HomeMy WebLinkAbout5185 Main Gore Flow Fill Tickets.pdf SAFETY FIRST IJ1IITED .....„. /4
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THANK YOU FOR �D'`t�'"`SLS 970-243-4900 11589 Hwy 6 Gypsum CO
HELPING OUR DRIVERS ,..., www.united-gj.com 81637 PREVIOUS TRUCK I ORDER A
ENTER
SITES SAFELYAND EXIT J08_ '`... --'. CONCRETE DELIVERY TICKET 563976 _1137
DATE LEAVE PLANT .0.'—'
DATE JOB START POUR FINISH POUR LEAVE JOB ARM PLANT OVERTIME MINUTES T III I IIII 1111 III 1 II 1111 II
10/09/2018 . 33216031
1:::: L
SB J0 1::::›
5185 MAIN GORE DR--EAST VAIL
Doi LEADING EDGE TECHNOLOGIES °sT 5185 MAIN GORE DR--EAST VAIL
R I
EAST VAIL COLOR81657
CUSTOMER NUMBER ' SOURCE TRUCK DRIVER CUSTOMER PURCHASE ORDER NUMBER
9179 78934 332 56230 ABEL HARO CASEY 418-8888
PRODUCT CODE QUANITY DESCRIPT ON U/M PRICE AMONT
31010400 10. 00 CDOT FLOWFILL
901. EC 10. 00 ENVIRONMENTAL FEE
1
WATER ADDED PER CUSTOMER REQUEST Warning: Concrete quality may be jeopardized if driver
ALLIOHS OF NATER ADDED ESTIMATED SLUMP is instructed to add water increasing the slump beyond SUB TOTAL
the designed slump. Concrete design strength may vary
significantly from in-place strength depending on
placement, consolidation, curing, and protection of the
concrete after delivery. ALES TAX
CONCNEIE HEED FOR DESIGNED SLURP ORDERED SLUMP YARDS ORDERED TOTAL YARDS DELIVERY FEWEST TIRE
PLEASE PAY
STORES 4. 00 FLUID 30. 01 1 20. 00 12: 32 THIS AMOUNT
WARNING PROPERTY DAIAA0E RELEASE DELAY EXPLANATION I CYLINDER UNDER TEST TAKEN i
IRRITATING 70 THE SKIN AHP EYES (TO BE SIGNED IF DELIVERY TO BE MOE INSIDE CURB LINE) I Job Not heady 6 TNtk Broke Down
TITAN,PORTLAND CEMENT ;YEAR RUBBER BOOTS APO GLOVES B LCTIOED Dom C000mor-TA.dro%al n.ARI n w
pneniOn em RELEASE to To•b raw upnbar•
-:'...TACT W r CAUSE BURNT AY0.'0 CONTACT 11TH ETES ANO PROLONGED CONTACT s N BR efooPo.ROI Pe Hi.And..Ont d to,ova mar aut4Pr souse Amp.to M 2 SIM POUT Of Pump 7. Raided
,1't1N:YEN Of CATE CT CONTACT DOTH TAN OR EYE- FLUSH TH ROUC.ILY KTTH Pr.mw.HAA aca A adtPr.P.%M.r PLR.A.R.I.R 1 n dr.IPad Ahont P••HIPS m n a Truck Ahead on Jab 8 Citation
e.ATER IF IATOTATION of POSTS GET ICEDICAI ATTCIrYlON [IDACHdDPEN PRAY n PP AmN to hop FEY t,aw.Y 11.111 VW enl HAP 1111At P de ns HP snow N orAtAnMp out
Too.rpn Its RELEASE rNrwPB hon u.d ors wool.PPm Aoy ItPPolub.NF to.nr da.Wt 4 Contractor Broke DINT S older
CONCRETE s a PERCHABLE DCAIAOBrTY .d BECOPCET d. PROPERTY of n1 inti mar oopa b n.p.m.,...dr.,ARRM.m.•Posy.P.ddl.p.-....a1I armor. 5.Added Water 10 Cylinder Taken
NmCRA=ER UP......p TSA PLANT ANY CHANGED P CANCELLATRAD R°M
ANN. Wwbs-.aL PTnmamma.ant RIM you. .ANC woo to b..51. 1.me......$HR
INvTRUCTIDNS OUST b.TELEPuONEO a Aa OFFICE BEFORE ADDING STAN Ta du win..!of M rolockt so IAN t...,C not/w on mole.P../ Fuse*. to astisAV 0 Yes Ir NC
