Loading...
HomeMy WebLinkAboutWTR2703142_27 DAILY INSPECTION DIARY REPORT DAY: �,ii'cl' DATE: e1K WORK PERIOD: ':fy /p.m. to !j,'/5—a.m. p.m,'_ ?_-;_ WEATHER: 6Z- TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: Z- ri 0 dc: ( — li v;y� n � Nµ�,t' l - % v✓c. �t ,Uri ���.� 5-4, C aVu S 1'c��1f e� owl, w/y ( , -,e-ox C/40// 1 UPN[� i n �rJ iN...�.r.fJ ��% 1rrT �/i�� t. l�:e/�% .,s7 �4a rnm+;sifr�S yl-cr/�7�0 dt �5irncl�' �.. tart Sst�s .r5 Spar 3 /SL fa ," s T 2 6 *2o GOa;, t oi` r,2 f 1G1y.�n ✓: P l ti ,� Z o lL 2� 1 3- 2 fz.-hc a LaUo�l;,,�s ut 5 ?19 23+aa al( curr�K v�inKS ati ^?err;S Aj/N.S L`' � [ •� O f 5 c"vn G- j +-(�-L r ,D : n .-. !/ � lYa <<c•�i .Avi Y tr v. ? "f" J % � t� 5 -rys r �S W,eo r ✓ to, i✓ ri.•r,ri:#,9 l.0-G i,�,il• K,c,r /^l e.yD w,ll 1,:,, n .�1� , n 5 d,�,L/�✓ri n// v i"oNvt- �;✓Io /1/d.��l. ��®u✓r j fS' �Fcy j�lb�f tw,Sv CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: C3 -% 6 - O`� DAILY INSPECTION DIARY r REPORT # DAY: 1 u -c- DATE: 06, i7 / WORK PERIOD: L ; .m. to c _ P 3, o a.m.-L WEATHER: G L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 3g I bo t ILI;! I c,y.� l Mu: v, w. i )e - 2 ,3 1 It 2 cn4 �Yn Weer .cii Jvi i t r . �ti lS t (gr,vrj e Ty uc h / % r& k-- 2 S trYl�c z TruGk f 1'lw r cif S �av i 69 2 3 :Z 1 i1 orr `S 4y9: S �: #� l2 h1 �� ta�tcrrmaLr Yr-vied�� • l Lv4, fC� D�55 j-��v N r�rft/ S �or.r� D i0�t. i.V '-f b. '�'Q.c Y4t c!J �J `` �i.L 'I.{/'21f✓' f�La `ram Gl r r✓1 ' a i-r -- '"f J �,i'Cvl �s L} � � t/rJ�`[c ©�'1 /_IGY/fir 5 ri' 5/6 I4'j) Yi ly /t" I'&I 7 j�'t r7 ? S R H lq/,./ r4 a j--/�J,,/w I I/Nh rss Ir /n --C TYO LYE s Ii'LL� o ,7, S he>✓�<�4 ✓" Lt✓1 /i?,rr♦ r�5 r/!/C -Sa SiXl �6r(�5 � sit9 Z`ifi78 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT �l DAY: My DATE: L16 //-t 10 -f WORK PERIOD: %�0,5' a.m. /p .m. to a .m. / .it --2— WEATHER: 0, L- TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: l5xc.�' �►►MJm l'Y���.. c'�G-1�-c34 OicF� et7T Fr;Aic4 l - C Of i TA 0 C 2- Cu5 Z 5`519 Z- c P�✓�fod' i 17crrNe 1 vcrck j yv.,4 g4A-zgv' fUict.,P[l 1 - FA,91zv 3 L/ f ` 1/.7 Q:f Sr7zv( �,� cl�m�Q'�t .16^40VA 3 j � l G rocJ ",, �N� Q6-i�-a4 s iGi�c S 1 ayr/f Zw27 t > 1-14 / 5 t so oh �o�r<� s i41/t So, c.s� r i:g OVvr- .,e1w H; 14 beeA•c gas S- ey;GL 1 Y l3 Morelis Sv Aeee-`r*� b•, ►°S ,C- cecw . M, J l 1 W"[ 0 ✓'L ✓ � Pi Yf N • fw C. 11 st "l.. O!=1 / `Q/f /� 1 S - Ci �2 G"� ✓G ��t - f ot, e- -,9 H T T- t , �n Ct rt ti/ y 5/` 3jcr,i �c2 ©4 -it -©Y 33 Y ports �b" t9 14-/l - 6 c 3 Wit_-)O�,s d C-2 OC-/0 d� 1 33 �(, Otis ` a 04-/0`e`( CONTRACTOR SIGNATURE 1 a.�t. INSPECTOR SI NATURE DATE: e 3jcr,i �c2 ©4 -it -©Y 33 Y ports �b" t9 14-/l - 6 c 3 Wit_-)O�,s d C-2 OC-/0 d� 1 33 �(, Otis ` a 04-/0`e`( CONTRACTOR SIGNATURE 1 a.�t. INSPECTOR SI NATURE DATE: e ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF Si*, L.[v[twm Favixa Cl—.1111;1 DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE/MAP OUANITY SOLD TO: DELIVERED TO: TRUCK NO. LOADS TODAY I- TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY PRODUCT PRODUCT OUANITY UOM NO. PRODUCT DESCRIPTION PRICE / UNITAMOUNT GROSS WT TARE WT NET WT AMOUNT RECEIVED BY: TAX i TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivering material listed above to these premises ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 ' Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM**982CF srrz D-- Con - DATE JOB NO. / P.O. NO. TIME SOLD TO: TRUCK NO. ORDER NO. CUSTOMER I.D. DELIVERED TO: PHASE NO. CONTRACT NO. C.O.D. ZONE / MAP OUANITY LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE /UNIT AMOUNT UOM NO. GROSS WT TARE WT NET WT AMOUNT RECEIVED BY: — TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivering material listed above to these premises ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM**982CF SnE DFVELCPMENPnnNc Cor,w,croxs DATE JOB NO. i P.O. NO. TIME ORDER NO. SOLD TO: TRUCK NO. CUSTOMER I.D. I, . DELIVERED TO: .r PHASE NO. CONTRACT NO. C.O.D. ZONE / MAP QUANITY LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY . QUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. RECEIVED BY: GROSS WT TARE WT NET WT ------------- AMOUNT -- — TAX 1 / TOTAL r It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivering material listed above to these premises. ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF —pFv[ir IIT•P—G Com1-015 DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE ! MAP OUANITY SOLD TO: DELIVERED TO: TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO, GROSS WT TARE WT NET WT RECEIVED BY: - - - AMOUNT - - TAX - -- -- -- �-i TOTAL (,,, /4'// It is specifically agreed that 4 Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivering material listed above to these premises ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 ' Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF 5r DEVEIfiMENr•PaMric CartwEcroxs DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE / MAP OUANITY —---------- - - - ---- - -- -- -- -- SOLD TO: DELIVERED TO: TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRUOMCT PR NO. CT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT GROSS WT TARE WT NET WT AMOUNT RECEIVED BY: TAX TOTAL It is specifically agreed that ICON Materials will not be Gable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivering material listed above to these premises CA--414 !�-( 6I 'to TTe-AN—rr-t e, �I s�o L _ Cz� l•�lat s ��� � N+,t1� Ti�c�+c.. r ►����e nt�zkd O AT t. xi.. LT 4� � VAWfS AMo 'Fit'f►"&6 w/tN Ttfi9 �urBj(�S6<-Mori. g N A C,tt. P4h5 W PLAbE _ V f SvtAt.- oF MAO t tJ S1'�tLL ATl TVI IJ a 610 r," r�N,R--aP AO wonNL L 1 N l�7(,/�tGfl atJ 11. S S L� h�i . -?>V,An Ta 5 weft' !tr;Zc-IFIs is Nn, c ovb c,4-6ls N Le �j n CAYS'P I I dr co .0 A V + DAILY INSPECTION DIARY REPORT If DAY: � �nv✓ 5 DATE: �' /lC> /Q`i' WORK PERIOD: % a•./P•m. to ��?v a.m. p.m. 2-2- WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 17 a Gp Y- /T; (� M4;1 �r(1�C��s�2n �ii/ l !t -is i •T _ � J . � ,. !.. � � r van L L.. �l 7� � � C� dr S �t.i3 �s G d ��l S { �� a s !� �-c%c'f � �� Lf S a a f�� 1c-iS ca �� t� /�'�rrr 5 -f�` • � -F �� .-� -L ct 6td ��aLt l b►� i,' it wtut 7 r, ev f: r ;.+ t s G %4 on ,�o�-Go �✓�is,�T s'Ul•r Ile r;a I- >di, .�.- t G ,.1� do 9 $ r) 7- CONTRACTOR SIGNATURE k- Iv���i 3 8 v 1-7 INSPECTOR SIGNATURE DATE: 0 6-- 10-OLI DAILY INSPECTION DIARY REPORT �1 DAY: �/�f C v► DATE: (7� /l? /O1t WORK PERIOD: rf;&-� a. /p•m. to 3.dd a.m. p.m 3 --3 WEATHER: ✓. G TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: t H. D i�� H �2 P�uC cry,�K �'- �� l 1� '2?- 31 YZ- 6VAC va O? Y S s {"l-c-f aK 5 +`�2 �; 7 � 1Sr�ar/� � /e:�IC l�ovc�ro v, Y'•c5,'��vt � a t �a v; 5 Avg 5� �' /(�y►o a• t hc�y �4 r� v 15` �/a�•>�Lr G:as — J 1f-S i vA 461 +� O pz S /�r�'� S i �TtiS i -' Mor✓iS— S 15 ��` 5 l a/f.55' rc &i:A 1, 1 flah� cv " Z� SSG�t�4rG 4S3 �_' 1��— � 4 � a CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: I V-[, DATE: WORK PERIOD:-I.,w/p.m. to �Ql1 a.m. p.m -3 WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: N WORK ACCOMPLISHED TODAY: art/) Cc+YiST 61" 5,,:}ti C co hvLs fa rnS�aLl tcru�sr LYt R r� Sacr !a a /&" t et ,-' dcr••s sv�z.n f Cr� j s- rt I�i �! "i S //Q�/ S _ ti e-= 5, u t f CAI It V"5 wit so 1111 >(;c,,, eL 043 Corl)^,c ,-^ ,`t +rcd 'j=c�i Cr�7'�✓u,. ?` naa " �rd/ tl, � C "i'� 5 to ✓S - 7rzr,c /. ed.n ✓wc `ovr © l.,ai .v �.���c9// * /o✓� cam."t4 !r /5 b / dc� ./.+ e:�/L. a5 «, �rau><Ors ��zlot,c1C sS `rokt �� C ga j�aclG�.c.� cyKfracle�S ivv CONTRACTOR SIGNATURE 1 INSPECTOR SIGNATURE ktt DATE: 616 -U,g--fly ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM**982CF DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE/MAP QUANITY SOLD TO: DELIVERED TO: V 7,11 I TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY QUANIITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE UNIT AMOUNT UOM NO. GROSS WT TARE WT NET WT RECEIVED BY: AMOUNT TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, Rowers, city sidewalks, roadway or private property in cleiivenng material listed above to these premises. ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF S11 —10—T • c.Hnc CI-5 DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE / MAP QUANITY SOLD TO: DELIVERED TO: TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY QUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE UNIT AMOUNT UOM NO. GROSS WT TARE WT NET WT AMOUNT RECEIVED BY:J��j`Y)�� TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, Flowers, city sidewalks, roadway or private property in delivering material listed above to these premises. V' DAILY INSPECTION DIARY REPORT # DAY: Moo DATE: 06/0'7/C'4 WORK PERIOD: �/p.m. to I;od a.m. 1-1 WEATHER: Q, 6-, TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 6 unO GO A►Du s ,j, 4ccl e-x C4 t/a4;,,, I k a nlldj1,vi® cIi« c✓ rt�a'v► foUfl.� ok D�Lv;S fl Scc�� / tI�OYi�i �'kti Csn i�✓ D i '%I'G iM �Ys''StG� I6i�1 f4 O � •S l S~ � 7n``�aa WelK�d! ik a en `rti _ ; ois [,ti l G � Sa" ic.tt. f f>r"Y��.���ztvY/i pn<,,4- GL►;'fk e;Ck ckeno pi4 t'�L— L(,ICN'/ D'✓tip Sc,*i-G -'e"'a // G�,u.,a-c s i nclu /'vis, u�:s.�a..�ev�-f me✓ct �o_ cy�(� ej/ ve p tehli' 0+11,15 ,4✓t 5,9 Oh.,'( Aji;3eW ,'4, fa 2 aftor%ce' a� s QS a�'d ilc,►. MON,i fO �l�vl+�na'� 1i�[h�.i 6THL� /hOliz� O7TQi�Hi/+ tN7b i/tOi/��L/� �aho� (r1u��.tlyc�rmx� STN 3ofi�� fS.ct/l, �c�e alda sr►�c���� �Jditi�i%C yliE,ewt�44, tLear�Scs A�.