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HomeMy WebLinkAboutCMEX PAPPERSk ��Cmcx /70 0/37 SCANNED BY LE 0 St. Lucie County T 55053991 RECEMD MAY 16 2018 PermlSt.ttingPartrRent Plank. ,__. ._Begin Loadlqg: _ To Job. Arrve Job. Start Unload: Finish Unloads - Leave Job: Retum Plant:. Customer Code; Customer Name: ° Ipr G" Customer Job Number.. Order Code /Date: Project Cotle: ' Protect Name.S `#. Protect O.O. Number: Order P.O Number:: Ticket Date: DeliveryAddress: .Map. Page:, Map/Raw/Column; Delivery tnstrumions: Dispatcher, } r Ticket Number: r Duo On Job; :Slump: Truck Number: Driver Number' Dllver Name: End Use: - -. - ': i .. .. �' li .. tit`: ri`� . 7 t•...-t, QU rtANTucncvITY MATERIAL CODE. PRODUCTION DESCRIPTION ti UOM UNITPRICE AMOUNT _I 0 Cash Check#/Auth Code: Signature of Driver Receiving Cash:'. _ Cash Recelved: Total COD Order Amount to Collect Check. Without Standby Charges: Charge Comments:-- '""- - - V�WATERADDED: GAL YARDS IN DRUM: _ WHEN ADDED. 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 is at customers own risk. If water is added on Too, concrete strength Company assumes no responsibility far 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 5ale`and delivery and accepts concrete as is. Due to important factors which are out of our may be hazardous to your safety and health. Please refer to the backside of this ticket for important control after delivery, this Company will not accept any responsibility for the finished results. Nocreditfor safety handling information, and to the material safety data sheets for add tenet information. returned concrete. Buyers exceptions and clalms shall be deemed waived unlessmade to us in writing AUT14ORRED SIGNATURE:. within one business day after the receipt of materials. © I' 68UNIVERSAL CUSTOMER , A •_'r1 �h This Delivery Ticket incorporates here;- by reference Buyer's previously executed '--lit Application, if any, Seller's Standard Terms and Conditions, Seller's Quotatir f any, and Seller's Order Confirmation (it ling limitations of warranties), as if fully set forth on this Delivery Ticket (" AgreL.....it"). Seller will provide the Standard Terms and Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. 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. Cohcrete products include Portland cement and aggregaie'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, =---- Diy'concrefe=and aggregate=dust may'cause`irriratonto=eyes; sl.in=andyo`i•respii•atory'ttact=Dusrfrom=handling crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested; keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo- nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure. Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection. First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if irritation persists. CEMEX, Memorial Hermann Tower 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 come 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 limitations y garantfas), come acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los t6rminos estdndares y condiciones detal- lados en case de, asf ser requeridos..Con este, documento, eLcr_mprador acepta los mismos ya antes mencionados y que las cantidades y materiales fueron entregados como se expre5a en el mismo. Acepia pagar el monto de acuerdo al contrato; al menos que se identi- fique con una nota al'frente de este documento. Los productos de agregados son materiales naturales come piedra cahza, dolomita, granite, rota volcdnica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albaf ilerfa, pozzolan (tipo 1P), azulejo de azotea y estuco. Los productos de conereto incluyen cemento Portland y productos de agregados come, piedra caliza, dolomita, granito, coca volcdnica, arena, grava, y otros materiales silicios..Estes 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 irritation en los ojos, quemaduras en piel y Ojos, y reactions alergicas en la piel. Concrete 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 case de set ingeridos, mantenerse en temperatura calida, reposar y tomar gr andes canfidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad La humedad puede causar la liberation del amoniaco. La inhalaci6n del amoniaeo puede causar toser, irritation o quemaduras en la nariz, garganta y pulmones. Acqdir inmediatamente al medico. El riesgo en la salud depende en la duraci6n y el nivel de la exposici6n, r^ Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuadapara protecci6n. Ldvese las manes con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mas de los limites recomend4dos, use protecci6n respiratoria. Primeros auxilios: En case de contacto en los ojos, inmediatamente fluya agua en la parte afectadapor 15 minutos. Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n m6dica inmediatamente si la irritaci6n continua. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 \17 combinado Houston, Texas 77043 Para mds informaci6n visita WWW.eemextlsa.com. S�cmex LE "Fit, 1 5505391�. Plant;; _ Begin Loading_ I_.