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HomeMy WebLinkAboutFlow fill tickets.pdf - -----v--- ... INTERNAL USE ONLY • ase eonereee ..'• it - . Observations -- Comments – Results alt 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. br 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.