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HomeMy WebLinkAboutIMG_1115.pdf • INTERNAL USE ONLY 44. 0 ariererie observations a Comments a Results Western Slope Concrete Po Box 1319 Carbondale, CO 81623 Office : 970-963 -3973 • Fax: 9701-.963-2412 Plant 001 - Carbondale - 0242 County Rd 104, Carbondale, CO 970-963-0180 Plant 002 Dotsero -- 4155 Hwy 6 , Gypsum , CO 979--524-2520 Plant 003 -- Silt -1412 CO , RD , 311 - Silt , CO 970-963 - 0180 PLACEMENT AND JQBSITE CONDITIONS a Circle all ttia#., .pIY- -- -- Still 3 . Sub rade - Frozen - Wet - Dry5 . Access Issues - Explain Above 1 . Windy Breeze g z 2 . Rain a Snow -- Hot 4 . Placement Concerns - Explain Above • 6 . Pump Issues " Explain Above 10•11 Load 10-2 Leave Plant 10-3 Arrive Job Site 10-5 Start bisohar! a 10-6 Finish Disch . 10-9 Leave Job Site 10- 10 Arrive Plant i 4* In the event of delivery beyond curbiine, this company will not assume liability for NOTE: This concrete contains correct water contents for strength of mix damage to sidewalk, driveway or other property. The purchaser shall in no event indicated . We do not assume responsibility for strength test when water, is accept deliveries of materials not in accord with the agreement of the parties, but such added at customer's request. materials shall be refused by the purchaser and returned to the seller with a written of colored concrete are beyond statement of the reason for the refusal thereof, Otherwise, receipt of such materials Because the conditions of use and application and the signature of the consignee or the consignee's agent shall preclude any and all • our control , Casey Concrete makes no warranty of merchantability or fitness for claims by purchaser. No cancellation accepted after concrete has been loaded in - any ' particular purpose and expressly disclaims liability for consequential or carrier's truck at our plant. incidental damages, whether based on warranty or negligence. Water added on tab at customer's request Gal PLANT YARD TICKETS ORDER# TRUCK# LOAD SIZE M IX • SLUMP DATE „' 4 3 1 ._. .64 # ' 2, lip ; f cR ' D O T I tia7K _` *fit ' L. 00 . € J` i.. 5 - 1 n e CUSTOMERS SOLD TO P Q.# PROJECT# C : t 4 EWIMCI , TfiLIC K . ItiG & f OHST � � � : , 0ci . . sev ` �• � � 1t .. ril.00064 DELIVERY ADDRESS ZONE# • USE DRIVER - 03' GORE CEE K DRIVE V .A I L. OUTWIT lz WAYJ{ E INSTRUCTIONS - GAL TO CY EST. , ,, la I pm GAL _ TO CV EST. - ,1 GAL TO , OY EST. T1 GAL TO CY EST. 13 LOAD CUMULATIVE ORDERED PRODUCT PF ODUCT DESCRIPTIONUNIT OF UNIT AMOUNT QVA � - tyJ (n QU ` - . i - � . "' �. �ti�l. M MEASURE . PRICE- ` - 4 F s,a.+ '' i•, � S•r .vb s +a. r '.o••• . S" ,.. :*s ' .,♦.' U .y.t 7 -w ♦ � `,.�, ... is • • • 4 ♦ • CONTACT WITH WET (UNHARDENED) CONCRETE, MORTAR , CEMENT, OR CEMENT MIXTURES CAN CAUSE SKIN IRRITATJON,SEVERE CHEMICAL BURNS OR SERIOUS EYE DAMAGE. Wear waterproof gloves, a long-sleeved shirt, full-length trousers, and propereye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are high enough to keep concrete from flowing into them . Wash wet concrete, mortar, cement, or cement mixtures from your skin immediately after contact. Indirect contact through clothing can be as serious as direct contact, so promptly rinse out wet concrete, mortar, cement, or cement mixtures from clothing. Seek immediate medical attention if you have persistent 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 PURCHASE , USE OR COME IN CONTACT WITH WET (UNHARDENED) CONCRETE, MORTAR, CEMENT, OR CEMENT MIXTURES . b t_ e • CUSTOMER COPY - • OK -t • ...a• . d . - +. . . _ .—,ur•, .. - _ --.�.r��.. .�..� �+/ . .. +��w—•M�.- -war. . may: . . . r`- • • -" '•t'w—.--. +r♦ �-..�-.•--�+►•r�+-.�rlinw�w .. . —. . .y . .- � tr^.' yr ' r w..� •.r..... ..a.r+P rr r... .raw ��-ter. 1.�i r+ ill ' +w+� +r+s+^q..+�-.ti�r�.•..a. • • • • t •, • • • • • • • • • • • • J 4