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Contract This P'ogress Payrion I Previous Payments Payments to Cate Estimate to Complete Estimate at Completion Change Bid Item I oescrlotion I Unit I Unit Price I Quantity I Cost Quantity I Cost Quantity I Cost Quantity I Cost Quantity I Cost Quantity I Cost %af Contract Orders Schedule A Change Orders Schedule A Change Orders Co.1 Retainage 1.499 Rat einer Bond LS. 52585.03 1.00 57,58500 0' $0.00 I 52.585.00 1.00 52,585.00 0 5000 100 52,535.00 000.00 CO.l Totals 5258507 I 50.00 52,555.00 52,58500 50.00 52.53500 100.00 C.O.2 FO Termination Panel Rev N/A No Cost Change Order 50.00 1.00 SC.00 11 50.00 0 $000 1.00 S000 0 50.00 1.00 $41.00 100.03 CO.2 Totals $0,04 I $0.00 50.07 50.07 $0.00 $0.00 100.03 C.O.3 Trip6 Tree Removal I 3-4103 T roe Trer Removal LS. $3,339.001 I00 53.33900 1 53,339.00 0 50.00 1.00 $3,339.0C 0 $0.00 107 53,339,00 100.CO C.O.3 Totals 53,33900 51,339.00 50.00 $3,339 L70 $0.00 03,33900 103.00 CO.4 Tier 1 Reclamation CSTC N/A No Cost Change Order 50.00 1.00 50.00 1 $0.10 0 50.00 1.00 SO.00 I3 5000 1.00 50.00 10000 C.0.4 Totals 50.0e 50.00 50.00 50.00 53.00 50,00 100.00 C.O.5 wet conditions 5.4101 Natur aim Leu of Recycled CSTC TON $1487 1,10000 $16.302.CC 0 SC00 0 SO OD 000 $000 0 50.00 0.00 $000 000 u 5.4102 Ware,Control FA. 573,698.07 1.00 523,69800 06677 515,808.27 0 50.00 3.67 515,808.27 9 $0.00 0.67 515,808.27 66.71 C.O.5 Tot els 540,000.00 315,80827 S0.00 515,808,27 $0.00 $15,80527 39.52 C.O.6 CB2 to CB 6 Revision I 5.4101 Natural in Lieu of Recycled CSTC TON $14 82 -1,100.00 .516,302.07 C 50.00 0 5300 0.00 50.CC 0 5000 0.07 50.00 C.00 6.4101 Natural in less of Recycled 1571 TON 514.87 1,153.00 31208246 775.52 51149321 0 5000 775.52 511,493.21 0 S000 775.52 $11.493.21 67.26 48 Utility Conflict Resolution I F.A. $24,000.00 •1.00 -52400000 0 $000 0 50.00 0.00 50.170 0 50.00 0.00 $0.00 000 6-Au Utd.ty Conflict Resolution I FA. $24,214.54 1.00 $34,214.54 0.03436 $531.91 0.0I885 5214,54 0.04 51,045.45 0 $0.00 004 $1,046A5 4.32 428 Unsuitable Foundation ExcavationCY, 160.00 -400.00 -524,00000 0 $000 0 53.00 00o 50.0o 0 50.0o Om $000 0.00 6-425 Unsuitable Foundation Esovstion CY 560.00 430.03 525,130000 41.57 $2,494.20 25.44 $1,525.40 57.01 54,010.F0 0 $0.00 6701 $4,020.e0 15.58 C.O.6 Totals S2,8m.07 014,519.32 61,740,94 516550.76 50.00 516,560.26 591.44 Schedule A Plus C.O.Totals $4,738,476.50 S289,5111.65 5763,495.15 $1,053,005.80 S1,963,3E4.80 S5,016,370.60 10e.66 Schedule 8 Schedule B in1 M084L12411ON Al1p DEMOLfON (NOT TO EXCEED 10%OF TOTAL OF FPO 509E00E B) L5. $15,030.00, $15,03000 000 53011 080 51I.000.0 0 0.80 312,000 CO 020 51,000.00 1.102 515,03)03 10000 192 TREN04540ETY 5137E MS 1.5. 52,00000 1 12,030.00 0.00 53.00 005 5100.01 0,05 5700:03 0.95 51.90000 1.00 32.00000 10000 REMOVAL AND REPLACEMENT OF 63 UNSUITABLE FOUNDATION TON $60.00 100 56,000.03 0.03 50.00 0.00 $0.0c C.CO 50.00 100.00 56,000.00 1m q 11,3 000 100.00 84 SELECT IMPORTED T8ENCy BACXFILL TON $35.00•�1,265 544,725.03 0.00 $000 866.89 130.341.15 565.89 530,341.15 39811 $13,933.85 :,255.00 $44,275 oC 1C0.00 le< $0.00 __.__$0.00_ $O00 c.co Sam So00 D90 So00 ooc ® City of Renton Progress Payment No 4 Project Name: Duvall Avenue NE CAG: CAG 20-065 718: N/A Contractor: Reed Trucking and Excavating FHWA: Pay Period: 3/1/2022 to 3/31/2022 No. Completed Project Estimates Date: April 7,2022 Payments Includes estimated overruns,underruns. Contract This Progress Payment. P•eyious Payments Payments to Date Estimate to Corrwlete Estimate at Completion Change Bid tern Description Unit Unit Price Quantity Cost Quantity I Cost Quantity Cost Quantity Cost Quantity Cost Quantity Cost 31 of Contract Orders 6116 FURMSHAND INSTALL&INCH 0,S2 20 WATER MAIN WITH RE5TRAINE13-101NT FITTINGS AND POLYETHYLENE ENCASEMENT LF. S1a000 52,800.00 000 SO CO 000 SO CO O.CO $0.00 2000 52.80000 20 CO 52.300.00 10000 •87 FuRNISH ANO INSTALL 22.0401 O.52 52 I WATER MAIN SMTH RESTRANEDAOINT FITTINGS AND POLYETHYLENE ENCASEMENT LF. S115.00 $7750.00 0.00 S0.03 0.00 SOAO 0.00 $0.00 62.00 57,750.03 62.00 57.750.00 10000 688 FURNISH MOD INSTALL 164N01 CI.52 740 WATER MAIN WITH RESTRAINED.101NT FITTINGS AND POLYETHYLENE ENCASEMENT LF $13500 559,903.00 0.00 $0.00 0.00 $0.00 0.00 50.00 740.00 59E.,900.00 74000 599,900.00 103.00 59 ADDITIONAL MORE IRON FITTINGS LAS 5503 3600 518,007.00 010 50.00 000 5000 000 50.00 3,60000 518,00000 3,600.00 518,00000 100.03 B10 CONCRETE FOR THRUST BLOCKING C.Y. 5100.00 27 S2,700.00 0.00 $0.00 3.52 5352.03 3.52 5352.00 23A8 52,343.00 27.00 $2,10000 100.00 811 CONNECTION TO EXISTING WATER 4 MAIN EACH 53.50000 510,00000 0.00 50.00 200 $7,000.00 2.00 57,000.00 20O 57,000.00 4.00 514,000.00 100.00 812 CUT AND CAP EXISTING WATER 11 MAIN AND ABANDON DOTTING WATER FACUTIES EAOH 5650.00 57,150.00 0.00 S0.00 1.00 $65000 1.00 S650.00 10.00 $6,500.03 11.03 57,350.00 10000 "!/\ ">A`J S0.00 50.00 50.03 0.00 53.00 5000 0.73 50.00 0.00 BM FURNISH AND INSTALL&VAH GATE 2 VALVE 055EM8LY EACH 51,400.00 52,800.00 000 50.00 0.00 50.00 0.03 50.00 2.00 $2,303.00 200 52,800.00 100.00 815 FURNISH ANO INSTALL 12•INCH GATE 1 UR VALVE ASSEMBLY EACH 52.50000 51500.00 007 50.00 0,00 50.00 0.00 50.00 1.00 52,500.00 1.00 52,50000 10000 116 fIRNI9IAADINSTALLI6.2NQ4 GATE I VALVE ASSEMBLY EA01 58,00000 58,000.00 0.07 50.00 0.00 SO CC, 0.00 50.00 100 56,00000 100 58,000 00 100.0a 6.817 FURNISH ANO INSTALL FIRE 2 HYDRANT ASSEMBLY ON NEW WATER MAIN EACH S3,000.00 S15,000.00 0.00 50.00 0.00 50.00 0.00 50.01 7.00 516,00000 7.00 516,300.00 100 C0 .818 FURNt10I ANDINSTAtt FIRE 70 HYDRANT A55EM81Y ON EXISTING WATER MAIN INCLUONG WET TAP 8Y APPROVED WET-TAP CONTRACTOR EACH 5300003 556,000.00 0.00 50.00 2.00 516,000.00 2.03 526,000.03 500 540,00000 7.00 556,000,00 100.00 819 FURNISH AND INSTALL 14NCH i WATER SERVICE CONNECTION EACH $1,700.00 52,703.00 003 5000 Om so oa 0G0 $0.01 100 51,703.00 1.03 51700.00 10003 820 STORMWATER POLLUTION 1 PREVENTION(AND TESL)PLAN AND IMPLEMENTATION L.5. 51.00000 51,030.00 0.000 50 CO 0.060 $50.00 0.05 $50.00 095 195000. 1.00 11,000.00 10000 821 FURNISH AGO INSTALL 24NQN 1 PERMANENT BLOW-OFF ASSEMBLY EACH $3,50000 $3,500.00 0.Da 50.00 0.00 50.00 0.00 $0.00 100 $3,500.00 1.00 53.500.00 100.00 Sub-Tot als 5311,075.00 5003 566,493.15 566.493.15 5244,531.85 5311,075,00 100.0a • City of Renton Progress Payment No 4 Project Name: Duvall Avenue NE CAG: CAG 20-065 T16: N/A Contractor: Reed Trucking and Excavating FHWA: Pay Period: 3/1/2022 to 3/31/2022 No. Completed Project Estimates Date: April 7,2022 Payments Inc:odes estimated overruns,underruns. Contract Thu Progress Payment Previous Payments I Payments to Date Estimate to Complete Estimate at Completion Change Sid Item emotiptlen I Unit I Unit Five I Quantity Cost Quantity Cost Quantity Cost I Quantity Cost Quantity Cast Quantity Cost %ot Contract 0.den Washington Slate Sales Tax 10.1% S31418.58 tom $5.71S.811 56,715.61 S14,102.7? S31,418.58 Schedule 8 Totah 3312.493.5e $0.00 $73,203.961 $73,205.96 $269,234.62 $342A93311 100.00 ' City of Renton Progress Payment No 4 Project Name: Duvall Avenue NE CAG: CAG 20-065 TIB: N/A Contractor: Reed Trucking and Excavating FHWA: Pay Period: 3/1/2022 to 3/31/2022 No. Completed Project Estimates Date: April 7,2022 Payments Includes estimated overrun:,underrr,na. Contract This Progress Payment Previous Payments Payments to Cate Estimate to Complete Estimate at Completion Change Bid Item oesn,lnron I Unit I Unit Price I Quantity Cost 0uantiryf Cost Quantity 1 Cost Quantity I Cost QuantityI Cost Quantity] Cost %of Contract Orders Schedule B Change Orders Schedule B Change Orders c o.n I 50 CO 50.00 50.00 0.00 50.00 $0.00 000 5000 00101C1 saw sa.to soot saw act so.00 mivA7i •taco soot 50.00 0.00 S0.00 50.00 Oct. S0.00 0010/01 C.O.x Tolel I Sato tam 50.00 5C.00 Soon tam ADIV/CI C.O.Xx $0.00 sa.to saw 0.00 saw soon o.ct 5o0C 01:I1,/01 saw Soap 5000 0.00 50.00 50.00 0.00 s0.00 Nopec I _ $0.00 $a.00 $0m 0.00 $0.00 $0.00 0.00 $0.00 8OIV/CI C.O.xx Totals I S0.00 $0.00 soot o.00 so.oa so co so co 80rycl Schedule 8 C.O.Sub-ToteI0 $0.03 $3.00 $0.00 50.00 SO 00 SC co 401V/CI Washin0t on State Sales Tax 10.1% $0.00 $0.00 $0on $C.00 50 00 50oa Schedule a Orange Order Totals $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 801V/01 Schedule B Plus Schedule B C.O.Totals S342,493.58 $0.00 $73,208.96 $73,208.96 $269,284.62 $342,493.58 100.00 Schedule C Schedule C c1,SPCC PLAN 1.5. 5500.00 1.00 $500.00 0.0:1 50.00 103 550000 1.00 $500.00 0031 5000 1.00 5500.0a 100.00 02 MOBILIZATION LS. 010,000.00 1.00 510,000.00 0.00 $0.00 1.00 510,000.00 1.00 510,0:0.03 0.00 50.00 1.00 510,00000 100.00 C3 104NT UT1UTY TRENCH LF. 5100.00 18000 518,000.00 10030 S10.500.00 95.00 58,500.00 200.00 520,000.00 85.00 58,500.00 285.00 528.500.00 753.33 C4 LATERAL TRENCH 15. 575.00 1,150130 585,250.00 000 50.00 669.00 550,175.00 669.00 550,175.00 481.00 536075.00 1,15000 586,250.00 100.00 INSTALL VAULT-PSE TYPE CS 26S12'e'e10' EACH 3800.00 200 01,600.00 0.00 $0.00 CCO 5000 003 50.00 203 51.60000 200 51,60003 10000 INSTALL VAULT-POE TYPE C641117'015'8' EACH $1,000.00 400 54.00010 0.00 50.00 1.00 01.03000 1.00 01A00.00 300 53000,00 ADO 54,000.03 70300 INSTALL VAULT-PSE TYPE C7 S'3'e27429' EACH S0.000.00 100 57,000.00 0.00 $0.00 0.00 $0.00 0.00 1000 1.00 51,000.00 1.00 51,000.00 100.00 INSTALL VAULT-COMCAST TYPE CO 1'6'130'PEDESTAL EACH $250.00 1.00 $750.Oa 0.00 5000 COO 50.0C 0.00 $0.00 1.00 5750.00 1.03 5750.03 100.00 INSTALL CONCWT PIPE-21N.01APA.- C9PSE IF. 512.00 30.00 $360.00 115.00 51,360.00 8800 51,056.00 203.00 $2036.00 0.00 $0.00 20300 52,436.00 076.67 INSTALL C0000AT PIPE•3 IN MUM.- C10 PSE IF. 51300 270.00 53,510130 0.00 50.00 0.00 50.00 0.00 00.00 270.00 $3.510.00 270.00 53,510.00 100.00 INSTALL COSOOL T PIPE-4IN.OMAM.- C11 PSE LF. 511.00 3,290.00 535,080.00 234.00 52,571.00 7,995.50 $21,55050 2,229.50 524,521.50 1,285.00 514,135.00 3,514.50 538.659.50 107.1$ iN$TALI.CONCUR PIPE•6IN.OIAM.- C12 PSE LE. $22.00 22000 54,34000 0.00 00.00 C00 50 cc 0a0 5000 22000 54,640.03 220.CC 04.84000 100.00 ® City of Renton Progress Payment No 4 Project Name: Duvall Avenue NE CAG: CAG 20.065 TIB: N/A Contractor: Reed Trucking and Excavating FHWA: Pay Period: 3/1/2022 to 3/31/2022 No. Completed Project Estimates Date: April 7,2022 Payments Includes estimated overruns,underr.ns. Contract This Progress Payment Previous Payments Payments to Cate Estimate tc Complete Estimate at Completion Change Bid Item Description Unit Unit Price Quantity Cost Quantity 1 Cost Quantity Cost Quantity Cott Quantity Cost Quantity Cost %nl Contract Oreen INSTALL CONDUIT PPE•4 IN.OM.• I C13 Cl7.sCA5f LF. 511.00 18000 51.980.m 1I5.00; 51,265.00 80.00 $380.0 19500 $2,145m lm.m $l,lmm 29500 53,215.00 167.89 Sub-Totals 5168,870.00 I 515,719,00 $95,061.50 5110,780.50 574,510.00 5185,390,50 109.72 Wast4ng;en State Sales 10.1% 617,055.87 I 51,537.62 $9,601.21 511,188.83 57,525.51 518,71434 Schedule C Totals 5165,925.67 1 $17,306.52 $101,662.71 $121,969.33 $62,035.51 $204,034.84 109.72 Schedule C Change Orders Schedule C Change Orders C.O.%%X I $0.00 1 S0.00 $0.00 0.00 50.00 $0.00 O.m $0,00 6DIv/Cl tam 1 Sam $0.03 $am 0.00 $O.m oD1v01 Sa00 I __$252 $o,m am Sam SO.00 0CC 5u 110 miv,ti C.O.Co%Totals 5000 1 $0.00 $0.00 Sawa Sam 50m aoiv/ct C.O.XXXO $000 50.00 50,00 0.03 50.00 00.00 0.00 5000 0010,01 5000 50.01n $0.00 0.00 $0.00 50.00 0.00 5om 1Dlv,0I 50.00 50.03 S0.00 O.m 50.00 50.00 0.00 5000 0019/Ol C.O.XXXA Totals $O Da $om 50.00 000 $000 50.DO _ 5000 0ON,'01 Schedule C CO.Sub-Totals 53.00 50.m 50.00 S0.00 53.00 $000 1010,01 Washington State Sales Tas SC.1% 50.m $c00 Sam tam So.m 50AC Schedule c orange Order Totals $0.00 $0.00 $0.00 50.00 $0.00 $0.m sO1v/0t Schedule C Plus Schedule C C.O.Totals $185,925.87 $17,306.62 $104,662.71 $121,969.33 $82,035.51 $204,004.84� ion 'Total Schedule A,B and C Plus Change Orders $5,266,895.95 0 City of Renton Progress Payment No 4 Project Name: Duvall Avenue NE CAG: CAG 20-065 TIB: N/A Contractor: Reed Trucking and Excavating FHWA: Pay Period: 3/1/2022 to 3/31/2022 No. Completed Project Estimates Date: April 7,2022 Payments Includes estenated overruns,undenun,. Contract This Progress Payment Previous Payments Payments to Oats Estimate to Complete Estimate at Comotetion Chance Bni Item l Description I uric I Unit Price I Duantny I Cost Ownnty I Cost 4+antiry I Cost Q_antay I Cost Quantity I Cost "CWmtsty I Cost )a or Contract Orders *Schedule A Materials on Hand(MOH for 81's A44-A46 and A48 Storm Sewer Pipe,BI A49 Concrete Inlet,BI ASO CB Type 1,81 A51 CB Type 11,81 ABS Electrical System Complete and BI 86,B7,B8 and B18 Water Main and PH stub) $65,821.60 $79,065.21 $144,886.81 •"Deferral on missing COC for DI pipe fittings for 81 817 $400.00 _5800.00 -$400.00 Schedule A Plus Schedule A CO.Totals 3289,510.6s 5763,495.1S $1,053,005.80 Schedule 8 Plus Schedule 8 CO.Totals $0.00 $73,208.96 $73,208.96 Schedule C Plus Schedule C C.O.Totals $17,306.62 $104,&62.71 $121,969.33 Total All Schedules and Change Orders,MOH and Deferrals $373,038.87 $1,019,632.03 $1,392,670.90 Retainage 0%due to Retainage Bond $0.00 $0.00 $0.00 Pay This Amount $373,038.87 Approvals For This Progress Payment Sig ure Date ure Date • Resident Engineer 4 Contractor .. -17: › 17_6""g l Principal Engineer Project Manager Transportation Design Mgr. Robert M.Hanson • AUL.fry 4�ashin�t®In State Department of Transp tion Field No_^4Record (Sketch Grid) Renton - Duvall Avenue NE Book No. Page No. I Contract No. Station Line C/S CAG 20-065 King County Staked By Date Work Started Work Completed 4/4/22 3/1/22 3/31/22 Calculated By Date Checked By TLS Date Inspector's Signature Date MB 4/4/22 4/5/22 53 Days xpired A3 - yp B Pr gr ss Schedule = 80% [Schecule Submitte ] + 0% [80% Contract Work Com- plete ] = 8 % to dat - 0% prey = 0% th s estimate A4 - Proj ct Re Li a Dray ings = 75% [53/260 days] + 0% [ ecord Drawings not submitted] = 1 .3° to date - 8.7%° rev = 6.6% this estimate A5 Contractor Surveying = $6,500+0.75*$4,700+0.3*$4,700+0.3*$5300+.05*$1900+0.8*$2900+.34*$11,000+0+0.25*$5400 +0+0 - previous paid A5 = $20,530-$15,050 = $5,480 = 10.96% • v/ A6 -ADA Featu-e Surveying = 0.5x75% for work complete + 0x25% upon completion = 37.5% to date - 0% prey = 37.5% this estimate A9 - Covid-19 Health and Safety Plan = 25% for approved plan + 75% [53/260 days] = 40.3% to date - 33.7% prey = 6.6% this estimate Al D - Other T p Traffic Control = 100% [5 1260 ys] = 20.4° to dpte 111.5% prey = 8.9% this estimate V All - Tr a is Control Supervisor = 100% [53/260 days] = 20.4% to dale - 11.5% prey= 8.9% this estimate Group Basis of Material CAPS Entry Initials Item No. Item Est. No. No. Date Unit Quantity RAMS No. Acceptance No. Post OK A3 Type B Progress 3/31/22 LS 0% N/A Calc MB TLS 4 . Schedule A4 Project Red Line 3/31/22 LS 6.6% N/A Calc MB TLS 4 Drawings A5 Contractor Surveying 3/31/22 LS 10.96% N/A Calc MB TLS 4 ADA Feature Surveying 3/31/22 LS 37.5% TLS 4 A6 y g N/A Calc MB A9 Covid-19 Health and 3/31/22 LS 6.6% N/A Calc MB TLS 4 Safety Plan Other temporary Traffic 3/31/22 LS 8.9% N/A Calc MB TLS 4 A10 Control A11 Traffic Control 3/31/22 LS 8.9% N/A Calc Mg TLS 4 Supervisor DOT Form 422-636 EF Revised 9/96 A. Washington State �A/ Department of Transµ,_,.ration Field NC_ Record (Sketch Grid) Renton - Duvall Avenue NE Book No. Page No. 1 Contract No. Station Line C/S CAG 20-065 King County Staked By Date Work Started Work Completed 4/4/22 3/1/22 3/31/22 Calculated By Date Checked By Date Inspector's Signature Date MB 4/4/22 TLS 4/5/22 A21 - Removal of Structure & ObstrLctions = 100% for work completed = 100% to dat- - 85°, prey = 15% this estimate A62 - Televisio Inspei tinn = 33% for work.completed = 33% to date - 0% 'rev = 33% this estimate A63 a O - e- 0 .