•t fo ✓,l,/'/a Ev,��l:efS 0 ► � 41 611 � s,�t i Yt — 7 %[a� a ,jj� : ti i, S r tug e S JJ p'f�✓ jLl�> Z k Lrrt Yee S 1 1/-t 1 L'8 LO146 C61WM.k .J ►L"4 R t 12, 3a ^ONS Flo t GKL� r � h-t fi` Z 7 G i�v L K naeFc srcc�,m i CONTRACTOR SIGNATURE - !4 t [.�(jV 2 i X v 2 sir✓.c I'r,•�ks Ll INSPECTOR SIGNATURE DATE: DATE TIME F ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM**982CF SP[DrvewP—•P.-CONiPA , JOB NO. / P.O. NO. ORDER NO. CUSTOMER I.D. PHASE NO. CONTRACT NO. C.O.D. ZONE/MAP SOLD TO: DELIVERED TO: TRUCK NO. LOADS TODAY QUANITY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY QUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. GROSS WT TARE WT NET WT RECEIVED BY: AMOUNT TAX TOTAL It is specifically agreed that ICON Materials will not be Liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivering material listed above to these prerruses. ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF Srt D1111 FM -PA co - DATE JOB NO. / P.O. NO. TIME ORDER NO. CUSTOMER I.D. 9' SOLD TO: DELIVERED TO: TRUCK NO. PLANT NO. PLANT NAME SCALE NO. QUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION UOM NO. GROSS WT TARE WT NET WT RECEIVED BY: PHASE NO. CONTRACT NO. C.O.D. ZONE/MAP LOADS TODAY OUANITY TONS TODAY LOADS TODAY TONS TODAY PRICE / UNIT AMOUNT AMOUNT TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivering material listed above to these premises. Ticket # N W MATERIALS' Northwest Division P.O. BOX 2037, EVERETT, WA 98213 - (425) 355-2111 Date Plant Plant Desc Ticket Time Zone Map ID Project # Job r PC : Customer # Sold to Truck # Delivery Address Hauler/Truck Description WeighMaster Instructions LOAD CUMULATIVE # OF PRODUCT PRODUCT UNIT AMOUNT QUANTITY QUANTITY LOADS CODE DESCRIPTION PRICE TICKET SUB -TOTAL TAX TOTAL The undersigned promises to pay all costs, including reasonable PROPERTY DAMAGE RELEASE fTO BE SIGNED IF DELIVERY IS TO BE MADE INSIDE CURB LINE) attorney's fees, Incurred In collecting any Sums owed. Dear Customer: The driver of this truck is presenting this RELEASE to you for your signature is of the opinion that the size and weight of his truck may possibly cause damage to the premises and/or adjacent property if he places the material in this load where you desire it. It is our wish to help All accounts not aid within 30 days of delivery will bear interest P Y rY you in every way that we can, but in order to do this the driver is requesting that you sign this RELEASE relieving him and this supplier from any at the rate of 18% per annum. responsibility from any damage that may occur to the premises and/or adjacent property, buildings, sidewalks, drive -ways, curbs, etc. by the delivery of this material and that you also agree to help him remove mud from the wheels of his vehicle so that he will not litter the public street. Further, as additional consideration, the undersigned agrees to indemnify and hold harmless the driver of this truck and this supplier for any and all damage to the premises and/or adjacent property which may be claimed by anyone to have arisen out of delivery of this order. Not Responsible for Reactive Aggregate or Color Quality. No SIGNED Claim Allowed Unless Made at Time Material is Delivered. A $40.00 Service Charge and Loss of the Cash Discount will be 'TICE: MY SIGNATURE BELOW INDICATES' THE HEALTH WARNING NOTICE ' SUPPLIER WILL NOT RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN DELIVERING INSIDE CURB LINE. collected on all Returned Checks. BE LOAD RECEIVED BY: Standby Time Initals X CUSTOMER SIGNATURE 1320788 CUSTOMER COPY AGGREGATE PRODUCTS Aggregate products are naturally occurring materials (limestone/dolornite, granite (basalt). sand, or gravel) which may contain more than 0.1 crystalline silica CAUTIONI Hazards DUST MAY CAUSE IRRITATION TO EYES, SKIN, AND RESPIRATORY TRACT. SUSPECTED CANCER HAZARD. MAY CONTAIN MATERIAL (CRYSTALLINE SILICA) WHICH MAY CAUSE CANCER IF INHALED. Cancer risk depends on duration and level of exposure. Safety Avoid contact with eyes and skin. Wear eye protection and suitable protective clothing. Wash thoroughly after handling. Avoid breathing dust. When exposed to dust above recommended limits (see MSDS), wear suitable NIOSH/MSHA-approved respirator. First Aid In case of eye contact. immediately flush eyes with plenty of water. If inhaled, remove to fresh air. Get medical attention if irrita- tion persists. ASPHALT CONCRETE Contains liquid asphalt, aggregate products (limestone. dolomite. granite (basalt). sand. or gravel), and hydrated lime, Aggregate products may contain more than 0.1 % crystalline silica. Hazards ASPHALT FUME IS IRRITATING TO EYES: RESPIRATORY SYSTEM, AND SKIN. MAY CAUSE ALLERGIC SKIN REACTION. HOT ASPHALT CAN CAUSE THERMAL BURNS. SUSPECTED CANCER HAZARD. AGGREGATE PRODUCTS USED IN ASPHALT MAY CONTAIN MATERIAL (CRYSTALLINE SILICA) WHICH MAY CAUSE CANCER IF DUST IS INHALED Dust may be produced during cutting or grinding of hardened asphalt. Cancer risk depends on duration and level of exposure. Safety Avoid breathing fumes from hot asphalt. Avoid breathing dust from cutting or grinding hardened asphalt. When exposed to fumes or dust above recommended limits (see MSDS) wear suitable NIOSHiMSHA-approved respirator. Avoid contact with eyes and skin. Wear gloves, eye protection. and suitable protective clothing. Wash thoroughly after handling. Work clothes should be washed regularly and separately from other clothes First Aid In case of eye or skin contact.. immediately flush with plenty of water. If inhaled, remove to fresh air. Get medical attention if irritation persists. CONCRETEXONCRETE PRODUCTS Contains Portland cement and aggregate products (limestone.�dolomite, granite (basalt). sand and gravel) and other siliceous materials. May contain more than 0.1 % crystalline silica. Hazards IN CASE OF CONTACT. FRESHLY MIXED WET CONCRETE CAUSES EYE IRRITATION AND MAY CAUSE SKIN AND EYE BURNS. MAY CAUSE ALLERGIC SKIN REACTION. DRY CONCRETE DUST MAY CAUSE IRRITATION TO EYES, SKIN, AND RESPIRATORY TRACT. SUSPECTED CANCER HAZARD MAY CONTAIN MATERIAL (CRYSTALLINE SILICA) WHICH MAY CAUSE CANCER IF DUST IS INHALED. Cancer risk depends on duration and level of exposure. Safety Avoid contact with eves and prolonged contact with skin. Wear gloves. eye protection, and suitable protective clothing. Wash thoroughly after Iandling Work clothes should be washed regularly and separately from other clothes. Avoid breathing dust from cutting or grinding hardened concrete When exposed to concrete dust above recommended limits (see MSDS). wear suitable N!OSHrMSHA-approved respirator First Aid In case of eye contact, immediately flush eyes with plenty of water. It dust is inhaled, remove to fresh air. It wet concrete contacts skin, wash thoroughly with soap and water. Get medical attention if irritation persists. Rju For further information, see Material Safety Data Sheet (MSDS) for Concrete/Concrete Products MATMALS" which can be obtained by telephoning (425) 355-2111. Northwest Division DAILY INSPECTION DIARY /�) ,------REPORT d DAY: �V� DATE: �J�/ Ot/0,( WORK PERIOD: ays Lam"/p.m. to fi; a.m. p_5 _-a_ WEATHER: 1' TEMP. MAX OF MIN OF PRECIPITATION: Al WORK ACCOMPLISHED TODAY: l h t 1 K, c 14"f k c r Gt z z 5 t,4, " CONTRACTOR SIGNATURE n h s.r- r ura S 0AxI.,e._ G tit 1.! 7ti ST :�" W U 2 se, INSPECTOR SIGNATURE -� DATE: d 6 -- G i^ U DAILY INSPECTION DIARY REPORT �l DAY: DATE: 0(c/O2-/6`j WORK PERIOD: (;Sys a.m /P.m. to 4-L: a.mZ�m Z-3 WEATHER: G _ TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: m z f &- ,/— &.,,I a to.,-5, 7 doz 0 " / e _ �l,tc, ct.�.•.� a-�i Icadf,:,c� ,fit.-i'o/ i-«nD S for;,,, c. !� ✓;�./s ,f c,1 -ce%�yeIv ep ���r % t►l ���/�,Hti /Als.,, em %%,.t.,S hl .5o mo•.o�r,•, r ;L CONTRACTOR SIGNATURE INSP)tCTOR IGNATURE DATE: oc •,0z-& DAILY INSPECTION DIARY REPORT 46 DAY: DATE: WORK PERIOD: to 4LL�-a.m./0! WEATHER: C L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: L4j a � f Xca w 1",a#I b%ockS d, cic Crams-c %,., C43-G b��,5 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 6'C-• L)�-0 DAILY INSPECTION DIARY REPORT 46 DAY: DATE: 0Uoif lO-,/ WORK PERIOD: %/p.m. to �a.m. WEATHER: � G TEMP. MAX OF MIN OF PRECIPITATION: A2 WORK ACCOMPLISHED TODAY: c, l b� ? Y; / I m t .n d- �fpGcfi Ovi i, f'L Spey ;nc, M49 7ts^iurf _ L.y� dl ��lJ � �Ya. �t✓ C3s-� fJ/'iVci /-c //� � CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS UTILITY ENGINEERING (425) 430-7208 1055 South Grady Way, Renton, WA 98055 Contractor Buno Construction, LLC Address 20219 991h Ave SE City Snohomish State WA Zip 98296 Contract Number Project Name Statement Number CAG-04-034 Talbot Hill Water Main Replacement Project Phase 1, WTR-27-3142 Number of working days charged to your contract for the week ending Friday 4-04 Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 6-1-04 Tuesday Sunny-70°F 1 6-2-04 Wednesday Sunny-722F 1 6-3-04 Thursday Sunny-77°F 1 6-4-04 Friday Sunny79°F 1 Days this week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 4 0 CURRENT STATUS Working Days Specified In Contract ..................................... ' Approved Extension of Time ............................