HomeMy WebLinkAboutInspection Docs � MIAd Lake Par FL 3
42 WaterjTbWer'RoaI'• 3403
! Office:1-877-484-9994 J Fax 56;1 844 7102 : � I
51307
South East Florida pivision Dlspatchi 56F1 844-9994 / Central Florida Division Dispatch.407-339-6
Gonerete Testeld No, LOT# Watef,Added at Customer's
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Cylihders Takekn Yes e No Request
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gals.to 2/3 load
t o:,i ., c gals:to 1/3'load
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Custom 6r s Rep.,-Water Added
NOT,RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER.ADDED TO THIS
VARIATION IN;COLOR OR ', Cement polymer or freshly'mixec concrete may cause skin injury.Avoid,contact with,,
SURFACE DiSbOLORATION' skin and wash exposed skin'areas prornptiy;with water. If'any cerrierit powder or CONCRETE WILL REDUCE:ITS STRENGTH •
mi, ure..gets into eyes,.rinse immediately and repeatedly with water and."got prompt. A D DURABILITY.ANY WATER ADDED.IS I
Y° I ATt HlTII�A��. I ! medical attention. K@ep children away from cement powder and all freshly mined
cemeht ER'S 0
products. l . AT CUSTOM, WN RISK.
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PLAN TICKRTiE rRDER# TRUCK#, LOAD SIZE MIX . SLUMP DATE
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CUSTOMER# SOLD TO
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�TIME.D.UE
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• • QUANTITY
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_ ��SIGN U,..
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NT OF HAZARD WARNING
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R OR RECEIPT.,CONCRETE AND ACKNOWLEDGEME
any, - SUB
TOTAL l
l equipment damage for,any deliveries eyond the curb I1goJ ! f
any roe damage or _
asc meyer oncr a ompany wr rio ,assume is I I y or property g
NT SUBJECT TO CONDITIONS AUTHORIZED BY, TAX "
SHIPMENT NS ON-REVERSE:SIDE TOTAL
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