•-0 - a Ik n Prevention - 100% [53 260 days] _ = 20.4% to da e - 11.•% prey = 8.9% this estimate t/ A68 - Plants for Lands, ap,ng = 0% for ork completed = 0% to date - 0% pr-v = 0% this esti ate �-� A71 - Irrigation .yste Restoration = 01.3 for work completed = 0% to date 0% pr-v = 0% this esti ate t/ A72 - Irrigation .yste = 0% for work completed = 0% to date 0% pr-v = 0% thisesti ate A85 - Electrical .yste , Complete = 1(I.3x21.8%[Install light pole foundatrion]+1.9%[Install foundation for r=loc-tes flashing beaco pole]+.5x0.2%[Relocate flashing beacon pole]+ 0.A5x25.0%[lns[all oniuit and boxes prr trench foot] + 9.7%[Subcontractors MOB - Toterr]) + 0 (0.8x21.8%[Instal lig t pole foLndatio ] + 30 8%[tall light std & fixture] + 1.3%[Install signal _pole foundation + 11.2°.[Relocate signal po e] + .5x0.2%[Relocate flashing beacon pole] + _ 0.4%[Install con rere p-d 'or service or ontrol er] + 0.4%[Relocate service or co'trcller] + 4.0%[fnstall sot-r psw=rec radar sign] + O x2b.0%[Install conduit and boxes per trend foot] + .�°{LRt—del�}�ejElS�g-l:E1rTTl�vrr �z� T� V testing and spli sing) = 21.96% to dste - 111.34% prey = 11..2% this -stimate ` d Group Basis of Material CAPS Entry_ Initials Item No. Item No. Date Unit Quantity RAMS No. Acceptance No. Post OK Est.No. A21 Removal of Structures& 3/31/22 LS 15% N/A Calc MB TLS 4 Obstructions A62 Television Inspection 3/31/22 LS 33% N/A Calc MB TLS 4 A63 Erosion Control and Water 3/31/22 LS 8.9% N/A Calc MB TLS 4 Pollution Prevention A68 Plants for Landscaping 3/31/22 LS 0% N/A Calc MB TLS 4 A71 Irrigation System 3/31/22 , LS 0% N/A Calc MB TLS 4 Restoration A72 Irrigation System 3/31/22 LS 0% N/A Calc MB TLS 4 7A85Electrical System, Complete 3/31/22 LS 11.62% N/A Calc MB TLS 4 DOT Form 422-636 EF Revised 9/96 wfri— Washington State Depalrtn ent of Transpc,.-:ption Field No _)Record (Sketch Grid) Renton - Duvall Avenue NE Book No. Page No. 1 Contract No. Station Line C/S CAG 20-065 King County Staked By Date Work Started Work Completed 4/4/22 3/1/22 3/31/22 Calculated By 1 Date Checked By Date Inspector's Signature Date MB 4/4/22 TLS 4/5/22 / A86 - Permanent Signing = 10% for ork completed l/ = 10% to date - 0% prey = 10% thi-. estimate L/A87 - Removing Pavement M-rking- = 10.0% for work completed = 10.0% to date - 10% p-ev = 0% t is estimate ✓B1 - Mobilization and Demobi ization = 40% [5% contract work completed] + 40% [10% cortract t1• ' • • -• i'° • • • - • = 8C% to date- 80%-• = 0°, •.- - - - `------- B2 -Trench Safety Systems 5.0% for work completed = 5.0% to date - 5.0% prey 0% t is estimate v/ B20 - Stormwater Pollution P eventien Plan and Implementation = 5.0% for work completed = 5.0% to date - 5.0% prey 0% t is estimate Group Basis of Material CAPS Entry Initials Item No. Item No. Date Unit Quantity RAMS No. Acceptance No. Post OK Est. No. A86 Permanent Signing 3/31/22 LS 10% N/A Calc MB TLS 4 RemovinA87 Markings Pavement 3/31/22 LS 0% N/A Calc MB TLS 4 Markings B1 Mobilization and De- 3/31/22 LS 0% N/A Calc MB TLS mobilization 4 B2 Trench Safety Systems 3/31/22 LS 0% N/A Calc MB TLS 4 StormwateI I B20 Prevention Plallution 3/31/22 LS 0% N/A Calc MB TLS 4 Prevention Plan DOT Form 422-636 EF Revised 9/96 ` WilWashington State Department of 4ansr_.ration Field N c Record (Sketch Grid) Renton - Duvall Avenue NE Book No. Page No. 1 Contract No. - Station Line C/S CAG 20-065 King County Staked By Date Work Started Work Completed 4/1/22 3/1/22 3/31/22 Calculated By Date Checked By Date Inspector's Signature Date TLS 4/1/22 MB 4/4/22 IIIIIIIIIIIIIII Material On and text in italics are previous MOH deductions Totem Invoices: PP1 = $16,880 conduit - ($1,132.70) - (1000 LF of 2" conduit @ $2.35/LF per Graybar invoice 9323272584 = $2,350) J PP2 = $18,121 jboxes PP3 = $11,987 for wire and jboxes Ferguson Invoices: PP2 = 39,527 - ($8,076.14) - ($3415 for CB lids + $151 for 15 LF @$10.05/LF of 12" PP storm pipe) PP4 = $82,556 - ($10,422 for 12" CI 50 DI storm pipe in place ) = $72,134 J Shope Invoices: PP2 = $5,621.12 - ($2,331.96 + $1,531.14)/- ($197.12 for CB 7 from shope invoice 100582) - ($199.28 for CB 35 from invoice 100584) Net change to MOH: = -$2,350 - $3,415 - $151-$197.12 - $199.28 = -$6,312.40 + $72,134= $65821.60 Group Basis of Material CAPS Entry Initials Item No. Item No. Date Unit Quantity RAMS No. Acceptance No. Post OK Est.No. MOH Tuteoo_Invoire 2/28/22- LS $11986.53 NIA Invoicc MB ¢I3 S -$82558.55 N/A Invoice MD 3 V MOH Installed Totem 4/1/22 LS -$2350 Visual TLS 4 V MOH Installed Shope 4/1/22 LS -$396.40 Visual TLS 4 V.MOH 1 Installed Ferguson 1 4/1/22 I LS I-$3,566 I Visual 1 I TLS I 4 JMOH Ferguson Pipe 4/1/22 LS +$72134 Visual TLS 4 DOT Form 422-636 EF Revised 9/96 I 1 4 FERGUSOK---- INVOICE NUMBE, .,' TOTAL DUE CUSTOMER • PAGE � !� ■■ WATERWORKS1028201 $82,558.55 75938 1 of 1 9129 NORTH TYNDALL AVENUE PLEASE REFER TO INVOICE NUMBER WHEN PORTLAND, OR 97217-6964 MAKING PAYMENT AND REMIT TO: FERGUSON WATERWORKS#3011 PO BOX 847411 Please contact with Questions: 510-404-1810 DALLAS,TX 75284-7411 SHIP TO: 7461 1 AB 0.461 E0050 10080 D8707420210 S2 P8842094 0002:0002 'lI11'1I1"I'I1'1l'Illy1IIIIllIIIIII'I'illj'II"IIII'I'Il,Ill"I REED TRUCKING & EXCAVATING INC DUVALL AVE NE t REED TRUCKING&EXCAVATING INC DUVAL AVE NE DUVAL AVE NE • RENTON, WA 98057 2207 INTER AVE STE A PUYALLUP WA 98372-3400 SHIP SELL TAX CODE CUSTOMER ORDER NUMBER SALESMAN JOB NAME INVOICE DATE BATCH WHSE. WHSE. ID 3156 3156 WAE DI PIPE LJH DUVAL AVE NE 02/11/22 84493 ORDERED SHIPPED ITEM:NUMBER DESCRIPTION UNIT PRICE UM •AMOUNT- Source Order#:1028168 40 40 AFR52P12 12 CL52 CL DI FLEX RNG PIPE 57.060- FT 2282.40 740 733 AFR52P16 16 CL52 CL DI FLEX RNG PIPE B 86.820•• FT 63639.06 280 281 AFT50P12 A T>12 CL50 CL DI FASTITE PIPE 37.090- FT 10422.29 40 40 AFT52PD1 12 CL52 DCL DI FASTITE PIPE 43.770- FT 1750.80 180 181 AFT52PDU 6 CL52 DCL DI FASTITE PIPE 18.800- FT 3402.80 40 40 AFT52PDX 8 CL52 DCL DI FASTITE PIPE 26.530-• FT 1061.20 INVOICE SUB-TOTAL 82558.55 LEAD LAW WARNING:IT IS ILLEGAL TO INSTALL PRODUCTS THAT ARE NOT"LEAD FREE"IN ACCORDANCE WITH US FEDERAL OR OTHER APPLICABLE LAW IN POTABLE WATER SYSTEMS.ANTICIPATED FOR HUMAN CONSUMPTION PRODUCTS W TH'NP IN THE DESCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN NON-POTABLE APPLICATIONS.BUYER IS SOLELY RESPONSIBLE FOR PRODUCT SELECTION. Looking for a more convenient way to pay your bill? Log in to Ferguson.com and request access to Online Bill Pay. JII`' TERMS: CASH ON DEMAND ORIGINAL INVOICE TOTAL DUE $82,558.55 Jl past due amounts are subject to a service charge of 1.5%per month,or the maximum allowed by law,if lower.If Buyer fails to pay within terms,then in addition to other remedies, Buyer agrees to pay Seller all costs of collection,including reasonable attorney fees.Complete terms and conditions are available Jpon request or at https://www.ferguson.com/content/website-info/terms-of-sale,incorporated by reference.Seller may convert checks to ACH. 'Any reference to or incorporation of Executive Order 14042 and/or the EO-implementing Federal clauses(FAR 52.223-99 and/or DFARS 252.223-7999)is ?xpressly rejected by Seller and shall not apply as Seller is a materials supplier and therefore exempt under the Executive Order,* 2:0002 r � Washington State �A/' Department of Transp,, ation Field N . Record (Sketch Grid) Renton - Duvall Avenue NE Book No. Page No. 1 Contract No. Station Line C/S CAG 20-126 King County Staked By Date Work Started Work Completed 2/7/22 1/1/22 1/31/22 Calculated By Date Checked By Date Inspector's Signature Date MB 2/7/22 2 .)G 2/8/2022 Deferr Is B17 - ire Hydrant Assembly - DI Pipe & Fittings ' %( 16,000.00) = $800.00 J Received DI Pipe Mfg Mi sin s Mfg. Cert.of Compliance for DI Pipe and Fi Cert of compliance, us d f r installation of fire hydrants. missing fittings Mfg Cert of compliance, reduce by half for PP No 4 2.5% L 1 I 1 1 1 Group Basis of Material CAPS Entry Initials Item No. Item No. Date Unit Quantity RAMS No. Acceptance No. Post OK Est.No. B17 Fire Hydrant 1/31/21 LS ` o ' N/A Calc TLS 4 Assembly DOT Form 422-636 EF Revised 9/96 ft-4'0 w&- en a ttamigartatelm "FileId Not-`ittc©rd (Sketch Rio/ , _� k /3 . . - Book No. � Page Na. Contract No. Station Line •;C78. - CV-20 -0 6 5 8-y/,i7O itO y'06,4a0 pt) v / Avg irn-6, e'd^ Staked By - Date- Work Started Work Completed 2 ill c.k k 10,44_,,s 3-Z)- Zz_ 3- 8--22— 5- 3 / `Zz_ ttfated B Date Check Bg i Date , ins tor' S'I nature • 'Date r 6t, A ',-yam 5 20 HI -t t t '.� INli II EE r Gs2l�l �Ird2211 PiNIUU UIUU[ ) y PPI,, ,,,,,,t 3 (, 0 1 Cav o .4• (cmaw ell 0/ V . LZ , r e . _ - L i , Z- 9, 1 D. 441 t 1 . A-17 SEQUENTIAL ARROW BOARD 3/27-3/31 A-15 PCMS 5 DAYS X 24 HR X 2 EA=240 HR FOR WZA 3/21 TO 3/31=11 DAYS X 24 HR/DAY X 1 EA=264 HR 1 , AND WZC II - 1 1 1 1 1 1 ' 1: I 1 I 1 . _ , ' Basis'o;Material CAPS t�itties item No. Item Group Date Unit Doan* RAMS No. Est,No. �a_ ;Acceptance No. Past OK 'rZ �l+t- c2� 3-30 / .0 l i V iSv4- f TLS , 4 -'0 5F 2 tit Vis,4f TLS ; 4 2 3 , �3�p� /45v . I TLS 4 /---/ eo N Cr- 1-c Guars 9.30 .2. F4 415 11625.5 1/if J. 1 - TLS 4 3t101//�A 1 ) _ t� 1 1 1 tip•iiJG c JL . 3'-3-1 IV S 1646' � �/'I i a 4' TLS 4 1 1''a at�leNd- Co 7.S 0 U .S v ! I 5 1 ` A351 5 e::S f ' 3-3 U /NS &I:O I ✓/ V J. 1.S.u'4' 1 TLS 4 1 A-17 SEQUENTIAL ARROW 3/31 HR 240 %/ VISUAL TLS .4 - -A-15 PCMS 3/31 HR 264 ki VISUAL TLS 4 • • SS irrf 1rvaDATEgaB - Ild fieteiI7‘:ecord (3k-tell Odd) i _. _ . Book No. -..-/- Page No. NY', iz- Contract No. Station Line , . OS ?'57 e-73 Staked By I5 Date" Work Started Work Completed ‘. 5- /-'7 2 2, 9-61°V - z z__ •.- - . .. A Calculated 'I'y Date Checked By !Date 1 ins Signe; . I Date TLS l 4/3/22 ks, , $ $ l'a) Cr All / 0 e-44i (y) 1 i if ,) (....,ee_ el' ir . , _ e 1 ; -WZA:8.5X24=204 HR,3/18 NOON TO 3/26 PLUS _WZC:7X24=168 HR,3/20 TO 3/26 : 0, 4.5- 2_ " „,4 Ce a fr TOTAL 7 372 HR • il a 4 f 2-'' ?lir, a Ii2 C6'. 4--,/-7- 4€40,, ,,, 1,0, Rs a/ Zo-v e-- Uri,// 5, / y' 5: s :: 2e. c/5 z_ A- ts - 4s- iA'4,1 - 4134„ 4 f A ? 3 - 1 " --",- -71 -, 1. n 5-7 ds i 6 1)e. / 5 Z.- ' t, 1 i 2, -- , 7. 4- Z3 ea •€ 6 ,&,/i.a . / 3 I. s' o se,„, E. • ,I: 0-,3 „ 5-04-e3 -f . s7...4-5,-,/ 4,.. 6 t j f r A .3 5 e.. 7 4 c..- 3. z 3 7 /. 9 #0-. /71t I•ir ?q, --.... 34'2 - •.6667. SC,: ZS-‘12. 5P-- 06 ii° i° q"/fr" e/5 )c 7 ik & 41-cas'.8" 6'f. t.i's'i -,- ii i '11414/ 12, " .cfe- j / 6 ,L. ' z 3 - y ' , -7 0 7/• .6, I , . • - . .Item No. item Gr°uP Data Unit Quantity RAMS No. Oasi* a Matenat CAPSEntrY No. ! Andeptance No. - Foal OK A. ? P -A.0 le 1 3-1 i eA gi 17;.-- j/ii- c4 I TLS 4 i . 14-/.7 /166 w 6,4/(9: .yrz,_ •ive.37e2t?,....44 1,14.1v.4,4 TLS 4 /4-7/. 2•9 fit chive S;(9eVAlit 3r2i- if-or $:1z LW" il.sueki (TLS 4 A- 5 Asp,'A geilid-t- 5-‘1_342 j .-0.5 9S:9 c.) a L./ V(-5,14-1 - TLS 4 A-35 0 sl-C 3.23- Dv_5 14146- ,/ ti I.''4 F 4,at ,- ins , 4 A-13 eu fia &e00(44 3- z3 LI 3/.5'0 / ti /1,1 TLS 4 _ 44it1 12..."c PEI) 3-i-•3. 1 F AV/$ \/ Vis-u0/ TLS 4 A ('s iz ' of ,.?-?.5 4r )01.(b,‘"7- Vr5(ivy I - 4 TLS . , -- —.. DOT Form 422-636 EF • Y-:)i -�_ TA" di - , Reid K6t :134ec Ord (Sketch erad) Book No. 1-._.. Page No. 1-vf/Z Contract No. Station dine - ---i - C7S. - 644 o-o65 F /t7/ /o 5oG f?et 11/ v.4/( 4t' ' - `.✓o e...;' Staked By Date- Wont Started Work Completed, 2'001-Ge 3-('` 1, ( ?-J2/1 - 2 7-- 3- z r- Zz_. • - Calculated py IDate Checked By jData In �,s i.nature . !Date pi;l srnl C�� -2r-d L TLS 4/3/22f'. g ? Of--. j 2L 7r ' -So T e e C 's► ) A ll I Cg4I35 i , r53 co „„de cri . )40 E70 S I- ` Co &-U) i�,v o / j/ ; / 1 e. Le__ rr2- tic u, , 1,,ap id 5- C 5!• r' - 3- 2 If- 2Zi �� r Z. 2 - z � - �' If 6. 6 4 2. 3. Gr 91 ` ' V I • Al2 - Flaggers ! • _ 4 HR * issing time added to PP 4 ; • _ f . . i f i Basis of Material CAPS Entry initials Item No. Item 1 No_ Date Unit Quantity RAMS No. Acsepi'atice No. Past OK N . Group Est A417 • ipe / C 6 3 z3.Zy �._4- l / V.'s✓4-j TLS 4 ____ r ` / I A .. 3 ei,.rrtle 4�� 4- C4-sF - 3,i3.22 (� I/ !�r� v4-/ TLS 4 • A-6q J% I I- if`-0'./c.'.' 3-z!-2z. i-P i /2 V V Gfvd"r TLS 4 01, 'WBs c ST-C Ai,,,,i,. ., 3-27.-ZS fltlS 7O.35* t/ Vis TLS 4 .5 1 Al2 Flaggers ' . 3/31/22 HR 4 to, Report MB • 4 DOT Form 422-636 EF . i� J IV, lS� t - - -- Field N't'W=geco (4ketgh 4) + Book No. -1...1 Page . C7S. Contract No. Statio ine - C,¢&`Zo-oc oG 5 9 t co /° 'f•yf75" Oav4/( 64v44. • Kr +JG e_d. . Staked By I Date- Work Started Work Comp+-ted-- . Al, ' 1cr. .3 -1--e 2- .Y—/ '- z z 3-/g - z z_ - - t: Cn4 inspector's Signature • I 0 ate Calculated By )Date Checked BY I Date . A.1 .4/64,0,v,,.• 13_/e_zz- MB ' 3/21/22 / ' I1 [II le-2-7 q� • ; - e i •• ''- l . A-/2- 7-/ "s Viz,) 7A rs -!1s-z _ J A - i3 r c 44 o,?4 - k �A -rr C/�-/ ,5- r- - -J I . - . - _ i) 1.:sfis- s �a/kao..ic A- , -, !k a J - - - /' `i CoNS r'ueiee .Sy/✓S - (�) St..; o • X.s+I 4/50 Z 3, / 2 =f2.5i1 F 3• 720 _ 5. o 0 T dry k-ie/" I =20SF i. (1) rl Al '. ' ? 44 2$ay , ),to 8 z r 4/ 2 r5 r, ug4 of-25 As-,Aral ee o'dal — 3, is -22-1 �j'S(,' )c z' - / ' 12. E, 1/ Z3. 6-5.5.y S �.- , 4'e, 7 , 3-/to, zz-I a5' 31r 7$ r. s i I 13__ /.31 .8a, 1-z leeerUVAl j:4tfr. lk all• I ari/.v . 60/ "x s ' 64 II,, i 2, $G s�.� J A- Z.a$ cuts2o.,,,, 4- - /0ti44.vC- : (op 4rJ ! I ,A,37• picpX.t i a It,N. ,2 f ' 3-'k Z / 2 5 ..46 F 2, a5 L . cl � 2 'X ' X z z 3 - .b �;5 Z v5 z 1 , '] . /1 35 c S rc- e - i- , A, cee.S3;-'d-r- - I f 1 Z , f., J T I- z. S (93`g (e 'y 4).. 3J `1° 6' 1.9)5 } , 4 . 3(' 4,_ ! ' - . l.• k I- 93. 5 z ,1N s.� y So ' 1. i Basis�of Material CAPS Entry. initids Item No. item GroupMDate Unit Quantity RAMS No. cgoptance I No. = Post OK Est Na. p,12- - x745.5.ers 3-,<.az Air . / cl J Vol v a l TLS MB 4 A+/3 1 L L bor I -/c.!Ib i`/' Is" J i` aa-( TLS MB 4 - Aril/ CoStfi[,vc6v 3R f-.44/] I� yo re J , (%sv4-( TLS MB 4 rrii 7 t I -4 ICemovA Te(9 ,4 3-rs 5{' z $z J J. � / TLS MB 4 ,'°oS AfehaR eerovd(1 - 3-/4•1' 5r /316% J U;SvAI TLS _MB 4 A"35 -C .STD 1. 