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ —Working Days Remaining ............................................. Summary of Week's Activities: Contractor made preparation for mobilization and construction surveying at the site. Rick Mou6no, Proj t Manager `Show only extensions approved by letter from City "Use negative totals to show overrun in time Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3142 Talbot Hill Phase 1\CONTRACTOR CORRESPONDENCE\workdays\WORKDAY 1.DOC CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS UTILITY ENGINEERING (425) 430-7208 1055 South Grady Way, Renton, WA 98055 Contractor Buno Construction, LLC Address 20219 991h Ave SE City Snohomish State WA Zip 98296 Contract Number Project Name Statement Number CAG-04-034 Talbot Hill Water Main Replacement Project Phase 1, 2 WTR-27-3142 Number of working days charged to your contract for the week ending Friday 6-11 Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 6-7-04 Monday Cloudy — 55 °F 1 6-8-04 Tuesday Cloudy - 579F 1 6-9-04 1 Wednesday Partly Cloudy - 592F 1 6-10-04 Thursday Partly Cloudy - 602F 1 6-11-04 Friday Partly Cloudy - 582F 1 Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 4 9 CURRENT STATUS Working Days Specified In Contract ..................................... Approved Extension of Time ............................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ —Working Days Remaining ............................................. Summary of Week's Activities: Contractor Contractor continued construction of the water main along Davis Ave S and S 191h Street to Sta.15+50. Rick More , Project Manager 'Show only extensions approved by letter from City "Use negative totals to show overrun in time H:\File Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3142 Talbot Hill Phase I\CONTRACTOR CORRESPONDENCE\workdays\WORKDAY2. DOC A DAILY INSPECTION DIARY DAY: ! DATE: 6/17 /0Lf WORK PERIOD: '� REPORT # �— 6'��/p.m. p m' WEATHER: �— e(„ Tip, MA}{ °F MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: O Q 7 31 " �il �z a troJv,- A_ F/ 4- UOekultcre, 30 vwi z � o ti .� �cag O 1 a t ! : S i/C Qn ✓a.ylG vrd� 4 L CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: RENTON CONCRETE RECYCLERS 22121 17th Ave. S.E., Suite 117 - Bothell, WA 98021 PIT SITE: 500 MONSTER RD. S.W. RENTON, WA 98055 No 76637 (BLACK RIVER QUARRY SITE) SITE PHONE: (206) 772-2278 BUSINESS OFFICE: (425) 481-9101 Date: Customer: C.' Phone: Address: Delivery Address: Special Instructions: Hauler's Name: -�� �— Scaleperson: ❑ CASH CFZ� CHARGE TRUCK # TIME MATERIAL GROSS TARE NET NET TNDS PRICE DRIVER'S SIGNATURE IM Subtotal DRIVER'S Tax SIGNATURE: Total NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customer's property, resulting in deliveries beyond curb line. TERMS: NET 15 DAYS from the end of the month. A finance charge will be assessed on all past due accounts at a rate of 1 1/2% per month. Annual finance charge of 18%. ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 962CF SrtE DfvE,.orvf ra, Pwiwc Ca+rP[oPs DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE/MAP OUANITY SOLD TO: DELIVERED TO: TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY QUAN, PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. GROSS WT TARE WT NET WT RECEIVED 6Y: AMOUNT TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivering material listed above to these premises. ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF Si DEA--•P,,viHG C-$ DATE JOB NO. / P.O. NO. TIME ORDER NO. CUSTOMER I.D. PHASE NO. CONTRACT NO. C.O.D. ZONE / MAP QUANITY SOLD TO: DELIVERED TO: TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY QUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. GROSS WT TARE WT NET WT RECEIVED BY: n �')/ f M - i It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, dowers, city sidewalks, roadway or private property AMOUNT TAX TOTAL n¢ material to these premises. Buno Construction Project Schedule City Of Renton Talbot Hill Water Main Replacement Phase 1- March 2004 Project Duration - 60 Working Days ID Task Name Mobilization Trench Safety Systems Construction Survey Traffic Control Erosion Control 4" CL 52 DI Pipe 6" CL 52 DI Pipe 8" CL 52 DI Pipe Gate Valves Fire Hydrants Water Services Connections Remove Existing Valve Box & Hydrants R & R Unsuitable Foundation Material Select Import Trench Backfill Crushed Rock Asphalt Patch CL B R & R Sdwlk. Drvwy. & Curb & Gutter Landscape Restoration Asbuits Demobilization Project Completion June I Jul 5/9 5/16 5/23 5/30 6/6 6/13 6/20 j 6/27 7/4 Au ust 7/11 7118 7/25 8!1 8/8 '„..„„„„,..„,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ',,,,,,,,,,,„.,,,,,,,,,,,............................. ,,,,,„„..„,....,,,,,,� Se 8/15 8/22 8/29 ' - 8l24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Project: SCH-City of Renton -Talbot Hi Date: Fri 5/21 /04 Task Split Progress Milestone ♦ „ , Summary Project Summary External Tasks External Milestone Deadline Page 1 CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS UTILITY ENGINEERING (425) 430-7208 1055 South Grady Way, Renton, WA 98055 Contractor Buno Construction, LLC Address 20219 991h Ave SE City Snohomish State WA Zip 98296 Contract Number Project Name Statement Number CAG-04-034 Talbot Hill Water Main Replacement Project Phase 1, 2 WTR-27-3142 Number of working days charged to your contract for the week ending Friday 6-11 Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 6-7-04 Monday Cloudy — 55 °F 1 6-8-04 Tuesday Cloudy - 572F 1 6-9-04 1 Wednesday Partly Cloudy - 599F 1 6-10-04 Thursday Partly Cloudy - 602F 1 6-11-04 Friday Partly Cloudy - 589F 1 �� t t •: 1 , Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 4 9 CURRENT STATUS Working Days Specified In Contract ..................................... 60 Approved Extension of Time ............................................... Total Authorized Time of Contract ................................... 60 Less Working Days Charges ............................................ 9 —Working Days Remaining ............................................. Summary of Week's Activities: 51 Contractor Contractor continued construction of the water main along Davis Ave S and S 191h Street to Sta.15+50. Rick More , Project Manager 'Show only extensions approved by letter from City "Use negative totals to show overrun in time H:\File Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3142 Talbot Hill Phase 1\CONTRACTOR CORRESPONDENCE\workdays\WORKDAY2.DOC yLS YJ I - /-r 3 J CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS UTILITY ENGINEERING (425) 430-7208 1055 South Grady Way, Renton, WA 98055 Contractor Buno Construction. LLC Address City 20219 991h Ave SE Snohomish State WA Contract Number Project Name Statement Number CAG-04-034 Talbot Hill Water Main Replacement Project Phase 1, WTR-27-3142 Number of working days charged to your contract for the week ending Friday 4-04 Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 6-1-04 Tuesday Sunny-702F 1 6-2-04 Wednesday Sunny-722F 1 6-3-04 Thursday Sunny- 772F 1 6-4-04 Friday Sunny792F 1 Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 4 0 CURRENT STATUS Working Days Specified In Contract ..................................... Approved Extension of Time ............................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ —Working Days Remaining ............................................. Summary of Week's Activities: 60 60 4 56 Contractor made preparation for mobilization and construction surveying at the site. Rick Mou6no, Proj t Manager 'Show only extensions approved by letter from City "Use negative totals to show overrun in time Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3142 Talbot Hill Phase 1\CONTRACTOR CORRESPONDENCE\workdays\WORKDAY 1.DOC DAILY INSPECTION DIARY REPORT DAY: l hDATE: cf--lIJt./dK WORK PERIOD: ec ',J5-a.m. /p.m. to q,ljs a.m p.m. L-L. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: L )C c,l� i'�ortr�U d✓i S �L - YID {uStJYZ� 5 & :j� CE S 02L,,I 71" �r N/-e ✓Z y - 491R - -e G f Ce'OGf 0w COy,S fO✓ .�R� ✓lil Ln �-C �l�c �.`sy1 �/ �/ © rn / T 'C �LI S T Lr G 7 1 A L G L t L N C O ✓I/f ✓ /G i!� GC l�� } lrLt 7 !i !-c 410i-1 c �Gf� ✓f u,. is � rin4 flN/LL (. Gltei�c ��✓d oca /�;ti'�, S net,'-rd� CONTRACTOR SIGNATURE INSPECTOR SIGNA URE DATE: ®q_.16-c%Y DAILY INSPECTION DIARY REPORT # DAY: DATE: ®bj/ /�/O�j WORK PERIOD: a. p.m. to �f,'/S`a.m p.m. Z-L WEATHER: (91(1- TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: in, i�- M 1! 4 o C 1 P W DLA7 - 3/ y2-, 0D ✓� �r A,-. ra � m H 5,` f G ct /v" �, L I G, a IC-f, r; a�� c li b v� k; •� e ®h a�u� K c /.' f �_ j 7� t S l CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 0 q -/ S'-o DAILY INSPECTION DIARY DAY: .7 fi.Z DATE: Q'lltl( /oy WORK PERIOD:&/p.m. to i"� a.m REPORT EOR WEATHER: Gi [, TEMP. MAX °F MIN OF PRECIPITATION: — Y WORK ACCOMPLISHED TODAY: vv — .Vy4[.{? /a7 40 ® r CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: o 9-/ y_ O y DAILY INSPECTION DIARY REPORT DAY: mc. ;, DATE: 0!1/ JS ,f)(j WORK PERIOD: ; y�'/p.m. to WEATHER:r L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: I a/ 4a 1 & J l H, -n Z 7 - 31 qZ 1' r/ L. 1 e m d n t G rf-Gt� t--J, {tv 'k /S C �T L/�� l l�C � �' � �1(� T' 2+ 2 � D h Q r� !!'