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CORP OFFICE 970.7 <br /> 076,7523 <br /> 503.637.0900 <br /> 4 <br /> 301 CENTENNIAL DR. <br /> MILLIKEN,CO 80543 <br /> (USTfJAKN CIXl( PLANT N.TF TIME TKKET <br /> CUSTIOWAPHONE• ARRIVE Jo8 SEC.IN POUR IFAVE PLANT <br /> "KIN NIJMAIN CUSr KA NUMBER PO NEAAM'R PREVIOUS MIX CDW APL I FIPMSH YOUR LEAVE JOB ARRIVE PLANT <br /> iilk �• R R _ <br /> I .^ • I <br /> , <br /> i <br /> DELIVERY ADDRESS,INSTRUCTIONS (PLEASE VERIFY ADDRESS) SUBTOTAL <br /> S <br /> CITY TAX <br /> STATE TAX <br /> WATER ADDED AT CUSTOMER/DRIVER COMMENTS. TOTAL <br /> CUSTOMER'S REQUEST GRAND <br /> TOTAL <br /> TRUCK oRtvER 4:uMP tdAPPAGE Freshly mixed concrete may souse burns, blindness and severe skin injuries..r-. .onfoct with <br /> l In. Wash exposed skin oreos promptly with water- For eye exposure, rinse Immediately and <br /> . PtiEVKK1STRUCK TEST RESULTS swMc AIR I,.r,tedly with•;: !er Se,, nro-ct—,i,:: KEEP OUT OF REACH OF CHILDREN <br /> NOT RESPONSIBLE FOR DELIVERY BEYOND THE CURB LINE. <br /> 10324765 11111 <br /> I'II I "' I I I I I 1 ' RECEIPT,RELEASE AND ACKNOWLEDGEMENT <br /> CUSTOMER TO PROVIDE WASHOUT AREA <br /> UNLOADING TIME IS SIX MINUTES PER CUBIC YARD.TIME IN EXCESS IS SUBJECT TO CHARGE. CL,'STOVE R S REPRESENTATIVE <br /> �y <br /> T it LI :. ern Urec LIa ,c, fist,,et hJrlll Ticket 11) 'fine <br /> 110t, J.009874 11set" 115249 11 s5 <br /> L.,oAd Size lylix Cade Retwi-ned dt y 141K Age Sect Loreaci <br /> A.00 CYDS 40YN31066 1) 1213, <br /> mitertal Desrriptior, Design at 99 Required Be,c`ed x Var % Moisture actual Yat <br /> -,83389 ALLUVIAL W 836 lb 01 lb 6 ,8 Ib 8.43% 0.35% N 3 11 <br /> W,14410@ Mf-RETE Sw 1972 11) IE,6169 Ih IVi 0 I -9.77% 5.66% A 116 ql <br /> Rl 01 ( �I 5i'6,0 1b 4,me It 417t € 1b -&96 <br /> I RME,35 MID WW 39.48 ez 315.84 oa 1I2 or -I.n% <br /> ! HATER WATER 3,x} I 1649 lb 1' 19 Ib e.0ft 198 L <br /> 1! me 13�.0 to IW%.a 1b it ',I lb -L57% <br /> T' -°-" tiYDRRTI STA8ILI 13,c'+0 x i '04.N oz lt�S, *� oz <br /> Actual Nus BatcAest I Manual 11:52:16 <br /> LOW lctal: At 5 lb Design 8,�8 Hater,Ce.ent t.00 A' Dun 316,0 I <br /> 51"Pt &t* in hater in T4ruck, 0.0 91 E+diust hater; e.ET gl Load Iris itter: --f <br /> 1 <br /> i <br />