- To Jo4: - JArSive,Job•`• { 'I StartUri Finish Unload: Leave Job: Return Plant: tG. Customer Code: Customer Nam.; 'Project Code: Project Name; Ticket Date: Delivery Address: Delivery Instructions: Customer Job Number. .Project P.O. Number; �t 'r, 1F11 ri Order Code / Dater Order P.O. Number; Map Page: Map/Rmv/Column: Dispatcher: Ticket Number: Due On Job: Slumpi Truck Number,' Driver Number: Driver Name: End Use: LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTITY --'. tj Cash Check Check Cash:, Cash Received: Total COD Order Amount to Collect Without Standby Charges: WATERADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: SIGNATURE f ❑ 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 risky If water Is added on job, concrete strength Company assumes no responsibility for damages Inside cum 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 thisticket for Important control after delivery, this Company will not accept any responsibility for the finished results. Nocreditfor safety handling Information, and to the material safsty 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 10 r1 . CUSTOMER ` ' - This Delivery Ticket incorporates hereir I— reference Buyer's previously executed C--a't Application, if any, Seller's Standard Terms and Conditions, Seller's Quotatio any, and Seller's Order Confirmation (in ng limitations of warranties), as if fully set forth on this Delivery Ticket (`Agreei........ ). Seller will provide the Standard Terms and Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. 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-concrete-and=aggregate dust-may-cause-irritatiowto eyes, -skin, and/or respiratory_tracL-Dust fromhandling,-_ crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo- nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation or burns of the nose, throat and lungs. See physician, Health risk depends on duration and level of exposure. Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection. First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if irritation persists. CEMEX, Memorial Hermann Tower 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 cr6dito); cualquier termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y garantfas), como acuerdo total del ticket deentrega ("Contrato" ): El vendedor proveerd los t6rminos estdndares y condiciones detal- lados en caso de asf ser requeridbs. 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 a! frente de este documento. CENIZAS VULANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca volcdnica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, roca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener mds de 0.025% de silicio cristalino. Peligros: Mezela de cemento fresco y/o cenizas volantes pueden causar initaci6n en los ojos, quemaduras en piel y ojos, y reacciones al6rgicas en la piel. Concreto seco y polvo de agregados, pueden causar irritati6n en Jos ojos, piel y/o en la zona respiratoria. Polvo del manejo en el trituramiento, pulido, come y/o perforaci6n puede contener materiales silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n de] amoniaco puede causar toser, irritaci6n o quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en la duraci6n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa Primeros adeeuada para protecci6n. Lavese las manos con jab6n suave y agua despuds del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mds de los limites recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en ]a parte afectada por 15 minutos. Si se inhala polvo, exp6ngase a afire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n m6dica inmediatamente si la hritaci6n continda. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 306 combinado Houston, Texas 77043 !17 Para mis informaci6n visita www.cemextisa.com. 1 P g ZZCEMEX z s V 013 L t. r/ t 1 e+ 55053993 Plant: 8egln Loading: ; �To Jobe. _ ' Arrlve Job Start Unload: Finish Unloadi Leave Job:, Return Plant: Customer Code:Customer Name: }' 9 Customer Job Number:. 7 Project Code: Project Name: - - Pmlect P.O,Numberi Ticket Date:. Delivery Address:: , r r' t.ir, xr , f'i(:1"' r'.i � ;.1 �"i�f.'r•, '.7,i �?t(i , -f, ;W'`.. Delivery instructions; Order Code /Date Order P.O.Number: Map Page: Map/Raw/Columns. Dispatcher Ticket Number: Due On Job:. Slump: Track Number, Driver Number +Q Driver Name - - End Use i[r(j.w.. fl' tx •�r—re i LOAD CUMULATIVE. = ORDERED rf QUANTITY QUANTITY QUANTITY�-� MATERIAL GODEt „ Y/ JPRODUCTION DESCRIPTION 60M UNIT PRICE AMOUNT Cash Check #/Auth Code: Signature: of Driver Receiving Cash: \ Cash Received: Total COD. Order Amount to Collect + � Y Without Standby Charges: Check Charge Comments: ~ WATERADDED: - ,a GAL YARDS IN DRUM: 1 WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: tj SIGNATURE El 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 One. Customer agrees to The is no longer guaranteed. WARNING: Product may cause skin and/or eye irritation. CAUTION: Material . terms ofsale and delivery and accepts concrete as Is. Due to important factors which -are out ofour 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 lit results. No credit for safety handling Information; and.to the material safetj&ta sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to Us in writing AUTHORIZED SIGNATURE:—) + 11 J within one business day after the receipt of materials. r L h'F:Er :.'i.:f•i i USTOMER 6BUNIVER6AL This Delivery Ticket incorporates herein ' -eference Buyer's previously executed C -': Application, if any, Seller's Standard Terms and Conditions, Seller's Quotador ny, and Seller's Order Confirmation (inc ag limitations of warranties), as if fully set forth on this Delivery Ticket ("Agreement''). Seller will provide the Standard Terms and Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with the. Agreement. 