HomeMy WebLinkAboutFlow fill tickets.pdf - -----v--- ...
INTERNAL USE ONLY
• ase eonereee ..'• it - . Observations -- Comments – Results
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Western Slope Concrete W &
PO Box 1319 Carbondale, CO 81623
Office:970-963-3973 • Fax:970-963-2412
Plant 001 -Carbondale-0242 County Rd 104,Carbondale;CO 970-963-0180
Plant 002–Dotsero–4155 Hwy 6,Gypsum,CO 970-524-2520 .
Plant 003–jailt–1412 CO,RD,311 –Silt,CO 970-963-0180 I
) PLACEMENT AND JOBSITE CONDITIONS -- Circle all that aDDIV 1
•
1. Windy – Breeze – Still 3. Subgrade – Frozen – Wet – Dry 5. Access Issues – Explain Above
• 2. Rain – Snow – Hot 4. Placement Concerns – Explain Above 6. Pump Issues – Explain Above
10-1 Load . _10-2 Le`aavve.Plant 10-3 Arrive.Job Site 105 Start Df ischar!e . 10-6 Finish Discal. 10-9 Leave Job Site 10-10 Arrive Plant
to f
* ,5'' _ *;.:D....
In the event of delivery beyond curbline,this company wit not assumeliability 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 de'iveries 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
statement of the reason for the refusal thereof,Otherwise,receipt of such materials Because the conditions of use and application of colored concrete are beyond
and the signature of the consignee or the consignee's agent shall preclude any aid all our control,Casey Concrete makes no warranty of merchantability or fitness for
;1 fens by purchase_ No cancellation accepted after concrete has been loo . in any particular purpose and expressly disclaims liability for consequential or
cager's truck at our plant. incidntal damages,whether based on warranty or negligence.
_ Water added on job at customer's request Gal
PLANT YARD TICKET/ ORDER/ TRUCK/ LOAD SIZE MIX r- _� SLUMP DATE '
t 74 310321 1 6Fs0 145 10. �t CDOT 1 SK F"LOWFI�L _- 4, 1210 ! 5 -1711 7
CUSTOMER/ SOLD TO POI • !PROJECT/
C1767 EVAii,S CHAFFEE COUSTRUCTIf • 4100005 5
•
•DELIVERY ADDRESS ZONE/ USE 2RIVER II~F , STEVE
716 FOREST RD VAIL
I
INSTRUCTIONS TO CY EST. .3 L ; 39 putt
• AL
GTO CY EST. "
Y. 'GAL" TO CY EST "
1 GAL, TO CY EST. "
LOAD CUMULATIVE ORDERED ' PRODUCT I UNIT OF UNIT i
°Tees QUA6d 7Y QU�I31 "La1`r! II_L ''�ROD�C DESCRIPTION L MIyAS1JRE• PRICE i AMOUNT
J -
•
CONTACT WITH WET(UNHARDENED)CONCRETE,MORTAR,CEMENT,OR CEMENT MIXTURES CAN CAUSE SKIN IRRITATION,SEVERE CHEMICAL BURNS OR
SERIOUS EYE DAMAGE,Wear waterproof gloves,a long-sleeved shirt,full-length trousers,am(proper eye 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 WARNNG TO ALL PERSONS WHO MAY PURCHASE,USE OR COME
IN CONTACT WITH WET(UNHARDENED)CONCRETE,MORTAR,CEMENT,OR CEMENT MIXTURES
by. —..�
CUSTOMER COPY
.- - --,—. -__- .._.___—..r i���
INTERNAL USE ONLY
ase eoicrete Observations - Comments - Results
Western Slope Concrete weer
PO Box 1319 Carbondale, CO 81623
Office:970-963-3973 • Fax:970-963-2412
Plant 001 -Carbondale-0242 County Rd 104,Carbondale,CO 970-963-0180
Plant 002-Dotsero-4155 Hwy 6,Gypsum,CO 970-524-2520
Plant 003-Silt-1412 CO,RD,311 -Silt,CO 970-963-0180 •
PLACEMENT AND JOBSITE CONDITIONS - Circle all that apply
1. Windy - Breeze - Still 3. Subgrade - Frozen - Wet - Dry 5. Access Issues - Explain Above
2. Rain - Snow - Hot - 4. Placement Concerns - Explain Above 6. Pump issues - Explain Above
10-1 Load 10-2 Leave Plant 10-3 Arrive Job Site 10-5 Start Discharge 10-6 Finish Disch. 10-9 Leave Job Site 10-10 Arrive Plant
IV.y1C t\.. 5c.) II/11 , i/7 I: 2c L2.6
In the event of delivery beyond curbline,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
statement of the reason for the refusal thereof.Otherwise,receipt of such materials Because the conditions of use and application of colored concrete are beyond
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 lob at customer's request Gal
PLANT YARD TICKETS ORDERS TRUCKS LOAD SIZE MIX SLUMP DATE
—4 31iTr 1.5 2G ) t 3 2 10. GO I_EIIJT 1 .F. FLOWFILL 4. &DiZ' Z'E 1 - 1 -
CUSTOMERS SOLD TO P.O./ PROJECTS
01767 EVAIIS CHAFFEE 12Ot#STPLtCT?r 2)00005
DELIVERY ADDRESS ZONES USE DRIVER •
716 FOREST RD VAIL EICHLER, W'AYNE .
INSTRUCTIONS GAL TO CY EST. "
GAL TO CY EST. " 11 : 43 aro
_
GAL TO CY EST. "
GAL TO CY EST. "
LOAD CUMULATIVE ORDERED ` PRODUCT PRODUCT DESCRIPTION UNIT OF UNIT I AMOUNT
QUANTITY QUANTITY QUANTITY CODE MEASURE PRICE.
