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u DISPATCH 970.587.9305 1 303.637.0900 O� <br /> BURNCD CORP OFFICE 970.356.7523 3 <br /> � 301 CENTENNIAL DR. hi IIII <br /> I <br /> 11111111 <br /> MILLIKEN,CO 80543 11111i1 <br /> CVSTOMIR CIISTOMIR CODE PLANT DATE TIME TK_KET <br /> • <br /> CUSTOM(A PHONE ARRIVE 108 BEGIN POUR LEAVE PLANT <br /> ORpER NVMRFR CVS7IOBN(���Nf�+ PO NI!IIIIR PREVIOUINI"11 CDOI API FINISH POUR LEAVE IOB ARRIVE PLANT <br /> r. <br /> Jc Cv <br /> Le I <br /> a <br /> L �( <br /> • � -�CL <br /> �. <br /> . DELIVERY ADDRESS'INSTRUCTIONS (PLEASE VERIFY ADDRESS) SUBTOTAL <br /> :.I,.•r). CITY TAX <br /> STATE TAX <br /> • WATER ADDED AT CUSTOMER/DRIVERCOMMENTS: TOTAL <br /> CUSTOMER'S REQUEST ___ ____ GRAND <br /> TOTAL <br /> TRUCK DRIVER sLUMP M"PAGE Freshly mixed concrete may cause burns,blindness and severe skin injuries.Avoid contact with <br /> skin. Wash exposed skin areas promptly with water. For eye exposure, rinse immediately and <br /> PREVIOUS TRUCK TEST RESULTS SI UMP AM TEMP repeatedly with water.Seek prompt medical nttendon.KEEP OUT OF REACH OF CHILDREN <br /> NOT RESPONSIBLE FOR DELIVERY BEYOND THE CURB LINE. <br /> 10324796 RECEIPT,RELEASE AND ACKNOWLEDGEMENT <br /> iI CUSTOMER TO PROVIDE WASHOUTAREA <br /> UNLOADING TIME IS SIX MINUTES PER CUBIC YARD.TIME IN EXCESS IS SUBJECT TO CHARGE. CUSTOMER'S REPRESENTATIVE <br /> j� <br /> I <br /> User 0iap '! icket Nuts _I <br /> !.. user '0310004 1 <br /> f RetltrnF , Oty <br /> 00 <br /> tldt Ita$ ':.+. A wed ltatChfd x 'V+4r <br /> 3I33d9 Ai.LU' t. ' 67!! 1 b 6 6740 1 h 8.43% <br /> MINI � t�t� cawc� � �.�.. &55 J) i658I lb <br /> { I i5i3 CF11! t I 1b 31&8! ci t.687t <br /> oz <br /> WATER 7#3 lb 1741 1 b -0.0`3ft <br /> «; 411 1" lM® lb -I.IW <br /> iiTION STAN$L I 1_:t 0: 1 ?.II D7 <br /> ICtual c: i p( gimual 1I:52:Si <br /> . Total. = 11t De31 @.SId �3aatt �F4B4 {1 rM620 316.1 t1i1� Artuil 317.8 CI T9 Pod; ts.a gJ <br /> 4i b.1r eta " 11ai�r in Truck: Lfl gl 4ater7 A �' r? ? Lc Trio Watc'L: -1.I gl! M <br /> 1 <br /> , R <br />