! !/( f F '� /G�' �� �U ✓7 � / r S CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT 4t DAY: r ✓ ; DATE: O /(D /Ocl WORK PERIOD: G;,m. to ��15 a.m. / -Z WEATHER: O,� TEMP. MAX OF MIN OF PRECIPITATION: !v WORK ACCOMPLISHED TODAY: 7al%o f H`I/ Lv 71C 27-3/L/2- 4v;Dvt�tK Gvcw !�'latcv;ulS Oct All A Z - j Y ue t dryr,- 1[ 1 Z '04 0 N L1 C /-t ,-I do 1 ./� R -G (L y N/1 i iff i� ✓'L asaS 0La i_nay;J d- ) P'�o✓r;5 /�V� O)fJNo CAB h C/�r7 L/p-- X/ Vc.0 n r OVC� s�t�cttiLl�YS u/`t�/lB✓tv.0 //IflLt� (C/�✓ii -- 77/'O/jI kGu )e,4 r Okla Lt 4f 5 N " t- 4d �nc v : c eibLYI ` le Cc n Q� l L. S fit - '^Yl%CL99 7 0 /7 �' ��fi`Otr �url�� [Liter/CA, D Cv tv, R p R V C1 ee� i S �r'� Y %C 1'`D✓4� O �L (� CONTRACTOR SIGNATURE INSPECMR SIGNATURE DATE: 0 cl - /U^ pg DAILY INSPECTION DIARY DAY: �urs DATE: pq /0y /®y WORK PERIOD: 6,qj al/p.m. to t�_ a.m. REPORT # WEATHER: TEMP. MAX OF MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: b v: Prn e n t C v' Gl/ /✓L tie , G S i�tc,Lrkge La/ccv;ol c✓cci� , , r4 i r 1yo�7 t3/:48r+ >— 4wztonce 0vy►.,g fev-lc l' O Q e", 72 - e✓<aa 7 ae Z-sk4-R�i�c aarall�l fa S (S s i .��„, .c' S [�J I�-I��r;s ��� Sa a. L C n O N +r i ..� r. -'- - - _ .n _ J / c _ to - _ _ �) s r� � � / .. • It Lee -lc 0 u $ ,Ax f�c�c�tc�Q.�c kh 4 kc. i C-4 h!r t k � off i, .J C i CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: oc'--61 �'-Q LAKESIDE INDUSTRIES DATE LOAD TIME TICKET NO. CUST NO. JOB NO. ITEM / TASK NO. P.O. NO. SOLD TO DELIVERED TO TRUCK NO. TRUCK DESCRIPTION PRODUCT UOM GROSS TARE NET COMMENTS WEIGHMASTER M.P. OR STATION STREET INSP. TIME RECEIVED RECEIVED BY LOADS TODAY QTY TODAY AN EQUAL OPIN )RTUNITY EMPLOYER ■ \\%A. ST. CONT. REG # I.AKESI*27411) ■ OR. CCS # 10852 HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The result- ant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to person- nel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When hand- ling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that ex- tend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150 mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply luke warm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. LAKESIDE INDUSTRIES DATE LOAD TIME TICKET NO. CUST NO. JOB NO. ITEM / TASK NO. P.O. NO. SOLD TO DELIVERED TO TRUCK NO. TRUCK DESCRIPTION PRODUCT UOM COMMENTS WEIGHMASTER M.P. OR STATION RECEIVED BY GROSS TARE NET STREET INSP. TIME RECEIVED LOADS TODAY I QTY TODAY AN EQUAL OPP(�RTLTNTTY ENTPLOYER ■ W A. ST. CONT. REG # LAKEST"27411) ■ OR. CCB # 10852 HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The result- ant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to person- nel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When hand- ling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that ex- tend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150 mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns • If burns cover more than 10% of the body (about equal to surface area of an arm or one half "of one leg) apply luke warm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. LAKESIDE INDUSTRIES (i) DATE LOAD TIME TICKET NO. CUST NO. JOB NO. ITEM / TASK NO. P.O. NO. SOLD TO DELIVERED TO TRUCK NO. TRUCK DESCRIPTION PRODUCT UOM GROSS TARE NET COMMENTS WEIGHMASTER M.P. OR STATION STREET INSP. TIME RECEIVED RECEIVED BY LOADS TODAY QTY TODAY AN EQUAL OPPORTUNITY EMPLOYER ■ WA. ST. CONT. REG # LAKESI*274JID ■ OR_ CCB # 10852 HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS•180 • PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The result- ant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to person- nel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When hand- ling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that ex- tend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150 mm (6 in.) hio should be worn and thes should be laced without openings through which asph<,Jt could reach the skin. Pants without cuffs should (�xte::d over the tops of the boots. FIRST AID TREATMENT FOR HOT P ^ BURNL • Apply cold water or ice pack to asphalt -',:- • if burns cover more than 10% of the body (a — to surface area of an arm or one half of one leg) appr Juke warm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. ` LAKESIDE INDUSTRIES DATE LOAD TIME TICKET NO. CUST NO. JOB NO. ITEM / TASK NO. P.O. NO. SOLD TO I DELIVERED TO TRUCK NO. TRUCK DESCRIPTION PRODUCT UOM GROSS TARE NET jlr, WA FIL_I--4S COMMENTS WEIGHMASTER M.P. OR STATION STREET INSP. TIME RECEIVED RECEIVED BY u / LOADS TODAY I QTY TODAY ;1N EQUAL � )PPORTUNTPY EMPLOYER ■ WA. ST. CONT. REG # LAKESI-'--}ID ■ OR. CCB # 10852 HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The result- ant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to person- nel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When hand- ling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that ex- tend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150 mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. LAKESIDE INDUSTRIES (i) ' DATE LOAD TIME TICKET NO, CUST NO. JOB NO. ITEM / TASK NO. P.O. NO. SOLD TO DELIVERED TO TRUCK NO. TRUCK DESCRIPTION PRODUCT UOM GROSS TARE NET COMMENTS WEIGHMASTER M.P. OR STATION STREET INSP. TIME RECEIVED RECEIVED BY LOADS TODAY QTY TODAY AN EQUAL OPPORTUNITY EMPLOYER ■ WA. ST. CONT. REG # LAKESI*2741n ■ OR. CCB # 10852 HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE I HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 • PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The result- ant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to person- nel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When hand- ling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that ex- tend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150 mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply luke warm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. LAI{ESIDE INDUSTRIES DATE LOAD TIME CUST NO. I JOB NO. I ITEM / TASK NO. I P.O. NO. SOLD TO, sC.7�= i o. 1iiL4 Q. Box 5430 �. 980645430 .5 1a31-8290 TRUCK NO. TRUCK DESCRIPTION PRODUCT UOM DELIVERED TO GROSS TARE COMMENTS WEIGHMASTER k," `` N M.P. OR STATION RECEIVED BY TICKET NO. STREET INSP. TIME RECEIVED LOADS TODAY I OTY TODAY NET AN EQUAL OPPORTUNITY EMPLOYER ■ WA. ST. CONT. REG # LAKESI.27411) ■ OR CCB # 10852 HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE -V 4 HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The result- ant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to person- nel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When hand- ling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that ex- tend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150 mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply luke warm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. A DAILY INSPECTION DIARY DAY: at DATE: Oy/ 0,016114 WORK PERIOD: 6NS-6ap.m REPORT 4� to $;!f a.m., >.m 2-2- WEATHER: ©, (, TEMP. MAX Z-? OF MIN OF PRECIPITATION: 1 WORK ACCOMPLISHED TODAY: 4 1- 'se; 9.,/cl." 4 i4' l.ak{rivle< airfosc/ '32.e2 T 4 3a,i1 Tt S q,13 r r 1 3, 4 j- T t �/ 0� J r,se.. tMes-r�l.:n-G � 2 I YNtK O!i itfty' i 3i f 3r� .� 7 BZ3 7 Z - f o %/-c / 2 Flag !�"kef5-toLack- d L 4 K 1 9.4-t l/ (� f 1 �/ Q W J �% �/ �'I V 9 ✓' ry 171i L �+ H Z �it I%t me:4-ki ,�_//,`tars oy� �1 s�1•../f' .S 14�/' �T e.tiG'i %/ %ae. �" i'sf iGa mo vt� �D SO %S ��' � T i•A�n S �4r�fG'i Gv� '/� ,y/R V/nG O/� S is �''' S � /as � r� f-'ar s9 �•v'� l�r 3: 30� y.•3o �r.-� rn5 ire. c*,P-/f,'�.t S o�, S /SS4Krs �l Of' ✓' , � fl �Vz n� � t s a r7 S i,� tl, S sGr (.'v ✓So . di.!/1i, `�' io � ✓Z / r n �c . � -c Ob ft`✓cy/ SvT� Gvc.i .2 `w X 10'L 5 Co✓h1r /orr f1eiP,5 �Vtw r L_ iJ GycS f rev Si e : in ✓ayea O✓si', ISO '! sV b cry-.:7w S /} ��' a7��t✓ 4�k S �Gy�s� HOS�C Was vSrG� fn SckmS d��N1G� Haodl k 7 i l S"/✓�+ Yo Iwo, wog 4u,q'ic, fb.t, h;-j 4- %'%c it.r,.o �i%DEfi cr!'f'3�k f" a.1/f5 vDSi !tip Lv Ya,..R . glumay IrtSDla�f. � c:4-, CY cu• Uol, S cfri✓%a1 9.'�lfr S ol<dvn waycr ro�o0 ny �7Cca1/t t�' Yrme✓=� S�Rtia,I'h d �NS�.✓�il� ���olv�, �n cr`oss / !i; /D C 144 C Vf.W 1 0erl wa s✓ MR:A 00 d T /ys/i t �'► Alo�C- Q h S�rvl r1 c CONTRACTOR SIGNATURE INSP CTOR SIGNATURE DATE: Orl- ox--Q i LAKESIDE INDUSTRIES DATE LOAD TIME TICKET NO. CUST NO. JOB NO. ITEM / TASK NO. P.O. NO, SOLD TO DELIVERED TO TRUCK NO. TRUCK DESCRIPTION PRODUCT UOM COMMENTS WEIGHMASTER M.P. OR STATION RECEIVED BY GROSS TARE NET STREET INSP. TIME RECEIVED LOADS TODAY I OTY TODAY AN EQUAL OPPORTUNITY EMPLOYER ■ WA. ST. CONT. REG # LAKESI*2741IJ ■ OR. GCB # 10852 HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE r HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The result- ant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to person- nel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When hand- ling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. GicvE i with gauntlets that ex- tend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150 mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns • if burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply luke warm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. -� LAKESIDE INDUSTRIES DATE LOAD TIME TICKET NO. CUST NO. JOB NO. ITEM / TASK NO. P.O. NO. SOLD TO DELIVERED TO TRUCK NO. TRUCK DESCRIPTION PRODUCT UOM [00AIAIA11169 WEIGHMASTER M.P. OR STATION RECEIVED BY .