Tt..0.PH.C^..1 Avon b Pm 0 tab.rAdR9•...mut/..BM..T14.a.ncNa.d Cl..SMP cM4P.oIP..oto..o%a..,.d PO...R..d.wawT mu now non*...P.Arrow It IF.e.m
any w oo Cw*. and B.,simpLor Ax ono and Ae ammo.m P.omens..Anew adpe.m Prwp.nr Mt W101 may %AEA=
Al stermtv rel pod A.n SD Asp of duo."we tour an rlTEREOT C I.TEN pot moron meal P.CAmwd 17 Any..M Mw nMn Pw d/Pur.,RI nn PAW
is 1d%(ANNUAL PERCENTADE PATE SIGNED- Stump=
NH%womb%RR Roamer.Ag r.pa.w Co►r UNNy.No Morn M..d UNoss WAIS CI Tina
ANnnN Is D.I....d Temp=
A 1:5.00 Sons Clamp rH w pI.t»d Pew Vw.pdCIUM. A Testing Lab= _
AAA..a OANy T..Mowll Al K?PoHR g
The uroletiqned10ANeofedgel TNA Ware H the Custom .P
eY or Re aaiOed aglo1 for the o.smM men aagree.,o„
Imhoff of the Catmn
m ,ID e1 the let=and condemns set fort New..FUR,D.NNW to Fqn the ds4Te.T tidet
BUT OeCoe deer el.,atonal eenmarers agreement wth tdr=and comber.obeys.
5ignahue Prot Name
Acknowiedgn ent of receipt-water added-and general terns and rrsWllims shown on beck of locket
FOLLOW TO THE END
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'_'ruck Load Size Mix Code Ditp Ticket Num Time Date
6231 10.00 CYDE 31010400 33210:.031 0031 11:29 AM 10/8/18
Material Design Qty Required Batched Actual Wat ! Moisture
NOL-1111 60 lb 600 lb 610 lb
BORAL 60 lb 600 lb 605 lb
AE-90 4 oz 40 Oz 40 oz
GYP-5ND1 1346 lb 13956 lb 13940 lb 59 gl 3.69% A
GYP-467 1150 lb 11500 lb 11460 lb M
GYP-N9 729 lb 7290 lb 7280 lb .9 gl -1,00% M
WATER 39.0 gl 279.3 gI 280.0 gI 280.0 g1
.oad 36234 lb Design WIC 2 712 Water/Cement: 2.270 A Design 390.0 gI Actual 330 5 gl To Add. 59 5
;lump. 4 00 n Water in Truck 0 0 gl Adjust Water. 0 0 gl I Load Tnm Water -6 0 gl I CYDS
SAFETY FIRST [IIT{Q 4r''=,,'
THANK YOU FOR COMPANIES 970-243-4900 11589 Hwy 6 Gypsum CO -
HELPING OUR DRIVERS ,i www.united-gj.com 81637 PREVIOUS TRUCK a PREF.1
ENTER AND EXIT JOB p'`%,� F`Q'rCONCRETE DELIVERY TICKET 156230 88
SITES SAFELY i
DATE LEAVE PLANT ARIVE JOB START POUR FINISH POUR LEAVE JOB ARM PLANT OVERTIRE HIHu7E& T IIIEIAVE PLAN
III I IlijIl
II
1 t: � � � �' uS ) .' � 3321603
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B ° 5185 MAIN GORE DR--EAST VAIL
°TU LEADING EDGE TECHNOLOGIES oT 5185 MAIN GORE DR---EAST VAIL
O E 9I
R 0
N1 EAST VAIL COLOR81657
CUSTOMER NUMBER SOURCE TRUCK DRIVER CUSTOMER PURCHASE ORDER NUMBER i
9179 78934 332 56398 GERALD J MANDOINADO CASEY 418-8888
PRODUCT CODE OUANITY DESCRIP ION U/M PRICE AMONT I
31010400 10. 00 CDOT FLOWFILL
901. EC 10. 00 ENVIRONMENTAL FEE
WATER ADDED PER CUSTOMER REQUEST Warning: Concrete quality may be jeopardized if driver
;ALL1 DNS OF RATER ADDED ESTIMATED FLt1HP is instructed to add water increasing the slump beyond SUB TOTAL
L the designed slump. Concrete design strength may vary
de.
