HomeMy WebLinkAbout360 Civil Flow Fill Tickets.pdf 6113867wr PI observations - Comments �-,,Gu , 4a
e ConcretePr-
a
A
Western Slope Concrete
PQ Box 1319. i
Carbondale , CO 81623
Office : 970 - 963 - 3973 • Fax : 970 - 963 -
Plant 001 — 2412
Carbondale -- 14682 Hwy — - - 0180
Plant 002 —
82 Carbondale , CO 970 963
Dotsero — 4155 Hwy6 Gypsum , CO 970 - 524 -2520
Plant — Yp
003 — Silt — 1412 CO RD 311 — Silt , CO 970 - 876 - 0194
- Circle all that a • • Above
PLACEMENT AND JOBSITE CONDITIONS 5 . Access Issues - Explain
1 . Windy - Breeze - Still - Frozen - Wet - Dry um Issues - Explain Above
3 . Subgrade 6 . Pump
2 . Rain - Snow - Hot 4 . PI ment Concerns - Explain Above � 10 Arrive Plant
ace
. h . 10-9LeaVeJibSite 1
10- 1 Load ' har e I0 .6 Finish Discat
10 -2 Leave Plant 10-3 Arrive Job Site 10-5 Start Disc g
IoZ 'aa " I 0 5 4 -
I t (4 ) 1 i i 9.a e g?c
tents for stren th of mix
Thisconcrete confiains correct water con th test when water is
In the event of deliverybeyond curbline , this company will not assume liabilityfor NOTE :
Y p Y � do not assume responsibility for s reng
damage to sidewalk , drivewayor otherproperty. The purchaser shall in no event indicated . We
acceptadded at customer's request .
p deliveries of materials ot in accord i thagreement of the parties , but suchconcrete are beyond
materials shall be refused bythepurchaser and returned to the sellr with a written 'tions of use and application of colored f' ne y for
statement of the reason Because the condi
such materials Concrete_ makes no warranty of merchantability ori ss
and the for the refusal thereof . Otherwise , receipt of our control , Casey Co ex ressly disclaims liability for consequential or
signature of the consignee or the consignee 's agent shall preclude any and all andp
claims bypurchaser. No cancellation accepted after concrete has been loaded in I any particulartaldamages ,purpose whether based on warranty or negligence .
p incidental Gal
carrier's truck at our plant . customer 's request
Water added on job at
SLUMP DATE
PLANT YARD TICKET# ORDER# TRUCK# LOAD SIZE MIX
_ , _.. I . ' - FLieWFILL .t i L i J —
I P. O .# PROJECT#
CUSTOMER# SOLD TO
= ' ! t , , ,
DELIVERY ADDRESS ii I LA h7 R 1 CI MI 0 1 I
ZONE# USE DRIVER
z... A UG H :E '.erg. '7A
I 1.4, I
INSTRUCTIONS GAL TO CY EST. 33
GAL TO CY EST. "
GAL TO CY EST. "
GAL TO CY EST. "
LOAD CUMULATIVE ORDERED PRODUCT UNIT OF UNIT
QUANTITY C UANTITY QUANTITY CODE PRODUCT DESCRIPTION AMOUNT
MEASURE PRICE
P .
1. QI - 00 t t 4 ei tic ' FLOWFI L. LL C .CsOT I.. 2 Fa FLOW
F ILL
• ..,.
4 .
•
•
1
. K
•
Milidat , •
OENED) CONCRETE, MORTAR , CE
sear waterproof gloves along-sleeved MENT, OR CEMENT MIXTURES CAN CAUSE
shirt, full-length trousers , and proper SKIN IRRITATIQN , SEVEPE CHEMICAL
-�rproof boots that are high enough to kee con p p eye protection when working BURNS OR
.r! rtact. Indirect contact through cenou p crete from flowing into them . Wash wet concrete , with these materials , It you have to
from ,
Immediate medical attention if you g can be as serious as direct contact, so rom tl mortar, cement , or cement mixturesstand
p p y rinse out wet concrete , mortar, cement , ffom
�,, immediately. KEEP pdTOFR Y have persistent or severe discomfort. In
EACH OF CHILDREN : USER AGREES Tn rnn, „�ase of eye cosntact , flush with plenty of avatar fir ftlat�r c�mer3t mixlu'
, ,vt CONTACT WITH WET (UNHARnF�� � n � a .. .a -