3-'5 TN5 Z3.52 J V 4-v'4/ ,TLS MB 4 �/' , MB 4 P r37 4S.71m( �2 p1 A 3-l5 01)5 2•6.y J v%S;v� I TLS A23 Rerhove Cement : 3/18/22 LF .6 ✓ Visual - MB TLS ,4. Conc. Curb&Gutter ai DOT Form 422-636 EF - 1 i ; - yy .- I - . a fa--LY- ;i Fleld.'�1 ate-_ ©©i f: (Sk 1 Odd) 4 I Book No. - Is 1 Page .o. 'Contract No. / Station I Line I I • . OS eAj6-z4=o65 9o�fov ?to ffy'ffs 0.,,,,t( uC! ��-,,,./G a a• Staked By r 1 Date" Work Started Work Comp eted,- nJ. F. Ce.4-fJ 3'i '`2 L 3'' / r` 2 Z 3--/P- z_- Ca elated By pate Checked By Date I Fins • s Si 'nature . 1 Date (/ g.1a.t,s,LI t F?L MB ! 3/21./22 I /i 7-1�eZ_ ��. � dry � � i �— I dole, a it, . 0 `0 5-'� I II I I ' St 0 - ..' cy - 7 . •�i12M®11or©1um 7 11 ■u« �i11l•1113�ii F IRI®IR�1II 11111111 ` 1g. 33 � /, --- Ill I5x . j -, 33 2 o 7 i�I LA 9'0e 7 .i5Al . - 'o ab � ,ge,:bl= Sin I I - 4 ' .' •.. •(b ' ' 3/13AND3/14 1 24 •- - i , „ „ , , To al . ! 3/15 TO 3/20 A17 - Saoue ti-II A ro Sitn c/1 : Tie 3 19 I 24 H', x ' days 168 R i I I . I . l ` Basie crt Material CAPS 1 Y . ' [tern No. Item 1 N Date Unit Quantity RAMS No- lAtx�eptance 1 No. - Post OK Est.No. A-26 i - 14- . �'i�A Cy c y� � J 'Su�/ TLS B 4 of Portableiangeable 3/18/22 HR 240 N/A. Pale alc MB TLS 4 Message Sign I Sequential Arrow I 3/18/22 HR 168 N/A Caic MB usA17 Sign � 4 a i -i i i 1 I . I DOT Form 422-636 f F 1 I ' I 1 Sta e Washington‘71; of fTra nsw:. Cation Field N.,.. Record (Sketch Grid) Renton - Duvall Avenue NE Book No. Page No. 1 Contract No. Station Line C/S CAG 20-065 King County Staked By Date Work Started Work Completed 3/12/22 3/7/22 3/11/22 Calculated By Date Checked By TLS Date Inspector's Signature Date MB 3/14/22 4/3/22 3/6 A15 - Portable Changeable Message Sian ro 2x24HRx7days = 336HR 3/12 V 1/6TO A17 - Sequential Arrow Sign _ l�- 1/12 24 HR x 7 days = 168 HR Group Basis of Material CAPS Entry Initials Item No. Item No. Date Unit Quantity RAMS No. Acceptance No. Post OK Est. No. A15 Portable Changeable Message Sign 3/11/22 HR 336 N/A Calc TLS MB TLS 4 Sequenial rrow A Signign3/11/22 HR 168 N/A Calc MB TLS 4 17 DOT Form 422-636 EF Revised 9/96 . , sw �113:1-4'4? - •F lld scot .'�-jcord (Sky ©. x Odd) Book No. Page No. •Contract No. Station 3 ine - -'- l . C7S. Cf , `2O-a6,S 90C /(o io 3r'-C l :1,0' 4U - .. C. . Staked By Date" Work Started Work qompiet4d, . • Calcuiateici By Date Checked By I Date I 1 .- ze? Signature• . Date PkA Or, .sue ,- ?-A-2 2- mg 3/14/22 -.-,-- ` t'2::" ,,qq n ( , Lr-' 8 -re--- c9 f(V.3'-:: 1 f. 6 ' '7-8 7 c-7' -4 '98- 3% 6 J - 34/. 6 " L3� 12 t' zi `y 3 f' /6 3 L44,2:4-:.... A 50 1 TPrlJ , 14r x 5-. c- j f 10 20.5 � 6/I �4 f c S:z/r 51 V...2- - 1 ,— slcj A-12 r "� ez— .3` 7 /agf ' J q' Y3 XG , S3. 2 �' = ( r t- 0 , 3-5 - qsJ / ` rS`CiS-2- I • �f7 q 'f 'T 7 G 'v-it ` 72 - 'kilyd9S J , ! J.r-,c& :;« 3.--7 11-d3 - C a r 6 ee916,u/ l �� ,�,rf�.i, 1 J ::: �ic c",e6 o 4,. AA1`a. . 7 - .7 `g/z ' Iz /fs- .. 4 75'1. 05. LB137 -- Atwra( S -et,c /� 5/+>✓1 `—` . r, 7 le fY2 ` _� -S +•/S''2,�o+f . Z7 . $ '4 Ir If 2 t }2 I'� 3 5 z 1,. 4 7f2�^-oft�j. V� G Ssi" J 7 2! 1 x ..5 e tc lC 2' `'.r � f 4-/( t 4. 7 2 of 7- (,Z 7� i` ` c Y -'/ Dry, 'r. 2d (y. k - C 8 1; CSTC 401 C'01-4S"T- cr $ 8 J r i; I I _ Hasis`of Material CAPS Entry initials stern No. itemup Date Unit 33 ty RAMS Na. j Acceptance No. - Post OK Est.Nn- f MB 4 A-(Z f AJ jert- I' �l' � J ` v r TLS 11-22- 5. Dcw,(b 6 -.' 1. 3-7 5j r J , edi,„41 TLS MB 4 11.)3 Cvt6 Eci.v4t{ 3-7 LF 0.5J. f-.l4-( TLS MB 4 /� ++ff A-2; 45,2/% 464. 'e' REMOVAL 7-7 5Y/5 3Y55J 6!rj✓!t( TLS MB 4 . G l}�-Z$ UN5,-„4Fb1t Q,a.t 4 . G3`7 C YQ l a www tir`s',n;( TLS MB 4 P-37 -16)/4 f fti 4 • ,3r7.31 TX) /lr(7 J Vs r!fiA( TLS MB 4 Ada, 41" 01 7c_j . 31 . LF 3Y•1J. 14-k41 TLS MB 4 A-5 p ;n. p:� ( ! 5-1 E4 1 J t!40( - TLS MB .4. DOT Form a2 //fi��3s EF 1 1 -�u( ,( J (f jJ v TLS 4 G x'`sl.^'-'�.`!i-iii 7;rtA:' . Il' C 1 Q i - �rl-iv.) : '-. ) • FI B SId Kl �OCT`7e � d (Sketch 9 i ) 1 Book No. -I Page No. Contract No. Station Line I { C7S. • CA-6,-2d- 065 felk)i/7 /ld e9yt46 ,Du t«I/ F1-JCl *;�i .1o• •-- Staked By ' 1 Date" Work Started Work Completed 3 -3 - z 1_ 3-1.7 , 0 Z. 3 - 7` a z-- Calculated By Oate Checked By Date i insp tor's i jnature . (Date k.: .p,mre, ,, 1 3 -7-2Z MB 3/15/22 ?-7-17. - 1� _ ro_., ,. ._ t, y 1 y3 x Liq i -, I :3_ 3 r _,Z , -ii, S 5t. ( j 4 i (/ r ri r .7 i ✓Z.: V J✓ u,71. 6 `ems ) i, - - L r .1 I { W i t i' F I 7 - Gra✓el Borrow _ ; !I h Sglaak MVloun gain 5/E" !: - Ticket#8714(3/7) -23.25 —N ' " ;, i 3i 1 I- i r t, - { initialsItem No. item l+ ON p Date Unit Quantity RAMS No. p c�lanoo No Post OK Est No. A- 6 20.¢w ECG G, 3.--7-71 .yies ,a7 2Z / Vi to i TLS MB 4 Wit,_ A.)7 &I ANe lornv-Ii. 3-7-7z TaS ,ti I . �f Suti( TLS MB 4 a3:2s J 1 l - DOT Form 422-636 EF -' Fk:-yid .;t&''aojcord Mk ttth Grid) Book No. Page No. Contract No. Station Line C/Si CAb -Z0-o65 ... 9100 i cr / 1-o 76a)4/7 Po (JAW IQfv I.. c/o Staked By Date' Work Started Work'ompleted lv 6oASrS 3- 3 -azz 3 2 az ' - e(rzZ. . Calculated 9y 'Date Checked By i Date In or's Signature' - Date •P,4 ( BSI -5 ZZ MB 3/9/22 /�t/ ,/ , 3 y 22_ 8 8 ,fri)-(7 - -2 ) 3 *- cii 3 -y r//, ‘) = c I it. 27.5i 04 !7- . . 3..- F, Ea) . ,3 (81. z 74 n s _ 3/1 TO 3/5=5 DAYS X 24/DAY=120 HR 3-3- 3 (x3 i' ` 7- /o /, fs eve (3-41l 5c `x- - /59 - G, 6, ` 7 -fv -7,4 i 1e41 �3- 'i) G8 " il�s`� /2 yc . `/.4 ' pills . u) 3q ,x Ii, c Z3o .'"�rq' 7 - ?,B 7 drt ,A-2,z -- 's " x g " - 6, " 15 , kl 1 A1 IIs�r s `2.3 f i` .6 rr 7.-/j� 74 / rr t. . 1 ,t aTI MS A - Is-- PCmc 4 644J3 .4.4 -i M 3-- y-HZ - CZ' 9 HR I I 3/5 -48 HR A- 77 - A ifi, abc- j#14ck d3'. 6. ? re: z" 37.5- l f 2. os 1z.sy/.-s Item No. Item li Date Unit l Quantity RAMS No. Basis of Material CAPS€ritry. initials Est.No. Acceptance No. j Post 1 OK �� 27.5 ,1Z 5) `2 3 -�/ /,/ J vi.l( 1 ' TLS MB 4 � �/f A-r3 / cs'. Q 2 6Q ; 3-`f. ._ 4/4. Y, g J V!Li"¢( TLS MB 4 P-/7 Ait/ty ' dada ; S Oil /714- . 120 HR ✓j4 s I'1'( TLS MB 4 A-Z iiip.4.(F 4,"",,,,/l. - 3`q syds V g.S V ,v J'�dI !TLS 1-MB 4 A-27, Coat Sdt... ikiP4 3-4/ SKIS 7.71 J 1`!.r1‘,4-/ . TLS I MB 4 fn 23 •Co.ic. C04,6 REMOVAL .try J.F 4/4,6" `t V!!rl" w/ TLS MB 4 i' -KS' Pc ia.S 6 ,f f : 3"ct /2 co f 0.f 1/4 If TLS MB 4 . 4-37 &A.I! (-- A 4 3-03 ins 3:44, 4 I/`sCI141 +TLS MB .4- DOT Form 4 6 EF I' 1 ' I I 4. • AIM I „yr . Fielld Holt_ Rec%r• ( ketch Grid) Book No. , Page No. Contract No. Station Line • 1 1 C/S . CAL_-?0- O b 5 f6O 1 y/ 1 o Tejo rl 7 ,/a/0 I( ki' A1.- eo Staked By ! Date' Work Staited Wo k(C6mpteted �% - co �� 2-3- 2-2 3iz1- z2- - y -z - . Calcu ted B tate& Checked By Date I s Signature . Date r � ; �Ra/�,e�t ` -�� MB �3/9/22 �, �•. � 3`y`2� r- . I. 1 J 04 `53 C,vv�✓e�,-34/ E��s F) , . 44 ' 1 \-)1_. All iv it\Avvc Cb!--c.: , - /! ` T 6- ' ‘V31x itz 2o1 �1,`tq 1. / ,/ J 7.yk I. BS , i5.7 4 7r r �� ' 1 6 7 _ r -6 Vic`A , 4 5 i �' �"/ 04 . T _ 3 ;y I' 2 ( / S!Z, c,c v - tom- 7 J E j 1 1-a> Se1Xs' ' u • S - (�ZS - z 3• / I I I � . 7'4 3ef `u 3 ` )C '4 ' 7 ) 07 7. $' 5 - 1 6 4. 77 . J 3 0• 6 9-� I. e5i L-.i S •-7/ *vs" 0 • l/h� iG C S� X `k51 75-0 - r,-7. 7a 5-01N 3' z.5 _ 4. as._ 2'3, ry_ 3Y` X .Vx 5 `k_ $) ® I g g ale 3 'xi:EV = 30c. = i 4, 33 1! Ni. z/ Co. 6 & cyOs A - 7 > 3 41,4 7 410. • • 1 i q' 1. 5 _ 63. 76 Item Na. item aoup Date Unit Quantity RAMS No. Basis of Material CAPS€ritry' initials Est.No. Ncceptance No. Post OK 0 24 V OS u, I- s 6 le 3-if COS 3 0-G 14 V iS q44 TLS MB 4 ifs i. .i P,pJ Lr=. 3- Y . I.S2 J ,TLS MB 4 . J4Y�� : A. - o T" P ° l Cd 3- f (4- 3 J i {�is�,,�� TLS MB 4 A101 �S r� - ✓ltJS 71• 54 j.Sj"i, TLS MB 4 01-S3 Ctow",<<,J,,,,:k ‘4 4,. 3-Z 614- • / J . /1- I aj . I. MB 4 -Roe?Jw E C. ; 3- ( c7ds J b.C6 `1 V;f S ,4 j TLS MB 4 F f`1. 6:I2,404 do/',v+,.;,- 3`1-i w5 di3j41 TLS MB 4 71.18 1 _ DOT Form 422-636 EF - 1 i n M T, ri.;; i 1 k/' } , T. ' _ _�CM Field No �_,_,.©ecctrd (Sketch Grid) Book No. / ' Page No. Contract No. Station Line C I C/Sj C4G-2a"6'6<- , i �-SS /o gc2(so .�yed. Staked By Date Work Stalled Work Completed a. g- Ca4/-e.r /—/y -Z� 3'-/It - 0 z 3-/- oZ- . Matedr/�By ?ate Checked By Date to tor', Signature i I Date ' A `t1 V Aral64. 3-4�/-Z4- MB I3/9/22 ; ' .� .?--y ZZ i Sli /// � e 7 .1 - Ct } Pc- try ` - a F. _ . yz4sp -' r- ci) 4 '1 60A.civo- i IS"';,1 I, • 50 'K3Y7- - 3a01 ._ / f. « i/ . gs 2_ 0. 5-S il4IJr'k.f a , � 4/ Jj • I I t ' . I - I r I ' I Item No. Item ( Group Date Unit Quantity RAMS No. °,ff Matte al" CAPS atilt Post Initials Est.Afo. No. C"3 je"i,A. 0 4-l• Teoti- - t 1. ic JD J� �1j5 TLS MB 4 C-g 2+' Pv6 eS6 _ 3. 1 L //j v (1 (s!°1,( TLS MB 4 r e-ii Z/ " {RUC PSG 3- I L ! 231/ J { 4sv0( TLS MB 4 -(3 2 c1"17 C1�Gco-£�"VC v I r r ;i �L. Y is-vl2( TLS mg 4 �1 r V ( i A-27 Gzave( &rro .J , 3- 1 !N5 21/,27 (JkI)�kl TLS MB 4 t , f 1 DOT Fort 422-636 EF i; • i .. ��.. ICON Materials OFFICE COPY j n< L'3:+Uz _r 04504-Seattle Asphalt i Ticket: 4'416199 r�' --� _f-; 1115 South 96thl Date: 3/ ./2022 Seattle,WA 98108 Time: 1: �8:36PM q Vehicle: RE�D716 M: TRr�� s.1 II Pam . Customer: 60439 Order: - Cust.Name: Reed Trucking&Excavating Disp#: � Poun�s Tons Address&Instructions: ' Job: boss 3 ,040 18.52 P.O.: 156 Tare 3 1,860 15.93 } Nit •180 2.59 Product j ; weighmaster: Nic Shearer } Loads' Total T • Qt� UOM ! I 12144250 1/2n PG 58H-22(64-22) - T+C2.5 1 2.59 2.59 Ton11111 ; f Thank you for your business! WARNING NW MIX ASPHALT(HMAJ TEMPERATURES CpN EXCEED 330 DEGREES.use appropriate protective equipment when working with WA. See re erse side far warranty and shipment deliverycondi ons. , .r. r. . .r� 4u4u Kersey Way) udte: 3/9/2022 '1I ' Auburn,WA 98092 ' Time: 10:11:48AM • Vehicle: REED811 .0AL'.:~041...ill 7 Customer: 60439 Order: - Cust.Name: Reed Trucking&Excavating Disp ti: j I Pounds Tons Address&Instructions: Renton Job: Gross 44,500 22.25 P.O.: #156 1 Tare 32,460 16.23 • Net 12,040 6.02 Product Weighmaster: Mike Morris Loads Total t Ticket_Qty UOM 12144230 1/2"PG 58H-22(64-2 ) 1 6:02 6.02 .Ton • IF • wsrtNiNc:rio7rvtir.ASPrWi.T(MMA)TEMPERATURES CAN EJ(CEED330DEGREES.Use appropriate Thank.you for yourbusines.s! rotective e ui ment when working withIlMA. See reverse side for warranty and shipment deliveryconditions, • re ,. ICOIV Materials -- Ticket: 45073923 i,�;�� OFl=10E COPY_ 04500-Auburn Asphalt Date: 3/7/2022 " .7"'- 4040 Kersey Way .'r>,.,.�^""r�' Time: 2:08:36PM 1r,011t Auburn,WA 98092 Vehicle: REED747 Customer: 60439 Order: - Cust.Name: Reed Trucking&Excavating Disp#t: Pounds Tons Address&instructions: Job: Gross 37,200 18.60 • Renton P.O.: #156 Tare . 27,000 13.50 Net 10,200 5.10 Weigtimaster.• Pike Kant 3roduct Loads Total Qty Ticket Qty UOM 2144230 1/2"PG 58H-22(64-22) if 1 5.10 5.10 Ton Thank you for your-business! IN/NO HOT MIX ASPHALT(HMA)TEMPERATURES CAN EXCEED 330 DEGREES.Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipme nt ant delivery eontlitlons. i� rarwY+�aa+m.m'x*•s^.a.'.C,w -•••, ..r/c/cuc4 ; i 1115 South 96th . Time: 12:42:11PM icON Seattle,WA 98 08 1 Vehicle' REED716 #Tz.E L L5 Customer: ' 60439 Order: - Cust.Name: Reed Truckingi&Excavating Disp#: ' � � Pounds Tons Address&Instructions: Job: Gross 36,380 18.19 P.O.; 156 ' Tare 32,660 16.33 Net 3,720 1.86 • Weighmaster; Nick Shearer Product 1 Loads Total Qty Ticket Qty UOM� 12144230 1/2"PG 58H-22(64;-22) 1 1.86 1.86 Ton ff Thank you for your business!WARNING:HOT MIX ASPHALT(HMA)TEMPERATURES CAN EXCEED 330 DEGREES.Use appropriate protective equipment When working with HMA. See reverse side for warranty and shipment delivery conditions. I I I i • i T' ,ir 4040 Kersey Way Time: 1:01:10PM r is Cr ' -I. 4 Auburn,WA 98092! Vehicle: REE0811 Customer: 60439 Order: - Cust.Name: Reed Trucking&Excavating Disp it: Pounds Tons Address&Instructions: Job: Gross 36,100 18.05 Renton P.O.: #156 ( Tare 32,500 16.25 Net 3,600 1.80 Weighmaster: Mike Morris Product Loads Total Oty Ticket Qtv UOM 12144230 1/2"PG 58H-22 (64-22) 1 1.80 1.80 Ton lI t Thank you for your business! WARNING.HOT MIX ASPHALT(HMA)TEMPERATURES CAN EXCEED 330 DEGREES.Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. I (AN LEY "'\ Kangley Rock&Recycling Locations c_ ROCK & RECYCLING KANGLEY PIT (Plant#21) 32500 SE Kent-Kangley Rd.,Ravensda!e,WA 98051 ACCOUNTING:9125 TENTH(.VENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET SEATTLE,WA 98108 • (206)768-1000 510 Monster Rd.Renton,WA 98055 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY.INC. Cedar Mountain Reclamation SALES& 17977 Cedar Grove Rd.SE,Maple Valley,WA 98038 Plant#23-(205)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. I ORDER NO. PROJECT PLANT# CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY(C.O.D.) ❑CASH ❑CHECK# ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXP. 1 ❑VISA ❑ MASTERCARD El DISCOVER PRODUCT TOTAL QUANTITY U.M. CODE e DESCRIPTION TONS UNIT PRICE AMOUNT 21.21 TN '`;/0 4 s YPE 2121 21 21 TN 70010 WA STATE AT E SICK LEAVE CH 21 21 21 TN 70015 EN'.ONMENTAL S ,';. . *G€ 21-2 Gross 1.150OOC Tare _0C: Net 424Ze•':'‘, DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE.. SEATTLE,WA 98108 � l TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMP , INC R ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OE MATERIALS . E" ILS ON REVERSE. CUSTOMER SIGNATURE ."- r, r TOTAL 'HINT NAME I° ` t DATE 3l AMOUNT EV 04-2009 CUSTOMER COPY KANGLEY "`.., Kangley Rock&Recycling Locations ''''sk, ROCK & RECYCLING KANGLEY PIT(Plant#21) / ' (C1 32500 SE Kent-Kangley Rd..Ravensdale,WA 98051 (// ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET SEATTLE,WA 98108 (206)768 1000 510 Monster Rd.Renton,WA 98055 LAKE FRANCIS (Plant#•23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE,Made Valley.WA 98038 Plant 20-(zos)65s-0s13 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# 03C i'20 ' 730100 725349 72 CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. REED TRCKN( &EXCAVATING G INC CAC-, 20 :4., art 15..1 i.t JOB ADDRESS DUV I.AVENUE E COLLECT ON DELIVERY(C.O.D.) RENITON ❑CASH ❑CHECK# 10 CHARGE SPECIAL INSTRUCTIONS CARD EXP. J El VISA ❑MASTERCARD ❑ DISCOVER QUANTITY U.M. p CODE ODUC T DESCRIPTION TONS TOTAL UNIT PRICE AMOUNT 24 23 TN 65011 ST RCA TOP CRS A-516 TYPE 2423 47 M. 24 23 IN 70410 WA STA#L SICK LEAVE SURCI 24.23 24 23 TN 70015 ENVEROP044ENTAL.SURCHARGE 24.23 h T• C Y . r • 1 a: (ITOSs .054000 0 Imre z1 00 Net 4i; 6. .+O DRIVER TRUCK NO. ORDERED BY " i1 REMIT PAYMENT TO SUB-TOTAL 9125 10th AVE.S. DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 ? fA 1 4q1 #•. TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD JAUSED BY DELIVERY OF MATERIALS..1,,ED-•BOVE.DETAILS ON REVERSE. UUSTOMER SIGNATURE i - e. _ R.-if �° / TOTAL DRINT NAME !\,-Pet.7 G DATE -.. (-fee" /' r AMOUNT V 04-2009 CUSTOMER COPY ' KANGLEY '"`. Kangley Rock&Recycling Locations - " C- re a ROCK & RECYCLING KANGLEY PIT (Plant#21) 32500 SE Kent-Kangley Rd.,Ravensdale,WA 98051 ACCOUNTING:9,25 ENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET SEATTLE,WA 98108 • (206)768-1000 510 Monster Rd.Renton,WA98055 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation (206)763-2730 17877 Cedar 3rove Rd.SE,Maple Valley,WA 98038 SALES& Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT I ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT 03,11E20 ;' 7': 100 7253'�49 PLANT# CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. REEF TPCKNG &EXCAVATING INC C-A(,.20,-.