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Lot 7 ,, Block County..
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Additional water added to this conc'ete will red Jce itsstrength.•Anyw2�ter,.added is'a't-customer'sirlsk. .
` Gallons of'Waier added �, °` ,Gallons of water added:_•,, Gallons.of wateretlded t'.-� + Amt of CY Retarne ��'' f
Customer A 'provai: ,- .. Customer Approval;r <, .Customer Approval-TT, L,;,Customer App
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❑'Yes No is Yes ❑ No �,��r�,.9� w3 X'i•r4
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Sa etY is a'constant,state otr,Ind'with' „
evey';employee�.fe`eling'responsible
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,nd,empowered to'act'to caus2'him '
P Address: Correct Not Correct'
d others to work safeay;,on'1the belief"
all accidents are.preventable.and _
e><o`incidents'•is:ah,e nl. tial. F.
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