selety ato sheets for eddltional 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. 66UNIVERSAL,.Llr- This Delivery Ticket incorporates herein h- -'eference Buyer's previously executed Crarnt Application, if any, Seller's, Standard Terms and Conditions, Seller's Quotation ny, and Seller's Order Confirmation (inc ig limitations of warranties), as if fully - set forth on this Delivery Ticket ("Agreem..,,. ). 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. AliUXhUA 1 h 1 U 1V1A,tN 1 / UkJfNUKL' 1 L' YKIJUUl7.J / V LY A6n Aggregate produces are naturally occurring materiaiswqincluding 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. Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin tnd eye burns and allergic skin reactions. J Dry concrete and aggregtae dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling, -- ci utiliing; ggrinding; cuttnrg and/or drilling maycontain-silica, which may-catise-silicosis-and-cancer'iPinhaled. If ingested, keep warn, it rest, and drink large amounts of water. Fly Ash may contain trace amounts of armo- nia. Moisture can cause the ammonia to be released. inhalation of ammonia can cause coughing and irritation or burns of the nose, throat and ]rings. See physician. Health risk depends on duration and level of exposure. 1 Safety: Avoid contact with eves 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. I,irsl Aid: In cast: 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 10100 Katy Freeway. Suite 300 VS conbined Houston. Texas 77043 01/17 For more information please visit www.cemexusa.com. Este ticket de entrega incluye corno ref'erencia al comprador (ya previamente ejecutada on su aplicaci6n de crddito); cualquier t6rmino esuindar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y garantias ), como acuerdo total del ticket de entrega ('Contrato"). El vendedor proveeri los tdrminos estandares y condiciones detal- lados en trio de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que las cantidades y materiales fucron enn•egados corno se expresa en el mismo. Accpta pagar of monto de acuerdo al contaato; al menos quo se identi- fique con Una nota al frente de este documento. AGREGADOS / CEMENT O / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales corno piedra caliza, dolomita, granito, rota volcanica, 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 do concreto inchryen cemento Portland y productos de agregados corno piedra caliza• dolomita, granito, rota volcanica. arena, grave, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener mils de 0.025% de silicio cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n on los ojos, quemaduras en piel y ojos. y reacciones al6rgicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n on los ojos, piel y/o on la zona respiratoria. Polvo del manejo en of 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, mantenerse 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 inhala6i6n del amoniaco puede causar toser, irritaci6n o qucniaduras on la nariz, garganta y pulmones. Acudir inmediatanente al medico. El riesgo on 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 on los ojos y ropa Primeros adecuada para protecci6n. Lavese las manos con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mils de los lirnites 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 sire 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 10100 Katy Freeway, Suite 300 VS combmado Houston, Texas 77043 01/17 Para macs informaci6n visita www.cei Ct N c-mcx 55054858 Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: Customer Cade: Customer Name: Project Code: Project Name'. Ticket Dater DeliveryAddress: Delivery Instructions: Customer Jab Number: Project P.O. Number, Order Cade / Date: Order P.O. Number: Map Page: Map/Row/Column: a Dispatcher. Ticket Number. as On Job: Slump:' Truck Number: Driver Number. Driver Name: End Use:. rlg1C_ E 17, Ilir '- LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNITPRICE AMOUNT QUANTITY QUANTITY QUANTITY v1 Cash Check#/Auth Code: I Signature of Driver Resolving Cash: (Cash Resolved: I ToW11@I COD DOut der Amount to Collect Check Comments: WATERADDEDt GAL 'YARDS IN DRUM: IRECEIVED ..WHENADDED.•-, u/ APR 18 L'1,+pQ ' SIGNATURE ST. LuCIC County, Permitting CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: 'A`t7 tAL FLI!_! LD'?D YARD^ :SIGNATURE -" -"- "�- ---- CI 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 Irritation. CAUTION: Material to ns of sale end 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 informallon, 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 materiels. 0 68UNIVERSAL ❑(,FV TF/K. II IC,7r',-Trj 1:'.011 I DAD r!�i, "I ', ' This Delivery Ticket incorporates herein'--•-�ference Buyer's previously executed C-dit Application, if any, Seller's -Standard Terms and Conditions, Seller's Quotation, iy, and Seller's Order Confirmation (inc ig limitations of warranties), as if fully set forth on this Delivery Ticket ("Agreemum ). Seller will provide the Standard Terms .Y... 