*15 N.) 1Sat 375064 JOB ADDRESS DUVALL AVENUE COLLECT ON DELIVERY(C.O.D.) PENTON ❑CASH ❑CHECK# ❑CHARGE SPECIAL INSTRUCTIONS CARD n EXP. ❑VISA ❑ MASTERCARD ❑ DISCOVER QUANTITY U.M. PRODUCT C CODE DESCRIPTION TONS •TOTAL 2357 TN UNIT PRICE AMOUNT 135011 511?'RCA TOP CRS A-516 TYP 23.57 23.57 TN 70010 WA STATE SICK LEAVE SURC ` 23.57 2357 TN 70015 ENVIRONMENTAL.SURC11AR : 23.57 Q • • I• a �'/ `. . . DRIVER TRUCK NO. ORDERED BY gam. REMIT PAYMENT TO 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE SALES TAX RELEASE-CUSTOMER RELEASES AND AGREES Ti!.,, OLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION DF GARY MERLINO CONSTRUCTION COMP•41 I,i-,. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS, .-.Irp_v . 1 .DETAILS ON REVERSE. CUSTOMER SIGNATURE i -' k rj TOTAL l • 3RINT NAME ' f 4' e DATE .j1 I / A AMOUNT =V 04-2009 CJ CUSTOMER COPY KANGLEY —! Kangley Rock&Recycling Locations -.-- KANGLEYKANGLEY PIT (Plant#21) 32500 SE Kent-Kangley Rd.,Ravensdale,WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET 510 Monster Rd.Renton.WA 98055 SEATTLE,WA 98108 • (206)768-1000 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE,Maple Valley,WA 98038 Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# 03/31./2022 730100 725277 -ri CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. FEED TRC:KNG &EXCAVATING INC: i V. C(X)C .i :7/4940 JOB ADDRESS 9TH AVE NE&DUVALL AVE NE COLLECT ON DELIVERY(C.O.D.) PENTON ❑CASH Li CHECK# ❑CHARGE CARD# EXR i SPECIAL INSTRUCTIONS ❑VISA ❑ MASTERCARD ❑ DISCOVER PRODUCT TOTAL QUANTITY U.M. CODE DESCRIPTION TONS UNIT PRICE AMOUNT 23.97 TN 6,011 5.08"CSTC TOP COURSE B 731 23.07 44 23.97 TN 70010 WA STATE SICK LEAVE SURCI-€ 14 91 23.97 TN 70015 ENVIRONMENTAL SURCHARGE 23.97 Ciroq-- c 200.00 Tare +b0.00 Net 47940.00 DRIVER TRUCK NO. ORDERED BY --- NIPM.1l REMIT PAYMENT TO SUB-TOTAL 9125 10th AVE.S. DISPATCHER TAX�s 1 TI 'D SEATTLE,WA 98108 YYA TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION ,eiy,PANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIAE ;r:OVE.DETAILS ON REVERSE. I CUSTOMER SIGNATURE / f, r TOTAL PRINT NAME T'\-,. tzr DATE y. r _: I /i . AMOUNT led 04-2009 CUST3N1ER COPY KANGLEY -•. Kangley Rock&Recycling Locations f(L/i ROCK & RECYCLING KANGLEY PIT(Plant SI21) 32500 SE Kenl-Kangley Rd.,Ravensdale,WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET 510 Monster Rd.Renton,WA 98055 SEATTLE,WA 98108 • (206)768-1000 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE,Maple Valley,WA 98038 Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT t( 03131/2022 TAM 1 /25277 ti: CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. PEED TRCKNG &EXCAVATING INC 'tt'K" 1 000051 ''71 68 JOB ADDRESS 9T 1 AVE NE&DUVALL AVE NE COLLECT ON DELIVERY(C.O.D.) RENTON ❑CASH ❑CHECK# ❑CHARGE CARD# EXP. 1 SPECIAL INSTRUCTIONS 0 VISA ❑MASTERCARD 0 DISCOVER QUANTITY U.M. PRODUCT DESCRIPTION TONS TOTAL UNIT PRICE AMOUNT CODE .k 22.39 TN 11 518'CSTC TOP COURSE f3-2 31 2 . w etiL TN 70010 WA STATE'E SICK LEAVE URCH 2239 22.89 TN 70015 ENVIRONMENTAL SURCHARGE Gf 22.E Gross 40.00 Tare . ?260 VA) Net 457C0.Q0 DRIVER TRUCK NO. ORDERED BY 7 ,413F411 REMIT PAYMENT TO SUB-TOTAL 9125 10th AVE.S. DISPATCHER TAX,g9 E 1 TIM D.JA SEATTLE,WA 98108 �ijj'`"" TT ?t' TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TQ-1(-LD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMP-4NY OR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS,LTY DETAILS ON REVERSE. CUSTOMER SINf1TURE ,-' -r- S TOTAL r; _ AMOUNT PRINT NAME . .`{td-( 7 _ DATE '` -'f /- ,Q s tEV 04-2009 e '�� CUSTOMER COPY KANGLEY Kangley Rock&Recycling Locations ....� W It • ROCK & RECYCLING KANGLEY PIT (Plant#21)32 BLACK E V (Plant 2R2), 206nsdale 658-0 12A 98051 W D DELIVERY TICKET ACCOUNTING:9125 TENTH AVENUE SOUTH k1Mo RIVER (Plant A -(206)658-0912 510 Monster Rd.Rentcn,WA 98055 SEATTLE,WA 98108 • (206)768-1000 LAKE FRANCIS (Plant 9 23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 '� FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE;Maple Valley,WA 98038 206 Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO- PROJECT PLANT# CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. F'_. JOB ADDRESS COLLECT ON DELIVERY(C.O.D.) ❑CASH ❑CHECK# ❑CHARGE RENT Or.. CARD# EXP. / SPECIAL INSTRUCTIONS ❑VISA 0 MASTERCARD ❑ DISCOVER QUANTITY U.M. PRODUCT DESCRIPTION TONS TOTAL UNIT PRICE AMOUNT CODE •l 73A0 IN 1 23.69 TN moo WA STATE SICK I FAVE SURC 23€ TN 10015 ENVIRONMENTAL AL SURCH,APG j DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,:.(NC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS L1STED'ABOVE.DETAILS ON REVERSE. CUSTOMER 310NATURE TOTAL AMOUNT PRINT NAME DATE REV 0?-200s CUSTOMER COPY 'KANGLEY ..now Kangley Rock&Recycling Locations — ROCK & RECYCLING KANGLEY PIT (Plant#21) W SLACK SE Kent-Kangley; lantRd), (206nsdale,)658-0912 NIA98051 DELIVERY TICKET ACCOUNTING:9125 TENTH AVENUE SOUTH 510 RIVER (Rent n 2W-i805) 510 Monster Rd.Renton,WA98055 SEATTLE,WA 98108 • (206)768-1000 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar'Grove Rd.SE,Maple Valley,WA 98038 Plant#20-(206)658.0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# a CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. r - ( e.JOB FlDDRESSTit s � ?"�t+ °)!u1';,i t et` i , %.7 ?a 9:- ` COLLECT ON DELIVERY(C.O.D.) ❑CASH ❑CHECK# ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXP. / ❑VISA ❑MASTERCARD 0 DISCOVER PRODUCT TOTAL QUANTITY U.M. CODE DESCRIPTION TONS UNIT PRICE AMOUNT 24.M. TN 62011 5fe CSTC TOP C. B-231 74.08 8 .40..3.6 24. a IN 70010 WA STATE. SICK LEAVE SIRCH 24.08 24,0 TN 70015 ENVIRONMENTAL SURCHARCA 24.08 DRIVER TRUCK NO. ; ORDERED BY REMIT PAYMENT TO I 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, IN,4 FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED„QB, E.DETAILS ON REVERSE. _ CUSTOMER SIGNATURE . 1--'"„s,-.r"1""" ' TOTAL PRINT NAME / AMOUNT DATE ,x _ ' .y IEV 04-2009 ' j J ,` CUSTOMER COPY KANGLEY -•.g Kangley Rock&Recycling Locations ( ��_ ROCK & RECYCLING KANGLEY PIT (Plant*21) 32500 SE Kcnt-Kangley Rd.,Ravensdale,WA 98051 BLACK RIVER DELIVERY TICKET ACCOUNTING:9125 TENTH AVENUE SOUTH 510 Monster Rd.Renton,WA 98055 SEATTLE,WA 98108 • (206)768-1000 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17677 Cedar Grove Rd.SE,Maple Valley,WA 98038 Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# .t-t 2.i 2022 3+»643'i& 72!9 ✓ CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. REED TRCKNG $Ems. ' VATW 4G INC 1 :4, 000156 -1,-4.11 JOB ADDRESS DUV L,L.AVENUE COLLECT ON DELIVERY(C.O.D.) RENTON k' ❑CASH ❑CHECK# ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXP. 1 ❑VISA D MASTERCARD ❑ DISCOVER PRODUCT TOTAL QUANTITY 1 U.M. CODE DESCRIPTION TONS UNIT PRICE AMOUNT 7 5,3 TN 67011 5,18"CSTC TOP COURSE 1 4231 22.58 22 58 TN 0010 WA STA f t SICK LEAVE SL RCf 22.58 22,5 TN 70015 ENVIRONMENTAL SURCHARGE 2258 ._ 32280 O , DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX,COpE 1 TIME L E SEATTLE,WA 98108 TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY/1NC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIAL ABOVE.DETAILS ON REVERSE. CUSTOMER SIGNATURE j+7 ., TOTAL 'WIT NAME rt _ DATE - i per ., 1 _ AMOUNT 9 CUSTOMER COPY 677,, H —..».__ ;; Squak Mountain materials Inc Ticket # 8876 � . ;° P.O. Box 2377 i 03/23/2022 01:31 PM I .•. .-`' Renton,WA.98056 ! 1 A` .' 425.691.8880 t i 'Name .REED TRUCKING&EXCAVATING g 1131 " 2207 INTER AVE SUITE A tVehicle# REED SS-614 — jCity/ST/Zip -Puyallup WA 98372 i , *4;S CR i � *„ ,,,7.1. Sa._'." N� i+R,_.�-xi, 3' .� W y N'f" `i�r+ .,?" „M { f .Cfs5 23t`{ - 1 a4 . MEg sksibue ... 156 RENT~,.__ . --- -- ---— y �- �; . • t3120-CONCRETE CSTC 5/8" 31,800.00 79,140.00 0A0j 47,340.00ilbsp 23.67 tonsi Notes: Signature , • • . - , -IL-- . . . 1 Squak Mountain Materials Inc Ticket# 8875 1 P.O.Box 2377 03/23/2022 12:57 PM -.4., i A-• -el - --,Atiffgor Renton,WA 98056 4' Irier: 425.691.8880 .4 I,01lititlifThi I i , 4114TERL4LS I------ -- r.,- ' ' -W,14,r'*--9W4' ...-7...,-41.Z*,---,,,..',`rcrr,,'7 -4 .1/4,,,,,;: io,<.•-,-,4,.•VA;z --F,' ....! . ,',-44,:--174,----;'04-.4.,..,„th-d.,,ispiveittli xNAT.,,, ?..,.,10•4,0,4*.4., .,,„5,0m., 2,9, , rt ,A,„4:21,1:inif,REED TRUCKING&EXCAVATING Wer:IP,-- --- ii 1131 1 , Addtess1-..-42207 INTER AVE SUITE A aetitile-litrff.::- t14)REED SS-614 I OfiTS .-,,------z7::-.1 — i-----F.:,,,,-,si..--....---4 . --i T/Zi07-,z 1 Puyallup,WAi98372 12'':"-,-ii,:tril:::::::.J.,.-...,, s,.., ,-,....,-,-Eviiiria,--z.%4A.,-4...-&t7- iovt-i-i. 7#. •' --r----*-5. ;%-,r,71.17.4-3-4,,-,! :-.--,..,- ,,-"_,,,, -1.4,,, .,t1,4-....:4= Ar,V.4$'4,...A.-..4.4.%,,---44%`•,..- 4 •-i..., - '•*,..41F44,.A:-•":',...4.,--_,A..•ite.'"--, , ...... ...-14"41. -,...„,-.1`,.',,..,. t, ,: . _,-,'. ., _ - -, .". , , . , NbirdIrAIW- d 156 RENTON1 DUVAL L •=3:4,:-."... .-- -, ,. -....,..4 1 , . .,:- j01:14P-:,:::-..,=,iV.c.:-....,i . _i:',-,:.-.-...•E,—,.,- -,...‹,,., 1 , I ' .'..v.„6„--t4 gr,i4,47W4116.1WW.OV4*-.--stireti,,tAri ''''il:tab'rr 4S444-454)%ara X ''''' Erdrx .rt--kle!"-tv; , i ! .• 31 800.00' ' . i0.001 , . 0 11, 1 1 13120-CONCRETE CSTC 5/8" ! i , I 79'68000 478800 lbs 23.94 tons • Notes: 1 1 Signature . ...... Squak Mounts Materials Inc • Ticket# 8865 € j . . 03/23/2022 08:12 AMj P.O. Box 2377I st Renton, 98056 425.691.8880 } F SuLMK&ItTN i ' illArERIALS I f (" Ry s ,�l. • .e.> � vir soya -^ti.^.•asr,^.h d'ir -+t. e3.�..' y i ^'. -t` „r..d f -+ ati" N?t t 2n � t l 4,', - ,-,— )%' -a'�"' 1 , Name REED TRUCKING& EXCAVATING Ref #"-; - , 1131 IAddress;_ --. 2207 INTER AVE SUITE A fyet gle# .- `�1REED SS-614 rCIty/ST1ZipK Puyallup,WA',98372 _'�` 11 g ' e. #rOr*• x I' Y4 '•',{' ''� ''�'''4 PJECTX z' �"'."h -' ��i,F s 2 1 i�yM� C t ' '' ' +r' >"v '.'.�„1 .r+a ' +#° 'c-1'� PS.,.4' 1 (Name-= _ 156'RENTON 1DUVALL - x 1 # lob# -•: `r."F ;::.r-::' _____—__— ' } R DIfGTy,'` s= a +s K r sa u — r•'rc r _•_-___-..--�,_--__--- . � , z. .TARE Y � ,t00Rt€u r M, N1kT [3120-CONCRETE CSTC 5/8" I' 1 31,800.001 79'500.00111 ±0.00r y47,700,00 lbs .23.85 tons' si Notes: Signature . ' . j r J , . L._ ...... . .... _ . 1 . . , Squak Mountain Materials Inc Ticket # 8863 i : P.O. ox 2377 03/23/2022 07:27 AM ... --;* . Renton,WA 98056 • 425.691:8880 ;1 SOLE411 firilti I MATERIALS ! 'I'vgi-vo 1,y„--rollikq - i'r,.$.-1,-,:!&--7,Thr,,',.,1 c!-,r,plige„,..-.-,!!•••:!:',.!, ........,-%1 -- ]*.rmg,vitf,rit----1,-E-%:gy-44;,....tc,„,...-„,„,..-4.:1-.,,,,,,,,,4,41,„--„,,ov-wc..,„-v,„'..,,T,th ,-*,t,,,.....,,,,,v-,...7.....,,i 4,..%.,,e0.-e,,,,,-/f. - • ,' ,...1. - , -^",t.0. 11., r--- • ..4s,.4,,N-A''',4 ---4.' _.*,,,E,'-",„ "- 'f.-3,..,• .t,i".4.,4'p...1,41, S.„„-EtkilEHICLE-0.4...1-11,.. ' . L.4„, in.,' . ,",1-4.4...P.,..4c- 2'.'-''''''''''.-..,..'4.,,-5*•'", `,--'..--"*.,-'--- -`...31_ 1-...1.4;,...,... 4." -..zt,..i'k-:-.1.A.X4M-7, -,x.stz-' -` - 4-.--.4- -A, 1,..tv-,--e. ''''..'''.74 sfr'4.:'''' '. '3'''''' ::'''-',E- P'''---- ''' M--",eli-‘1?0---'•-41 ,7-----,----1 -----a". REED TRUCKING&EXCAVATING ' IFT61-7-4/1--''''4:4;';:---1P-.---i 1131 1 l .._ _....._ ey.4.-a-7,..- -4,,,,,..z.k--;-,-z , ----- -- -4 lArticie070,*•- •'-,-,-;FJ.1•'11,2207 INTER AVE SUITE A N,:gifiagit4,:fatIPEED SS-614 •.;1-:;;=;?„,;;,4„,,,,,..-,,,;. ,:i;--_-;____ - ------It.,--;•,;;-;:z;.-W-i-h.4-4;-!:,- • ____. _ ! bfy7:817/Zifirri Puyallup,WA 98372 i.:,.,sci .-----i.,:72,-.-5.,4;"*..-,,--•, 1 ,...---',M-----0:,,,-.:•.1.----r.271 I.'',,,;-tvf,ft-:'-'—z `.,••••,l'.1,-*.-',",...,'Ili-ie--N.T.,;--....,4-4,-..t.,,,,..". --„,,,z,.....----,-*,6,..,,,, r-vi:--.4. A.. -7"--;,--:---...g.,44.-...,--,*4...4 i,,,,,1,,,,e-..=_,...1.-47:". :i.rt.4-4tilit'1.-11"v`""——'-'-'1 " '""'' :s.I.Vti, '56:S,,,..,..z.tat-.ft--.:,,,.,-..,,-56%,..,,r,.......0,,,.. .v.1E11.01E0'111'-,,,,--;-'-,--,..--‘,,,,.,- ,--)-,:.,,,,,A...4..-:,-... otz .--,,I•tg—i...--44-2,...,fr..40..., . ,--....4.4.,*-.1.'4,tre...-Tv-J.*.„.-,,,,,,,;,,,,lAktpA4.jr,,-0,..,,,,,,,,..".69,-,44. ., M:41:21-cat..-1,%17',:,- '-'1*,:,,t,...x:,::•"0'.4.4:4;1,411,.-&,,t.,,,4*-„e-.4.:;..ke.rkt,:,-.?-....katiOW4.14,t-ta1-, .f.kireL--,0;.T.N.,`-,-,., ,-......„ ,e.,.,.0..--tts,,,....1.-4..04,t:..„.n..7tW,4'.-...fta:',,,,A*12?.:"T" 'tirerwo49,:= r,----,---.7-...,..,,- --,1:k- 1,‘;.,1':-'.-:-.''-'-1-7,'-',-,`11-Vix:',,,,,-,,.. -- -•- i tNarrie-'---,;,---1,--,--4 156 RENTON DUVALL — — rii.i .7-."..".?•TT',"/'''""-,';',.W"... 1 1.-:::1-1'0.4';:ifi'i'f.i?;!•;71.2'C::' 1"k0—l.'"..:44-44•''4.'''.+.'I.4a.—s.'r"'-.:„7-:'4;',%0':-,--i-'i""t.osi..t—iff,'-we-;-r''''''''*,,:,-V-i ft-i•"LZ-t.t.r1..,:e.Odl'' 1 *—ye, 1 .;.'.,e.,-41.----:. --'4 wW * --- 3120-CONCRETE CSTC 5/8 31,800.00 78,260.00 0.001 46,46000t1:s 23.23 to-n.%--ss- 1 . Notes: I Signature • S uak-l1ountair, __.aterials Inc I ( _ '` q I; , Ticket # 8805 P.O. Box 2377 03/13/2022 10:12 AM i i Renton,WA 98056 n _^ , 425.691.8880 I 5121141(Will MATER1AL5 4 L i f.ri .�.i � � I t :+ st, :_.STONER= ., .. d .. ,'. .w .; sx 11,EN 0 .a. �'f4 i.- •�„ i , Name :, •_REED TRUCKING&EXCAVATING IR ;4-",,., - � L, �, e # 1:128r '. rA&Jress':.'<':', 2207 INTER AVE SUITE A _�:: w- °5•. v.,;• ,. 1 T FVehttcle # ,f:-~; REED TRUCKING SS-811 ! rCiiS/I tr p 1 Puyailup,WA 98372 " = ! s i , . L .. �i...# y a Y �u'a. —S I.Y� if ,�5 YPC ••* "156 RENTON DUVALL. _I F ,..t_,/. � - 3 .,, . ' Name Fr wa Job,#,.,,•`: -- _.�__ _ , �__t w" _; ' r _'____ I .. . 6 j li _,' 4 -'4 ,PRU(uc-r 2_,,, ` 1ARE '.;NROS& . CiORR `,'",iNEr 4Ji ,fiNam. 13120-CONCRETE CSTC 5 8 I 32,360.001 79,460.00j 0.001 47,040.00 Ibs f 23.52 tons i Notes: Signature ' I 10 / P.O. Box 2377 vw XCAVATING 128 AVE SUI RNA 0.001 Signoture | . . ! | | - � � 'KANGLEY -..., Kangley Rock&Recycling Locations tN ROCK & RECYCLING KANGLEY PIT(Plant#21) 32500 SE Kent-Kangley Rd.,Ravensdale,WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant tt 22)-(206)658-0912 DELIVERY TICKET 206 768-1 D00 510 Monster Rd.Renton,WA 98055 SEATTLE,WA 98108 • { ) LAKE FAANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE,Maple Valley,WA 98038 Plant"20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO, PROJECT PLANT# ";: -:,•1 .' rA100 724M .t.-, CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. tD I t"1 TP KN EXCAVATING INC tr,rr ;..,v. ^ . . -ttV , JOB ADDRESS " --(AVE &DUV AVE COLLECT ON DELIVERY(C.O.D.) ❑CASH ❑CHECK:. ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXP. / ❑VISA ❑MASTERCARD ❑ DISCOVER PRODUCT DESCRIPTION TONS QUANTITY U..M CODE 13,231 TOTAL UNIT PRICE AMOUNT ,. TN t�1 1 5lu'CSTC TOP CO _9a 22 - TN 770010 WA STAf t SICK LEAVE SURCH 22 Itr 7.9`3 TN 70415 ENVIRONMENTAL SURCHARG1 '.l. ,_ 1 "ac,3 a. ,17. i?1,44 r ra :a > Lt 45..10.00 t'• '�. Cr: � t DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO t->""11 SUB-TOTAL 9125 10th AVE.S. DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INcl FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LET E) DETAILS ON REVERSE. CUSTOMER SIGNATURE d ' e' TOTAL - - PRINT NAME DA << AMOUNT EV 04-2009 CUSTOMER COPY s 1 KANGLEY , Kangley Rock&Recycling Locations -- ROCK & RECYCLING KANGLEY PIT (Plant#21) 32500 SE Kent-Kangley Rd..Ravensdale,WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)858-0912 DELIVERY TICKET SEATTLE,WA 98108 • (206)768-1000 510 Monster Rd.Renton,WA98055 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE;Maple Valley.WA 98038 Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# CUSTO R NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JdBHU� JJ ISV 1 tfY ~-0:t "4 -- 7�.Ti-i ffTH AVF sJF A f) A3 1 A NE: COLLECT ON DELIVERY(C.O.D.) ❑CASH ❑CHECK# - ❑CHARGE RENTON SPECIAL INSTRUCTIONS CARD# EXP. 0 VISA 0 MASTERCARD ❑ DISCOVER I 1 PRODUCT DESCRIPTION TONS 1 UNIT PRICE AMOUNT QUANTITY U.M. CODE j TOTAL 90 TN 6'2011 51,3"CSTC TOP COURSE B-731 22-9O TN 110 WA STATE SICK LEA* SURCH 2Z90 2290 TN 't 5 ENVIRONMENTAL SURCHARGE 22.9EI ! C. yy,� } ( I .,,-, t rk✓JLt',. Tit f�w iti+.SI0 #:+ f! r'tY; DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO LD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION C9MPAPk IN OR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS' > DETAILS ON REVERSE. CUSTOMER slCNATU.RE ",/"--'r :.,:5 y , TOTAL F PRINT NAME X ,%.: .,". r,./ ,S- DATE • / - ' AMOUNT EV 04-2009 CUSTOMER COPY KANGLEY Kangley Rock&Recycling Locations ROCK & RECYCLING KANGLEY PIT (Plant y21) 32590 SE Kent-Kangley Rd.,Ravensdale,WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET 510 Monster Rd.Renton,WA 9E055 SEATTLE,WA 98108 • (206)768-1000 LAKE FRANCIS (Plant#23)-(206)656-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY;INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE,Maple Valley,WA 98038 Pant#20-(206)658-0913 ORDER DESK (206)768-1000 , MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# (1'`,"ie:7l'k"3'* ! Tr Ain() 71 CUSTOMER. NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. CJTRCR Inc"a 3 L XCA VA r"G INC . ' ., y COLLECT ON DELIVERY(C.O.D.) UTI~t cIT NF it,DI'JA! t_AVE NE .❑CASH C CHECK# ❑CHARGE RENT ON SPECIAL INSTRUCTIONS CARD# - EXP. i ' ❑VISA ❑MASTERCARD ❑ DISCOVER PRODUCT TOTAL QUANTITY U.M. DESCRIPTION TONS UNIT PRICE AMOUNT D COE • i 2.09 TN 62011 5'3°CSTC TOP COURSE -23 s 29.t a.t39 TN 70010 WA STATE SICK LEAVE °'i 73.09 23.09. TN 70(fl5 ENVIRONMENTAL SURCHARC41 23.09 Gross , _s t, l' r r ia' • DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO Tt os—t— 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE SALES TAX RELEASE— CUSTOMER RELEASES AND AGREES T HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTIO ICA,FANY, IC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MAT LS- s VE.,DETAILS ON REVERSE. CUSTOMER SIQNATURE , -'`f"„�.-`=-`1 TOTAL PRINT NAME ` � `..:-^ DATE <I �d - AMOUNT iEV 04-2009 CUSTOMER COPY KANGLEY Kangley Rock&Recycling Locations _...- ROCK & RECYCLING KANGLEY PIT (Plant#21) 32500 SE Kent-Kangley Rd..Rayensdale,WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET 510 Monster Rd.Renter,,WA 98055 SEATTLE,WA 98108 • (206)768-1000 LAKE FRANCIS (Plant k 23)-(206)658-0872 f ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley.WA 98039 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE.Maple Valley.WA 98038 2 ORDER DESK Plant#20-(206)658-0913 ( 06)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB 'LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# , 14 . 7.. T3 .fa 7'V 971 nn b S'TO 'FMAME CUSTOMER P.O. JOB NO. DELIVER?TICKET NO. J B iAiDDRESc-K NG ut EXCAVATINGINC .ri NI VNIildl!: _ .. a COLLECT ON DELIVERY(C.O.D.) 9 TH ST NE F-,DUVALL AVE NE ❑CASH ❑CHECK# ❑CHARGE ENTON CARD## EXP. 7 SPECIAL INSTRUCTIONS 0 VISA 0 MASTERCARD ❑ DISCOVER PRODUCT TOTAL QUANTITY U.M. CODE DESCRIPTION TONS UNIT PRICE AMOUNT i 4Z 23.97 TN ��#1 518"CSTc=.TOP COURSE I�,-231 .' 3 �'. CV, N 70010 WA STATE SICK LEAVE S. i 2,73.97 23.97 TN 70015 ENVIRONMENTAL SURCHAR 17 Gloss MOO Tare `'?'tom fr Net 79 `f DRIVER I TRUCK NO. ORDERED BY REMIT PAYMENT TO -;,1 SUB-TOTAL I. . 9125 10th AVE.S. DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 WA i 1211TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND A S TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION C F Y,,JAI . FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERI .DETAILS ON REVERSE. CUSTOMER SIQNATfJIIE M -,.- TOTAL PRINT NAME Al--A ,�',r'r J4'7- DATE__�,�1, AMOUNT 1EV 04-2009 -- { CUSTOMER COPY KANGLEY _ Kangley Rock&Recycling Locations ROCK & RECYCLING KANGLEY PIT(Plant#21) 32500 SE Kent-Kangley Rd.,Ra ensdale,WA 98061 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Pant#22)-(206)658-0912 DELIVERY TICKET 510 Monster Rd.Renton,WA 98055 SEATTLE,WA 98108 • (205)758-1000 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE,Maple Valley,WA 98038 DESK ORDER 2 Plant#20-(206)658-0913 ( 06)768 1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# i11.41{, '? 71fl100 M1111 _ CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. } �[ VA [;let 1 nor J�B��D�'vac;+�C�X a:v INC�'Zv _ _ .t.,..'!'f�� v;t`4y s COLLECT ON DELIVERY(C.O.D.) 9TH ST NF&DUVALL..AVE NE ❑CASH ❑CHECK# - ❑CHARGE RENTON SPECIAL INSTRUCTIONS CARD# EXP. / C VISA 0 MASTERCARD ❑ DISCOVER PRODUCT QUANTITY U.M. CODE DESCRIPTION I TONS TOTAL UNIT PRICE AMOUNT 24.17 TN 6411 513 CSTC TOP COURSE B-231 2,412 24.12 TN 70010 WA STATE SICK LEAVE SURCH 24.12 24.12 TN 70015 ENVIRONMENTAL SURCHARGE 2412 ' I Gross 0077.0.00 T,irr ._ 40240.00 DRIVER TRUCK NO, ORDERED BY REMIT PAYMENT TO 1*14 .311 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE I TIME DUE SEATTLE,WA 98108 WA 1 j 10:42 TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COk1'ANY . FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIAL - E.DETAILS ON REVERSE. CUSTOMER SIGNATQRE r=:'� 't�-Fr 4f- • ` � �✓ -_r �'�.--' --- TOTAL PRINT NAME '-,'d `>rd- DATE ` `1 ( AMOUNT 1EV 04-2009 y' t CUSTOMER COPY ' ��OU�� C)U�tn'� Materials - -- -' - -` '^ Mountain ~ « ~ Inc' l[�~��t ff |��C�� ' Pl\ Box 2377 ---- '' --~- O301�U220�11AN Renton, V4258Q1 | ' ' | ' ._=_°E°=~=" 'cUonxnEn - ` � ^-�-~ ` ��^�/�-''--- ' ` - '��- - ,~ ncnm� "'REED ^ =�� ', EXCAVATING ��-p^p11'8 - - ' xuor�m �2207 INTER AVE SUITE Vehicle# /R==D TRUCKING SS n --- --- --------- � ----r ^- `^ 98372 --------------------' '«vJEu Name ~~ 156 RENTON -- Jn6'w � - ---- �- / ' . -- --------^'------- '-` '�� | pawouCt TARE� ^ - nGROSS �� - - ------- - --- ------'- � � � nm �� . a/zn'cOucxs7scsTco u�3oouo� e�u�o�n' znn - '-'^---� _��~ ��"".0"lb,;: z4.24tons! ` l-- --- ---' Notes: � . | � � Signature / • 11 DELIVERY REGEIP • • .CUSTOMER COPN �'` OFFICE:253.833.370: . . FAX:253.533.374i 400 Valley Ave N! .SAND&GRAVEL •Puyallup,WA 98372-2511 DATE CUSTOMER# • ORDER# ; ; , CUSTOMEftP_O:•..-_:::;.. JOB# PLANT# TICKET# 3130122 008200 865780 : 001580 202 273266 LOAD# ` CY ORDERED - CY DLVRD ' SLUMP- LOAD TIME', • TAX CODE CYL TAKEN PLT TIME OUT • FULL - 10 10.25 10.25 3 C - 2:52-•PM : '"' 78 I GALS • CUSTOMER NAME { 2/3 LOAD AIR% JOB TIME IN CONCRETE SERVICES : : GALS JOB ADDRESS - I SLUMP PLCD JOB TIME OUT V3LOAD - DUVALL AVE NE & NE 10TH ST • Gals CITY WORK TYPE REV COUNT WATER ADDED AUTHORIZED BY PLT TIME IN !RENTON CURB MACHINE : • ' • . i QUANTITY UNITS -PRODUCT-CJ. ODE I DESCRIPTION ! I UNIT PRICE AMOUNT , 10.25- yd _0442A 04.42A 1.00 HR 5200 OVERTIME-MIXER:• =.HOURLY. .] - . 10.25 CY 5300 ENVIRONMIIIENTAL COMPLIANCE -1RM • • 10.25 - CY 5350 WINTER PERFORMANCE`,(NOV-�.flAR) 1.00 LD 5401 • - FUEL SURCHARGE-READY• -MIX I - ' • • • DRIVER# TRUCK# PREY TRUCK DELIVERY INSTRUCTIONS SUB TOTAL 3115 1135 1161 ; : . , [DRIVER NAME' . , . • SALES TAX • CURTIS,.TONY • SUPERP ADDED. SUBGRADE . ' 1•, LOAD TOTAL '' TERMS AND CONDITIONS i GRAND TOTAL I_HAZARDOUS MATERIALS. Concrete contains cement which may cause Skin Irritahon:'Avoid dontact.with skin and eyes_If you should comein contact with fresh concrete,rinselflush skin and eyes immediately_ Seek prompt medical:attention Ifreg4ired.:DO-not Me without•proper personal protectivelequipmetit•(PPE)_ i DELIVERY CONDITIONS:,All concrete deliveries will be made In:concrete transit mixer trucks_unless otherwise;noted. The'Customer agrees to provide suitable roadways or approaches to the point of delivery..If unsuitebte.roadways,or approaches'are provided,Miles:Sand&Gravel Company(4iles);reserves.the ight to stop deliveries until the conditions are remedied..in the event the;Customerorders the delivery beyond the curb line,Custoiner.will;hold!Miles harmless against all liability resulting from damage to sidewalks;driveways or to the premises. In addition ilamixer truck gets•stuck and needs.a tow or Is damaged during • ielivery,the expenses of that service and repairs to.the truck associated ywith this incident_shall'be the responsibility of the Customer_ r 3.WASH OUT AREA. It will be the Customer's responsibility to provide;a suitable area for the trucks to rinse and cleanbefore leaving the job site.Additional :harges may apply if a wash oirt area is notlprovided. . • I ii I.ADDITON OF WATER;ANDIOR;FOREIGN,MATERIAL: Ifwaterand/orforeign material is added-to the concrete,by or attherequestofthe C,'ustomer,its amployees,agents;.contractors or subcontr•actors,Custonieraccepts_th'e concrete,as delivered'and.waives all right to reject,'revoke acceptancel,or assert any aim for breach of any warranty end.Miles is not responsible for`strength;or properties of the.cbncrete ' i_See additional.TERMS AND CONDITIONS on reverse_ I' i I have read and agree to the terms and conditions on the delivery ticket • I--. Material Description Design Qty - ! Rllquired Batched • %Var%Moisture Actual ' Wat AGG01 7/8#57 1860 lb 19075 lb 19020lb -0.29%:. :0,05%M 1!gl AGG04 SAND CLASS 2 1270.-lb : 14888 lb 13,340 lb 1.26% 5.00%A.. 79 t gl CEM02 UII AG 2021-17 564:lb 5781 •Ib - 5745'.Ib -0.62%I ADX01 MAIR AE90 4.5 oz 46.1 oz 45.0 oz -2_44%; ADX03 -MPOLYHEED 9S7 34.,oz-. .p49 oz • 344 oz 1.29%,. ' WAT01 WATER.1 ; 246 lb r 1.648 lb.' 1645 lb -0.19%1 • 197:'gl WATO4 WATER 3R • •• -°% # I lb ' lb WATO2 HOT WATER : - %. # lb lb • WATO3 WATER 2 % # lb lb Actual Num,Batches: 1 . Load 40274 lb Design-W/C: :0.436 Water/Cement 0.402 A Design 302.6 gt_ Actual 277.6.gl To Add: 25.1 gl Slump: 3.00 in # Water in Truck 0.0 lb . ` Adjust Water: :• : 0.0 lb/Load Trim Water. -25 gl/'CY Actual WIC Ratio: 0.402 Actual Water 277 gl .Batched Cement:• 5745'lb . Miles Sand&Gravel Company . , • FAX:253.833.3°74t 2. SAND$GRAVEL : �. " 1 _ • ' - 400 Valley Aye NI DATE ! • Puyallup,WA 98372-2511 CUSTOMER# ORDER if- CUSTOMER P.O.' JOB# :PLANT.# r!cKEr#- •3/30/22 1- 008200 (" 865780i _. 00158 LOAD# CY ORDERED CY DLVRD SLUMP. LOAD TIME Q: 202% 273253 TAX CODE i FULL LOAD 1 CYLTAKBN PLTTIMEOUT 8 54.25 : 54.25. 1 5- 12:05 Pfl►1 :'_• �--`C3 ' , GALS CUSTOMERNAME - _ - - • 2/3 LOAD AIR°� JOB,TIME'IN ' CONCRETE SERVICES •' GALS { • JOB ADDRESS AVEp ,r �p •DUVALL A NE & NE 10Tf7 ST ; t/3 LOAD SLUMP PLCD JOB TIME OUT . . GALS CITY. -: :_WORK TYPE „ REV COUNT • WATER ADDED AUTHORIZED BY.,; PLT TIME IN RENTON CURB,. lI4CE1 • :E: QUANTITY - UNITS PRODUCT•CODE - " " ` - - 'DESCRIPTION'"'. :•- UNIT PRICE AMOUNT 11.50 yd -.04C3A _ 04C3A--- ; - ' - _ 11.5(1 CY :•:.5300 . ENVIRONMENTAL:COMPLIANCE -RM 11.50 CY "5350 • WINTER=PERFORMANCE INO.V-MAR) . " 1.00 LD ' 5401 . FUELSURCF1i4RGE-READY:MIX •1. NER# TRUCK# PREV TRUCK DELIVERY INSTRUCTIONS • iR . " • • SUBTOTAL • 1475 11-61 : 1181 ' • ' RISLERNAME .- :ii . HUGHES MICHAEL UPERP ADDED SUBGRADE • LORD?OTAL . .TERMS.'A ID.:CO.NDITIONS.' GRAND TOTAL HAZARDOUS MATERIALS. Concretecoritainscementwhich maycauseskin`iiritation:Avoid-contact.wiith skin:and ees.if-. ou s' . • . .., Y. .., Y_.".horotco , ., contact with sh concretk,rinse/flush:skin•and.eyes immediately:_Seek_prbmpt rtledicarattentioii'iErequired:po not uae:without propeppersonakprotective�-"uipnienf PPE. DELIVERY<CONDITIONS All concrete deliveries will pe made in•concrete transitrnixer tricks unless•otherwise noted _The Customer agrees o•p vide t-" j iltable,roadways or approaches to the point of delivery•If urisuitable.roadways•or approaches.areiprovidertMiles_Sandi&Gravel,CompanylMiles);reserves the"- Iht to stop deliveries.until the conditions areii'ernedied. to the.event the•Customer orders the°delivery beyondithe curb line;•Customerwill hold'Miles.harmless-':' ' lainst all liability resulting from damage_to sidewalks;.driveways or to the:premises:.:in;addition,,if,a"mixer truck gets-stuck and,needs'a.tow or isidamaged during • slivery,the expenses of that service and repairs to the truck associated with this incident shall be-the responsibility;ofthe:Gustomer.•• '• 'WASH OUT AREA.Jtw111 be the Customer's responsibility to provide a suiteble:arrea'.forthe triicksto rinse:and:clean:before leaving the job site.Additional arges may applyifa wash oat area.is-notprovided. -.I :'•, -.-. :-• -. :-• - 1 ADDITON OF WATER AND/OR FOREIGN MATERIAL..If water and/or forelgo material is added•to:the concrete by.or at the'request of the Customer,its 'iployees,agents,contractors or subcontractors;Customer-accepts"the'concrete,,as delivered.and•waives'all right to reject,revoke acceptance assert any Urn for breach of any warranty and Miles is not responsible for,strength or properties-of the concrete: ".- j' See additional TERMS AND-CONDITIONSibn reverse. ' i. • .. . . . -• .- • �lyrhave.read-arid agree to theiterms and conditions on•the delivery ticket . • ../\", " - - �"J, _ _ :II-- _ laterial -Description , DesignQ - • ' Required •- .13atched - GGOI 7/8#57-: • 4 Var'/Q Moisture- Actual Wet 1760•lb '. ' ' ' 880 lb • -.' ,1800:ib • *y:: 1:04.4'4% .i' :0:105%M:• GG04 • SANDCLASS,2. . 1430 lb ' 758'lb, 120.0.lb'. > ,58.64%o'•, ' 580%A -8 g EM02:,":;:'"UII:AG20.21'-17;'' • 584_lb ` '282 lb-- • -' 286:lb••• • ' 0:71'/° -:•DX01 - -•.•':MAIR:AE90;a,:'.: • 11.0 of'" _' 5`:5 oz ' . 4.6 oa' - :.-27:27% .:IAT.Ot V17ATEF'1 %r' r • # lb lb • !ATO4_ WATER SA - ° • 'ATO2 • •HOT WATER # i I- lb 'ATO3 WATER 2 ;° # I lb lb ual t '# lb lb Num Batches: 1 ad 3280 lb Design WIG: 0,000 Wafer/Cement:; 0.238 A Design • 0.0 gl Actual 8.0 gl To Add: 0.0 gl amp: 1.5o in # Water in Truck: 0,0 Ib . Adjust Water.". 0.0. lb !.Load Trim Water: 1,5 gl / CY tual WIC Ratio:0.238 Actual Water.: 8 gl Bathed Cement 280 lb i • • 'Mites Sand A Gravel Company' • • INSNW MriEs rt0CK5- .'. `-- f OFFICE:253.833.3705 i - ' FAX:253.833.3746 SAND GRA�P6L" 4.00 Valley Ave NE ' Puyallup,WA 98372-2516 )ATE CUSTOMER.# ORDER# ; -'CUSTOMER P.O: I- JOB# PLANTS. .TICKETS' 3/30122 00E200, •' 865780 ' . 00'1580 `" 202 273251 _OAD S CY ORDERED- . . CY DLVRD . I SLUMP. , :LOAD TIME • TAX CODE' I. ' i CYL TAKEN PLT TIME OUT (FULL LOAD 'I 6 53.75 - ;`53.75 •1.5 . 