HomeMy WebLinkAboutConcrete Report - Tahoma Terra Lot 374 1 - HOI.!pYd _ 6 0 3 y
r' rrea
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a Nielsen Company
. CONCRETE 6 AGGREGATE SINCE 1906
P.O.BOX 39009 BUS.OFF.(253)474-0725
LAKEWOOD.WA 98496-3009 DISPATCH (253)474-8481
10-1 Load 10-2 Leave Plant 10-3 Arrive Job Site 10-5 Start Pour 10-6 Finish Pour 10-9 Leave Job Site 10-10 Arrive Plant
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WATER ADDED TO LEAVE PLANT WITH CORRECT WATER ADDED AT CUSTOMERS REQUEST TESTCYLIJDERSTAKEN REASONS FOR DELAY TIME
THIS LOAD BY SLUMP AND ALL PRODUCTS SLUMP ON ARRIVAL E NO ❑JOB NOT READY
AUTHORITY OF: GALS.TO FULL LOAD E YES
X , X __ .._ GALS.TO 2/3 LOAD 0 L BARROW JOB
❑ YES PLIVP
X INITIAL YES INITIAL NO GALS.TO 1/3 LOAD ❑ YES ❑OTHER . - .
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PLANT TICKET*/ TRUCK DRIVER ORDER n DATE
I III_(I cA.J:a: ji..Xr i...c.1:-.,,
I
SOLD TO CUST# TIME DUE LOAD#
DELIVERY ADDRESS PO 6 HOLROYD JOB# (ZONE
MEFRICK if 931-F5
CONTRACT# REQUISITION# CALL# CALLER LOT/BLOCK
INSTRUCTIONS 1 USE
Ci.,,,
"`-- SLUMP (SLUMP
ORDERED POURED
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ORDERED CUMULATIVE LOAD U.O.M. PRODUCT DESCRIPTION UNIT AMOUNT
QUANTITY QUANTITY QUANTITY PRICE
0.50 5.OU 5.00 ea AF IHER.J F 1i' i41CK0 M100
0.75 352.50 10.06 oz ANCL2 NC SIKASET NON CHL..0
20.00 00 20.00 20.08 ! ea EX122 EXP 1/2 X 2( 20 PER
0.00 10.00 ea ENCOMP ENVIRONMENTAL CHRG/
0.00 1.08 f ea FECC FUEL ENERGY CHARGE
1 Oh i DRIVER STATEMENT SUBTOTAL NO
WA 1.ALL ABOVE PRODUCTS HAVE BEEN DELIVERED STANDBY
UNLESS NOTED. TAX
2.SLUMP POURED,WATER ADDED,DELAY REASON
AND CYLINDER TEST DATA ARE COMPLETED.
DRIVER SIGNATURE
NOTICE:Our drivers will make every effort to place material where customer designated,and the customer assumes all responsibility for damage inside the curb or property
No line to property or persons.1.5%interest per month on all accounts 30 days past due.
CAUTION:Freshly mixed cement,mortar,concrete or grout may cause skin injury.Avoid contact with eyes where possible and wash exposed skin areas promptly with water.
If any cement mixture gets into eyes rinse immediately and repeatedly with water and get prompt medical treatment.
WARNING: INJURIOUS TO EYES.
CAUSES SKIN IRRITATION
READ THIS WARNING BEFORE USING
CONTAINS PORTLAND CEMENT
Contact with wet, unhardened concrete, mortar, cement or
cement mixtures can cause skin irritation, severe chemical burns or
serious eye damage. Avoid contact with eyes and skin. Wear
x o waterproof gloves, a fully buttoned, long-sleeve shirt, full-length
trousers and tight-fitting eye protection when working with these
materials. If you have to stand in wet concrete, use waterproof
boots that are tight at the top and high enough to keep concrete
from flowing into them.
If you are finishing concrete, wear knee pads to protect knees.
Wash wet concrete, mortar cement or cement mixtures from your
skin with fresh, clean water immediately after contact. Indirect
contact through clothing can be as serious as direct contact, so
promptly rinse wet concrete, mortar, cement or cement mixtures tr
from clothing. Seek immediate medical attention if you have persis-
tent or severe discomfort. In case of eye contact, flush with plenty of
water for at least 15 minutes. Consuit.a physician immediately.
KEEP OUT OF REACH OF CHILDREN.
USER AGREES TO CONVEY THIS WARNING TO ALL
PERSONS WHO MAY USE OR COME INTO CONTACT WITH
\"=
WET (UNHARDENED) CONCRETE, MORTAR, CEMENT OR Irl
CEMENT MIXTURES.