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. ---- - - -- ---= Dryconcrete-and-aggreg5te dusrmay-cause-irritation to eyes, -skin; and/or respirafory:[ract: Dusrfrom handling, - crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo- nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure. Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection. First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if irritation persists. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combined Houston, Texas 77043 O1/17 For more information please visit www.cemexusa.com. Este ticket de ennega incluye comp referencia al comprador (ya previamente ejecutada en su aplicaci6n de cr6dito); cualquier t6rmino estdndar, condiciones del vendedor, propuestas del vendcdor y ordefi de conflrmaci5n del vendedor (con limitations y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveer'a los t6rminos est6ndares y condiciones decal= lados en case 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; al menos que se identi- fique con una nota al frente de este documento. Wn N �C�1:1�i�1.Y<�J DI1•/ l D1►Y l�1/_�_ii�ll�il r!].� lJ �! / ULr INILAS V ULAIN l E5 Los productos de agregados son materiales naturales como piedra caliza, dolomita, granite, coca 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, granho, rota volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener mds de 0.025% de silicio cristalino. Peligros: Mezcla,de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los Ojos, quemaduras en piel y ojos, y reacciones al6rgicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en los ojos, piel y/o en la zona respiratoria. Polvo del manejo en el trituramiento, pulido, 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 on 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 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. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en Ins ojos y ropa Primeros adecuada para protecci6n. LSvese has manos con jab6n suave y agua despu6s 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 parte afectada pox 15 minutes. Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n m6dica inmediatamente si In irritaci6n continua. CEMEX', Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 O1/17 Para m'as informaci6n visita www.ce n ' I ZZCCM-MC-X') Plant: Begin Loading: To Job: Arrive Job: StartUnload: Finish Unload: Leave Job: Retum Plant: Customer Code: Customer Name: j A Customer Job Number: Order Code/Date: ' Project Code: Project Name: Project P.O.. Number: Order P.O. Number: Ticket Data: DeliveryAddress: Map Page: Map/Row/Column: Delivery Instructions: Dispatcher: Ticket Number. Due On Jab: Slump: Truck Number.. Driver Number. Driver Name: End LOAD QUANTITY MLATIRDERED CUQUANUTITYVE QUANOTITY RI NIATEAL CODE PRODUCTION DESCRIPTION UOM - UNIT PRICE AMOUNT Use: Vt,rr(', f, �rl' r Cash Check#/Auth Code; Signature of Driver Receiving Cash:, Cash Received: Total COD Order Amount to Collect Without Standby Charges: Check Charge Comments: _ WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED: SIGNATURE CURB LINE CROSSED ATOWNER'S/AGENT'S REQUEST: fir n) SIGNATURE ❑ LOAD WAS TESTED BY: Notice; Our drivers will make every effort to place materials where the customer designates, but the SPECIALTERMS: Any water added Is at customers own risk. If water is added on Job, concrete strength Company assumes no rospansibilHy for damages inside curt or property line. Customer agrees to the is no longer guaranteed. WARNING�,ProBuct may cause skin and/or aye irritation. CAUTION: Material terms of eels and delivery and accepts concrete as is. Our. to Important faCors which are out of our may be Hazardous lo..yoursafely2ntl health. Please refer to the backside of this ticket for Important control after delivery. this Company will net accept any responsibility for the finished results: No cmtlit for safety handling inTormation;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. 'IVERSAL CUSTOMER This Delivery Ticket incorporates hereii reference Buyer's previously executed G ''it Application, if any, Seller's Standard Terms and Conditions, Seller's Quotatic any, and Seller's Order Confirmation (in ing limitations of warranties), as if fully set forth on this Delivery Ticket ("Agreement"). Seller will provide the Standard Terms and Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with thu 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_concrete-and=aggregate-dust may=eause=irritation--t'o eyes; skin; and/or respiratory tracf`Dust from 6 dl fgg, crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo- nia; Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation or bums of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure. Safety: Avoid contact with eyes and prolonged contact with: skin. Wear gloves,, eye protection, and'appropriate protective clothing. Wash hands thoroughly with mild soap and 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. CEM EX, 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 crddito); cualquier t6rmino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y garantfas),-como acuerdo total del ticket de entrega ("Contrato"). El vendedor-proveerd4os t6rminos