11:44.AM •. ' ' C3 i- GALS - . :USTOMER NAME - AIR% JOB TIME IN '2/3 LOAD CONCRETE SERVICES. . • i GALS • OB ADDRESS • • i ; SLUMP PLCD JOB TIME OUT ' i 1/3 LOAD DUVALL AVE NE & NE 10TH ST GALS STY - --I--— WORK TYPE . REV COUNT WATER ADDED AUTHORIZED BY: - - PLT TIME IN RENTON •.___,... . -'.CURB:•MACHINE- QUANTITY UNITS PRODUCT CODE • _ - :DESCRIPTION - }•.-- - ' -UNIT PRICE AMOUNT 11.00 yd 04C3A 04C3A 11.00 CY 5300 . • ENVHRONMENTAL:.:COMPLIANCE,- RM 11.00 CY 5350 !MINTER PERFORMANCE (NOV-MAR) 1.00 LD •5401 ' . FUEL1SURCHARGE-READY-MIX '• I • RIVERS TRUCKS PREVTRUCK DELIVERY INSTRUCTIONS I • SUBTOTAL . 1475 1161 1.18.1 I RIVERNAME ':-':__'--_ iUGHES, MICHAEL - 1 • _ 1PERP ADDED SUBGRADE _ • - LOAD TOTAL TERMS_AND CONDITIONS _ • • GRAND TOTAL HAZARDOUS MATERIALS. Concrete contains cement which'may cause;skirt•rrittabon;Avoid.contact`With skiri_anti;eyes_If a in contact .with, sh concrete rinse/flush skin and eyes immediately!-3eekprompt medical attention f 0oiterfs:Do npf use withbut'proper•persorlal piotective equipment(PPE)- DELIVERY CONDITIONS.."All concrete'deliveries•wiill_be madein concrete:transitmixer;frucksunlessotherwisetioted.!The:Cl storrier.agrees;to••provide table roadways or approaches to the point of delivery"_'-If•unsuitable'roadways or approaches are proviided,'.Miles:Sand&Gravel•Company;(Mikis)•reserves the - Ito stop deliveries until the conditions are remedied..In the event the'Cpm stoer orders the delivery beyond the curb line,.Customer will hold Miles haintless ainst all liability resulting from'damage_to sidewalks,driveways or to the.premises::•In addition,-:if•.mixer truck'gets;stuck-and`needs a tow.or is damaged during ivery,the expenses of thet.service and.repairs to the truck associated with'.thie incident shall be.the responsibility of the Customer. C NASH OUT'AREA;it will be the-Customer's responsibility to•provide a suitable.aree for the trucks to rinse and clean before:leaving the job site::Additional trges may apply if a wash out area is not provided.; i " i LDDITON OF WATER AND/OR FOREIGN MATERIAL,if,Water.anh/orforeigi Material IS added.to the concrete byioi-at the request.of the Customer,its pioyees,agents,contractors or subcontract m ors,Customer accepts.the concrete as.deliyered:and waives all right toireject,revoke acceptance massed any im for breach of any warranty Mat es is'not responsible for strength:oc properties of the concrete.." ' i I - See.additional TERMS AND CONDITIONS en reverse. . • I have read and agree to the terms and conditions.on the.delivery:ticket.- •X: ,r. • - z• • aterial . Description ` Design.Qty = Regriired Batched • 7.0. • %•Var%'Moisture •'Actual •- Wit 3G01 7/8#57 1750.:lb 193 lb 19300•lb .• -0;36%'"-.•0.05t'M 1-gl 3G04 SAND CLASS 2 1430 lb 16195_III -15900:lb. -1182% y 2_95%E 55 gt;❑M02 . I/II AG 2021-17. 4'84.Jo"-• . • ;620,4•lb= _ 6245-lb • 0,66% = - )X01 MAIRAE90 - 11.0.oz -1210 oz • 119:0'oz -1.65%. _ :1 ATo1 WATER 1 225 lb 1 1771 lb 1770.lb. -0.08% I ATD4 WATER 3R .. % # i lb • lb 212 gl" ATO2 HOT WATER ak # - AT03 WATER 2 % # i lb - lb • • :tuai Num Batches: 1- ad 43222 lb Design W/C: 0.399 . Water/Cement:i k0.358 A. Design 297.0 gl: Actual 268.3 g1 To Add:28.8 gl. Imp: 1.50 in # 'Water in Truck: ' 0.0 lb ' Adjust water:. 0.0 lb/Load 'Trim'Water,: -2.5 gl/ CY tual W/C Ratio: 0.358 Actual Water: 268 gl Batched Cement 6245 lb - • N Miles Sand&Gravel Company i WWW.MILES.RDCKS ' L. .- f, . . OFFICE:253.833.370 • :} FAX:253.833.374 • 400 Valley Ave'N SAND&GRAVEL' • : . j Puyallup,WA 98372-251 DATE CUSTOMERS ORDERS CUSTOMERP:O.., _ JOB#. PLANT if- TICKETS_' - -.3/30122 008200 865780' 001580 202 273240 LOAD CY ORDERED CYDLVRD SLUMP LOAD TIME '-- TAX CODE :- r ' CYLTAKEN PLT TIME OUT ;>FULL LOAD 4 60.00 42.75 15 10.:35-�aiifi' C3 GALSI. . CUSTOMER NAME AIR% JOB TIME IN 2/3 LOAD . . CONCRETE SERVICES. - : GALS JOB ADDRESS. - ' 1/3 LOAD SLUMP PLCD JOB TIME OUT DUVALL AVE-NE & NE10THST • , -• ' ,GALS CITY WORK TYPE ' REV COUNT--' . WATER ADDED AUTHORIZED BY PO-TIME IN RENTON CURB MAC.F INE i • QUANTITY UNITS PRODUCT CODE DESCRIPTION . • UNIT PRICE' AMOUNT 1 11.00 yd 04C3A 04C3A- • 11.00 CY 5300 ' ENVIRONMENTAL COMPLIANCE —OM 11.00 CY 5350 .WINTER PERF.ORMANCE.;(N.OV-MAR) • • 1.00 LD 5401 . FUEL-S'URCHARGE=READY MITI DRIYEB. ,_ TRUCK# PREV TRUCK'DELIVERY INSTRUCTIONS SUB TOTAL • 1528 ..:'11881 ` t0S5-: ---....�. • ' SALES TAX DRIVER NAME - I SUPERP ADDED ' SUBGRADE - ! LOAD TOTAL M S GRAND TOTAL TERMS:AND,CONDITIOPtS - 1.HAZARDOUS MATERIALS, Concrete contains cement which may cause-skin'irritation:Avoid contect:with,skin and eyes.If you.should come In contact with ' fresh concrete,rinse/flush skin and eyes.immediately:Seek prompt'medical.attention if'required,.Do'not:uie'without-proper.personal protective equipment'(PPE). . • 2.DELIVERY CONDITIONS:All concrete.deliveries will be inede'in concrete transit.inixertrucks Unless otherwise noted The'Customeragrees to.provide�_ suitable roadways or approaches to the point'of delivery.if unsuitable roadways or ap roadies are provided,.Miles Sand&:Gravel Company;(Miles)reserves.the right to stop deliveries until the conditions are remedied: tri the event::the•Customer,orders the delivery beyond thelcurb line,-Customer will holdiMiles harmless . h. against all liability resulting from damage to sidewalks,driveways orte.the:premises;In addition,_If a mlxertruck gets stuck.and needs a tow oris damaged during f5. delivery,the expenses of that service and repairs to the trick associated with this incident shall be:the.responsibility of-the Customer. ' :I r r••-:r;!= 3_WASH OUT AREA. It will.be the Customer's responsibility to provide;a suitable area for the:trucks-to rinse arid before leaving the job site:Additional w.-.:. • charges may apply if a wash out area is not provided. .. • ' 4.ADDITON OF WATER AND/OR FOREIGN MATERIAL_-if,water and/or foreighmaterial is.added to the concrete by or at the request of the.Customer,its `'`7 employees,agents,contractors or-subcontractors,Customer acceptsthe concrete as:delivered and waives:all:right to reject,revoke.acceptance or assert any claim for breach•of any warranty.and.Miles is not responsible for strength or properties-of.lhe:concrete: - 1 l 5.See additional TERMS AND CONDITIONS on reverse. { ' -r.I have read and agree to the farms and conditions on the delivery ticket. x - i Material Description Design Qty Required -Batched . %Vat%Moisture Actual .:Wat AGG01 7/8#57 1760 lb • 19408 lb 19480.lb.. ' 0.37% i 0.25%.M 6'gl AGG04 SAND CLASS 2 1430 lb 16364 lb 16440'lb 0.46% '4.03%E 76:g1 GEM02 I/II AG 2021-17 564 lb 6204'lb 6215"lb 0.18% ADX01 MAIR AE90 11.0 oz 121.0 oz 119.0 oz . ' -1.65% - WATO1 WATER 1 225 lb l472 lb 1465 lb --0.45% 176 gl WATO4 WATER 3R .% # 1 lb . lb • WATO2 HOT WATER % # • lb lb WATO3 WATER 2 "/° # 1 lb lb Actual Num Batches: 1 Load 43607 lb Design W/C: : 0.399 •Water/Cement: i 0.346 A Design" 297.0 t gl_ Actual 258.1 gl To Add: 39:0 gl Slump: 1.50 In # ' Water in Truck: 0.0 lb Adjust Water: 0.0.' lb/Load Trim Water: -3.5 gl / CY Actual WIC Ratio:0.346 Actual Water: 258 gl Batched Cement: - .6215 lb • Miles Sand&Gravel Company ' WWWMi ee.rtacxs DELIVERY RECEIPT -1';:lir 1 • : ., . :.--, . . .• ' ' . .- CUSTOMER COPY , I i . . . , . -_.. • . \,,,.„,1 . , • ., . OFFICE:253.833.3705 • ,._ '. . . FAX:253.833.3746 . . MILES•••. .:,,. . , . . . • r . - . .. • . • • , . . . - • . • • • .• : - .. . 400 Valley Ave NE ... . . SAND&GRAVEL %. . ' • - • 1- ' Puyallup,WA.98372-2516 DATE CUSTOMER# ' • ORDER# CUSTOMER P.O.- JOB# • PLANT#- TICKET# . i . , . 3/30122 008200, 865780 0' 01580 • 202 273231 . •LOAD# CY ORDERED - CY DLVRD • SLUMP . LOAD TIME TAX CODE I 1 • CYLTAKEN RAJ_LOAD PLT TIME OUT [ 3 60.00 - , 31.75 1.5 9:43 AM- .C3 i GALS - . .. CUSTOMER NAME - ,LOAD' AIR% ... JOB TIME IN ------.-- . 1 2/3 • CONCRETE SERVICES • -, _• • . ' .• . . . . i . „._ nAL.s -i•,„;,.. -) ,..i• !_.*: JOB ADDRESS - ' - - 1/31.0AD SLUMP PLCD JOBTIME OUT . DUVALL AVE NE & NE 10TH.ST . ' GALS . . , I . ' WORK TYPE . REV COUNT WATER ADDED AUTHORIZED BY: PLLT TIME IN • - - _• ; I- - RENTON - CURB MACHINE ... I-.. • : , • -- . .CILIANTITY UNITS PRODUCT CODE . • DESCRIPTION I '--'--'- .•i_INITWEE ; '''''' AMOUNT - ',- _., . . 1 ••'' 10.50 yd 04C3A'. 04C3A ----7-- , , • . . . . '. , . 10.50 CY 5300 „ ENVIRONMENTAL COMPLIANCE - RM • . .... . .•..______.•___:i;._—______.:.___.."___...—._ .____ 10.50.:, -1..i.CY-- 5.35.0-1. VI NTERTERFORMANC E (NOV-MA ) --'1.00 LD - 5401 ,-. FUEL SURCHARGE-READY MIX! .. • • • . , . . . . . • . . . . ...: , • • • , _ . - DRIVER# TRUCK# PREV TRUCK DELIVERY INSTRUCTIONS SUB TOTAL 3320 1095 1161 . . ; . DRIVER NAME , . .. . • SALES TAX - .. FLEEUP- CHA.SE . . .. :. . .1.:.,1''',.:":"--, • •- , - • .',-. .,.. 4-.,_:.'-•"`•:_ , .... - : %,. • -,': . -'.:-..;....: : ,- SUPERP ADDED SUBGRADE . '. LOAD TOTAL' • . . . ,.. ._ • . . . . • ;•- . , • GRAND TOTAL TERMS AND CONDITIONS . '-i , , .. . . I.HAZARDOUS MATERIALS Concrete contains cement which may cause Skim irritation.Avoid contact with and eyes.If you should come In contact with rash concrete,rinse/flush•skin and eyes immediately_ Seek prompt medical attention if required. Do not tree without proper protective equipment(PPE). ?.DELIVERY CONDITIONS. All•concrete deliveries will be made in denotete transit mixer trucks unless:otherwise'noted.;The:Customer agrees to provide ;uitable.roadways or approaches to the point of delivery. If unsuitable roadways or approaches are provided Miles Sand 8s.Qravel Company(Miles)reserves the ight to stop'deliveries until the:conditions'are remedied. In the event thetustomer orders the delivery-beyond the curb line,Customer will hold Miles harmless rgainst all liability resulting from damage to sidewalks driveways or to the piemises. In additioh;ifa mixer truck gets stuck and heeds a tow or is damaged during lellvery,the expenses of that service and repairs to the associated witti;this incident shalt be the responsibility-of the CustoM4r.''',;i':,il:•1: •,- -,,, . S.WASH OUT AREA, It will be the Customer's responsibility to provide-a suitable area-for the trucks to rinse and clean before leaving the job site..Additional :harges may apply ifs wash out area is not 1provided. , , • '. . I 1 .., . I.ADDITON OF WATER-AND/OR FOREIGN MATERIAL if water and/or foreign-inaterial is added to the concrete by of at the request of the Custorner,its - Onployees,agents,-contractors or subcontraeters,Customer accepts the concrete aS'clelivered and waives'ailtight to reject,revoke acceptance or assert any laim for breach of any warranty and Miles is not responsible for strength or properties of the concrete. . I I.See additional TERMS AND CONDITIONS on reverse. I have read and agree_to,theterms and conditions on the delivery ticket. ...,. •. --.7-;,,,-- -- •..ff.,'?2, .. ' •- -,S-;.,:-:';' .•-•.- •r.7,: . -'''F'''..,)14';'.''' '• • '''' • ..;'.•'',. '..' . :k . . . • . • - . • ... . . • . • .... • . • Material Description Design Qty - •Required Batched - %Ver.%Moisture Actual Wet AGG01 718#57 1760 lb 18526 lb 18440 lb - .: -0.47%' ,0.2.5 .M.' ' V 6 gl . N.. AGG04 SAND CLASS 2 1430 lb 15866 lb 16020 lb -'' • 0.97%i 15.67%A 103 gl CEMOZ I/11AG 2021-17 564 lb 5922 lb 5930,lb 0.14%i ADX01 MAIR AE90 11.0 oz 115.5 oz 114.0 oz -1.30% . WATO1 WATER 1 - 225 lb 1159 lb 1155 lb -0.36%i 139 gl WATO4 WATER 3R % # lb • , lb • ' WATO2 HOT WATER % # lb lb WATO3 WATER 2 . % It lb - lb . Actual Num Batches: 1 ,- . ... . .. Load 41552 lb Design WIC: .0.399 Water/CeMent 0.347 A ,Desigg 283.5 gl : Actual 247.2 gl To Add: 36.4 gl ' • . . . Slump: 1.50 in # Water in Trudc ' • 0.0 lb,• Adjust Water 0.0 lb /LOad Trirn Water. - -3.5 gl / CY ' • Actual W/C Ratio:0.347- Actual Water 247 gl Batched Cement 5930 lb • - • . • . . • , • . . , • • Miles Sand&Gravel Company . - unarm kill Cd onnve • ® • DELIVERY RECEIP' • CUSTOMER COPY - OFFICE:253.833.370. - FAX:253.833.3741 400 Valley Ave NI SAND&GRAVEL Puyallup,WA•98372-2511 DATE CUSTOMER# ORDER# 'CUSTOMER P.O: ' • JOB# PLANT# TICKET# 3/30/22 008200 865780 001580 202 -273221 • LOAD#- CY ORDERED CY DLVRD SLUMP LOAD TIME ' TAX-CODE CYL TAKEN PLT TIME OUT FULL LOAD • 2 60.00 21.25 1.5 . 8:45 AM . •-C3 GALS CUSTOMER NAME 213 LOAD AIR% JOB TiME IN CONCRETE SERVICES GALS • JOB ADDRESS - SLUMP PLCD JOB TIME OUT 1/3 LOAD 4804-NE 4TH-ST -. • . GALS • CITY WORK TYPE - REV COUNT : WATER ADDED AUTHORIZED BY: PLT TIME IN RENTON . CURB MACHINE • QUANTITY UNITS PRODUCT CODE DESCRIPTION UNIT PRICE AMOUNT 11.00 yd 04C3A. . .04C3A-. - • ' 11.00 CY 5300 - ENVIRONMENTAL COMPLIANCE -;Rini 11.00 CY - 5350 ' WINTER P• EiRFORMANCEINOV4JIAR) 1.00` tD` v4 1— — 'FUEL SURCi RGEAEADY�1111X ! - i DRIVER TRUCK# PREV TRUCK DELIVERY INSTRUCTIONS SUB TOTAL 1475 1161 1136 I DRIVER NAME SALES TAX HUGHES, MICHAEL , ISUPERP ADDED SUBGRADE .• LOAD TOTAL TERMS AND CONDITIONS' • GRAND TOTAL 1.HAZARDOUS MATERIALS. Concrete contains cement which may cause skin irritation.Avoid contact with skin and eyes.if you should come in contact with fresh concrete,rinse/flush skin and eyes immediately_ Seek prompt medical attention if required..Do not use without proper personal protective equipment(PPE). 2.DELIVERY-CONDITIONS.-All concrete deliveries will be made In concrete transit mixer trucks-unless otherwise-hated;The Customer agrees to provide suitable roadways or approaches to the point of delivery. If unsuitable roadways or approaches are,provided,Mile Sand&Gravel Company(Miles)reserves the right to stop deliveries until the conditions are remedied. In the event the.Customer orders the delivery beyond the curl5Iine.-Customer will hold Miles harmless against all liability resulting from damage to sidewalks,driveways or to the premises..In addition;if.a mixer truck gets stuck and-needs a tow or is damaged during Delivery,the expenses of that service and repairs to the truck associated with this incident shall be,the responsibility of the Customer. 3.WASH OUT AREA. It will be the Customer's responsibility to provide a suitable area for the trucks to rinse and clean;before leaving the job site.Additional -harges may apply if a wash out area is not provided. 1.ADDITON OF.WATER AND/OR FOREIGN MATERIAL. if water and/or foreign:material is added to the concrete;by or at the request of the Customer,its , employees,agents,contractors or subcontractors,Customer accepts the concrete as delivered and waives all right;to reject,revoke acceptance or assert any ;laim for breach of any warranty and Miles is not responsible for strength or properties of the concrete. , 5.See additional TERMS AND CONDITIONS on reverse. • .i have read and agree to the terms and conditions on the delivery ticket. . - Material Description Design Qty Required Batched %Var%Moisture Actual Wat AGGO1 7/8#57 1760 lb 19408 lb 19440 lb 0.16% :0.25%M 6 gl AGG04 SAND CLASS 2 1430 lb 16534 lb 16240 lb -1.78% r 5.11%-E. 95 gl CEM02 I/II AG 2021-17 564 lb 6204 lb 6230 lb 0.42%` ' ADX01 MAIR AE90 11.0 oz 121.0 oz. 119.0 oz -1.65% WATo1 WATER 1 225 lb 1301 lb 1295 lb -0.50% 155 gl WATO4 WATER 3R % # lb lb WATO2 HOT WATER % # lb lb WATOS -WATER 2 % # lb lb • Actual Num Batches: 1 Load 43212 lb Design WIC: • 0.399 Water/Cement: 0.342 A Design 297.0 gl Actual 256.0 gi To Add:41.1 gl Slump: 1.50 in # Water in Truck: • 0.0 lb Adjust Water. 