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10/16/2008 19: 02 56188�— )7
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PAGE 01/02
ContllnOltal Floridt Mate trials Inc.
1 7 0.1 16
13450 W, Sunrise Blvd., Sul a 430
Sunrise, RL '333?3
Tel; CAUI IONN� Freshly mixed cement, mortar,
1
UNLOADING Orlvorsare prohibltat
concret- • or grout may, cause skin Injury, Avoid
from dellvering oncmin except under IN
contaot with eyes whoro .possible and wash
II+ICIt's own power, and where site condillon
oxposr..r skin•aroas promptly wilh water. If any
permit the safe, and -proper oporallon of H:
cement nlxlures get -into eyes, rinse Immediately
equlpmohtr Driyers are not, permitted tc
and•rop. atodiy with writer and tfot prompt modioal
add wnler to.lhe'mlx nor -to go bsyand Ih;
treatment, Sawing, dr grinding of concrete
Curb llne, excopt•upon the authorization (;
P-131AT PiiE r f u) CONCAE'l•I4 PI f '41' mosonr; units may 1`091.1 In tho roloase of duel rho Purchaser/Purchaser's A7enl and hi:
..,:.. S
particlea which, without the use of proper•eyb or acceptance of risk for any loss or clamaps
ar;/li �,( l,,,l,9, f'; f?a"liall rospiral,-ry ptotrctlon,.could causn eyn or nc4e l tJckhowledge that l•natm rpthfvnd am
Irrlletlor . The -Material Safety Data Sheets for awspted tho Mol0rlalg Ur;ted on thla Achol
the pri ducts sold by Confinental Florida f undonktand and ogre's td the terms or
Curb Ifna crossed hl Purchaser/Purchaser's Agebt request, InitlalG of -(purchaser/purchaser':; MAtcrm c lino,:are available upon roquosl, hotly the front and bacl( of this 01m.•1.
Agont .. .. .. . , r ;,. TOTAL
WATER
Initials of Puronasor/Purcn'aaer's Agent acKrTowledging addition or wzttor al PtlrchasorlPtmrchasol°;;
YARDS ON TRUCK IGALS OF WATER AbDED ADDED
Agent rCgirost, " 9 6 7 6 � �F 3 1
ARRIVALTIME START POUR TIME • FINISH•POUR•TIME LEAVE•JOS TIME /� �1..��li/ r 4
PUR :HASEFit
PUN, ;MASER'SAGENT
PURCHASFRIPURCHASER SAGENT
`5an)si'z4 f.
SOLD TO .
P,O, NUMH1`1 ORDERED BY I ZONE
TN'- DUl:I_OER8 Or aQUTH f-I_ I_f_U
Jfll7
l NUMBER I TIMETICKETF.O
DELIVER TO
aft.30t 1:;ASS A C)R,l TIE -• f•"dlRT P1
DATF I TICKET
ORDEN 39
I.Concrete Disposal; yds
QUANTITY;.. "•:•,gIIAtJfIIYi: :, :(�IJANTI7Y .' PR017UGT:: .'.• �R0DI1CTf7GS0131?fION '; : UNIT•OF': :UNIT' EXTENDED:;:•
THIS LOAD r' ORbItED •; '': I�EIJIYpRED :' ' : ; CODC•'. '' ..: E
. �.. .. • ,INl:ASUWE'`I :°•PRIEE�' ' PRfC � . .
7.04 - :. lafw C4�- 3.35NU • 113000 • 918U: ��..2A PAYS PRP14
Truck # plant # Slump Duo at Job
CaleclVa Air &ti'aln Super Plas,
bellvery InstruCtiAri�
FUEL.
Uso of Conrrotn
.866TO,TAL .�
Driver Name
U CONGRETE TESTED HIE ;' .l d O
_PV;(L `r 1 # — / IOX — 030(J
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