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. l h: / U LIV1h:N l / UU,04UKE I h: YK00UU'1'S / YLY 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. Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye bums and allergic skin reactions. Dry concrete and aggregate.dust.may_cause irritation_to-eyes,.skin,-and/or-respirator-y_tract. Dust fix handling;_ ciushmg, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warn, 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 barns 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 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 O1/17 For more information please visit www.cemexusa.com. > ste ticket cle entrega urctuye como reterencia at comprador (ya previamente ejecutada en su aplicaci6n de erddito); cualquier t6rmino estindar, condiciones del vendedor, propuestas del vendedor y orden de confirniaci6n del vendedor (con limitations y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera Ins ttrminos 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 expresa en el mismo. Acepta pagan el monto de acuerdo al contaato; al menos que se identi- fique con una rota al frente de este documento. AUKE(JAOUN / C;h;MEN'1'0 / YK01)Ul 1'US llh; C: V ULAN TES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, rota volcanica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo 1P), azulejo de azotea y estuco. Los productos de conereto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, rota volcanica, arena, grava, y otros materiales silicios. Estes productos incluyen cenizas volantes (fly ash) la cual puede contener mas de 0.02561a de silicio cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los Ojos, quemaduras en picl 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 perforaci611 puede contener materiales silicon, los cuales pueden causar silicosis pulmonar y cancer 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. Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritation o quemaduras en la nariz, garganta y pidmones. 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 guantes, protecci6n en los ojos y ropa j Primeros adecuadu para protecci6n. Ldvese las manos con jab6n suave y agua despues del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mas de los limites recomendados, use protecci611 respiratoria. Prinreros auxflios: 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 medica inmediatamente si la in-itaci6n continua. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 c ombinado Houston, Texas 77043 01/17 Para rods informacion visits www,cemexma.com. 7 AIA16 CCMC-X 55954855 Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Ratum Plant: I Customer Code: Customer Name: ,h ,'l c-I: I Project Code: Project Name: ' Tickel'Dale: Delivery Address: ri , I, I _ ;,n; A Delivery Instructions: 0 Customer JobNumber. Project P.O. Number. I" Order Code / Date: Order P.O. Number,. Map Page: MaplRow/Column: Dispatcher: Ticket r. pNumbe '_It, . (,g10 't Dee.On Job: Slump: Truck Number: Drives Number: Driver Name: End Use; .I_ - u {'f -10"P �:1_ -�•-i�_(r�. li _ .I r. .. I'rl (-;�-17'.' I ti,l Pr,r;1L�.'1-T^ LOAD CUMULATIVE ORDERED I MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY I.QUANTITY QUANTITY Check#/Aulh Code: i Signature of Driver Receiving Cash: Check Received: to Comments: RECEIVED - WATERADDED: /T GAL YARDS IN DRUM:. WHEN ADDED. ' APR 18 2018 sT. Lucie county, PermittingSIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: --- aft r T FlL __ — ;_p;Ut z) YrjRri 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 dsk, If water is added on job, concrete strengm 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 imitation. 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 foradditional. 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, 68UNIVERSAL r'nE'u TR "l V 1 -�1. f7ri I -0 f1 i01t.1 ti INVOICE This Delivery Ticket incorporates herein 1 ference Buyer's previously executed Cr-'-" Application, if any, Seller's'Standard Terns and Conditions, Seller's Quotation, iy, and Seller's Order Confirmation (ind g limitations of warranties), as if fully set forth on this Delivery Ticket ("Agreement). Seller will provide the Standard Terns anu Conditions upon request. Buyer agrees that. unless otherwise noted on the front hereof', all quantities d 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, 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=cone retz,and-aggregate=d ustmay_cau se_irritation_to-eyes rski n,-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 case the ammonia to be release Inhalation of ammonia can cause coughing and irritation or burns: of theariose, throat and lungs. See physician. Health risk depends on duration and level of exposure. Safety: Av6id coot with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective clothing. ash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to dust above recommended limits (see MSDS), wear suitable AlIOSH-approved respiratory protection. b irsl :+.id: 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 10100 Katy Freeway, Suite 300 VS combined Houston, Texas 77043 01/17 For more information please visit www.ceirrexusa.com. Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de crcdito): cualquier ternino esudridar. 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 proveeri Ins t6rminos estdndares y condicionesdetal- 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 expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; a] menos Clue se identi- fique con unit nota al frente de este documento. AGREGADOS / VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, grainito, coca volcfinica, arena, Brava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de alban"ilerfa. pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, 11 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 silicoo crystallno. 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. Conereto seen y polvo de agregados, pueden causar irritaci6n en los ojos, piel y/o en In zona respiratoria. Polvo del manejo en el triturarriento, pulido, corte y/o perforaci6n puede contener materiales silicon, Ins cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temper atura calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Segw idad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n doLamoniaco puede causar toser, irritaci6n o quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medic6. 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 Ins ojos y ropa Primeros adecuada Para protecci6n. Lavese ]as manos conjab6n suave y agua despues del manejo de materiales. Evite inhalar auxilios; polvos. Si se expone a polvos m5s de los limites recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en Ins 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, Idvelos a fondo con agua. Acuda a atenci6n medica inmediatamente si la irritaci6n continda. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 VS combinado Houston, Texas 77043 01/17 Para mhs informaci6n visita www.cemexusa.com. IN P } ZAKaMC—X 55054857 Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: i_.' 1 n',,_ �-?, 3J , Customer Code: Customer Name: Project Code: Project Name: Ticket Date: Delivery Address: Delivery InsmocNons: Customer Job Number: Project P.O. Number. Order Code / Oate: Order P O, Number: Map Page:, Map/RowiColumno Dispatcher. Ticket Number: Due On Job: Slump: Truck. Number: Driver Number: LDriver Name: - End Use: - - (" frrtr'.'i lit- f17�_ ,-2 r n.1"r r T inr� I ;• i-n- I r-n LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTITY Cash Check#/Auth Coda: Check of Driver Receiving Cash: Cash Resolved: Total COD Order Amount to Collect Without Standby Charges: Comments: RECEIVED WATER ADDED: GAL YARDS IN DRUM: WHEN, ADDED., APR 18 2018 SIGNATURE ST. Lucie County, Permitting CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: I CIP17" F= - __ PAR T Rl_ ___ r UL_L Lnno _ YARDS SIGNATURE `- p LOAD WAS TESTED BY: Notice: Out 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 ere 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. O 68UNIVERSAL r'[1111 TR!'.: 'I Or,6.8:.;9 I!Ch;y;' nii`I nrtE I C'f?B NUM, 9 INVl1�CF This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard Terms and Conditions. Seller's Quotatioi iny, and Seller's Order Confirmation (in ing limitations of warranties), as if full}. set forth on this Delivery Ticket (`Agrees...,..."). Seller will provide the Standard Tenn_ _A 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 dccordance with the Agreement. 1E / ULIVIEIV 1 / U(JINUKE'1E YKUllUUYS /FLY ASH Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. Cement products include Portland cegl�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. Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye bums and allergic skin reactions. Dry concrete and aggregate.dustmay cause,initation-to eyes skin, and/oerespiratory_traet..Dust-from handling,— -- — crushiriggnnding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warm, at rest, and drink large amountsof 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 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01/17 For more information please visit www.cemexusa,com. Este ticket cle entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier t6rmino estdndar, condiciones del vendedor, propuestas del vendedor y orden de confrrmaci6n del vendedor (con limitations y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd Jos tzrminos 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 enuegados como se expresa en el mismo. Acepta pagan el monto de acuerdo al contrato; al menos que se identi- fique con una note al frente de este documento. AliREUAUUN / UENIEN'1 U / YKUllU(: MS DES' C:U V ULANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, rota volcanica, 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, roca volcanica, 