` ! .tr/ / V�l v4 / 1' GROSS TARE NET STREET INSP. TIME RECEIVED LOADS TODAY I QTY TODAY �.� I .QUAL OPPORTUNITY f:MPLt )l I R ■ A1'A. ST. CONT. REG # LAKESI-274JD ■ OR. CCB # 10852 HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE c HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS•180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The result- ant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to person- nel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When hand- ling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that ex- tend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150 mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply luke warm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. LAKESIDE INDUSTRIES DATE LOAD TIME TICKET NO. CUST NO, JOB NO. ITEM / TASK NO. P.O. NO. SOLD TO DELIVERED TO TRUCK NO. TRUCK DESCRIPTION PRODUCT UOM GROSS TARE NET COMMENTS WEIGHMASTER M.P. OR STATION RECEIVED BY STREET INSP. TIME RECEIVED LOADS TODAY I QTY TODAY AN EQUAL OPPORTUNITY EMPLOYER ■ WA. ST. CONT. REG # I.AKESI*2741D ■ OR. CCB # 10852 HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS•180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The result- ant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to person- nel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When hand- ling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that ex- tend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150 mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply luke warm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. (9) LAKESIDE INDUSTRIES DATE LOAD TIME TICKET NO. CUST NO. JOB NO. ITEM / TASK NO. P.O. NO. SOLD TO I DELIVERED TO TRUCK NO. TRUCK DESCRIPTION PRODUCT UOM GROSS TARE NET COMMENTS WEIGHMASTER M.P. OR STATION STREET INSP. TIME RECEIVED RECEIVED BY LOADS TODAY I QTY TODAY AN EQUAL OPPORTUNITY EMPLOYER ■ WA. ST. CONT. REG # LAKESI"274JD ■ OR. CCB # 10852 HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The result- ant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to person- nel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When hand- ling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that ex- tend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150 mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply luke warm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. LAKESIDE INDUSTRIES DATE LOAD TIME TICKET NO. CUST NO. JOB NO. ITEM / TASK NO. P.O. NO. SOLD TO DELIVERED TO TRUCK NO. TRUCK DESCRIPTION PRODUCT UOM GROSS TARE NET COMMENTS WEIGHMASTER M.P. OR STATION RECEIVED BY STREET INSP. TIME RECEIVED LOADS TODAY I QTY TODAY AN EQUAL OPPORTUNITY EMPLOYER ■ WA. ST. CONT. PEG # LAKESI*27411> ■ OR. CCB # 10852 HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The result- ant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to person- nel, Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When hand- ling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that ex- tend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150 mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply Juke warm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. LAKESIDE INDUSTRIES Wl- NO. I JOB NO TO LOAD TIME R4 ITEM / TA`. K NO DELIVERED TO P.O. NO. FICKET NO. JCK NO. TRUCK DESCRIPTION I )DUCT UOM GROSS TARE NET k NTS RGHMASTER ■I. OR STATION STREET INSP. I TIME RECEIVED ;ECEIVED BY LOADS TODAY QTY TODAY I (A \I. OPPORTUNITY EMPLOYER ■ WA. ST. CONT. REG # LAKESI-274JD ■ OR. CCB # 10852 HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE ,.j HG, ?HA MATERIAL Sep ',-STY P .,'A SHEET TAI'S IS•180 • PR TECTIVE CLOTHING Asphalt cements and o . e-d asphalts require heating to high tempe. ati,res for r =r and application. The result- ant high temperat r- eJals can cause severe burns, and �)recaurr is -s�try to prevent injury to person +ec : : c,cb, k a, -,)halts may also be healer.,' sufficiently to cause sevFr,. burs on contact. When hand ling heated asphalt, chFmic: I goggles and a 200mr,r (8 In minimum -sized far_s-shield,ho-ild be used. Loose clot` — in good condition should be worn with collars closet: aria "'- cuffs buttoned at the wrist. Gloves with gauntlets that ex- tend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150 mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply luke warm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. LAKESIDE INDUSTRIES (i) . DATE LOAD TIME TICKET NO. CUST NO. JOB NO. ITEM / TASK NO. P.O. NO. SOLD TO DELIVERED TO TRUCK NO. TRUCK DESCRIPTION PRODUCT UOM GROSS TARE NET COMMENTS WEIGHMASTER M.P. OR STATION RECEIVED BY STREET INSP. TIME RECEIVED LOADS TODAY I QTY TODAY AN F f UAL OPPORTUNITY EhiPI.OYF.R ■ WA. ST. CONT. REG # LAKESI*274jD ■ OR. CCB # 10852 ~ HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS•180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The result- ant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to person- nel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When hand- ling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that ex- tend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150 mm (6 in,) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain. but heat in the asphalt must be removed as rapidly as possible. Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. LAKESIDE INDUSTRIES (K DATE LOAD TIME TICKET NO. CUST NO. JOB NO. ITEM / TASK NO. P.O. NO. SOLD TO DELIVERED TO TRUCK NO. TRUCK DESCRIPTION PRODUCT UOM GROSS TARE NET COMMENTS WEIGHMASTER M.P. OR STATION STREET INSP. TIME RECEIVED RECEIVED BY LOADS TODAY QTY TODAY AN EQUAL OPPORTUNITY EMPLOYER ■ WA. ST. CONT. REG # I.AKESI*274ID ■ OR CCB # 10852 HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The result- ant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to person- nel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When hand- ling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that ex- tend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150 mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply luke warm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. DAILY INSPECTION DIARY _ REPORT _DAY: T(/ -[. DATE: 0cj/p7 /OL4 WORK PERIOD: C /p.m. toy-1'/5� a.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: N WORK ACCOMPLISHED TODAY: E v: in,�ti 14-1 >oLv-cr PVIA y-tv;ci/l, 0 k-e" V eof 6(" o5 c'ee-t / ( i�o/ti�c.w.. l5lw ml ) Jo v. 5: 4-G 17 r-c..e k i�o �� �{ S LA Ii- dk—1 d + Le, �' A: S P" t v -ipi ILL v o a. tU ti are w-.4 AA I Ae z. ,4 </ 4 o 6.e vt -.4 Ar c.co'/ 4-4 a L ,-r- d4ki B� 004 j�d 5d - 5 / *.4 S j �' /�'lol.riS �v,e S� Z� ;b- 2Y, ��L CONTRACTOR SIGNATURE INSPECTOR SIGN TURE DATE: p 2— 0 7— O q DAILY INSPECTION DIARY DAY: /s DATE: 01/OZ/0y WORK PERIOD: �"K(C)./p.m. to WEATHER: ®r C, TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: REPORT a.m./p.m. Z-,E_ ?G l bo le a 7 - 3 PY z s D .bS'ely<e/4 Uh0 5 %rV-t s %!/,rrl, IJC� �— R-e w ; ter w-r 0l 9 . e l c m e- -c Hy -H, k " CONTRACTOR SIGNATURE INSPECTOR S GNATURE DATE: 00J-eg2-0q DAILY INSPECTION DIARY REPORT DAY: LA/ <G( DATE: 4y / pl /01 WORK PERIOD: � �/p.m. to q_ / a.m. WEATHER: O.[, TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: T al6a t l-1 ; I ! Ho o wmi,, wTA z 7- 3 /q2- Q/o /Ucw waPk d�j Sor✓�� 01�s{yv-«l (�vv,a's D�,..,o �✓��/c -� �r�;lrr CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 41 9- b/-o � DAILY INSPECTION DIARY DAY: -7 (. WEATHER: G (� REPORT DATE: a 0/ 31/OLY WORK PERIOD:a.m./p.m. to 4./5- a.m./p.m. -z TEMP. MAX OF MIN OF PRECIPITATION: A/ WORK ACCOMPLISHED TODAY: l allio t- wit H, O G l,P W a /Z 2 7- 3i YZ - � L/y: dyNc-�-r �" 1/VL�+n „®Ord!✓ WIc+%ty'ar�S -? �- h l 4 s; a -cr ) Z. 2 -1 roller m e, D oy, S;I r- J f "I 4 1.�� ��/[iK 4 �/ L �:%' I. S,OcG Y-rW 3ajo - oIK r-("oeg 04nG /ws-�' Wtc% /TOUN� S�tyc✓rs� •ple, L. kdoui Sp tc, 4"'W nD f f4"-e,e for hlti Cal/-cG� 5 �=✓i r'•,+K�.s �r .91/} iD 44 t 4`Aycr;�ic/i �lr.c /prod/1rn �a��Y l�"/� lyr•ss�/� C� i ov7 l��r.5 c� e{f %N epta f N{cv ' : K / 0 I S t i o 611171- %vYM .0 C cauvl �/. cos �.• evo 5't i2r,y l -4- I h1/ lO Zoe/< G 4- 44-own Gt" S7t L..� R �I ,ob- .%� ✓► 't 2►�- /' �'1 � %� 'C �n -t, W'!t S V ►/ f G '� a r, � r S 11 Y ��i HG, `` ,/f1/1-tom ol�ks, nS O/iw/7%' �OQ7�GIti.'r,A 1iVpS (MOS�lGe oftle �f!/' !O y7 %12Orii5 �y(7� J j /s' `' - T�/J,o � �� So d Sl G ��' I•�!�'� �o b� �� ���/ .� /bno, k-%th CONTRACTOR SIGNATURE 2, INSPECTOR SIGNATURE DATE: —09- 71 -6? ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 e Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM**982CF 1i r, D[vr,Ill. rpT. 1-11OI—u roe; DATE TIME SOLD TO: JOB NO. ; P.O. NO. PHASE NO. CONTRACT NO. ORDER NO. CUSTOMER I.D. ZONE/MAP t.0,1 • DELIVERED TO: C.O.D. OUANITY TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY QUANITY PRODUCT PRODUCT, PRODUCTIZSCRIPTION PWICE /UNIT AMOUNT UOM NO. GROSS WT TARE WT NET WT RECEIVED BY: AMOUNT TAX TOTAL It is specifically agreed that ICON Materials will not be liable toy any damage to shrubbery, tlowers, aty sidewalks, roadway or private property in delivering material listed above to these premises. ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 ' Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF Srt[- H,- - CONTAKipPS DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE / MAP OUANITY DELIVERED TO: SOLD TO: TRUCK N0. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY QUANITY PRODUCT UOM PRODUCT JNO. + PRODUCT DESCRIPTION PRICE / UNIT AMOUNT BY: GROSS WT TARE WT NET WT AMOUNT TAX TOTAL agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivering material listedabove to these premises. DAILY INSPECTION DIARY REPORT 4� DAY: M DATE: C)/ 0160 WORK PERIOD: ;t/> a.m /p.m. to !/S' a.m. WEATHER: L TEMP. MAX OF MIN OF PRECIPITATION: _—Al WORK ACCOMPLISHED TODAY: /� .1). M - gw, /(_ &.,,, / u s -,4 tv, s- /C 0-� a rr /(' Ta l 6o y-- 1 /; a H{ , Q C. J. f a- i IC .2 7 - 3/ L/2. {� A L N�,t LN /� / L✓l R N ✓iA l�/'L i� And c( A \ � ] � �7J� JSG��C-�i•�- / �" i^vl-tw�G�, ]?.Lid :e,.r 1�- d._!.!1 ) - FIef ,cwd i7. 6 Z Ls 5 f Li/ G K u S �% ! f 7 Y G S d!/ c"! . to M (�iiU S G l9vt ctyl�_All �So, �rv�yL r/i Tc• ST T tic.( mH S I° -/1' ST - s416 GiLG S_o GHa>' off i"lorr;s �yL 70o ` - /Vcr)r C. DY 51,1 -rN S % v Toe/as ci,i n-wsj�- al'-<)c -14f% G! - r ftw s 4- e-oC' /''le.-r;S A vE S *c a 3oa ' fa,-,�-L e 71" .S S J 7t b2vc ' f4- b H7_.4.df Lee-&, /cay„� co// s�OD�(s,�f vy�aLiCcD�G6/� r/L 7�d C/J;cu�o✓ �VYf�ar c tft+d/ VO LLC rl G�c,r f Y4r, is i Di1s� ic/ t #;jetA io,;- h..'t wtak l6,00 70L, f /G,64E0.0 t I J7- flrl5)' /yS-Tlta/-I o/Sd /`a�� cct=i�•t,, � {o." G !�� Pt e/� �ti / L �'siy/'rr ova jJG1 9k SY ✓j`L-e S -r al;4cl. a 4" 644 /lS rcs�oµu /;mH l�/6J8 D�`s>�uS �Of Z 3,7.M riP - f:ckgis O✓-0r -10 /'--Jc r19o1-etia r CONTRACTOR SIGNATURE I SPECTOR SIGNATURE DATE: 0 ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF sin Dnt11-11- puma mNw,coxs DATE JOB NO. / P.O. NO. TIME ORDER NO. SOLD TO: TRUCK NO. PHASE NO. CONTRACT NO. C.O.D. CUSTOMER I.D. ZONE / MAP OUANITY DELIVERED TO: LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY PRODUCT PRODUCT OUANITY UOM NO. PRODUCT DESCRIPTION PRICE / UNITAMOUNT GROSS WT TARE WT NET WT AMOUNT RECEIVED BY: TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, Flowers, city sidewalks, roadway or private property in to these premises. ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF sm oe.E,ar� • v,.hw camn„mm _ DATE JOB NO. / P.O. NO. TIME ORDER NO. SOLD TO: TRUCK NO. `1! li J1 I ', CUSTOMER I.D. i-{'1•',, DELIVERED TO: PHASE NO. CONTRACT NO. C.O.D. ZONE/MAP OUANITY LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY s OUANITY PRODUCT PR NDDUCT PRODUCT-66CRIPTION 4 PRICE / UNIT AMOUNT UOM r GROSS WT TARE WT NET WT RECEIVED BY, It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, dowers, city sidewaiRs, roadway or private property in AMOUNT TAX TOTAL ng material listed above to these premises. r --�CZ1 t,�/--� Y 7i-7, ZdO� - iCQI� V v - w � r' 2 s � �t�►� � 1p rah �YL � �n#..MAN "DU�`J� Gn�.IST�2ai(�t1vn1 Lla-j 1 sr. �Z) � G,IL ►♦ . LC. .: ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF srno �v«un•1—c— DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE/MAP QUANITY SOLD TO: DELIVERED TO: TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY . 40 _ 41 - QUANf1Y PRODUCT PR NO. CT PRODUCT D�FSCRIPTION PRICE/ UNIT AMOUNT GROSS WT TARE WT NET WT RECEIVED BY: AMOUNT TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to or private property to these premises. ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF s,r aw_rorurR vnxc coxm..crou DATES JOB NO. / P.O. NO. TIME ORDER NO. SOLD TO: I. I PHASE NO. CUSTOMER I.D. DELIVERED TO: CONTRACT NO. C.O.D. ZONE/MAP OUANITY TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. GROSS WT TARE WT NET WT RECEIVED BY: 111 a AMOUNT TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivering material listed above to these premises. ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 e Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME SOLD TO: ORDER NO. CUSTOMER I.D. DELIVERED TO: I ZONE / MAP QUANITY TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY QUANITY ' PRUOM UOM PRODUCT NO. � PRODUCT DESCRIPTION PRICE / UNIT AMOUNT GROSS WT TARE WT NET WT RECEIVED BY: ^. AMOUNT TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivering material listed above to these premises Ticket # NMATERIAW Northwest Division P.O. BOX 2037, EVERETT, WA 98213 • (425) 355-2111 Date Plant Plant Desc Ticket Time itrIt..[c. A IP11;3, Zone Map ID Project # Job # PC # Customer # Sold to Truck # 131A10 CONSTRUCi"ICIN I,.Lr' 2027730 Delivery Address Hauler/Truck Description KIP-NMORE RA 9815 S BC11.7 , BUNO CONSTRUCTIO WeighMaster a�fil' Instructions LIS Metric Ton (boss 0 0.00 0.00 Tare 0 0.00 0.00 Net 0 0.00 0.00 * l9at;e1ua3 weight. LOAD CUMULATIVE # OF PRODUCT PRODUCT UNIT QUANTITY QUANTITY LOADS AMOUNT CODE DESCRIPTION PRICE PRIVATE (71, B Mon SUB -TOTAL TAX TICKET TOTAL The undersigned promises to pay all costs, including reasonable PROPERTY DAMAGE RELEASE TO BE SIGNED IF DELIVERY IS TO BE MADE INSIDE CURB LINE) attorneys fees, Incurred In Collecting any Sums owed. Dear Customer: The driver of this truck is presenting this RELEASE to you for your signature is of the opinion that the size and weight of his truck may possibly cause damage to the premises and/or adjacent property if he places the material in this load where you desire it. It is our wish to help All accounts not aid within 30 days of delivery will bear interest p y IY you in every way that we can, but in order to do this the driver is requesting that you sign this RELEASE relieving him and this supplier from any at the rate of 18% per annum. responsibility from any damage that may occur to the premises and/or adjacent property, buildings, sidewalks. drive -ways, curbs, etc. by the delivery of this material and that you also agree to help him remove mud from the wheels of his vehicle so that he will not litter the public street. Further, as additional consideration. the undersigned agrees to indemnity and hold harmless the driver of this truck and this supplier for any and all damage to Not Responsible for Reactive Aggregate or Color Quality. No the premises and/or adjacent property which may be claimed by anyone to have arisen out of delivery of this order. Claim Allowed Unless Made at Time Material is Delivered. SIGNED A $40.00 Service Charge and Loss of the Cash Discount will be 'BELOW INDICATESHAVEREA' THE NOTICEHEALTH WARNING ' SUPPLIER NOT BE RESPONSIELE FOR ANY DAMAGE CAUSED WHEN DELIVERING INSIDE CURB LINE. collected on all Returned Checks. WILL LOAD RECEIVED BY. - Standby Time Initais X CUSTOMER SIGNATURE 1351984 CUSTOMER COPY . A. AGGREGATE PRODUCTS Aggregate products are naturally occurring materials (limestone/dolomite. granite (basalt), sand, or gravel) which may contain more than 0.1 % crystalline silica. Hazards DUST MAY CAUSE IRRITATION TO EYES, SKIN, AND RESPIRATORY TRACT. SUSPECTED CANCER HAZARD, MAY CONTAIN MATERIAL (CRYSTALLINE SILICA) WHICH MAY CAUSE CANCER IF INHALED. Cancer risk depends on duration and level of exposure. Safety Avoid contact with eyes and skin. Wear eye protection and Suitable protective clothing. Wash thoroughly after handling. Avoid breathing dust. When exposed to dust above recommended limits (see MSDS), wear suitable NIOSH/MSHA-approved respirator. First Aid In case of eye contact, immediately flush eyes with plenty of water. If inhaled. remove to fresh air. Get medical attention if irrita- tion persists. ASPHALT CONCRETE Contains liquid asphalt, aggregate products (limestone/dolomite, granite (basalt), sand, or gravel), and hydrated lime. Aggregate products may contain more than 0.1 % crystalline silica. Hazards ASPHALT FUME IS IRRITATING TO EYES, RESPIRATORY SYSTEM. AND SKIN. MAY CAUSEALLERGIC SKIN REACTION. HOT ASPHALT CAN CAUSE THERMAL BURNS. SUSPECTED CANCER HAZARD. AGGREGATE PRODUCTS USED IN ASPHALT MAY CONTAIN MATERIAL (CRYSTALLINE SILICA) WHICH MAY CAUSE CANCER IF DUST IS INHALED. Dust may be produced during cutting or grinding of hardened asphalt. Cancer risk depends on duration and level of exposure. Safety Avoid breathing fumes frond hot asphalt. Avoid breathing dust from cutting or grinding hardened asphalt. When exposed to fumes or dust above recommended limits (see MSDS), wear suitable NIOSH/MSHA-approved respirator. Avoid contact with eyes and skin. Wear gloves. eye protection, and suitable protective clothing. Wash thoroughly after handling. Work clothes should be washed regularly and separately from other clothes. First Aid In case of eye or skin contact, immediately flush with plenty of water. If inhaled, remove to fresh air. Get medical attention if irritation persists. ' CONCRETE/CONCRETE PRODUCTS Contains Portland cement and aggregate products (limestone/dolorite, granite (basalt), sand and gravel) and other siliceous materials. May contain more than 0.1% crystalline silica. Hazards IN CASE OF CONTACT, FRESHLY MIXED WET CONC RET& CAUSES EYE IRRITATION AND MAY CAUSE SKIN AND EYE BURNS. MAY CAUSE ALLERGIC SKIN REACTION. DRY CONCRETE DUST MAY CAUSE IRRITATION TO EYES, SKIN. AND RESPIRATORY TRACT. SUSPECTED CANCER HAZARD. MAY CONTAIN MATERIAL (CRYSTALLINE. SILICA) WHICH MAY CAUSE CANCER IF DUST IS INHALED. Cancer risk depends on duration and level of exposure. Safety Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and suitable protective clothing. Wash thoroughly after handling. Work clothes should be washed regularly and separately from other clothes. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable NIOSH/MSHA-approved respirator. First Aid In case of eye contact, immediately flush eyes with plenty of water. If dust is inhaled. remove to fresh air. If wet concrete contacts skirt. wash thoroughly with soap and water. Get medical attention if irritation persists. r For further information, see Material Safety Data Sheet (MSDS) for Concrete/Concrete Products MATERIALS` which can be obtained by telephoning (425) 355-2111. Northwest Division I \N �A„ IS Y 9-I651CJY' -, A ► fj WA I vvry ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 e Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 932CF PMiAI-PA11—Cnrve+rox'f .. DATE JOB NO. i P.O. NO. TIME ORDER NO. CUSTOMER I.D. SOLD TO: DELIVERED TO: PHASE NO. CONTRACT NO. C.O.D. ZONE/MAP OUANITY i� TRUCK NO LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANI71, PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. iitft.,. .c"t-t f,llli'!t It I f GROSS WT TARE WT NET WT RECEIVED BY: AMOUNT TAX TOTAL is spedfically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city staewaLks, roaaway or pnvate property in aeuvermg matenat nsreaaoove to mere pretenses. ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 e Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM**982CF DATE JOB NO. / P.O. NO. TIME ORDER NO. CUSTOMER I.D. PHASE NO. L1 CONTRACT NO. C.O.D. ZONE/MAP SOLD TO: DELIVERED TO: r-1i�'.lf: i 'f ( )jr I 'I ! t iL", 1_ f lGf I I� I 014 . TRUCK NO. LOADS TODAY OUANITY TONS TODAY i t.E.! PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. i a , GROSS WT TARE WT NET WT AMOUNT RECEIVED BY: TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivering material listed above to these premises ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM**982CF p—c— DATE JOB NO. / P.O. NO. TIME ORDER NO. CUSTOMER I.D. ————— — — — — —- - -—- - SOLD TO: DELIVERED TO: PHASE NO. CONTRACT NO. C.O.D. ZONE/MAP QUANITY TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. RECEIVED BY: GROSS WT TARE WT NET WT i l.. AMOUNT TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivering material listed above to these premises. ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF sn oeao�M vr.Hxc cw,�.nou - DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE / MAP OUANITY SOLD TO: DELIVERED TO: TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. GROSS WT TARE WT NET WT RECEIVED BY: AMOUNT TAX TOTAL It is specifically agreed that ICON Mafi'rials.wiH not be liable for any damage to shrubbery, flowers, city sid`t�alks, roadw or private property in delivering material listed above to these premises. CUSTOMER �MAN Cadman (Rock), Inc Cadman (Black Diamond), Inc Cadman, Inc. locations HEIDELBER45CEMENT Group' Pit Locations: 2 Rock 4 Black Diamond 1 Redmond 3 Sky River Cadman (Seattle), Inc 5 Issaquah 8 Kelsey 6 Seattle As the Owner or Contractor for this job. I hereby save and hold harmless from any and all liability CADMAN or their driver, as a result of the CADMAN vehicle being driven beyond the roadway. I also accept full responsibility for any property damage or any equipment damage to CADMAN which may occur beyond this point. OWNER OR CONTRACTOR Remittance Address Cadman, Inc. P.O. BOX 97038 Redmond WA 98073-9738 Telephone 425 867-1234 AGGREGATE DISPATCH Eastside/Seattle (206) 622-2065 Monroe (360) 794-4100 Black Diamond (360) 886-2340 CUSTOMER NAME CUSTOMER NO. ORDER NO. DATE PIT TICKET NO. DELIVERY ADDRESS QUOTE NO. CUSTOMER P.O. ZONE INSTRUCTIONS TIME SCALED TIME DUE DELIVERED/ORDERED LOAD NO. HAUL NO. TRUCK NO. HAULER WEIGHTS PRODUCT PRODUCT DESCRIPTION PRICE AMOUNT WEIGH MASTER SIGNATURE DRIVER'S SIGNATURE OTIS Yes No On Time Correct Product Placed Correctly TOTAL SIGN' HERE- CUSTOMER SIGNATURE OF RECEIPT— ACKNOWLEDGEMENTOF STANDBY CHARGE ARRIVE JOB DUMP IMPORT LOAD EXPORT LEAVE JOB STAND BY MINUTES 10 MINUTES ALLOWED TO UNLOAD TRUCKS, ADDITIONAL UNLOADING TIME CHARGE $1.50 PER MINUTE. s� T sp Q15 a MVtle!� S� L v d Sex=IF- 5-V6 ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 ' Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF vre otaxuv�n vvvixewr,ucroxs DATE JOB NO. / P.O. NO. PHASE NO. TIME ORDER NO. SOLD TO: TRUCK NO. CONTRACT NO. CUSTOMER I.D. ZONE / MAP DELIVERED TO: LOADS TODAY C.O.D. OUANITY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY QUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. GROSS WT TARE WT NET WT RECEIVED BY: AMOUNT TAX - - - - - - — TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivering material listed above to these premises. ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM irk 982CF DATE JOB NO. / P.O. NO. TIME ORDER NO. CUSTOMER I.D. SOLD TO: DELIVERED TO: PHASE NO. CONTRACT NO. C.O.D. ZONE/MAP QUANITY TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE ( UN R AMOUNT UOM NO. GROSS WT TARE WT NET WT RECEIVED BY: . y It is specifically -rlals will not be liable for any damage to shrubbery, flowers, city AMOUNT TAX TOTAL or private property in delivering material listed above to these ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 ' Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF DATE JOB NO. / P.O. NO. TIME ORDER NO. SOLD TO: CUSTOMER I.D. DELIVERED TO: PHASE NO. CONTRACT NO. C.O.D. ZONE / MAP OUANIIY TRUCK NO. LOADS TODAY TONS TODAY 1 l . . PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. GROSS WT TARE WT NET WT RECEIVED BY: AMOUNT TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in deflvering material listed above to these premises. ICON MATERIALS • P.O. BOX 88050 Tukwila, WA 98138 ' Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF .! iOPMU•,•PhxGCoxlAnc,oas- JOB NO. / P.O. NO. ORDER NO. CUSTOMER I.D. DELIVERED TO: PHASE NO. CONTRACT NO. C.O.D. ZONE MAP QUANITY TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. GROSS WT TARE WT NET WT RECEIVED BY: AMOUNT TAX \ TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flow or private property in delivering material listed above to these premises. AU6nUt?7r— !:g!A-; r 1 U W '. DIM- Z � S YL— i n > din Z'' C�51� t DATE TIME SOLD TO: TRUCK NO. ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 ' Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF JOB NO. / P.O. NO. ORDER NO. CUSTOMER I.D. DELIVERED TO: PHASE NO. CONTRACT NO. C.O.D. ZONE/MAP QUANITY LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY QUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. ..li,'i j•il li.: ! i- it f I 4{,�. I GROSS WT TARE WT NET WT } RECEIVED BY: AMOUNT TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in c to these premises. ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM**982CF DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE / MAP OUANITY SOLD TO: DELIVERED TO: ; TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. GROSS WT TARE WT NET WT - v-f 1.1 . AMOUNT RECEIVED BY: - -- TAX TOTAL is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property 0. to these premises. DAILY INSPECTION DIARY REPORT DAY: %i U v DATE: eg /lq /�q WORK PERIOD:k:`( a -/p.m. to l%S:a.m. p.m Z,Z WEATHER: r L_ TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: To lbe.A/:/l 14 O C,T e -W Ir- 1�- ), �- 31'/2. r- V" G CON 5_ 1 Oki e -e rg r - W70 4f Cavr1/w�=oN1 f./f.-rS �.ttpr( ha%/=✓ (Nt t 'f u ; / A Hl^t. !� ���v.� o e /NS ��i 4 t W K • 5e&',e p7 0;1 a S odd -j- Y t ,Ow . A ✓Lw S � a i r� c �y �rG S�DrN s �X 'S �%., �, 6tl%G �S �rJ/L I .9 /Z df n P 1 t 4 -,r w Beal l -T w -, I / b-s Dh 1�a�a �, •H N��f w�L%C;c%C io i�� �G — CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: ©v / 1 -0 y DAILY INSPECTION DIARY REPORT # DAY: -e--DATE: Q / / _WORK PERIOD: (p;yS/p.m. to a.m. WEATHER: on (-- — TEMP. MAX OF MIN OF PRECIPITATION: Al WORK ACCOMPLISHED TODAY: f N l( o rv� �► �- L 6D r /mil 4 :t«` - IS ly-L,nD leyc � 1 - ! i ✓L�ks sr l - / /yt-le pyi V•tv �11 ` Ce�� t�aG4 3rew Lu uved /"u/ �� real, S,>> haS n��rk=I� off+ a/ur5 �y d/e. cyf- QN � Afa�r�% '�0 6-� /`LD/.rLt tYY,/.II-si' •t'(znN -�hL /t/�'S � ad A( ryl r� w 1 a </ f ly -, ig, e, / o e- I /Ll p r rn D a r- 1�D 14--A akik del- JLr_ o5 ekol k -10 ke, Cu 11vi--,^ cf'd �u/hd C-"/pn ;�1�'16 Lf3y,5 f ��sd G(/Ov�C:tie. �I4 � S4i-��afS_f tt�l cl, D�4 MOI6 e ✓i5 1111,6� 5c3 5 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE el DATE: c) q / e'-C/ e DAILY INSPECTION DIARY REPORT 1t DAY: ! (/'L DATE: d 7 /Oy WORK PERIOD:- ; tea- /p.m. to a.m./p.m. WEATHER: L TEMP. MAX OF MIN OF PRECIPITATION: N WORK ACCOMPLISHED TODAY: P- Tie 27 - 31 y 2 S4,Q K /l wa fit✓ r • c1 19 lNoccK �ot- Z- D/cy'cfor— l 02 1 - -fiy��c air, i�t.✓' 7,L of eWV Gt 5/67111452: d- iTIboJ, ram( s,o a-w C,f� C04 Atrm 1 - �vs..Lrt^d�1 1I�/off/cs � ��., L%'t K/ E7t�� i NA `" �A T ' /�S L, " ;,��h TYDVi�fG� [ 4�6Y �COG(/N S ��'�s�►t�Yl ]Lag b� 5 ,0 EO;0'30ep64.. T h-� egg �vxo c�,1s -3' Slice e v f�u� �.cl�yo CONTRACTOR SIGNATURE i INSPECTOR S 'NATURE DATE: 06 -/ % -O!