HomeMy WebLinkAboutInspection Docs (3) Oil if
1117, 'r MASCHMSER
iCONCRETE COMPANY OF FLORIDA,
1142 Water Tower Road, Lake Park FL 33403 �p 8
I i Office:1-877-484-9994 / Fax:561-844-78102 l(p Qli Qz`Z
South East Florida Division Dispatch:561 X844-9994 / Central Florida Division Dispatch:407-339-5311
Concrete Tested ❑Yes ElNo LOT# Water Added at Customer's
Cylinders Taken ❑Yes ❑No f Request
Is.to full load
Comments
gals.to 2/3 load
PREVIOUS T RLICK-. gals.to 1/3 load
Customer'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 mixed concrete may cause skin injury.Avoid contact with
SURFACE DISCOLORATION skin and wash exposed skin areas promptly with water. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH
I mixture gets into eyes, rinse immediately and repeatedly with water and get prompt AND DURABILITY.ANY WATER ADDED IS
BATCH TIMEh fg r{� o 12 medical attention. Keep children away from cement powder and all freshly mixed cemenAT CUSTOMER'S OWN RISK.
t products.
To Job On Job M rz-7 MITIT M. To Plant At Plant
,I Com/ .� Z
PLANT TICKET.# ORDER# , UCK LOAD SIZE MIX„_ } SLUMP fi!a DATE
E o 5 t 4c�Iri'l�'.Jf 4: •. LL�d dd r 1►LI. IZ1 v'PI 71 't Iv r �l 1:1n 4., L
I CUST.� ER, , SOLDTAULSEN & SONS CONTRACTING I P.O.# PROJECT#11LI -J04
DELIV.ER.YADDRSS_ ZO(lE USE DRIVER
�) L329i.i �t..t-..NAPE ST **FIBER** 93+ ItLICIE' ROLier-,tc, CFot-abe110
INST UCTIQNS TIME,DUE„
`j r 8, I IWI PT ST L-L tCIE/FT- PIERCE t�a ,tS AM
ORDEREDi
• Y11 killirm QUANTITY
... .. AMOUNT
yli�l 110. alis! I V1. LQUI -7 'Mza6#r.)b 1 €rl -;r l90 PKF7FT `y a
r. 1a 00 10. 00 10 00 FIBERR FIBERS -- Rf7sident ito .n
1. l7il fin 1Ztti� EI'�V Z Ft's ENV I RDINiMENTAL. DISPO e--
5..1. o-0 0. 00, 2. FUEL-L- SURC,HAI?rC
SIGNATURE OR RECEIPT-CONCRETE AND ACKNOWLEDGEMENT OF HAZARD WARNING
asc meyer oncre a Company will not assume la I Ity Tor—any damage or any SUB-TOTAL
equipment damage for any deliveries beyond the curb line.
TAX
AUTHORIZED BY
TOTAL
SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE. n
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THIDELI) V IS MADE SUBJECT TOTHE FOLLOW CONDITIONS:`
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1. Customer agrees tnprovide asuitable roadway for our trucks from the streetpavoment to the place ofdelivery ofmaterial.
Usuch suitable roadways are not provided,wereserve deliveries until conditions are remedied and.insuch
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event customer will boheld responsible fo/any loss caused thereby,
2. When delivery inmade bavundUhouudb|ineeddhnoua�unnerornuah�n�er request,anydamaAeainc�uding /
beyond�� �-,�--__--_ " . �
but not limited to, sidewalks, driveways, bui|dingm, trego, shrubbery, septic tanks and septic systems, including the drain
field, are 8tthe owner's risk.
3. The customer agrees to reimburse said Company for loss of time and equipment by reason of such delivery,and also to
indemnify and save harmless said Company from any and all claims,demands and suits for or on account of or in any !
manner caused bvnrarising from private driveway delivery,
4. Customer acknowledges that all material and services shown have been received,that truck times shown are coirrect.and
that the amount of water added at the Customer's request is shown correctly.CAUTION:The addition of water reduces
concrete strength and durability. �
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Ei We arenotnasponsibkaforfinkshedreoVkaobtminndfnomthis|nndVYnoncnete;rnanyinlpbrtmntfactomaffeobngdleultinnate
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quality of the completed job are beyond our scope of responsibility and control. �
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6. A charge of$1.00 per minute will be charged after 8 minutes per cubic yard unloading time is exceeded. |
7' The customer agrees to provide asuitable wash down facility for our trucks and tools a1 the place ofdelivery ofmaterial.
8. The customer hereby pgrees to pay all costs and expenses of collection, including a reasonable attorney's fee, if heshall '
fail to pay for the merchandise reflected in this invoice,when due: Past due accountsare subject hoo1-1/2%service �
charge on the unpaid past due balance.The customer hereby acknowledges receipt of the completeoopynfthi00001nao1.
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