HomeMy WebLinkAboutFlow fill Ticket CCE09202018.pdf INTERNAL USE QNLY
ase wvnerefe 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
Plant 003-Silt-1412 CO RD 311 Silt, CO 970-876-0194
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. Plapement Concerns - Explain Above 6. Pump Issues - Explain Above
;s t44;a0,1`Lohd v= 10-2Leaue Plant:",IQ- Arrive 4ob Site .`13:B.'iStart Discharge,;' 1..0,:8 PInlsh'Qisgfi. 1o9 Lea9,e Job Bite} 1,9t'�QArr�ye,�Plantf:
-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 lens,no event indicated. We-do not assume responsibility for strength test:when water is
accept deliveries of materials notinaccord with the agreement ofthe-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 acceptedafter concrete has been loaded in any particular purpose and expressly disclaims liability for com°equential or
carrier'struckat our plantincidental damages,whether based on warranty or negligence
a er...-. :• '.. at customer's request - Gal
PLANT YARDTICKET# ORDER# TRUCK# •AD SIZE- MIX SLUMP DATE
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CUSTOMER# SOLD TO . . PROJECT#
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DELIVERY ADDRESS '.ZONE# u5E : DRIVER
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INSTRUCTIONS
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QUANTIJ' '' rf^QUANTITY : y°LIUANTITY:„ :1001S x . ,t , "PROgl1CT,QESORIPTI N„ fv1EASURE; y s:PRICE'u;r. '+ ,ir`0y 1'F F,5
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CONTACT WITH WET(UNHARDENED)CONCRETE,MORTAR,CEMENT,OR CEMENT MIXTURES CAN CAUSE SKIN IRRITATION,SEVERE CHEMICAL BURNS OR
SERIOUS EYE DAMAGE.Wear waterproofglgves,a long-sleeved shirt,full-length trousers,and proper eye protection when working with these materials.If youhave to stand
in wet concrete,use waterproof boots that are high enough to keepconcrete 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.
by:
CUSTOMER COPY