HomeMy WebLinkAboutInspection Docs (2) Ii
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Pests & Termites, Inc.
4001 Virginia Avenue,Fort Pierce,FL 34982
888-568-6888•www.wipeoutpests.com
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NOTICE OF
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Reasdih!Organism !°!
Inspection Treatment
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Reason!Organism d
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j Date Product
Reason/Organism!; C,
Inspection Treatment �!
❑ ❑ Date I Product
_ Reason!Organism it
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Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finisfi'rUnload: Leave Job: Return Plant:
Customer Code: Customer Name: Customer Job Number: Order Code 1 Dale:
Project Code: Project Name: Project P.O.Number: Order P.O.Number:
Ticket Date: Delivery Address: Map Page: Map/Row/Column:
Delivery Instructions: Dispatcher:
Ticket Number:
Due On Job: Slump: Truck Nurgber: _ r Number: Name: End Use.,
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tt... �,Driver
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LOAD CUMULATIVE ORDERED
QUANTITY QQUANTITY MATERIAL CODE PRODUCTION DESCRIPTION.. UOM UNIT PRICE AMOUNT
UANTITY l
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Cash Check#/Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect
Without Standby.Charges:
Check
Charge
Comments:
WATER ADDED: "'GAL YARDS IN DRUM:
WHEN ADDED.
,., SIGNATURE
J QURB LINE CROS�ED AT OWNER'S/AGENT'S REQUEST:
SIGNATURE
i
❑ 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: Product may cause 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 safety 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 information,and to the material safety data sheets for additional Information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE: I
within one business day after the receipt of materials. O
68UNIVERSAL CUSTOMER
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Plant: Begin Loading: —To Job: Arrive Job: Start Unload: Finlsh Unload Leave Job: Return Plant:
Customer Code: Customer Name: Customer Job Number:i! Order Code/Date:
Project Codec Project Name. Project P.O
' .Number. +Order P.O.Number.'
Ticket Date: Delivery Address: f Map Page: Map/Row/Column:
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Delivery Instructions: Dispatcher:
I i
i i Ticket.Number:
Due On Job: Slump: Truck Number: Driver Number: Driver Name: End Use:
LOAD CUMULATIVE ORDERED
QUANTITY QUANTITY QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION,: , _ UOM UNIT PRICE AMOUNT
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Cash Check#/Auth Code: Signature of Driver Receiving Cash: • Cash Received: j 'Total COD Order9,mount to Collect
Without Standby Charges:
Check
Charge i j ---
Comments: { `'" --
WATER ADDED: ; !• 'GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
CURB LINE
jCROSSED AT OWNER'S/AGENT'S REQUEST:
T'..,- »7::;I:.I, � I .r y Ju`•r.�.' �Z/' '
i4'. r SIGNATURE'
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❑ LOAD WAS-TESTED BY:` '
Notice: Our drivers will make every effort to place materials where the customer designates,but the SPECIAL TEF*S: 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 gh'erar5teed. WARNING: Product may cause 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 hazgHrous to your'sgfely 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 handl iP191=rmation,'and to the .terial safety data sheets for additional information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHOR]ZEEtl� NATOZE "
within one business day after the receipt of materials.
68UNIVERSAL
CUSTOMER J
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Plant: Begin Loading: To Job: Arrive Job: Start Unload: Firiish'Unload:` Leave Job: Return Plant:
Customer Code: Customer Name: Customer Job Number:I Order Cpde/Date:
'Project Code: Project Name:• Project P.O.Number: Order P.O.Number:
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Ticket Date: Delivery Address: Map Page: Map/Row/Column:
,Delivery Instructions: Dispatcher:
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Ticket Number:
Due On Job: Slump: Truck Number: Driver Number: Driver Name: End Use:
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LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT
QUANTITY QUANTITY QUANTITY
'- - - 'i` _fit- , 'i''i � i .!� - :�%._I �' r •
Cash Check#/Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect
Without Standby Charges:
Check
Charge
Comments:
WATER ADDED: GAL YARDS IN DRUM:,
WHEN ADDED.
I
SIGNATURE
CURB-LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
l-S' l f I¢�, C. - /1 SIGNATURE
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❑ 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: Product may cause 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 safety 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 information,and to the material safety data sheets for additional information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE:
within one business day after the receipt of materials. O
68UNIVERSAL
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CUSTOMER
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Plant: Begin Loading: To Job: Arrive Job: Start Unload: Fin shyUnload: Leave Job: Return Plant:
Customer Code: Customer Name: Customer Job Number:! Order Code/Date:
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Project Code: Project ame: Project P.O.Number: Order P.O.Number:
Ticket Date: Delivery Address: Map Page: Map/Row/Column:
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Delivery Instructions: Dispatcher:
Ticket Number:
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Due On Job: Slump: Truck Number: Driver Number: Driver Name: 7�nlUse:
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LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION
QUANTITY QUANTITY QUANTITY UOM UNIT PRICE AMOUNT
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Cash Check#/Auth Code: Signature of Driver Receiving Cash: Cash Received: i Total COD Order Amount to Collect
Check
Without Standby Charges: �•r
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Charge
Comments: f J
WATER ADDED: L) GAL I YARDS IN DRUM:
WHEN ADDED.