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 piel y ojos, y reacciones alergicas en la piel. Concreto seco y polvo de agregados, pueden causar ir-ritaci6n en los ojos, piel y/o en la zona respiratoria. Polvo del manejo en el trituratniento, pulido, corte y/o perforaci6n puede contener materiales "silicos, los cuales pueden causar silicosis pulmonar y cducer si son inhalados. En caso de ser ingeridos. mantenerse en temperature calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. $eguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6m del amoniaco puede causar toner, irritaci6n o quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al'medico. El riesgo en la salad depende en la duraci6o 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 Primel-Og adecuuda para protecci6n. Ldvese las mans con jab6n suave yagua despuEs del manejo de materiales. Evite inhalar auxilios: polvos. Si se expose a polvos mds 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, expongase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, Idvelos a fondo con aqua. Acuda a atenci6n mddica inmediatamente si la initaci6n continda. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 cotnbinado Houston, Texas 77043 01/17 Para mds informaci6n visits www.centexusa.com. d Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: Customer Code: Customer Name: Project Code: Project Name: _TkketD_et.: Delivery Address; Delivery Instructions: Customer Job Number; Order Code /Date: I,r 11 Project P.O. Number. Order P.O. Number: Map Page; Map/RowlCoUrrur Dispatcher: Ticket Number. Due On Job: Slump: Truck Number: Driver Number: Driver Name DriverName End Use; - ' ,-u 11� LOAD CUMULATIVE I ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTITY - Cash Check#IAuth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Chock Without Standby Charges: Charge Comments: LAPRCI VED WATERADDED: GAL YARDS IN DRUM: WHEN ADDED'. ' 2018SIGNATURE , Permitting CURB LINE CROSSED AT OWNER'S/AGENTS REQUEST: [il"r-1 PF-1 F" SIGNATURE ❑ LOAD WAS TESTED BY: Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECUIL 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 imitation. CAUTION: Material farms of sale and delivery and accepts concrete as is. Due to important factors which are out of our may be haiardoua to your safely and health. Please refer to the backside of this ticket for Important control efterdelivery, this Company will not accept any responsibility for the finished results. Nocredilfor safetyhandrnginfcmlation, and to the material safety data sheets for additional information. returned concrete. Buyers exceptlons and claims shall be deemed waived unless made tows in writingAUTHORIZED SIGNATURE; ' within one business day after the receipt of materials. n 68UNIVERSAL `l, I, n. 1QC _._L,Q rr TLI Irli,I �II'_j?r_ _l+ NVOICE This Delivery Ticket incorporates herein I— reference Buyer's previously executed C—,';t Application, if any,•Seller's Standard Terms and Conditions. Seller's Quotation iny, and Seller's Order Confinnation (in, ng limitations of warranties), as if fully - set forth on this Delivery Ticket ("Agreen,Q„m'). Seller will provide the Standard Term, -.,- Conditions upon request. Buyer agrees. that, unless otherwise noted on the front hereof, all quatilies 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, 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 bums and allergic skin reactions. _Dry_eoncrete-and,aggreoate.clust-may cause_imitation to_eyesr:skin,_and/or:respiratoty-,tract:-Dust-from handling; —___crushing, griiiding. 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 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 01/17 For more information please visit www.cemexusa.com. Este ticket de entrega incluye Como referencia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier termino esthndar, condiciones del vendedor, propuestas del vendedor y orden de confimtaci6n del vendedor (con limitations y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los t6nninos estdndares y condiciones detal- lados en caso de asf 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 mismo. Acepta pagar el monto de acuerdo al contrato; al menos que se identi- fique con una nota al frente de este documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturaley como piedra caliza, dolomita, granito, coca volc'anica, arena, Brava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albaiiilerfa, 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 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: Mezela de cemento fresco y/o cenizas volantes pueden causar irritati6n 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 set ingeridos, mantenerse en temperature calida, reposar y tomar grander 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, irritaci6n o yuemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en la duraci6u y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la pie]. Use guantes, protecci6n en los ojos y ropa Primeros adecuada Para protecci6n. LSvese las mans conjab6n suave y agua despu6s del manejo de materiales. Evite inhalar auxilios: POiVOS. Si se expone a polvos mds de los limiter 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 cemento fresco tiene contacto con sus ojos, lhvelos a fondo con agua. Acuda a atenci6n medica inmediatamente si ]a initaci6n continua. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 01/17 Para mtis informaci6n visita www.cei 4. I " c 01 I Plant: Begin loading: To Job: Arrive Job:. Start Unload: Finish: Unload: Leave Job: Return Plant: Customer Code: Customer Name: Customer Job Number: Order Code] Date: r," r.ln,, r-- '—Onl rfIN' TTtl;i' ; I N F1 3 Project Code: Project Name: _ ProjedB4O. Number:.. :Order P.O.. Number. ... - Ticket Date:. DeliveryAtltlress: Map,Page Map/Row/Column; rla '._,It. �'A "T'lirlfl ".%�!:rTtl :, F'l. l'lrr-j-r C', l t-7 RC7E nrl. Delivery Instructions: Dispatcher: Ticket Number: Due On Job: Slump: Truck Number: Driver Number. - Driver Name: End Use: - :t}rr 1.01:' )It;:'S3_'+ il'�Si'? Tf {il ;1Gi_LIh1r 11N1 ipr;t;i, r7 LOAD OUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNITIl AMOUNT, R—C of , Y Y' l { Prt 11;42 C Cash Check#/Auth Code: Signature of Driver Receiving Cash: - - Cash Received: Total COD Order Amount to Collect Check Without Standby Charges: Charger ' Comments: - - - - - - - - LAPR WATER ADDED: GAL YARDS INDRUM:ECEIVED WHENADQ2018SIGNATURE U CURB LINE. CROSSED AT OWNER'S/AGENT'S REQUEST: 1NCRETE DISPO`iAL FI_ County, Permitting PAR f l Al_ FULL LEAD al( ',., SIGNATURE ❑. LOAD WAS TESTED BY: - Notice: Cur 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 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. 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 unlessmade to us in writing AUTHORIZED SIGNATURE: within one business day after the receipt of materials. © n 68UNIVERSAL i'F'F'. ' ICIf . 100F4Crc' -" nL,.(71 ^tl 'rAN -MARY _ I orlb NlUP1: INVOICE This Delivery Ticket incorporates herein I�, reference Buyer's previously executed Credit Application, if any,'Seller's Standard Terms and Conditions, Seller's Quotation ny, and Seller's Order Confirmation (in ng limitations of warranties), as if fully - set forth on this Delivery Ticket ('Agreement'). Seller will provide the Standard Termb aid 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 acebrdauce with the Agreement. A4i( RLUA'1'K / ULIVIEN'1' / YKU1JUU16 / VLY ANrl 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. 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 to eyes, skin, and/or respiratory tract. Dust from handling, — crushmg,-gnndiaig, cutting —an d/or`dnlling may contatrsrlica; which may cause stlicosis and cancer tf inhaled. If ingested, ]seep wane, 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 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 -W! rter for 15 minutes. If dust is inhaled, move to fresh air. if wet cement contacts skin, rinse thoroughly with watei'I kt proper medical attention if irritation persists. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 O1/17 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 tennino estandar, condiciones del vendedor, propuestas del vendedor y orden de con6rmaci6u del vendedor (con limitaciones y garantfas), como acuerdo total del ticket de entrega (" Coutrato"). El vendedor proveerd los tdrminosestandares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los nismos 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; al menos que se identi- fique con una rota al I'rente de este documento. AC REGADOS / UL.NIEN'1'U / FKUDUI TUN 1)E I;UNUKL'1'U / l:Li NIZAJ V ULAN'1 KN Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, coca volciinica, arena, Brava y otros materiales silicios. Los productos de cemento inchiyen Cemento de tipo Portland, de albanilena, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, coca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la coal puede contener miffs de 0.025%tie silicio cristalino. Peligros: Mezclttdo 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 trittuamiento, pulido, corte y/o perforaci6n puede contener materiales silicos, los cuales pueden causar silicosis pulmonar y ctincer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura caliza, reposar y tomar grandes cantidades tie agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o quemaduras on la nariz. garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en la duraci6n y el nivel de la exposici6n. , - `: j Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuada para protecci6n. Lavese las manor con jab6n suave y aguadespu6s del manejo de materiales. Evite inhalar auxilios: 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 on ]a parse 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 medica inmediatamentesi la irritaci6n continia. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 VS combinado Houston, Texas 77043 01/17 Para masinformaci6n visits www.ce