0.0 lb/Load Trim Water. -3.5 gl / CY Actual W/C Ratio:0.342 Actual Water. 256 gl Batched Cement 6230 lb , Miles Sand&Gravel Company ' - . • DELIVERY RECEIP . CUSTOMER COP' OFFICE:253.833.370 . FAX:253.833.374 • 400 Valley Ave N SAND&GRAVEL Puyallup,WA.98372 251 DATE CUSTOMER# . ORDER# CUSTOMER P.O. .• ,'JOB# PLANT# TICKET# 3/30/22 008200 865780 - 001580 202 273211 LOAD# CY ORDERED 1 CY DLVRD SLUMP LOAD TIME TAX CODE I CYL TAKEN PLT TIME OUT 1 60.00 1-0.25 1.5 7:48�►1l1 :c3 I FUG LOAD GALS ' CUSTOMER NAME • 213 LOAD AIR% JOB TIME IN •CONCRETE SERVICES I 'GALS JOB ADDRESS SLUMP PLCD JOB TIME OUT • 1/3 LOAD 4800 NE 4TH ST 'plus CITY WORK TYPE REV COUNT WATER ADDED AUTHORIZED BY: PLT TIME IN RENTON CURB;MACHINE . QUANTITY UNITS PRODUCT CODE - DESCRIPTION UNIT PRIC_E AMOUNT • 10.25 yd 04C3A • 04C3A 10.25 CY 5300 ENVIRONMENTAL-COMPLIANCE -i RM • 10.25- . CY.._: 5350-__,._ __ WINTER PERFORMANCE (NOVrMAR)_.. __ 1.00 LD -- .5401 FUEL SURCHARGE-READY MI '' I ' : �' • DRIVER# TRUCK# PREV TRUCK DELIVERY INSTRUCTIONS • i SUB TOTAL • 3041 . 1136 • • DRIVER NAME SALES TAX DAVIES, LEVI SUPERP ADDED SUBGRADE LOAD TOTAL TERM$AND CONDITIONS I GRAND TOTAL 1.HAZARDOUS MATERIALS. Concrete cdntains cement which may cause skin irritation:Avbid contact with skin and eyes.If you should come iri,contact with fresh concrete,rinse/flush skin and eyes immediately. Seek prompt medical attention if required. Do not use without proper personal protective equipment(PPE). 2.DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise,noted. The Customer agrees to provide suitable roadways or approaches to the point of delivery. If unsuitable roadways or approaches are provided,Miles Sarid&Gravel Company(Miles)reserves the right to stop deliveries until the conditions are remedied. In the event the Customer orders the'delivery beyond the.,curt:line,Customer will-hold Miles harmless against all liability resulting.from damage to sidewalks,.driveways or to the premises. In addition,if a mixer truck gets stuck and needs a tow or is damaged during delivery,the expenses of that service and repairs to the"thick associated with this incident shall be the resporisibilitjr of the Customer. 3.WASH OUT AREA. It will be the Custorner's responsibility to provide a suitable area for the trucks to rinse and clean before leaving the job site.Additional • charges may apply if a wash out area is not provided: '. 4.ADDITON OF WATER AND/OR FOREIGN MATERIAL If water and/or foreign material is added to the concrete by or at the request of the Customer,its employees,agents,contractors or subcontractors,Customer accepts the concrete as delivered and waives all right to reject,revoke acceptance or assert any claim for breach of any warranty and Miles is not responsible for strength or properties of the concrete. I . 5.See additional TERMS AND CONDITIONS on reverse. 1 have read and agree to the terms and conditions on the delivery ticket. I • Material Description Design Qty Required Batched - %Var%Moisture Actual Wat AGGOI 7/8#57 1760 lb 18085 lb 18000 lb -0.47% 1025%M 5 gl AGG04 SAND CLASS 2 1430 lb 15264 lb 15260 lb -0.02% .4.14%E •73 gl CEMO2 I/II AG 2021-17 564 lb 5781 lb - 5755 lb -0.45% ADX01_ MAR AE90 11.0 oz 112.8 oz 111.0 oz -1.55% WATO1 WATER 1 225 lb 1356 lb 1350 lb -0.44% 162 gl WAT04 . WATER 3R % # lb lb ' WATO2 HOT WATER % # lb lb WATO3 WATER 2 % # lb lb Actual Num Batches: 1 Load 40372 lb Design W/C: 0.399 Water/Cement: 0.348 A • Design 276.8'gl Actual 240.1 gl To Add: 36.7 gl Slump: 1.50 in # Water in Truck: 0.0 lb Adjust Water. 0.0 lb/Load Trirh Water: -3.5 gl / CY Actual W/C Ratio: 0.348 Actual Water. 240 gl Batched Cement 5755 lb f • Miles Sand&Gravel Company f er:- . • 'tom d ell• t .#i ..©rd Sketch Obld) Book No. ---./ Page No /3 Contract No. ...lion , Line ` I f CA6 -2o-o65 i1 3t/2 4017 ,( Id v4/(I'U<G � ;Fv 6. ' v:., Staked By 1 D-te Work Started U Mork Complet-d- W.r. CoAlei / — / —az 21/ii-2Z Z-)F-- - Calculated By j Date Checked:y I Date Inspe tor's Signath . (D. - ,0),:1 vo,F�� — i �-2-2— M B 2/28/:2 !/, - '-zz_i 1 kIiJIItUiijIiJ:VIPLdIIIIIIII IMEla , r . 1 ' o ilf_ w ,11170:51 . • , 1 tif..44 6� 1 I I . t, I Iri, ci. .S 4':'"x7 0",518' V..ult ill 8 - 1 :A . - , g 1 2�1-7 1 .1 Fl : , I 'O 69T i I 1 Item No. item i GAP Date t1nit Quantity .RAMS No. t34sislaf Material CAPS initials Est.Na. I rtcceptance No. f Post OK ,,:/-Z� 77717111111111111111t I 2(j 3 -- �,s.1A-( ---..�. B 3 A37 HMA CL. vz IN. 2/.17/22 1�� •G 64-22 iu► -u.so •-_�e� �(isual ow TB 3 Install Vault- PS .= C6�.Instal 1 t- 2/_18/21 . s 1 uis}ual A101 CSTC 2/17/2 ,N 300.69 ✓ yt• i sual � MB TLs 4 I 1 i f DOT Farm 422-636 EF { • . . . ! Va171 Deparbrient. ` t Record ketch Grid) . _ , .. . Field N 1 - . I [ Book No. -/ Page No. 6 j ' I `Statio Line C/S Contract No. `C` . iO-o c 5 , ,, 5',3 10 .-�S f!Z_ ; , ,9 v J 4-t( 4- E Cr �: . Go. - Staked By • I Date Work Started Wort Campteted W. 6', Gu ass /— 1( -2Z Z yu —I zzr Z - //—zZ - Calculated By 1 -r Checked By i IDate t' -Aloes Signature . jDate i. : I �,,,,A.� _r r-z z MB „.2/24/22 . //, At,,..., 7•1 1-t . 11101rwii;;,,,-.:211111 r k J S 6 6. 7 z_ _ M _ , " 92_ Sz. ..2.? qii , I . _. - I I1 5i. 4 .6 a �r _. ! I I 14.'67 -,` ZI6.- 55if 3Q. //. ` —. NW--- yi 3. 1 + c r=^`4- \ r Q r --- Cte4 - . l& y oh ' r � Air 'c /(' a 3 , , q3 5. c' _ 4 o 5 y c A17 - Sequel-11cl . :-+ ! I ' 94h-X - item No. Item Gr°uP Date Unit Quantity RAMS No. Dasis of Materiel CAPS Frih+f Initials Est,No No. . Acaeptanca No. �t�os OK ft Z -r-1 ;y 3.6t Ni , ;sa* 1-s 3 A101 e C S TC- Zrl1 %A1Sl 2y0.56 J . ids aR-1 TLS MB 4 J , i1 y�-Isr CI�gf�. , o SS ,pf" _ 11MB 3 9 2/11/22 HR 168 Ni —Vrstial r 1 Ls• 1 i DOT Font 422-636 EF • 1 Washington State \-41111116. 17/ Department of Transportation Field NowRecord (Sketch Grid) Renton - Duvall Avenue NE Book No. Page No. 1 Contract No. Station Line C/S CAG 20-065 King County Staked By Date Work Started Work Completed 3/12/22 3/1/22 3/31/22 Calculated By Date Checked By Date Inspector's Signature Date MB 3/28/22 TLS 3/28/22 C05 - Trench Backfill and Jewatering 2/3-2/4 - $10191,38 2/7 - $ 756.36 2/8 - $ 199.99 2/9 - $ 652.41 2/10 - 1008.13 Total = $15808.27 Group Basis of Material CAPS Entry Initials Item No. Item No. Date Unit Quantity RAMS No. Acceptance No. Post OK Est.No. A102 Water Control 3/31/22 FA $15808.27 N/A Calc MB TLS 4 DOT Form 422-636 EF Revised 9/96 Project Labor List and These rates valid for =s prior to Contractor's Equipment Lit.: 2/21/22 • REEDC King County Wage Rates-Duvall Ave NE Updated:1/7/2022 TRUCKING&EXCAVATING Reed Trucking and Excavating Inc.-Force Account Labor Rates .• • Trade WAGE SS/Medicare SUTA FUTA UMESD EAF REG TOTAL OT TOTAL Foreman $74.28 _ $5.68 $3.87 $0.4s $2.11 $0.03 $86.42 $129.63 Operator under 15 MT $72.48 $5.54 $3.78 50.43 $2.11 $0.03 $84.38 $126.57 Pipe Layer $53.35 $4.08 $2.78 50.32 $2.11 $0.03 $62.67 $94.01 Pipe Layer Top Man $52.39 $4.01 $2.73 $0.31 $2.11 $0.03 561.59 $92.38 General Laborer $52.39 $4.01 $2.73 50.31 $2.11 $0.03 $61.59 $92.38 Grade Checker $54.01 54.13 $2.81 $0.32 $2.11 $0.03 $63.42 $95.14 TC5 $50.31 $3.85 $2.62 50.30 $2.11 $0.03 $59.23 $88.84 Flagger $44.40 $3.40 $2.31 50.27 $2.11 $0.03 $52.52 $78.78 Truck&Trailer $64.55 $4.94 $3.36 50.39 52.11 $0.03 $75.38 $113.07 Truck Driver $63.71 $4.87 $3.32 $0.38 $2.11 $0.03 $74.43 $111.64 Superintendent $91.34 $5.60 $4.76 $0.55 $2.11 $0.03 $104.39 $156.59 DESCRIPTION I EQUIPMENT I Regular Rate Standby Rate _ DUMP TRUCK-SOLO(12 CY or 15 TN CAPACITY) DT716 2000 FREIGHTLINER#716 $ 95.00 $ 57.50 DT731 2000 FREIGHTLINER#731 $ 95.00 $ 57.50 DT747 2001 FREIGHTLINER#747 $ 95.00 $ 57.50 SS-614 2022 SUPER SOLO DUMP TRUCK $ 110.00 $ 65.50 55-811 2022 SUPER S0L0 DUMP TRUCK $ 110.00 $ 65.50 DUMP TRUCK-T&T(24 CY or 32 TN CAPACITY) DT716T 2000 FREIGHTLINER#716&TRAILER $ 105.00 $ 62.50 DT7317 2000 FREIGHTLINER#731&TRAILER $ 105.00 $ 62.50 DT7477 2001 FREIGHTLINER#747&TRAILER $ 105.00 $ 62.50 PICK-UP FB01 2005 FORD F-450 FLATBED $ 55.00 S 27.50 FT01 2014 FORD F-150 FOREMAN TRUCK $ 45.00 5 22.50 FT02 2019 FORD F-450 $ 55.00 5 27.50 FT03 2020 FORD F-450 $ 55.00 $ 27.50 FT04 2022 FORD F-350 $ 60.00 $ 30.00 WATER TRUCK WTO1 2001 INTERNATIONAL 4700(2000 GAL TANK) $ 105.00 $ 52.50 WT02 2014 RANDCO TANKS FREIGHTLINER(2450 GAL TANK) $ 110.00 $ 55.00 BACKHOE BHO1 2002 JOHN DEERE 310SG 70.00 $ 35.00 BH02 2020 J0HN DEERE 410E 80.00 $ 40.00 CRAWLER DOZER DZO2 12004 JOHN DEERE 550H LT(D-4 SIZE) I$ 89.00 I$ 44.50 SWEEPER SW01 12015 LAYMORE SWEEPER 1$ 65.00 I$ 32.50 EXCAVATOR EX01 2019 KUBOTA MINI EX KX057 $ 75.00 $ 37.50 EX02 2006 KUBOTA KX161/JD 75 MINI EXC(18,0009 CLASS) $ 75.00 $ 37.50 EX03 2020 KOMATSU PC88-10 $ 90.00 $ 45.00 EX04 2018 KOMATSU PC88-10 $ 90.00 $ 45.00 EX05 2020 Komatsu PC138 $ 105.00 $ 52.50 EX06 2020 Komatsu PC138 $ 105.00 $ 52.50 EX07 2003 KOMATSU PC200LC-7/JD 200 EXC(50,000 9 CLASS) $ 112.00 $ 56.00 EX08 2006 JD 120C MID EXC(28,000 a CLASS) $ 97.00 $ 48.50 EX09 2022 KOMATSU PC238USLC-11 $ 125.00 $ 62.50 HO-PAC HP09 2008 ALLIED(for 200 Exc) $ 32.20 $ 16.10 HP05 2010 ALLIED(for 120 Exc) $ _28.75 $ 14.38 ROLLER-VIBRATORY CR03 2005 SAKAI 84"DRUM ROLLER $ 105.00 $ 52.50 CR01 2015 CAT CB 24B ASPHALT COMPACTOR $ 105.00 $ 52.50 WHEEL LOADER WL01 2006 KOMATSU WA2SOL-5(3 CV CAPACITY) $ 100.00 $ 50.00 WL02 2018 KOMATSU WA270 LOADER $ 110.00 $ 55.00 GRINDING AZO1 12019 ASPHALT ZIPPER I$ 95.001$ 47.50 COMPRESSOR C0MP01 IDoosan P185 Air Compressor I$ 50.001 PCMS Boards PCMF01 Portable Changable Hydraulic Message Sign $ 25.00 PCMF02 Portable Changable Hydraulic Message Sign $ 25.00 PCMF03 Portable Changable Hydraulic Message Sign $ 25.00 PCMF04 Portable Changable Hydraulic Message Sign $ 25.00 Arrow Boards AB01 25 Light Solar Powered Arrow Board Trailer $ 20.00 A802 25 Light Solar Powered Arrow Board Trailer $ 20.00 TRAILER ET01 12003 TRAIL KING TKT50-3 Axle Tilt-top(45,0004 Capacity) 1$ 45.00 1$ 22.50 TRENCH SAFETY T502 8'x20'BOX $ 18.54 $ 9.27 T503 4'x20'BOX $ 20.79 $ 10.40 • TS04 8'x8'MANHOLE BOX $ 18.92 $ 9.46 T506 8'x20'STEEL PLATE $ 11.86 $ 5.93 T508 GRAVEL SKIFF $ 18.00 $ 9.00 Force Account Summary Contract Number Date Field Work Directive No. CAG•20-065 2/3,2/4,2/7-2/10/2022 5 Prime Contractor Subcontractor/Lower Tier Subcontractor Reed Trucking Labor Date Amount 1 2/3/2022 and 2/4'2022 S 1,540.70 2 2,7,2022 $ 488.65 3 2/8/2022 $ 255.60 4 2,92022 $ 245.35 5 2/10/2022 $ 159.95 6 7 8 9 8 Total $ 2,690.25 9 31%Overhead,Profit,Etc. S 833.98 10 Labor Total $ 3,524.23 Equipment Date Amount 11 2/3/2022 and 2/4/2022 S 6,754.60 12 2/7/2022 $ 922.50 13 213/2022 $ 715.00 14 2/9/2022 S 1,100.00 15 2/10/2022 $ 660.00 16 17 18 Total S 10,152.10 19 21%Overhead,Profit,Etc. S 2,131.94 20 Equipment Total S 12,284.04 Materials Date Amount 21 22 23 24 25 26 27 28 Total $ 29 21%Overhead,Profit,Etc. $ - 30 Materials Total $ - 31 Mobilization 32 Subcontractor 33 Subcontractor Markup 12%/10%/7% $25,000/$100,000/Over 34 Force Account Total S 15,808.27 Inspector Date Contractor Date • REED Change Order Proposal #6 , 2207 Inter Ave.,Ste.A Puyallup,WA 98372 TRUCKING&EXCAVATING Office:(253)841-4837 ...,w....,o..c........,.. gave Fax:(253)841-4816 GC/Owner: CITY OF Renton JSS#: 6 Reed Job No: 156 Project: Duvall Ave Date: 2/3/2022 Description: lost wages and Standby time due to not getting a resolustion on surface dewatering and getting shut down in a 2 hr long light rain Event with no creditable cause to shut down.No public safety issues or major erosion control issues to warrant being shut down. Subcontractor: Labor Costs Regular Overtime Amount Craft Employee Name Hours Rate Hrs Rate* Regular Overtime SUPT Wright D J 6 $ 104.39 $ 156.59 $ 626.34 $ - FM AusbunJ V/ 4.5 $ 86.42 $ 129.63 $ 388.89 $ - OP MetznerJ I / $ 84.38 $ 126.57 $ 84.38 $ 2.5 - OP SniezakJ 11111! $ 84.38 $ 126.57 $ 210.95 $ - PL Hean S l/ 1 $ 62.67 $ 94.01 $ 62.67 $ - TD Tom S 1 2.5 $ 74.43 $ 111.65 $ 186.08 $ - TD Eubanks R 1 25 1.75 $ 74.43 $ 111.65 $ 130.25 $ - *Including Fringe Benef Labor Subtotal $ 1,689.56 $ - Labor Total $ 1,689.56 Equipment Costs Equip. Regular Standby Amount # Equipment _ Hrs Rate Hrs Rate* Regular Standby FT03 2020 FORD F-450 4.5 $ 55.00 3.5 $ 27.50 $ 247.50 $ 96.25 EX09 2022 KOMATSU PC238USLC-11 $ 125.00 16 $ 62.50 $ - $ 1,000.00 EXOS 2020 Komatsu PC138 $ 105.00 16 $ 52.50 $ - $ 840.00 WL02 2018 KOMATSU WA270-8 (3 CY CAPACITY) $ 110.00 16 $ 55.00 $ - $ 880.00 BH01 2003 JD 310SG $ 70.00 16 $ 35.00 $ - $ 560.00 DZ02 2004 JD 550H LT(D-4 SIZE) $ 89.00 16 $ 48.00 $ - $ 768.00 AZO1 2019 ASPHALT ZIPPER $ 95.00 16 $ 47.50 $ - $ 760.00 SS-614 2022 Super Solo Dump Truck 1 1 2.5 $ 110.00 7 5.5 $ 65.50 $ 275.00 $ 360.25 SS-811 2022 Super Solo Dump Truck '1.25 1.75 $ 110.00 6.25 $ 65.50 $ 192.50 $ 409.38 T504 8'x8'MANHOLE BOX I 16 $ 18.92 6.75 $ 5.93 $ 302.72 $ - TS08 GRAVEL SKIFF 16 $ 18.00 $ 30.00 $ 288.00 $ - Equipment Subtotals $ 1,305.72 $ 5,673.88 Equipment Total $6,979.60 Material Costs Supplier Material Invoice(s) Quantity Price Amount $0.00 $0.00 $0.00 $0.00 Materials Total $0.00 Subcontractor Costs Subcontractor Scope Invoice(s) Quantity Price Amount $0.00 $0.00 $0.00 $0.00 REED c ry Subcontractor Total $0.00 Cost Summary TRUCKING&EXCAVATING Total Labor $ 1,689.56 II* "CA•11 """"i00Y 29% Labor Mark-up $ 489.97 Total Equipment $6,979.60 Date: 21% Equipment Mark-up $1,465.71 Total Materials $0.00 21% Material Mark-up $0.00 Contractor Foreman /Superintendent Total Subcontractors $0.00 12% Sub Markup up to$25K $0.00 10% Sub Markup$25K-$100K $0.00 Date: 7% Sub Mark-up Over$100K $0.00 Grand Total $ 10,624.84 Pay Estimate Date Engineer Bid Item Number Certified Payroll Report Department of Labor and �a� ST�rF GF Project Name County Project or Contract# Industries 4, Prime Contractor El L::::: Duvall Avenue NE King CAG-20-065 PrevailingWage Program <".