I' SIGNATURE
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CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
SIGNATURE
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---. 0LAD 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: Product may cause 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'safety 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 information,'and to the material safety'data sheets for additional information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURES
within one business day after the receipt of materials. O
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6BUNIVERSAL
J CUSTOMER .i /`
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Plant'. Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload. Leave Job: Return Plant:
Customer Code: Customer Name: i' Customer Job Number:'+ ' I Order Code/Date:
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P'roep"Y ''r Odr,:P,O.Number.`
ct'Code: Project Name:,- Project P.O.Number .r ff•�r; ..
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Ticket Date: Delivery Address: j Map Page: Map(Row/Column:
Delivery Instructions: Dispatcher:
Ticket Number:
Due On Job: Slump: Truck Number Driver Number. Driver Name: End Use:
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LOAD
t`LOAD CUMULATIVE, ORDERED i
QUANTITY QUANTITY QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION i'' UOM UNIT PRICE AMOUNT
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Cash Check#/Auth Code: Signature of Driver Receiving Cash' ! Cash Received: Total COD Order Amount to Collect
Without Standby Charges:
Check {
Charge
Comments:
WATER ADDED: GAL I YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
,t "' ;r :t, ;� ti r l' SIGNATURE
❑ LOAD WAS TESTED BY:'•
Notice: Our drivers will make every,effort to place materials where the cust6er designates,but the SPECIAL TERMS: Any water added is at customerslown 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 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 safety 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 ,safely handling information,aha to the.maierial.safetyjdata sheets for additional information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE: I' '
within one business day after the receipt of materials.
68UNNERSAL rh.r. , V, ., .i �;i, ,
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CUSTOMER
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Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish"'=Unload: Leave Job: Retum Plant:
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Customer Code: Customer Name: }- Customer Job Number:, Order Code/Date:
Project Code: Project Name: Project P,O.Number: Order P.O.Number:
Ticket Date: Delivery Address: Map Page: Map/Row/Column:
Delivery Instructions: Dispatcher:
Ticket Number:
Due On Job: Slump: Truck Number: Driyer Number:
Drive,r,
Name: End Use:.
1. A-.,, "I-i.._. i i,'i L�' hl�i • .-.i...'ttl--.,I.'li
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LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION". i UOM , UNIT PRICE AMOUNT
QUANTITY QUANTITY QUANTITY
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Cash Check#I Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect
Without Standby Charges:
Check
Charge
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Comments: y
WATER ADDED `' GAL i YARDS IN DRUM:
WHEN ADDED.
�^ SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
ir
y, r/f _ SIGNATURE
O LOAD WAS TESTED BY:
Notice: Our drivers will make every effort to place materials where the customer designates,put,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 agree_s to'the is no longer guaranteed. WARNING: Product may cause 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 safety 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'credil for safety handling information,and to the material safety data sheets for additional information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE:
within one business day after the receipt of materials. 0
fa� t r i I r..r•'�.' I -
68UNIVERSAL ,CUSTOMER
ZZCGMC_X
Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant:
Customer Code: Customer Name: Customer Job Number: Order Code/Date
!. Project Code.-" Project Name: r Project P.O.Number, Order P.0 Number.
Ticket Date: Delivery Address: ! Map Page.�I Map/Row/Column.
Delivery Instructions: Dispatcher:
' Ticket Numbdr.'
' 1. � t •' ,
Due On Job: Slump: Truck Number. Driver Number: Driver Name: End Use:
- it - '•I
LOAD CUMULATIVE ORDERED
QUANTITY QQUANTITY MATERIAL CODE PRODUCTION DESCRIPTION I I UOM UNIT PRICE AMOUNT.
UANTITY
fi .a i
Cash Check#/Auth Code: Signature of Driver Receiving Cash: - Cash Received: Total COD Order Amount to Collect
Check Without Standby Charges:
Charge
Comments:
WATER ADDED:_ GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
i�
CURB LINE CROSSED AT'OWNER'S/AGENT'S REQUEST:
SIGNATURE
❑ 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: Product may cause 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 safety 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 information,and to the material safety,data sheets for additional information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED-SIGNATURE:
within one business day after the receipt of materials.
68UNIVERSAL t
CUSTOMER