estandares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que 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. IUD Cei 1110_C&NI Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca volcdnica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, roca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen ccnizas volantes (fly ash) la coal puede contener mds de 0.025% de silicio cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en piel y ojos, y reacciones al6rgicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en los ojos, piel y/o en la zona respiratoria. Polvo del manejo en el trituramiento, pulido, cone y/o perforaci6n puede contener materiales silicos, los cuales pueden causar silicosis pulmonar y c incer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura cddlida, 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 quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en ]a 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 adecuadapara protecci6n. Lddvese las manos con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos m6s de los limites recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos. Si se inhala polvo, exp6ngase a afire fresco. Si el cemento fresco tiene contacto con sus ojos, lddvelos a fondo con agua. Acuda a atenci6n m6dica inmediatamente si' la irritaci6n continua. CEMEX, Memorial Hermann Tower 10100 Katy Freeway; Suite 300 V8 combinado Houston, Texas 77043 m t 01/17 Para m'as informati6n visita www.cemexusa.com. ' e a `2ir I=cmcX /0 55053997 Plant: egm Loading:, To Job: Arrive Job:. Start. Unload: Finish Unload: Leave Job: Mum Plant: Customer Cade: Customer Name: Project Code: Project Name: Tkket Data: Delivery Address: Delivery Instructions. ` Customer Job Number: Project P.O. Number: Order Code / Date: Order P.O. Number: Map Page: MaplRawlColumn: Dispatcher: Ticket Number: Due On Job: Slump: Truck Number: Driver Number: Driver Name; End Use: - -- .. - - - . - I+ - t rl I r` ri-. ! lr: f�t `` .'t`�,�1..� OUANTITY COUANTITYE i, QUANTITY I MATERIAL CODE I PRODUCTION DESCRIPTION Cash Check Signature of Driver Receiving Cash: UOM UNITPRICE I AMOUNT Cash Received: ' WATER ADDED; r GAL YARDS IN DRUM: WHEN ADDED. to r CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: SIGNATURE j ❑ 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. Ifwater Is added on job, concrete alrei Company assumes no responsibility for damages Inside curb or property Ilne. Customer agrees to the, is no longer guaranteed. WARNING: Product may cause skin and/or eye Irritation. CAUTION: Mat terms of sale and delivery and accepts concrete as la. Due to important factors which are out of our. may be hazardous to your safety,erpesith. Please rare to the backaide of this ticket for Impel �mnrtrol after delivery, this Company will not accept any responsibility for me finished results. NO Credit for safety handling information, and to the atehal safety d s ets foranal Information. �etl wncrele. Buyare exceptions end claims shell be Eeemad welvatl unless metle to us In writing' AUTHORIZED SIGNATURE: husiness tley after Ne receipt of materiels. CISA — r. • CUSTOMER" This Delivery Ticket incorporates herei-�reference Buyer's previously executed " lit Application, if any, Seller's Standard Terms and Conditions, Seller's Quotatit any, and Seller's Order Confinnation (it ling limitations of warranties), as if fully set forth on this Delivery Ticket ("AgreelLlUnt"). Seller will provide the Standard Terms and Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. AUUKLt'liNFE / Gr:1V EIN'I / UVINURE I 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 that 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. -- — ___ _. DLy_tonereto_and,aggregate_dust=ma} cause=irritation-to eyes skinFarid/oi=respiratory=tract=Dnst'frotn�iandling— crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warm, at rest, and drink large.amounts of water. Fly Ash may contain trace amounts of ammo- nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure. Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection. First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if irritation persists. CEMEX, Memorial Hermann Tower 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 come, referencia al comprador (ya previamente ejecutada en su aplicaci6n de credito); cualquier t6rmino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitations y garantfas), como acuerdo total del ticket de entrega ("Contrato"), El vendedor proveera los t6rminos estandares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que 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 naturales como piedra caliza, dolomita, granito, roca voleanica, 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 mas de 0.025% de silicio crstalino. Peligros: Mezela.de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en piel y ojos, y reacciones aldrgicas en la piel. Concrete, seco y polvo de agregados, pueden causar irritaci6n en los ojos, piel y/o en la zona respiratoria. Polvo del manejo en el tr]tur miento, pulido, torte y/o petforaci6n puede contener materiales silicos, los cuales pueden causar silicosis pulmonar- y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura calida, reposary tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberaci6n del amonihco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico: El