`,., '' 9 �.:., e Subcontractor ❑ PO Box 44540 °,/� ,�' oy',' Project Address Olympia WA 98504-4540 ys �8R0 a Final Week of (360)902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 REED TRUCKING&EXCAVATING INC (253)841-4837 Month Day Year Awarding Agency Address Address City State Zip+4 2/5/2022 1055 S GRADY WAY RENTON,WA-98055 2207 Inter Ave. PUYALLUP WA 98372 Day and Date Deductions H _ Work Classification Name c7 8 o Sun Mon Tue Wed Thu Fri Sat Total and And Gross Amount 1/301/31 2/1 2/2 2/3 2/4 2/5 Total Rate Hourly Earned/Gross Net Wages -=f a) Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address ce O o Hours Worked Each Day Benefits" Tax 0 1. Power Equipment $2,339.8 Medicare:$41.44, Operators-Underground RG 0.00 7.50 10.00 9.50ID 0.00 0.00 31.50 $74.28 2 Garnishment: Sewer&Water Jordan Ausbun $356.07,Paid $111.4 $2,339.82 Shovel,Excavator,Backhoe, 9501 124th St E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2 $0.00 Family Medical / $0.00/hr $508.00 $177.22 Tractors Under 15 Metric Tons Puyallup,WA- Leave:$33.23 $1,742.32 (King) 98373 $2,858.28 $1685 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 . $0.00 2. Truck Drivers RG 0.00 4.50 6.50 7.75 ® 0.00 0.00 20.00 $63.71 $1'274.2 Medicare:$39.91, Dump Truck Ryan Eubanks 0 Paid Family (Pierce) 13633 Olympic De. $1,274.20 Medical Leave: SE OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.57 $0.00 / $0.00/hr $346.00 $170.64 $29.66 $2,1RR n7 '* Olalla,WA-98359 $2,752.28 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 Z'4 $0.90 3. Power Equipment RG 0.00 0.00 4.50 0.00 0.00 0.00 0.00 4.50 $72.28 $325.26 Medicare:$4.72, Operators-Underground Paid Family Sewer&Water Michael Goodwin J Medical Leave: Shovel,Excavator,Backhoe, 2101 N Meridian OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $128'4 $0.00 $325.26/ $3.14 Tractors Under 15 Metric Tons Puyallup,WA- $325.26 $0.00/hr $25.00 $20.17 $272.23 (King) 98371 $144.5 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6 $0.00 4. Flaggers $1,110.0 Medicare:$16.09, RG 0.00 8.00 8.00 8.00 1.00 0.00 0.00 25.00 $44.40 Journey Level Jeana Hansen 0 Paid Family (King) Ave CT E#B $1,110.00 Medical Leave: Tacoma,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $66.60 $0.00 / $0.00/hr $142.00 $68.82 $17.09 $866.00 ":.. .,. 98446 $1,110.00 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $88.80 $0.00 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side 5. Laborers-Underground $1414.5 Medicare:$25.44, Sewer&Water RG 0.00 7.00 10.00 9.01 1 1.00 0.00 27.00 $52.39 ,3 Paid Family Somnang Hean General Laborer&Topman **•**pacific Hwy S $1,414.53 Medical Leave: (King) Des Moines,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.59 $0.00 / $0.00/hr $247.00 $108.81 $24.45 $1,349.37 98188 $1,755.07 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $18.7 $0.00 6. Power Equipment RG 0.00 0.00 0.00 8.00 0.00 0.00 9.00 $72.28 $650.52 Medicare:$9.43, Operators-Underground Paid Family Sewer&Water Jason Metzner $108.4 Medical Leave: Shovel,Excavator,Backhoe, 9117 24th Ave E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2 $0.00 $650.52/ $6.29 Tractors Under 15 Metric Tons Tacoma,WA- $650.52 $0.00/hr $54.00 $40.33 $540.47 (King) 98445 $144.5 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6 $0.00 7. Truck Drivers $1,879.4 Medicare:$30.88, DumpTruck RG 0.00 6.25 8.00 6.51 1.00 '.75 0.00 29.50 $63.71 5 Paid Family (King) Thomas Shanahan $1,879.45 Medical Leave: 852 Davis Lake Rd. OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.57 $0.00 / $0.00/hr $227.00 $132.03 $24.85 $1,71 Morton,WA-98356 $2,129.45 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $127.4 $0.00 8. Power Equipment RG 0.00 7.50 10.00 8.01 ®i C.00 0.00 28.00 $72.28 $2'023.8 Medicare:$29.35, Operators-Underground 4 Paid Family Sewer&Water Jason Sniezak Medical Leave: $108.4 $2,023.84 Shovel, Excavator, Backhoe, 16448 Cougar OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2 $0.00 / $0.00/hr $175.00 $125.48 $19.57 $1,674.44 Tractors Under 15 Metric Tons Village Ln SE -- - (King) Yelm,WA-98597 $2,023.84 $1645 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ' $0.00 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side i Daily Report of Force Account Equipment Con act Number Date Change Or er No. Con/-act Number 2 --7 - zZ Order Prime,contraKtor Subcontractor/Lower Tier Subcontractor <e e 7--e/G.-, A Hours • Equipment Number Description Hours Working Standby Reg. Rate Standby Rate Amount 1 $ - 2 Ffy 0 q lea , , 41-sv 2 3 $ / $ - 3 / -i U 3 ror9 t -KSO ser,,,t• fr,c% 2 . .j $ - 4 5 6 7 8 9 10 Total $ - Insdo91 n v 6...._ Date �^ Z Contractor Date 7./ / iR3 Daily Report of Force Account Labor Contract Number Date Change Order No. CP6 - Zo - 0 (.5 2 - .7 - Zz_ F. 4.,,ol=i Prime C tractor Subcontractor/Lower Tier Subcontractor U ' Hours Worked Worker Occupation,Use Prevailing Wage Description Reg.Rate O.T. Rate Amount Reg. O.T. 1 \ i v r AN AU S bo AJ Tor e,nn., Z $ - 2 J Aso d 5 N: 7 A Ope!vo cL a $ - 3 ASorJ _ 4 56 nix /1 A /) 1/ N ✓q , r.',/e 4:/ry.r2 I $ - 5 $ 6 $ - 7 $ - 8 $ - 9 $ - 10 $ I spe Ali Date Contractor Date Z✓ 7/Z - Total . iR , Daily Report of Force Account Labor Contract Number Date Change Order Now CRAG - zo- oG6 2 - -8 - zz- Pri Contractor Subcontractor/Lower Tier Subcontractor Kee 0 1 zuck.,ti Hours Worked Worker Occupation,Use Prevailing Wage Description Reg.Rate O.T. Rate Amount //_ Reg. O.T. 1 u o /' DP nl 4 05b. folem4-?---) (/ ,Antic 6 A-cie, 1‘is ).6 5 $ - Z SaM At,1 /4ta' pi 'f ;fie Lito,p2 ! $ -- 3 $ - 4 $ - 5 $ - 6 $ - 7 $ - 8 $ - 9 $ - 10 $ - Date Contractor Date I n e o �'"-- - 3 - z2 Total $ + iR ' Daily Report of Force Account Equipment Contract Number Date 6- 2- 8 - Z.Z Change Order alp. C A G - Z O " 0 6 Prim ontrac/-Qr Subcontractor/Lower Tier Subcontractor Equipment Number Description Hours p Hours Working Standby Reg.Rate Standby Rate Amount 1 z -- -- '0 3 � O vS eJ�� 7, • 4 el y,r; Fort..•-k-.- -a- -- ( $ 3 $ - 4 5 $ - 6 $ - 7 $ - 8 $ - 9 10 $ - Total $ - In eti j,.......____ Date 2- 8 - 2Z Contractor Date 3 Daily Report of Force Account Labor Contract Number Date Change Order N �''A 6- Zo - o 6 5- 2-`5 - z z A.,¢,t.0 vte� v s..5 Prime Contractor �} Subcontractor/Lower Tier Subcontractor r/ eccO Tri u Lk. Hours Worked Worker Occupation,Use Prevailing Wage Description Reg.Rate O.T. Rate Amount Reg. O.T. //^�,Anf 7�� tj g'e�/ /D'd O - /v_`25 .,1 aVFl/ 71 . Zi.0o - 2-: 30 / 7ro5" /[o 3 :30 / •s $ - 2 3/ So Al S . 2'30 Fo Z.'YS � $ 7=30 fo g-cov 4/5Kfr.. ./ ,., 3 C1--( 7:90 {o $,' o f A-.- 4 cjASan� /� Z 301 Z_'4' , /S,w, $ - 5 $ _ 6 $ 7 $ - 8 $ - 9 $ - 10 $ - In,pec •r _ Date Contractor Date S Z-7-2 Z Total $ • I5R ' Daily Report of Force Account Equipment Contract Number .Date Change-Order-No. C, C - 2a - 06 2- j7- 0 Z ct/A r. ,e-rtic /c ./..,-ck Prime Con ctor n Subcontractor/Lower Tier Subcontractor e e / ,Poe-k^ Equipment Number Description Hours P Hours Working Standby Reg.Rate Standby Rate Amount 1 2 wT- ©Z ?. 70 A.-0 f At/ak- 8Ackvi, le 5I.,,..,, 3 6 _ $ - 3 /11awfisic I oily•,.0 vN �-4l / D: 4oA... $ 4 du„y e9 (Of 25' / Ur)(► ;n-io 2.Od .ar. $ - 5 yf 7 ec,✓ wr-1-Cr() dv,/ 4AJwy /A.,,. • $ �-/ J,50 :!'1' �✓„4 k�ity0 r.. $ - 8 re e-1 c-k 2P: t/f3 .Q a .9 $ - 9 fro.. Da a+yi 1`A 3 , 0 S�M t/�//l.// $ - 10 ! I Jn � eL fn f t/A�'S/ c n/ 4:N✓ A A 7� ,/4-rA Lam✓ f..€v c/` $ - Total $ - Inspect 0- /. fd74 Dat - S L_ Contractor Date h -7j ,.. -, , ,-, - iIR - Daily Report of Force Account Labor Cnntract_Number__ Date' - — ---- — C-harrge Order No. A & - zo - oc 5' Z `(o -Za 41 47P� �,c•c t,S.a1c__ Prime ntraccAor Subcontractor/Lower Tier Subcontractor F.e t 2) / E U LiOvki ` —. Hours Worked Worker Occupation, Use Prevailing Wage Description Reg.Rate O.T. Rate Amount Reg. O.T. 1 vv! D �,.i . 2 3 ) .- SUy-/ d ipe4t!e," i(hS`✓t a K..f e_ ice. 74,40GI • ,S - 4 $ - 5 $ - 6 $ - 7 $ - 8 $ - 9 $ - 10 $ - It pe o Date Z•a— Contractor Date Total Daily Report of Force Account Equipment Contract Number Date Chang — Order_. o a te � _�(� Z i4 ier ft ' t A 5 Prime Contralor A rr � Subcontractor/Lower Tier Subcontractor eeS/ lk'vLK:^--y — Equipment Number Description Hours p Hours Working Standby Reg.Rate Standby Rate Amount 1 (A) - o Z -7.'30 - +:3 o I r : 3 0t. l:3 n \l7A.e k�: Z 7 IA d K IJ.. 17Y MI•` Y J'ft/�ip... _. _... 0 IA fie/ �e 2 [� 3 —7.r /50 1 $ 3 4 5 6 7 8 9 10 Total $ - in j ` '4 n / Date Contractor Date V -- Z-/ 0 "" ZZ • Washington State WIZ Department of Transw,,..ation Field Record (Sketch Grid) Renton - Duvall Avenue NE Book No. Page No. 1 Contract No. Station Line C/S CAG 20-065 King County Staked By Date Work Started Work Completed 3/12/22 3/1/22 3/31/22 Calculated By Date Checked By Date Inspector's Signature Date MB TLS 4/3/22 A8 - UTILITY CONFLICT RESOLUTION 2/14/22 Shift existing power conduit over near CB No 5 $ 343.85 -3/23/22 shift existing street light conduit near CB No 35 $ 488.06 -Tota = $831 .91 Group Basis of Material CAPS Entry Initials Item No. Item No. Date Unit Quantity RAMS No. Acceptance No. Post OK Est.No. A8 Utility Conflict 3/31/22 FA $831.91 N/A Calc TLS 4 Ran DOT Form 422-636 EF Revised 9/96 Force Account Summary Contract Number Date Field Work Directive No.-N/A CAG-20-065 3/30/2022 Shift existing power conduit away from storm line out of CB Nos Prime Contractor Subcontractor/Lower Tier Subcontractor Reed Trucking and Excavating,Inc. Labor Date Amount 1 2/14/2022 $ 153.95 2 $ - 3 $ - 4 $ - 5 $ - 6 $ - 7 $ - 8 $ - 9 $ - 8 Total $ 153.95 9 31%Overhead,Profit,Etc. S 47.72 to Labor Total $ 201.67 Equipment Date Amount 11 2,14/2022 $ 117.50 12 13 $ - 14 $ - 15 $ - 16 17 18 Total $ 117.50 19 21%Overhead,Profit,Etc. $ 24.68 20 Equipment Total $ 142.18 Materials Date Amount 21 22 23 24 25 26 27 28 Total $ - 29 21%Overhead,Profit,Etc. $ - 30 Materials Total $ - 31 Mobilization 32 Subcontractor Subcontractor Markup 12%/10%/7% _ 33 $25,000/$100,000/Over 34 Force Account Total $ 343.35 Inspector Date Contractor Date `.,C i C,4. �i 'F ,,- Daily Report of Force Account Labor Contract Numbers mate Prime Cont for d,C A c' • C"U ��-�S ?QJ ,Q v �•ti Subcontractor/Lower Tier Subcontractor Hours Worked Worker Occupation, Use Prevailing Wage Description Reg.Rate O,T. Rate Amount Reg, O.T. j� 1 d ( 1 A ii A , fern do.) - 2 , S $ 3 aSQk) 91 . o per A $ n e h y �✓ /evc-c oti✓f� . 6- $ - 5 / $ - 6 $ - 7 $ - 8 $ - 9 $ - ___ — sp Date ''L'�--'� 2 Z Contractor f Date _ 1-2-Xotal Daily Report of Force Account Labor Contract Number Date Field Work Directive No. CAG 20-065 2/14/2022 Prime Contractor Subcontractor/Lower Tier Subcontractor Reed Trucking and Excavating, Inc. Hours Worked Worker Occupation, Use Prevailing Wage Description Reg. Rate O.T. Rate Amount Reg. O.T. 1 Jordan Ausbun Foreman 0.5 0 $ 86.42 $ - $ 43.21 2 Somnang Hean Pipelayer 0.5 0 $ 62.67 $ - $ 31.34 3 Jason Metzner Operator 0.5 0 $ 84.38 $ - $ 42.19 4 Ryan Eubanks Truck Driver 0.5 0 $ 74.43 $ - $ 37.22 5 $ - 6 $ - 7 $ - 8 $ - 9 $ - 10 $ - • Inspector Date " Contractor Date Total $ 153.95 , .41R _ Daily Report of Force Account Equipment 'Con act Number Date Prime Contge ctor rI CJ -it u c k �� Subcontractor/Lower Tier Subcontractor Equipment Number Description Hours Hours Working Reg.Rate Standby Rate Amount 1 �� as Q_ Standby 2 .�-- r, 5I ` 1 ((/ L1wL Y✓awi 5 4ri.4, 7----,(C 41a4 $ 3 '�j d to OJ eh 13 ' c L J,2u A ['�o / .r ;r`(j f 4 a c k. ` 5- $ • - 4 55 - si! J 5 $ - 6 $ 7 $ . $ -8 9 $ - 10 $ $ Total $ - ilnspeegirJ;/ V q", CA? ,-4 Date r / �' Contractor Date . • Daily Report of Force Account Equipment Contract Number Date Field Work Directive No. CAG-20-065 2/14/2022 Prime Contractor Subcontractor/Lower Tier Subcontractor Reed Trucking& Excavating,Inc. Hours Equipment Number Description Hours Working Standby Reg. Rate Standby Rate Amount 1 EX09 Komatsu PC238 0.5 0 $ 125.00 $ - $ 62.50 2 SS-614 Super Solo Dump Truck 0.5 0 $ 110.00 $ - $ 55.00 3 $ - 4 $ - 5 $ - 6 $ - 7 $ - 8 $ - 9 $ - 10 $ - Total $ 117.50 Inspector Date Contractor Date - : .. -„._. , 1,‘,. " '-' ..0,•,....10....) ' . • A. ea: -...mhs ,-, je". tt• )...,i;. , • .. • . . ,• .•. • ':"'.''' ... r.' . , .. • .,,. . , ..„ 7s, cj...4.4,• . 11;rni.: 1.• ,..' .... , :, •411:441 001,-:47 .. vii.- i, .;,,,,,!.., .f . . ,4 i'',`"..•. .^.'• . atif A 4"jfe,". "-". .. :. ... . .. ; ' t , '4., # • • . ..': -4 .,ift, 00- - .4., v. w.r. 11 •- . 4 • 0 , '.' •. IP -- -qt ---- 4••-40,, • ; • ..., 4) •-rtit4414 ' "a*'4vs" 4 •- "' , 1 f i r '• • ..-i... • INr . . ;.. , . ; /,.... f'' '.. .,..;:A..41 *..4% '•:. r!,..,4,-.-•r A,'g i,ii•1J.4.•,-..144. 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"AO • ,r. . . . , • \\-4 -`k:r'• - i . `. • CID Force Account Summary Contract Number Date Field Work Directive No.-N/A CAG-20-065 3/30/2022 A8 Utility Conflict Resolution-Need to raise existing street light conduit near CB 35 Prime Contractor Subcontractor/Lower Tier Subcontractor Reed Trucking and Excavating,Inc. Labor Date Amount 1 3 2.1 2022 S 233.47 2 S - 3 S - 4 S - 5 S - 6 S 7 $ 8 S - 9 $ 8 Total $ 233.47 9 31%Overhead,Profit,Etc. $ 72.38 10 Labor Total $ 305.85 Equipment Date Amount 11 3,23i2022 S 150.59 12 S - 13 $ - 14 $ 15 $ - 16 S 17 $ - 18 Total $ 150.59 19 21%Overhead,Profit,Etc. S 31.62 20 Equipment Total S 182.21 Materials Date Amount 21 22 23 24 25 26 27 28 Total S 29 21%Overhead,Profit,Etc. $ - 30 Materials Total S - 31 Mobilization 32 Subcontractor 33 Subcontractor Markup 12%/10%/7% S $25,000/$100,000/Over 34 Force Account Total S 488.06 Inspector Date Contractor Date ' IHR Daily Report of Force Account Labor Contract Number Date Change Order No. CAC,- zo - © C5 3 -073 -72-- A - 8 eesat,A.,,) o.i.. rri1c.,.m..(.--r Prime Contractoree c ((1� Subcontractor/Lower Tier Subcontrittor li Hours Worked Worker Occupation, Use Prevailing Wage Description Reg. Rate O.T. Rate Amount Reg. O,T. 1 3 v rD AN) AtAil fo«mAni 1 $ 2 co Ai { ...1_ ?"_se 0'04.1'402 I $ - 3 So M trt (-9?e 1-U S-e - _ I $ - 4 0 $ 5 $ 6 $ 7 $ - 8 $ - 9 $ - 10 $ Inspec rr Date Contractor Date $ _ , ( 14,.e.i �Q2 i"' 3�-13"22 3/73A7, Total • Daily Report of Force Account Labor Contract Number Date Field Work Directive No. CAG 20-065 3/23/2022 Prime Contractor Subcontractor/Lower Tier Subcontractor Reed Trucking and Excavating, Inc. Hours Worked Worker Occupation, Use Prevailing Wage Description Reg. Rate O.T. Rate Amount Reg. O.T. 1 Jordan Ausbun Foreman 1.0 0 $ 86.42 $ - $ 86.42 2 Jason Metzner Operator 1.0 0 $ 84.38 $ - $ 84.38 3 Somnang Hean Pipelayer 1.0 0 $ 62.67 $ - $ 62.67 4 $ - 5 $ - 6 $ - 7 $ - 8 $ - 9 $ - 10 $ - Inspector Date Contractor Date Total $ 233.47 IR . A Daily Report of Force Account Equipment Contrilct Number Date Change Order No. A&- - 20- oGS 3 - z3 - 22— il• 9- �G5o/.,/,•d,,, O.;.:4i (4a,,, /./: 1' Prime Contractor Subcontractor/Lower Tier Subcontractor if Hours Equipment Number Description Hours Working Standby Reg. Rate Standby Rate Amount I *FT' // 1 SerCI ECG. F,Qvcl— 03 seor✓.'ce '/uc- f..e'fG roJi _ $ 2 /30 .ACC. 4L. o6 /3 8 ko rst effra e'Xc. r $ 3 $ 4 $ 5 $ 6 $ 7 $ 8 $ 9 $ - 10 $ Total $ . ` Date Date I n o, i.‘ n1 CA 4 �.J r► 3 -2 3 2 z Contractor G — .3A*7 • Daily Report of Force Account Equipment Contract Number Date Field Work Directive No. CAG-20-065 3/23/2022 Prime Contractor Subcontractor/Lower Tier Subcontractor Reed Trucking& Excavating,Inc. Hours -- Equipment Number Description Hours Working Standby Reg. Rate Standby Rate Amount 1 FT03 Ford F450 with tools 1 0 $ 53.55 $ - $ 53.55 2 EX06 138 Excavator 1 0 $ 97.04 $ - $ 97.04 3 4 $ - 5 5 - 6 $ - 7 $ - 8 $ - 9 $ - 10 $ - Total $ 150.59 Inspector Date Contractor Date