HomeMy WebLinkAboutConcrete Report - Crystal Spring Lot 4.pdfmow.. w , 7pw-, .w,,, w .. 71111 war-
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Holroyd 9 '367
a Nielsen Company WM
CONCRETE&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
WATER ADDED TO LEAVE PLANT WITH CORRECT WATER ADDED AT CUSTOMERS REQUEST TESTCYLJICTAIENN REASONS FOR DELAY TIME
THIS LOAD BY SLUMP AND ALL PRODUCTS SLUMP ON ARRIVAL NO JOB NOT READY
AUTHORITY OF: GALS.TO FULL LOAD YES
X X GALS.TO 2/3 LOAD QRW1
LL BARROW
YES E
X INITIAL YES INITIAL NO GALS.TO 1/3 LOAD YES OTHER
PLANT TICKET It TRUCK DRIVER ORDER a DATE 7 Y t
SOLD TO CUST a TIME DUE LOAD a
DELIVERY ADDRESS PO a HOLROYD JOB it ZONE
CONTRACT a REQUISITION a CALL a CALLER LOT/BLOCK
INSTRUCTI S USE
SLUMP SLUMP
ORDERED POURED
II . .
ORDEREDCUMULATIVE LOAD UNIT
QUANTITY 1 QUANTITY QUANTITY U.O.M. PRODUCT DESCRIPTION PRICE AMOUNT
t.,:JL; I 'Ll.t/J1J i t.•.:, kit I).$1:-_16 I.- AliLii hkLI-o[.! HAW i
I 10.OW ' e DUMPl.il`II [H''.[F.UNMMIFNTAI.. rHFrIj I 4.,,
1 „fi17 (,?1' ' •ELf; FUEL.. C.IIF'RGY CHARD'
DRIVER STATEMENT SUB TOTAL
1.ALL ABOVE PRODUCTS HAVE BEEN DELIVERED STANDBY
UNLESS NOTED.
TAX
2.SLUMP POURED,WATER ADDED.DELAY REASON
AND CYLINDER TEST DATA ARE COMPLETED.
X x
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
line to property or persons.1.5'i 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.
It 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
r- -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
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. Consult 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
CEMENT MIXTURES.