significantly from in-place strength depending on
(/ Vh placement, consolidation, curing, and protection of the
concrete after delivery. SALES TAX
CONCRETE UESD FOR DESIGAED SLUM, ORDERED SLURP YARDS ORDERED TOTAL YARD; DELIVERY REQUEST TIRE
PLEASE PAY
STORES 4. 00 FLUID 30. 01 30. 00 13: 04 HIS AMOUNT
ARMING 1 PROPERTY DAMAGE RELEASE DELAY EXPLANATION I CYLINDER UNDER TEST TA. E I
IRRITATING TO THE SKIN AM)EYES (TO HE SIGNED IF DELIVERY To HE MADE INNDE MRS LdiE1 1 Jo0 Prot Ready G Thick Broke Down
CDT:TATL)PORTLAND CEMENT ?CEA.,maraca SCOT) .WO OLO'.'E9 ommot JED D...C.fm^wr TM Orme.eI m.truck H wELEA+-
pree.ktp rtes RE to not no Tae YYun Ygn
CONTacT A.AY CAU)E voila aYO4D CONTACT WITH ETES AND PROLONGED CONTACT a or Vee women 1110 B,.Mise And wegmt N sea tree.may Pe.WV uu+e eamapes to m. 2 saw Pour pr Pump 7 ACetdeftt
.ITN D.[N N GME Cr CONTACT will:KN OR LT LS FLVSH TNCAOVGKY.NTN mMmWe...Po ace.[Y I properly Ran mace A.manna;n twit MSW lettere yew entre I it 3 Truck Ahead on JG[) B Cel:dldn
Y.ATER F IRRRAT+ON PEHDiDTS GET IY.OaCAL ATTENTICII 'DEP CN•ODREN AMA,' mine mot to nein you m e..ry that H.can.me I tots*.de pee IS Amen Is few..e.p Iwo
you Slid As RELEASE•.t+..11 Tem.Ptd Ins.enI...hen ani naomrr.R In,!l,4.r... .1. Contractor Bloke Down 9 Mier 1
CONCRETE o • PERCNABLE CONLIOCITY .,d HECOLIE) IS PROPERTY el M mat.h.y.o-Mor at IN.010.mw.ouster 041.pe•e property,betlsys.1d.w4R. d/nnOO..
MITCHA_ER Upe,I..c.g H.PIANr.ANY CHANGES.vuNCELLATICW0.I ORIOI..AL curbs,a brine a.WeyaPus mortal.endow you aneWee lehelp 0.weave.ewe Rom 5 Added Water 10 Cylinder Taken
IGTRUCTIONT NIST be TELE mr0NE0to em OFRCE BEFORE AOQINO STARTS e.en..y 4 he..hde to tut N.orb mei Atm the mark sweet Further es•Oertonar C Yes L No
Tee amy.r.rpryd ape..*R nay el MN.mcsAeg to..ONIbro 040".7*Net..R AAPAS H*4.00..9 ten4A.rnar lee ed d.n+A,W amen le mdonmdy oto hole name.**the Omer or he ruck
at,soma peed. Ane Ors turpler ha any and se HAMApes H,Me prernM$aM.te W)ateet property.nitro may 1 AEA=
Aa lecanrt not MMA won 30 sen aN de.arry and mew an INTEREST at I.t'D'per"anal who, e.•tla:med AT.dyed.Ie n...need cur el/dewy el OM weer
n left(ANNUAL PEMOENTAOS 0ATEL 7 ONUS Slump=
NO respond.to Rua".Apprep eat m Cob Oua0ly Ne Com*tm.W Imyst 140.at Tor
Nannie eaa.«ed Temp.
