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Customer Name:'
Customer Job 1,16mber;
Order. Code/Date:.
'30 4 "Is o J 5
STS BUILDERS ING
8a9 C)5,,13,r 14'
Project dorfe:
-Projectlilsama;,
Pmject PO. Number.
iOrder P.O. Number
PO.
Ticket Date:
Delivery Address:
Map Page: Map/Row/Column
tie t 3 / 14
j,f_j1 HARDOR VIDGIZ BLVD
Deliveylmdrulstioln-a:
SCANNED
DmpalcheR
BY
St. Lude County.
Ticket Number.
-K31,'b3T--,A4
D.. On Job:
Slump:
Truck Number.
Dli;11': umb.
Driver Name:
End Use:
9. ol)
1.4)(- rZ,53
I
j7
I GR EG LOBDEI-1.
UNASSIGNED
I I
LOAD
QUANTITY
CUMULATIVE
QUANTITY
TITY I
ORDERED
QUANTITY
MATERIAL CODE
I
PRODUCTION DESCRIPTION
UOM
UNIT PRICE
AMOUNT
�.. (K, ,
1, 00
Cash Check # I Auth Code Signal
Check/
!i,',%,7W,3 FUE!, GtRKIIARGE
CHOR61-'
I
KA! 13 PmIT02
Cash Received: Total COO
YARDS IN DRUM:
WHEN..ADDED. I
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
SIGNATURE
LJ LOAD WAS TESTED BY:
Notics:, Our drivers will make every effort In place materials where.the customer designates, but the SPECIAL TERMS: Any water added is at customers am 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 initiation. CAUTION: Material
terms of sale and delivery and accepts concrete as is. Due to important factors which are
out of cur may be hoemmour toy your safety and health. Please refer to the backsideof this licket for Important
contra) after delivery, this Company will not accept any responsibility for the finished results. Nocredit for safety handling information, and to the material safety data sheets for additional Information.
returned concrete. Buyers exceptions and claims shall be deemed waved unless made to us in writing AUTHORIZED SIGNATURE:
within one business day after the recellet of materials. 0
68UNIVERSAL PREY IRK-. CUSTOMER LOAD NUM:
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application,: if any, Seller's Standard
Terms and Conditions, :Seller's Quotatic any, and Seller's Order Confirmation (ii ling limitations of warranties), as if fully
set, forth on this Delivery Ticket ("Agree t"). Seller will provide the Standard Tern 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.
1'L / UEMEN'1' / UONCKL"1'L+' PKODUUI'S / 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 dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling,
crushing, grinding, cutting and/or drilling may contain silica; which may cause silicosis and cancer if inhaled.
If ingested, keep warrn, 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 MS,DS), wear suitable NIOSH-approved respiratory protection.
First Aid: In case of eye contact, immediately fldsd eyes with flowing water for,15 minutes. If dust is inhaled, move to fresh
air. If wet cement contacts skin rinse thoroughly with water. Get proper medical attention if irritation persists.
CEMEX, Memorial Hermann_ Tower
929 Gessner, Suite 1900
V7 combined Houston, Texas 77024
02/12 For more information please visit www,cempxusi.com.
Este ticket do entrega incluye como referenda al comprador (ya previamente ejecutada on su aplicaci6n de creclito); cualquier
termino esumdar, conditions del vendedor, propuestas del vendedor y Orden de confinnaci6n del vendedor ('con limitations y
garantias), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los terminos estdndaresy condicionesdetal
lados en caso de asiser requeridos. Con este documento, el comprador acepta los mismos ya antes rnencionados y que las cantidades
y materiales fueron entregados como sc expresa on of mismo. Acepta pagar el monlo de acuerdo al contaato; al menus quo so identi-
fique con una nota al frente de este documento.
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 albaffilerfa, pozzolan (tipotlP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita,
granite, rota volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) In coal puede
contener mas de 0A25%a de silicio cristalino.
Peligros: Mezcla de cemento fresco y/o cenizas volantes, pueden causar irritaci6n en los Ojos, quemaduras en piel y Ojos, y
roacciones aldrgicas en la pie]. Concrete, seco y polvo de agregados, pueden causar irritaci6n en los Ojos, piel y/o on
la zona.respiratoria. Polvo del manejo on el trituramiento, pulido, torte y%o perforacuin puede contener materiales
silicos, los cuales pueden causar silicosis pulmonar y c'ancer si son inhalados. En caso de ser ingeridos, mantenerse
en temperatura c'alida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad: La humedad puede causar la liberaci6n del amoniaco. La i'nhalaci6n del amoniaco puede causartoser, irritaci6n o
quemaduras en la nariz, garganta,y pulmones. Acudir inmediatamente al medico. El riesgo en lasaluddepende en
la duraci6n y el nivel de la exposici6n.
Seguridad: Evite el contacto con Ojos y contacto prolongado con I1 picl. Use guantes, protecci6n on los Ojos y ropa
Primeros adecuada para proteceion. Lavese las manos con jab6n suave y agua despuds del manejo de materiales. Evite inhalar
auxilios: polvos. Si se expose a polvos mis de Jos limites recomendados, use;protecci6n respiratoria.
Primeros auxilios: En case de contacto en IOs Ojos, inmediatamente lluya 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. Acuda a atenci6n medica inmediatamentesi la irritaci6n contincia.
CEMEX', Memorial Hermann. Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para mas informacion visita www:cei
SCANNED
BY
St. Lucie Countv
GENERAL STRUCTURAL NOTES:
AFPLICABLE CODES:
A. CONSTRUCTION SHALL BE IN ACCORDANCE WITH THE 2010 EDITION OF THE FLORIDA D
CODE, ASGE T-10. THE ABOVE SHALL GOVERN EXCEPT WHERE OTHER
APPLICABLE CODES OR THE PRO.ECT CONSTRUCTION DOCUMENTS ARE MORE RESTRIC
DESIGN LIVE LOADS, (MINIMUM) '
A. ROOFS
20 PSF
B. WIND
r " I. BASIC WIND SPEM
1,10 MPH
- 2. IMPORTANCE FACTOR:
1=10
B. EXPOSURE :
D
4. EXTERNAL PRESSURE COEFFICIENT:
355
5. DESIGN PRESSURES,
48.4 PSF
FOUNDATION DESIGN,
A. FOUNDATION DESIGNED A55UMING 2500 P5F ALLOWABLE 501L BEARING PRE55URE.
RESPON5IEI.E FOR VH2IFIG;4T10N.