riesgo en In salud depende en In duraci6n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, 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 limites recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en ]a parte afectada por 15 minutos. Si se inbala polvo, expongase a wire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n mddica inmediatameme si la irritation continua. CEMEX, Memorial Heimann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 01/17 Para mas informacion visita www.cei 55054000 Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: Customer Code: Customer Name: 'Project Code: Prefect Name: ' h " Ticket Date: DeliveryAddress: ' Delivery Instructions: 1 r I Customer Job Number: Project P.O. Number. .r` 1 �r Order Code / Date: Order P.O. Numberl Map Page: Map/Raw/Column: Dispatcher:. Ticket Number. f Duo On Job: .Slump: Truck Number: Thei1,?:I Driver Number: Driver Name: End Use: ';' '}t• 'l dri.." ,., t.''.i,T�i' i��-s! �sT f'."•a-iti Cash Check#/Auth Code: ] Check Charge C in e ta• ORDERED QUANTITY MATERIAL CODE Cash: PRODUCTION DESCRIPTION r 1 - . . Cash Received: UOM 'UNIT PRICE AMOUNT to Co o in n WATERADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER•S/AGENT'S REQUEST: r I•-1 ' P'.... 1 1 Ij.l L! fff'; 1 '+PIPE: j 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 risk. If water Is added on job, concrete strength Company assumes no responsibility for damages inside curbor property line. Customer agrees to the is no longer guaranteed. WARNING: Product may cause skin and/or aye Irritation. CAUTION: Material terms of sale and delivery andaccepts 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 oentrol 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 I^n j �a: ,. ,�fr, Y�� "' I' FI'TT T'1 G" i;F i q:?i+ f Njp+; t, CUSTOMER This Delivery Ticket incorporates herei ' reference Buyer's previously executed lit Application, if any, Seller's Standard' Terms and Conditions, Seller's Quotatic any, and Seller's Order Confirmation (ij ling limitations of warranties), as if fully set forth on this Delivery Ticket ("Agreement"). Seller will provide the Standard Tetras and Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete products include Portland cement and aggregate products including limestone, 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, sldn and eye burns and allergic skin reactions. __Dr-y-concrete-and aggregate dusfmay'caute irritation to eyes; skin; andJorrespiratory tract. Dust from handling, crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo- nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure. Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection. First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if irritation persists. CEMEX, Memorial Hermann Tower 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 come, referencia al comprador (ya previamcnte ejecutada en su aplicaci6n de cr6dito): cualquier t6rmino estdndar, condiciones del vendedor, propuestas del vendedor y orden de conftrmaci6n del vendedor (con limitations y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerd los tdrminos 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 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. AIiKEIiAUUS / UEMk;NA U / YKODUUYUS VE 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 estuco. Los productos de concreto incluyen 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 mds de 0.025% de silicio cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar initaci6n en los ojos, quemaduras en pie] y ojos, y reactions al6rgicas en Is piel. Concrete, seco ypolvo de agregados, pueden causar irritaci6n en los ojos, piel y/o en la zona respiratoria. Polvo del manejo en el trituramiewo, pulido, torte y/o perforaci6n puede contener materiales silicos, los cuales pueden causar silicosis pubnonar y cdncer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura cdlida, 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 toner, irritaci6n o quemaduras en la nariz, garganta y puhnones. 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 Primeros adecuada para protecci6n. Ldvese las macros con jab6n suave y agua despues del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos rods de los limites recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en Jos ojos, inmediatamente fluya agua en la pane afectada por 15 minutos. Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n m6dica inmediatamente si la irritaci6n continda. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 01/17 Para mds informaci6n visita www.ce , I ZZCEMEX �.r 55054003 ,Plant:_ _ Begin Loading:. _ _ ToJob: Arrive. Job: Start UnlQado: Finish Unload: Leave Job: ReturnPlant: Customer Code: Customer Name: I Project Coda; Project Name: - Ticket Deter, DeliveryAddress: j Delivery Instructions:.. l Customer Job Number: Project P.O. Number: Order Code I.Date:, Order P.O. Number: I MaFPagen Map/Rcw/Column: Dispatcher. I Ticket Number: , Due On Job: Slump: -Truck 'Number: Driver Number. Orivar Name: End Use: . r _.::,_f_r.t. Tlr c: vi ll lj' ", LOAD CUMULATIVE_ ORDERED MATERIAL CODE aPRODUCTION DESCRIPTION'S U0M UNITPRICE AMOUNT QUANTITY QUANTITY T. QUANTITY /Ruth Code: ISignature of Driver Receiving Cash: Check 1'.�i5 i� Yf, .1 •.. I I Total COD Ordar Amoupt to Collect Without Standby Charges: WATERADDED: GAL YARDS IN DRUM: WHEN ADDED. 