1 CCI. CI4ZI 10, 00 10. 00 FLOWFILL t_CiOT 1 SE FLOIJFIt L CV
CONTACT WITH WET(UNHARDENED)CONCRETE MORTAR,CEMENT OR CEMENT MIXTURES CAN CAUSE SKIN IRRITATION,SEVERE CHEMICAL BURNS OR
SERIOUS EYE DAMAGE.Wear waterproof gloves,a long-sleeved shirt,full-length trousers;and proper eye 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 discomlorL 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.
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CUSTOMER COPY
. — ___,- ..,r
• I, r' :INTERNAL USE ONLY
•,
ase
F
eonerete Y Y' •: rads Comments —. Results
.
Western Slope Concrete ..," ,s,ut i ' "Y
PO Box 1319 Carbondale, CO 81623 ' '
Office:970-963-3973 • Fax:970-963-2412 • .
ant 001 -Carbohdale-0242 County Rd 104,Carbondale,CO i; i-963-0180
Plant cog-Dotsero-4155 Hwy 6,Gypsum,CO 970-52.,.,••.20 {
• Plant 003-Silt-1412 CO, RD,311 -Silt,CO 970-963-i:p:0 • • -
FLACEM A1+ID.10135IT i-',.• kiD1. 011$ rota all that:..r.•.s '
1, Oindy - Breeze - Still , • .. Access"ssues - feiriAbove +i r
3. Subgrade - F. en - Wet; Dry •
2. Rain - Snow - Hot . 4. Place ent Co'• _ ns - - *aim Above : ,. Pump Issues - Explain Above µ .i
10-1 Load . I 10-2 Leave Plant. 10-3Arrive Job da 1M - : ;:'�.._ $ i inish Disch...0.9-Leave Jain Site •
10-10 Anivr'-lent. " L
Eglit
n the event of delivery beyond turbine,this company w,ll not assume habil. •' r inOdicated This
concrete
o not a tart;' correct water
for streets test rwhen engthwaternfs ffi
damage to sidewalk, driveway or other property The purchaser shall In no s added at customer'sWtequest k ' .
accept deliveries of materials not in'ticco with the agreement of the parties,but h •
materials shall be refused by the purchaser and returned to the seller with a gecau3�ttte+EondKions of tide application of colored concrete are beyond . .
statement of the reason for the refusal thereof.Otherwise,receipt of such mat ' •Is our control,Casey Concrete .• no warranty of merchantability or fitness for and •
thessygpurcsf rhNo cane consignee or the consignee's agent shall preclude bnaloyad... in any particular purpose and ex• disclaims liability for consequential or
claims by purchaser.ouNo gnceSa�lon accepted after concrete has _ incidental damages,whether bi-siit on warranty or negligence.
carrier's truck at o��plant. Gel •
•
7 1 Water Etaded on job at customer's request •
ORDERS
DLANT vARaTICICETeTRUCKS LOAD SIZE MD( '- - .F SLUMP DATE
74 310349 27i 7'5i33 10. 00 CDO { I H �'L0\IFILL - , 00 05 `22 17
P.O.! !�, .PROJECT/
cusTOME�r SOLD TO
Cr176 EVAIIS CHAFF •CONSTRUCTI , . - { $000f ;
•
-
DELVE ADDRESS _ PEI tJSE aRIVER }
716 FOREST ROA VAIL - + I UTgx0£ F — CilltALEZ, JAN •
INSTRUCTIONS JJr GAL TO r-ST• -- ..-- —•.7 i i:44 a ft'
- z..,GAL, TO _._ c4E . - - - - r
. ,-G}‘� TO CYE .. _ ." "
t .GAL. TO CY E # .41 .s t.
I l OAb • CUMULA iVa ORDERED.
POD LiterF ; AMOUNT
'i5RODUCT D R .1PT1ON .. E E.
QUANTITY OUAN'ITTY. •
ifi. 4 A '4. 4 i, 4h f� i« r n Ur+;
r: _
i
t ,
• FF
.71' ,
CONTACT WITH WET(UNHARDENED)CONCRETE,MORTAR,CEMENT.OR CEMENT,IXTURES CAN CAUSE SIQ�J,tRRITATION,S• u';'CI+EM1CAL BURNS OR
SERIOUS EYE DAMAGE.Wear waterproof gloves,a long-sleeved shirt,full-length trousers"' d proper aye Protection when working with these maledafs.If ypu have to stand
In wet concrete.use waterproof boots that are high enough to keep concrete from flowing I thenryiesh wet concrete.mortar,cement,or cementmixtu . . your skin
Immediately after contact.Indrect contact through clothing can be as serious as dlrecl con:,-,so toe),rinse out wet concrete,mortar,arment,of.. .1 mixtures from
clothing.Seek immediate medical attention ft you have persistent or severe discomfort.In., •of' e contact,flush withplenty of water for et teal 15 es.Consult a '
physician Immediately.KEEP OUT OF REACH OF CHILDREN.USER AGREES TO CON , IS WARNING TO ALL PERSONS WHO MAY PURCHASE'ISE OR COME
WITH IN CONTACT WET(11 HARDENED)CONCRETE,MORTAR CEMENT,OR CEM a, • '_ IRES. '.t'� 4
•.-- "`
}/_ CU-, sMER COPY ,..Lr.