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Home My WebLink AboutInspection Docs slab oo-C AlEcr.71 4uk CEMEX 57425675 AUG 12 2015 0S PER ZING L.Llc'�C nty,pL. Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: Customer Code: Customer Name: Customer Job Number: Order Code I Date: Project Code: Project Name: Project P.O.Number: Order P.O.Number. ilil 1 P,"ET Ticket Date: Delivery Address: Map Page: Map/Row/Column: Delivery Instructions: Dispatcher: t'.]FT OF C,r!b_-,r-I.-,(i,n e Ticket Number: -T Due On Job: Slump: TruckNumber: Driver Number: Driver Name: End Use: M 1.3 )ca J N A-SS 1 7P`;i{'. LOAD CUMULATIVE ORDERED MATERIAL CODE P-RODILICTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTITY 50(- -13 F:SP IV V Z V -nil Cash Check# Auth Code: Signature of Driver Receiving Cash: Cash Received: Total GOD Order Amount to Collect Check Without Standby Charges: Charge Comments: WATER ADDED:_GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: r.) 1 _I ". SIGNATURE ...... Ll 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 line. Customer agrees to the is no longer guaranteed. WARNING: Prpd.y8t may cause ause 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 apty 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. No credit for safety handling informailaK,a . .pd to th ,�Aat6rial.sqfe_t�dbt'a sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE, ii within one business day after the receipt of materials. 68UNIVERSAL INVOICE This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard Terms and Conditions,Seller's Quotation,if any,and Seller's Order Confirmation (including 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. CAUTION! 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 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 929 Gessner,Suite 1900 V7 combined Houston,Texas 77024 02/12 For more information please visit www,cemexusa.com. Este ticket de entrega incluye como 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 limitaciones y garantias),como acuerdo total del ticket de entrega("Contrato").El vendedor proveera los terminos estandares y condiciones detal- lados en vaso de asf ser requeridos.Con este documento,el comprador acepta los mismos ya antes rnencionados y que las cantidades y materiales fueron entregados como se expresa en el mismo.Acepta pagar el monto de acuerdo al contrato; al manos que se identi- fique con una nota al frente de este docurnento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca volcanica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanileria, pozzolan (tipo IP), azulejo de azotea y estuco. .Los productos de conereto 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 cristalino. 1CUIDADO! Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos,quemaduras en pie[y ojos,y reacciones alergicas en la piel.Concreto sero y polvo de agregados,pueden causar irritaci6n en los ojos,piel y/o en la zona respiratoria. Polvo del manejo en el trituramiento,pulido,corte y/o perfioraci6n puede contener materiales silicos,los cuales pueden causar silicosis pulmonar y cancer si son inhalados.En caro de ser ingeridos,mantenerse en temperatura calida,reposar y tomar grandes canticlades 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 at medico. EI 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,proteccibn en los ojos y ropy Primeros adecuada para proteccibn.Lavese las manos conjab6n suave y agua despues del manejo de materiales.Evite inhalar auxilios• polvos.Si se expone a polvos mds de los limites recomendados,use proteccibn respiratoria. Primeros auxilios: En vaso de contacto en los ojos,inmediatamente fluya agua en la parte afectada por 15 minutos. Si se inhala polvo.expbngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua.Acuda a atenci6n medica inmediatamente si la irritaci6n continua. CEMEX,Memorial Hermann Tower 929 Gessner,Suite 1900 V7 combinado Houston,Texas 77024 02/12 Para mas informaci6n visita www.cemexusa.com.