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 whore 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 rim. 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 oyt 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. Nd credit{Dt' safely handling Information, and to the material safety date sheets for addltlonal 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 roceipt of materiels. (9)- 4 6BUNIVERSAL f' " T rr' ";•<'t_'- CUSTOMER This Delivery Ticket incorporates herei- k- reference Buyer's previously executed ^--lit Application, if any, Seller's Standaid- Terms and Conditions, Seller's Quotatir Iany, and Seller's Order Confinnation (u ling limitations of warranties), as if fully set forth on this Delivery Ticket ("Agret;....,..t"). Seller will provide the Standard Terms and Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. 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, dolomit ine, 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. =s,D y concrete.and-aggregate dusGmay_cause_irritation to.cyes skin,--and/or-respiratory=-tract Dust'ffoih-handling; crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo- nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure. Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective clothing: Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection. First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if irritation persists. CEMEX, Memorial Hermann Tower 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 come referencia :d comprador (ya previamente ejecutada en su aplicaci6n de er¢dito); cualquier tdrmino estdndar, conditions del vendedor, propuestas del vendedor y orden de confirmaei6n del vendedor (con limitations y garantfas), como acuerdo total del ticket de entrega ("Contrato")'EI vendedor proveer5 los tdrminos estandares y conditions detal- lados en case 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 on el mismo. Acepta pagar el monto de acuerdo al contaato; al menos que se identi- fique con una nota al frente de este documento. ADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS Los productos de agregados son materiales naturaley como piedra caliza, dolomita, granito, rota volcdnica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albaf ilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concrete 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) In cual puede contener rods de 0.025% de silicio cristalino. Peligros: Mezcla.de cemento fresco y/o cenizas volantes pueden causar iritacion 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 In 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 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, initacion o quemaduras en la nariz, garganta y pulmones. Acddit inmediatamente almedico. 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 Primeros adecuadapara. protecci6n. Lavese Ins manos con jab6n suave y agua despuds del manejo de materiales. Evite inhalar auxilios: pelves. Si se expone a polvos mas de los limites recomendados, use protecci6n respiratoria. Primeros auxilios: En case de contacto en los ojos, inmediatamente fluya agua en la parte afectada per 15 minutes. Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, ldvelos a fondo con agua. Acuda a atenci6nraddica inmediatamente si la initaci6n continua. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 0ett Para m'as information visita. www.cei r cc- MC-X Begin, Loading: - _ _ "Jo Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: Customer Code: Poject Cade: f Ticket pate:. .Delivery Instructions; Customer Name: t- <, � �� "' Custem'er'Job Number. 'FIT It j ' Project Name: Project P.O. Number; Delivery Address: Order Code / Date: Order P.O. Number; Map Page: Map/Row/Column: Dispatcher: Ticket Number. 561�C'71 t Due On Job: Slump: Truck Number: Driver Number: i Driver Name: End Use: is ,1 ly ti ip I-`YQI 11. .k .'J.,-r ... 1 , _ .LI.F I,_.. ii"!; i` `i- I,..i,j LOAD QUANTITY QUANTITY QUANTITY CUMULATIVE ORDERED MATERIAL CODE PRODUCTION OESCRIPTION UOM UNIT PRICE AMOUNT - of Driver ReceMno Cash: Check Cash Received: Amount to Charges: Charge Comments:, WATERADDED: GAL YARDS IN DRUM: WHEN ADDED, SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENTS REQUEST: Ir} I a �.. t , , -�r"q ]_''' " r {_ SIGNATURE Cl LOAD WAS TESTED W: Notice: Our drivors will make every effort to place materials where thecustomer designates, but the SPECIAL TERMS: Any water added Is at customers cwnnsk. If water is added on job, concrete strength Company assumes no responsibility for damages inside curb or properly 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 cur may be hazardous to yovL 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. NOCraditfor safety handliTof" rrdwejjqt t o atonal safety data sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SVG fl]RE- within one business day after the receipt of materials. © �' GGUNIVERSAL . ,,I"', r.., _+s. i,j _17n1 ti) �. I .I7 I'i 1: i. C�JSTOMER !; This Delivery Ticket incorporates here- tiv reference Buyer's previously executed -lit Application, if any, Seller's Standard Terms and Conditions, Seller's Quotati, ' any, and Seller's Order Confirmation (i ling limitations of warranties), as if fully set forth on this Delivery Ticket ("Agrec.....,.it"). Seller will provide the Standard Terms and Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. AUUKEUA l h / UhIVIF;1V l / YKVDUC 16 / 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 -concrete and aggregate dustmay_cause_irritation.to eyes, skin;-and/or-respiratory'f act Dust fromharidlifiC -- 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 amoiiins 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 I IIOSH-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 cr6dito); cualquier termino estandar, condiciones del vendedor, propuestas del vendedor,y orden de confirmaci6n del vendedor (con limitaciones, y garantfas), como acuerdo total del ticket de entrega ("Contrato" ). El vendedor proveeralos to"rminos estandares y condiciones detail= 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 contrcto; 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, granito, roca volcanica, arena, Brava y otros materiales siticios. Los productos de cemento incluyen Cemento de tipo Portland, de albaf ilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granite, roca volcdnica, arena, grava, y otros materiales silicios. Estes productos incluyen cenizas volantes (fly ash) la cual puede contener mas 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 al6rgicas en la piel. Concreto seco y polvo de agregados, pueden causar irritacion en los ojos, piel y/o en In 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 y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. La humedad puede. causar la-liberaci6n del:ainoniaco. La inhalaci6n del amoniaco puede causar toser, irritacion o Seguridad: queiaduras 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. Segutidad: 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 mans 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 per 15 minutos. Si se inhala polvo exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n mddica inmediatamente si la irritation continda. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 01/17 Para mas informacion visita www.cemexusa.corn. zzcC-M,Vr.->4 55054277 14 Plant: Begin Iroadli To Job: Start Unload: Finish Unload: Leave job: Return Plant: Customer Code: Ticket Date: Delivery Inatnuctionia: Customer Name PMJKt Delivery Address: Customer Job Number. Order Code/Data: lentlect P,O. Number. Order P.O. Number: Map Page: Map/Rowfoolumn: Dispatcher: Ticket Nlunber Duo On Job: Slump: Truck Number: Driver Name: End Use: 10rivarNumtber: OULAONAr',Ty Cui QUANTITY MATERIAL I PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT Cash Check 9 Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Check thout Standby Charges: Charge Comments: WATERADDED:-GAL YARDS IN DRUM. - WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENTS REQUEST: SIGNATURE 0 LOAD WAS TESTED BY: Notice: Our drivers will make every offort to place materials where the customer designates, but the SPECIAL TERMS: Any water added Is at customers own talk. Jf 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 mfer to the backside of this ticket for Important central after delivery, this Company will not accept any responsibility for the finished results. Nocredit for safety handling information,and-torthe material safety data sheets for additional Information. rehmed concrete. Buyem exceptions and claims shall be deemed waived unless made tows In wilting AUTHORIZED.SIGNATURE: within one business day after the receipt of materials. 0 __r_, 68UNIVERSAL CUSTOMER ri 1' J: This Delivery Ticket incorporates herein by reference Buyer's previously executed ^--3it Application, if any, Seller's Standard• Terms and -Conditions, Seller's Quotati, P any, and Seller's.Order Confirmation (i ding limitations of warranties), as if fully set forth on this Delivery Ticket ("AgreL....-at"). Seller will provide the Standard Terms and Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. AGGREGATE / CEMENT / CONCRETE PRODUCTS (FLY ASH r . Aggregate products are naturally occurring materials including limestone, dolomite, gr'mite, 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,, -ardor respiiatoty tract. Dust from handling, crushing, 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 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't 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 at comprador (ya previamente ejecutada en su aplicaci6n de crddito); cualquier tdrmino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera Ins tdrminos est6ndares 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 ymateriales 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. / PRODUCTOS DE CONCRETO / CENIZAS Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, coca volcdnica, arena, gravy 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, coca volcdnica, arena, grava, y otros materiales siflcios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener mas de 0.025% de silicio cristalino. Peligros: Mezcla.de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en piel y ojos, y reacciones al6rgicas on la piel: Concreto seco y polvo de agregados, pueden causar irritaci6n en los ojos, piel y/o on la zona respiratoria. Polvo del manejo en el trituramiento, pulido, corte y/o petforaci6n puede contener materiales silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse on temperatura c5lida, reposar y tomar grandes cantidades do agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad,puede causar la liberaci6n del amoniaco. La iiihalaci6n del amoniaco puede causar toser, irritaci6n o quemaduras en la nariz, garganta y, pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en la duraci6n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuada para protecci6n. Lavese las mans con jab6n suave y agua despuds del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos m6s de los limites recomendados, use protecci6n respiratoria. Primems auxilios: En caso de contacto en los ojos, inmediatamentefluya 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, lavelos a fondo con agua. Acudaa atenci6n mddica immediatamente si la irritaci6n continua. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 combinado Houston, Texas 77043 17 Para m'as informaci6n visita www.ce: 55054286 Plante Begin Loading: 'To Job: Arrive Job: Start. Unload: Finish Unload: Leave Job: 'Return Plant: 'Customer Code: Customer Name: (Project Code: Project Name; A Ticket Data: Delivery Address: / Delivery Instructlons: I j 1 Customer Job Number: Poject P.O. Number Omer Code / Date: Order P.O, Number; I Map Page: Map/Row/Column:, Dispatcher: Ticket Number; Oue On'Job: Slump: Truck Number: Drver Number: Driver Noma: End Use: q _ ,!t+ � `-d..'z�'i}_ I{',Y L r...., _1 i_ i1, 'i , ram} 'ri.'.4-:(- CUMATNE ORDERED MATERIAL CODE Y QUANULTITY' QUANTITY I PRODUCTION DESCRIPTION UOM I UNIT, PRICE I AMOUNT ' I V I Cash Check# /Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COO Order Amount to Collect Without Standby Charges: Check Charge / Commenter. r WATERADDED: `/ GAL YARDS IN DRbM: I / WHEN ADDED. i CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: 1 1 �..r �.� _, ti � j �t I I [;� it 'il •t:j_ - 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 ai�puetomers own dsk. If water is added on job, concrete strength Company assumes no responsibility for damages inside curb or properly line.. Customer agrees to the Is no longer guaranteed. WARNING: Product may cause skin andlor eye Irritation. CAUTION: Matedai terms of sale and delivery and accepts concrete as Is. Duo to important factors which are out of our may be hazardous. to your safety antl health. Please refer to the backside of this ticket for important control after delivery, this Company will not accept any responsibility for the finished results. Nocreditfor safety handling information, and to the material safety data sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to usin writing AUITHORIZF SIGNATURE: within one business day after the receipt of materials. R /, 4 ! '/ BBUNIVERSAL i-, 1t. Fr! I ""_ _ "t '- T Y ,CUSTOMER This Delivery Ticket incorporates herei" w reference Buyer's previously executed " lit Application, if any, Seller's Standard' Terms and Conditions, Seller's Quotatic any, and Seller's Order Confirmation (i ling limitations of warranties), as if fully set forth on this Delivery Ticket ("Agreement'). Seller will provide the Standard Terms and Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with tha Agreement. TE / 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=irritation_toey-es„skin,;and/or_respiratory,tract D.ust_from:ltandlingr cruslnng grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo- nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure. 4afm : 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 eredito); cualquier tdrtnino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitations y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera ins tdrminos estandares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos,,ya antes mencionados y quo las cantidades y materiales fucron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; al menos que se identi- fique con una outa,al frente de este documento. Los productos de agregados son materiales naturales como piedra catiza, dolomita, granito, rota volcanica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemcato de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de azotea y esti,co. 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 cual puede contener mas de 0.025% de silicio cristalino. Peligros: Mezi :a de cemento fresco y/o cenizas volantes pueden causar irritac6n en los ojos, quemaduras en piel y ojos, y reactions alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritac6n en los ojos, pie] y/o en la zona respiratoria. Polvo del manejo en el trituramiento, pulido, torte y/o perforaci6n puede contener materiales silicos, los cuales pucden causar silicosis pulmonar y cancer si son inhalados. En caso do ser ingeridos, mantenerse. en temperatura edlida, rcpos:u• y tomar grtttdes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La huu:edad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritac6n 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 :a exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los gjos y ropa Primeros adecuada Para protecci6n. Laveselas manos con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos nr a de los limites recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua on la pane afectada por 15 tninutos. Si se inhala.,polvo, exp6ngase a aire fir• ii el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua Acuda a atenci6n m6dica inme,' i; , • ie si la irritac6n continua. CEMEX, Memorial Hermann Tower 10100 Katy Freeway, Suite 300 V8 combinado Houston, Texas 77043 01/17 Para mas informaci6n visita,www.cemexusa.com.