HomeMy WebLinkAboutScan from 360 Civil_ Inc_.pdf INTERNAL USE ONLY
ase &lore& Observations - Comments - Results
Western Slope Concrete
PO Box 1319 Carbondale, CO 81623
Office-970-963-3973•Fax;970-963-2412
Plant 001 -Carbondale-14682 Hwy 82-Carbondale, CO 970-963-0180
Plant 002- Dotsero-4155 Hwy 6-Gypsum, CO 970-524-2520 /r] N
Plant 003-Silt-141.2 CO RD 311 -Silt, CO 970-876-0194 J'( j
PLACEMENT AND JOBSITE CONDITIONS.- 41.,..'2 cie all that apply
1. Windy Still 3. Subgrade - Frozen - Wet D 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 10-9 Arrive Job Site 10-5 Start Dischar.e 10-6 Finish Dlsch. 10-9 Leave Job Site 10-10 Arrive Plant
'.aa INIMI .e C;I 3 ‘51s `oa 4110s- ilna
In the event of delivery beyond curbline, this company will not assume liability for NOTE: This concrete contains correct water contents tor strength of mix
damage to sidewalk, driveway or other properly. The purchaser shall in no event indicated. We do not assume responsibility for strength test when water is
accept delivenes of materials not in accord with the agreement of the parties,but such added at customer's request.
matenals 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 liabilityfor consequential or
carrier's truck at our pant. incidental damages,whether based on warranty or neglience
Water added on job at customer's request Gal
PLANT YARD TICKET/ ORDER/ TRUCK/ LOAD SIZE MIX SLUMP DATE
74 1157$7 340E 150 6, 00 CDOT 1 5t< FL'J41FILL 4, 00 Z15, 21119
CUSTOMER# SOLD TO P.O./ PROJECT/
01805 360 CIVIL IUUC D00005
DELIVERYADDRt'SS ZONE/ USE DRIVER
1050 HO [ESTAKE DRIVE VAIL OUTSIDE F STEGGALL. HIKE
INSTRUCTIONS
ililL SAL TO EST - . ''
D2: 19 pm TO CY EST.
GAL TO CY EST. "
GAL TO CY EST. 31
LOAD CUMULATIVE ORDERED PRODUCT UNIT OF UNIT
QUANTITY QUANTITY QUANTITY CODE PRODUCT DESCRIPTION MEASURE PRICE AMOUNT
. fry r;. ,u 0. w ou r 6.r,to .L L L. _..'J
.err 1 L_ 1
COITACT 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,lull-length trousers,and proper eye protection when working with these materials.If you have to stand
In wet concrete,use waterproof boots that era high enough to keep concrete from flowing into them.Wash wet concrete,mortar,cement,or cement mixtures from your skin
immediately atter 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 II 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 WARNI 0 At PERS ��1S WHO Mrye PURCHASE,USE OR COME
IN CONTACT WITH WET(UNHARDENED)CONCRETE MORTAR,CEMENT,OR CEMENT MIXTURE ,lI1.
i
�— .r' ,
FOREMAN COPY 1'
ase &nerds INVOICE
CUSTOMER NO. DATE INVOICE NO. PAGE
Western Slope Concrete
P.O. Box 1e19
Carbondale, CO 81623 C1805 05/21/2018 89782 1
360 CIVIL INC Office:970-963-3973 • Fax:970-963-2412
BOX 2247 Plant 001 -Carbondale-0242 County Rd 104,
GYPSUM, CO 81637 Carbondale,CO 970-963-0180
Plant 002-Dotsero-4155 Hwy 6,
Gypsum, CO 970-524-2520
JOB NUMBER-JOB LOCATION-ADDRESSI
DATE PRICE PER TAX TOTAL
TICKET NO. I QUANTITY [UNIT] DESCRIPTION UNIT1
34061. 1050 HOMESTAKE DRIVE VAIL
05/21 674-315787 6. 00 CY CDOT 1 SK FLOWFILL 140.000 70. 56 910 . 56
JOB TOTAL LINE 910. 56
PRODUCT RECAP
6. 00 FLOWFILL CDOT 1 SK FLOWFILL
ct. .a4.-
b2,-3
Slag
1114
SubTotal 840. 00
Tax 70. 56
1 AMOUNT OUE 910 . 56
TERMS NET 30
A FINANCL CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS.
THE FINANCE CHARGE IS COMPUTED BY A"PERIODIC RATE"OF
2% PER MONTH ON BALANCES OVER 30 DAYS, WHICH IS AN
ANNUAL PERCENTAGE RATE OF 24%.