A IMOD Sere.Chiew ea re mtrmed anal Returned Checks. A Testing Lab= _
ID
Access Day Tan.Charged at FHO ,gL g
The u.derag.ed acAnowledoes chat herthe is that Cusirttler Mt a9
am autenced em tut the customer and ewe,.cm
Waif of the Curecterto 00 ee Berme end tm.dalma set Borth here..FA)mr or reloAl to type the de6Yery WAIT
BUT acnp'lw,cc of material geRLTalet neteme t nth terms and condoms Wove.
SgI&ure Pont Flame
Acknowledgment al receipt-water added-and gener,!Ie mos and Cmhtsons.2-;art on back r::'lecke!
•
FOLLOW TO THE END
Truck Load Size Mix Code rip Ticket N.�ni Time Date
56398 10.00 C Y D5 31010900 33216032 11:59 AM 10/8/18
Material Design Qty Required Batched Actual Wat % Moisture
1101-If II 60 lb 600 lb 600 lb
MORAL 60 lb 600 Vb 600 lb
AE-90 4 az 40 oz 40 oz
GYP-DWI 1346 lb 13936 Vb 13940 lb 57 gI 3.54X A
GYP-067 1150 lb 11500 ib 11480 lb M
GYP-IB 729 Ib 7290 lb 7280 lb -9 gl -I.00/. M
WATER 39.0 gI 291.6 gl 281,0 gl 291.0 gl
.oad 38247 -b Des.gn WIC. 2 712 Water/Cement: 2 290 A Design 390 0 gl Actual 329,3 gl To Add 60 7
Slump 4 00 in Water in Truck 0 0 gI Adjust Water 0 0 gl /Load Trim Water -6 0 91 /CYDS
SAFETY FIRST UlliTO4f'1.=,,(.
THANK YOU FOR CO'NPA.tl s 970-243-4900 11589 Hwy 6 Gypsum CO
-IELPING OUR DRIVERS , www,united-gj.com 81637 PREVIOUS TRUCK . I ORDER
ENTER AND EXIT JOB i<<L. 4�'�CONCRETE D_ ELIVERY TICKET E 28
SITES SAFELY
DATE LEAVE PLANT ARIVE JOB START null FIRISH epUR LEAVE.JOB AR WE PLANT OVERTIME MINUTES 1III I IIII MI 111 111111 III
10/08/2018 I lZ ' U7i /AVX 1/4fi 332160301
L
ss �� 5185 MAIN GORE DR--EAST VAIL
o�Y LEADING EDGE TECHNOLOGIEE 1) S BT 5185 MAIN GORE DR--EAST VAIL
R
N EAST VAIL C0L0P81657
CUSTOMER NUMBER 1 SOURCE TRUCK DRIVER CUSTOMER PURCHASE ORDER NUMBER
9179 78934 332 56397 JAY FLOGAUS CASEY 418-8888
PRODUCT CODE- taUANTI'Y DESCRIPI ON U/M PRICE AMONT I
31010400 10. 0 CDOT FLOWFILL
901. EC 10. 0 ENVIRONMENTAL FEE
WATER ADDED PER CUSTOMER REQUEST Warning: Concrete quality may be jeopardized if driver
�ALLIONO Or NATER ADDED EST SLUMP is instructed to add water increasing the slump beyond SUB TOTAL
AD the designed slump. Concrete design strength may vary
71V� significantly fram in-place strength depending on
placement, consolidation, curing, and protection of the
concrete after delivery. SALES TAX,
CONCRETE UESD FDRDELIVERY REDDEST TIME
DESIGNED mune ORDERED [,LUMP YARDS pRDERED TOTAL YARDS
PLEASE PAY
STORES 4. 00 FLUID 30. 01 10. 00 12: 00 THIS AMOUNT
WADDING PROPERTT DAM AOE RELEASE DELAY EXPLANATION r CYLINOER UNDER TEST TAr.E I
oiRrTATUJC 10 THE SKIN AND EYES (TO BE ROOMED N DELIVERY TO BE WADE RIME CUR!LFREI I Joh Not ReadyG Truck Broke Down=rumPORTLAND CEMENT %TEAR RUDDER BOOT3 AND GLOVES PROLCN3ED Derr Cr...het TIP err.N sm reek et pnwMurE IN.RELEASE N Fre h r err ienahrrera
