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Observations a Comments -S Results
Western Slope Concrete a4.
PO Box 1319 Carbonciale, CO 81623
Office: 97O 963 --3973 •• Fax: 97O 963 - .
ttant 001 as Carbondale — 0242 County Rd 104, •
Carbondale, CO 970- 3 -0180
Plant 002 a Dotsero -- 4155 Hwyw
6 , Gypsum , CO 97Q 524-2520
Plant 003 — Sift x1412 CO ,RD11 —� Silt,sC3 970-963-0180
` PLACEMENTANDJOBSITECSNDItIONS-� . Windy � -� Circle a �� that a
Breeze - Still 3 . Sub i # �
2 , grade a Frozen -- vet — Dry
Rain Snow - Hot 5 . Access Issues �-
4 . Placement Concerns -- Explain Explain Above
� �- � Above 6 . PumpIssues _.
� Load � 4-� Leave Plant 10-3 Arrive Job S ' a Explain Above
10-5 Start Dischars e 10-6 Finish Disch . 10-9 Leave Job Site ' 10010 Arrive Plant
In the event of delivery beyond curblineItragil
1011/11111 At.
��� dage to sof iv, or , this company will not assume liability for .- NOTE:
riveway other property. The purchaser shall in � This concre# : contains correct
pt deliveries of k, �t in accord with thea remnant of the l . no event indicated . We do not assume res on i water contents for strength of r mixs
materials shall be refused by the purchaser and returnedtoe withes, but such added at customer's request,
R b� ty for strength test when water is
statement 4f the reason for the refusal thereof. the seller with a written �
and the signature of the consignee or theOtherwise, receipt of such materials Because the conditions
g consignee's agent shall preclude any and all our control, Caseytt�Rs of use and no waation of colored nabiliconcrete are beyond
wtaims, by purchaser. No cancellation accepted after concrete Concrete makes no w . . Y nd
R has been loaded in anyarranty of merchants con or fitness for
�rner s truck at our plant. particular purpose and expressly disclaims
• incidental damages, whether. based on warrantyliability i far consequential uent�at or
or negligence.
BARD T
Water added on job at customer's request r
i 4 al 1 i A 131 " 4 Cs i es••: / 57 .4ti45 3RD,,, TRUCKS LOAD SIZE Mix t
SLUMP DAITE
4 . . DOT .4 �- .. ; -
./SToMER# SOLDL - : .
�► 'j�'_��j TO k_ � • . . _ }�/ /�
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at C. C 0 14 l ' r 1-L14,4 - - 1- • ‘4* - ;6
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RY ADDRESS '
03 GORE CREEK DRIVE VAIL DUTSIDE F SCHREI4EE
TRUGTIONS - , STEVE
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CV EST'. - �, •
GAL. - � � � � mTO - CV BEST. I/
GAL. TO ST.
GAL TO CY EST, SJ
LOAD CUMULATIVE ORDERED PRODUCT
" ' "� �� :� � � . Y a � _ANT PRODUCT DESCRIPTIONUl ITC ►F UNIT
L.. 'fit•. Y = < •
4ti PRICE AMOUNT
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:T WITH WET (UNHARDENED) CONCRETE, MORTAR,milimmaniminimmismaiminammumiammassassessumwswassass
S EYE DAMAGE. Wear waterproof loves I CEMENT, OR CEMENT MIXTURES CAN CAUSE
, a ong-sleeved shirt, full-length trousers, and proper eye protection SKIN working
Tit then materials.CHEMICAL BURNS OR
nate, use waterproof boots that are high enough to keep concrete from flowingP y when with these If you
slyafter contact Indirect contact through clothing can be as serious into them . Wash wet concrete, mortar, cement, or cement mixtures have to stand
Seek medical attention if you have as direct contact, so promptly rinse out wet concrete , mortar, xiures from your skin
irnrt�ediafei immediate i al' REACH OF CHI persistent or severe discomfort. In case of eye contact flushcement,least cement mixtures. from
s with plenty of water for at ' 15 minutes. Consult a
�C?' wry WET (UNHARDENED) CONCRETE, REhi: USER AGREES TO CONVEY THIS WARNING TO
MORTAR . CEMENT, OR CEMENT MIXTURES. •
ALL PERSONS WHO MAY PURCHASE, USE OR COME
by:f
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