::ATTat:MAY CAUSE IWRNS AVOID CONtACT WIN EGET AN PleTLOWJEO CONTACT h M D.weren INN lee.m.err-acrd nt fir TEEM.nay m'"O'caw•drop*.r M 2 Slow Pour or Pump 7 Accident
own.;CAM iN CA:L Or CAN'ACT WITH SAID OR LTL. Flo SEI THOROUC.LY WITH w......**-.**OA****FNNV V r IP.*Al.***1**NI Mee PON.yeu.Nee A.n 3 TrucJI Mead 4r.Job B Citation
....Atte F IRRITATION PE PLIS S CET=CA/.ATTE1TICEI MEP CHILDREN AWAY M...EN*Mp TP..N every Ill..w FAA Ni N vdr N Aa ins E.*EVE,.r*INAMtp Due
.o.MP,UPI RELEASE mN.rly hen and Ns YriWyr So.aT relialtady fa Any".. . 4 Contractor Broke Dorm 9 Other
CONCRETE a a REACHABLE CONaMODTTY AN BECCfaET V. PROPERTY el M m..Ire alar N M p.m.,owner a4awr4 engem DWdnp.-.dNIO. I:m.0M
'AMCNATER.Up.Ward Pm PLANT.ANE CHANGE:r CANCEILATIC*C I CRIMINAL wen,•d.mos.E.E.,er Run rywral.and reA Tau wa apm•N nap Iron rams..rr.N Run 5 Added Water 10 Cylinder Taken
RCTRUCSIONS MUST w TELEPHONEDMIEN OFFICE BEFORE ADDING STARTS dna,.ryes M fro••hyo prat ha ma rml IMP N.pada Yuma. Farina as add3wW 0 Yes 0 N..
It....any.d Own.N DAR M IAS NAMPO A...MN meteor.her.nrerI.A r.~01 teeha•ratem M unneepama Avon N eyurmey and Im1!Myo..M Ammo N Rt RUE.
arty Arne A..& and BMs suppler for any And al lana.N M many.*sib adlaurtl away IrNW May %AEA=
AI acrann nal pad mdrn Jr AOR.of&tray mR far an NTEREST P1 1.11%per nveh miry, Aa QYmPA ey aroma N haft num IN of ENMy M nn Pd.r
Aleve IMMIAL PERCENTAGE PATEL SNORED. Skimp=
NM mamma*fp P.M.,AppPeaVl N Caw OUA4y.P.O CTam AAaw.d Unlu.Mame R Tnr•
uaemui rsOd..f.A Temp=
A
Ammo. o TDM CherShit II S03W'HR snailsnailA114,..4A114,..4Creeks. I
p0. TestingLab=
The iAide ouwedBRM h .Ae N dre Cutlaeret to W mere ere Nor the pummel Ord Areas Mt
behalf.(fie Cuatvrner�d the lerrne and conditions oet firth he en Eldon w refWal t0 Fgntha daivery met
BUT aaepi m a.al maIHw cow-stars$¢cement wth term and conchens shore.
5igna;Dre Rini deme
Acknowledgment of receipt-water added-And general terms and axdltDrts 411rAT1 on tack..I ticket
FOLLOW TO THE END
Truck Load Size Mix Code Dlsp Ticket Nus. Time Date
56397 10.00 CYDE 31)10400 33216030 11:03 AM 10/8/113
Material Design Qty Required Batched Actual Wat % MoIsture
ROL-1/11 60 lb 600 lb 600 lb
DORAL 60 lb 600 lb 600 lb
AE-90 4 c¢ 40 0z 40 az
GYP-51161 1346 lb 13953 lb 13960 lb 59 gl 3.66% A
GYP-167 1150 lb 11500 lb 11480 lb M
GYP-AG 729 lb 7290 lb 7280 lb -9 gl -1.00% M
HATER 39.0 gl 279.6 g1 279.0 gI 279.0 gl
.oad 36251 °b Design W/C. 2 712 Water/Cement: 2 290 A Design 390 0 gl Actual 329.3 gl To Add 60 7
dump 4 00 in Water in Truck. 0.0 gI Adjust Water 0.0 gl /Load Trim Water -6.0 gl /CYTS