% `/n- cTnNFwev SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle DELIVERY TICKET CONCRETE TUKWILA IF'lant #1Z) 1 W24 W. Valley Hwy., luKwua RENTON #14) 915 Houser Way N., Renton SALES/PLANT & .J (Plant ORDER DESK (425) 226 1000 ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E.. Maple Valley FAX (425) 228-4924 SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT # CUSTOMER NAME CUSTOMER P.O. l . JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) ❑ CASH ` CHECK # ❑ CHARGE MAP ZONE CARD # EXP. SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑DISCOVER • ••. DESCRIPTION Ill SI . `.,I IL, / ti 4000 IDS i CA S P-11 P1 HAUL L.ESS fl-IAFJ 8 YDS EP19 I PONMEMTAL SUPICHAPISE 0k Of READY MIX FUEL SURCHARGE JOB TOTAL SLUMP SPACING ORDERED BY • TRUCK NO. DRIVER REMIT TO 9125 loth AVE. S. WATER ADDED ON -SITE CYLINDERS SEATTLE, WA • AUTHORIZED BY: 98108 ❑ YES TERMS ON REVERSE gals. to full load ❑ YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ JOB NOT READY El LACK OF HELP ❑ ADDING WATER El WHEEL BARROW JOB El YES ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN ❑ DRAW BRIDGE gals. to 1 /3 load ❑ WAITING FOR TRUCK TO UNLOAD ❑ PUMP BLOW -BACK El NONE ❑ WAITING ON PUMP ❑ WASH PUMP ❑ OTHER ADDITION OF WATER WILL REDUCE - WARNING - RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL STRENGTH. WATER ADDED AT SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BACK (5). 6 MINUTES PER CUBIC YARD NOTFOR CONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hour) truck rate. SURFACE PRINT NAME DATE 9 y DISCOLORATION BATCH DATA: DELIVERY TICKET NO. REV 10/03 NBF CUSTOMER'S COPY TERMS, CONDITIONS AND WARNINGS i' CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms dlipayment mustit�set forth in,thisContract. In the iseat f%arity i3rtC�Ii »'edit tarsus; ail deliveries under Oils Contract. are "Collect On Delivery', ilC.O_D.). Purchaser agrees up®n request to furnish Setter such inforr"oo as Is reasg" nippe4sar ufor 5e(l r de! -amine f urchace+'s `in.ancial condition. Seller's obligation to perform under,this Ct3n"cl is subject to the condition pmcedent_that Seller shall have.t)jicty (30) days front tecerpi of the executed Contract from Ptrchaser so.that Sel(er^s credit department may'review and approve or disapprove any credit termts:gf pat sent specified ittyit)Is Conlvaet: ?. TERMS OF PAYMENT. All Invoices are due for payment by the 30th day after the date of invoice_ Service charges of one and one -quarter peroan (1.�fi96) petrilogth will be payable orr all past due invoices of thirty 130) days or olden'. CREDIT CARDS ARE ACCEPTED AT TIME OF PURCHASE ONLY. IF PAYMENT 13 MADE BYl8ANK!DAAO AFTER PURCHASE DATE, A 3:1, FEE WILL BE INCURRED. If a service charge is assessed, it must be p$isf to !)rdQr to niaiirtain an pien account. Pufs)'iaser shell make all pifyTnert dqo f)e.eur dL, it I;a4vfin nioney of the United States and in accordance with the terms hereot, without. any retention and without regard to any agreement Purchaser may',have with _ orh-ai p,)rnir_-s -houtd legal action be initiated to collect this m,yQRce, she prevailing iiarty shall be entitled to recoyer reasonable attorney' fees and costs, Including appi , _ hailN+t.iptalr=�, :ind.post•judgernflrtt colteetion ettcrt•^.. STONENWOONCRETf_ ROUTINELY EXERCISES THEIR RIGHT TO SEND MATE-RIALMAN'S NOTICES ON ALL JOSS. TAXES. An tFrli r3st 1, ate and local taxes. assessments, fees, d0as and, charges levied by reason of this Proposal are in addition to prices quoted herein and shalt be paid by Pu,cn;ascr. _ _ a SCHEDULING. Changes vrvariations from orii inei delivery request shalt be abaveyed Through Seller's dispatch offi& and no other Seller's agent (Including', but not: rimZa� to drivers quality assurance personnel of sales representatives). DELIVERY CONDITIONS. All conarcte del;verieswill be maddirrimyoncrete transit mlxfrr trucks unless otherwise noted. Signed Ptttchaser has requested Stoneway.0oncrexe14a: ❑ivision of Gar, Merlin (�onsiruction Gompany. Inc. (Sellerj to make Lisa of a path for the delivery of materials and access to the project requiring truds to travellbeyond the' bCJ ind3rfes of the 1`19:veSt traveied public highway, Seller has advised that due to the size and wflight of Trucks, darm9a, to.the premises and/ fdjacent propertyu ar personal r niol,v may aa,.ui rand Mart trucks t gay become damaged, disabled or stuck it Seller makes use of the path requested. Seller has further advised that it is'their policy ihatdoiNoo a e l dr'nU Sculls trucks travel beyond the nearest highway toobtain access to the job site are at the risk of the Purchaser and that Sellerassumes no liabilitytor propinty damAiii - nr personal ilijul r that. relay result, Purchaser agrees to assume resporisibgity to Seiler and third ;parties for property. damage. personal injuries, truck towing and winchmV e } enses and o, darn;tge to Seller s trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the p.oth requested of for the deliveli aft oats aril ac.cerss !v the project site. Purchaser also agrees to indemnity.Jiold hamiless„and defend Seller from any claims„¢errands, losses, and liabilities to or by ti pan g perm °�4le 'h'r % . 'rice $f rrcreta. ay prrave VoMUL15ftiv frauii lants t tkte tui� pe fro IUteled h� ar r sdRtngfrorn the tconrcu rent neg�f a Purch(aser thill w $el of er d Is ,hr:rFr n, nr dalY1fi_ *. � rro 'fry a hAerlintl Coh I aqrntsi.wrl , ir.C!oyre, and (b) the Purchaser, shall apply only to the extent of (fie negligence of the Purchaser or its agents and employees. For the purpose,of the Purchase{? n ifi mrrlr,I d�iun �+bllgation only, the Purchaser Spec ihraIly and expressly waives any immunity that may be granted it under the Washington State Industrial InsuranceXCI, Titl $ rV1 tros. vv aiti :, does not permit .3 direct action by the Purchaser's employees against the Purchaser- Further, the tr!deirrification obligation under this AgreementAhall not be m any ,vay by airy Innitatron on the amaunl or type of damages. compensation pr benefits payable to of tot; any Third party. -under worker's compensation acts, disabilRy ' 'Jewfi• .ti_ tL,or lhair employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the uhdersigned's own employees, The undersigned's duty' I, x`enrt indemnify and held Seller harrriless shall include. as to all claims; demands. losses, and liability to which'it app(ies. Seller's persoTikrel'related c(Ats, reasonable alto, ev s tee. coup r»ts, and all other ctaim•related expenses, Including attorney's fees and other costs Incurred by Seller to enforce ar4 establish ,its right under this It, I lt:ir.:n ,OIIK's tends+ Of di,ferlsq under this Agreement, the Purchaser.acpees to appoint counsel of Seller's choice to defend against third party claim(s), Such co jnsP! v.,in t1a at ttie soar? expense of the Purchaser. Seller is not responsible fro- means and methods of placement of ready mixed concrete or aggregate products bnaprojeck G. MASH OUT AREA, It will be the Purchaser'; responsibilty to provide a suitable area for trucks to rinse and clean before leaving the jot) site. An additional charge will be made I"'t:r :r1ad v out ar:a i5 not fifovided. PUMP HOLDS AND BLOWBACK. Seller herds ne n-sponsibi!ity or obligation, t comasir.inicatiun to Purchaser when Pump Company holds or releases orders; Servloe to n J, , :.., , It o, 'jcwv boatl4tmsi tyi-Setlft's sbitlJ4, ("Amig P,uG;23rer"nu tlrigiilai rb t ourcequealcct: It is thareapen ibility of PUMP Eompijgto rectify Pufchager ;Ili _,Id vn: Stanal ` Jincurred during Purnp CgMpany clean up, or blowback, will be borne by the Purchaser: An additional charge, at Seiler t) es ' =r ,t,ur a nr ddtled felt rrrlplrnen conctiMb dtie to ciao up process. ; r F POINT OF ACCEPTANCE, The Btlyer s pointIct acceplanCri is at the truck Gttute Seller will net accept responsibility for physical changes of the concrete cairsed by job y r:,,y !161ms. p6cinrt er uipfl1"W•�1I, c���r� afreumst-antes beycand our,:4rol. q HEADY MiX CON011iTES'RW(�. purgosser dqr nes that all ready rtMli-uo ' e testing, including concrete strength testing for acceptance, shalt be In accordance with ASTM, IB(: a„d Aral and tfttSeI11%wittlelpmYl >ilittr, a ropy o1 all teat ra ItAll this (3) working dayrg of the performance of said bests. 10. NOTIFICATION OF CIGNT COW - ESSIVE to R[ll RESULTS. Purchaser agrees to notify Seller in wnhng within twenty-four (24) tlourt;of deficient -nonairete tornpi> rid %lie n test specimens, a them available to Seller for Further inspection and testing. r r.r 11. ADDITION OF Wi RiA 1# IAL. If watvfr'arid/t r idlet material is added to the concrete by or at the request of the Purchaser; its employees; a9ents, roirtrautom orsunwrit the concrete as delivered waives all right to reject,.revoke acceptance or assert'any claim for breach of any warranty and Seller is not responsible r streftfjt .or r operiiP of the concWti. r 12. WARRANTY. Seller warrants that the eixripressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design stre*b for the mix design Najaf under this Contract, Seller Warrants the aggrsjggate material sold under this Contract meets the description and specifications for the same set forth in this Contract. lido other warranties, express or impf fed: are madewrft jrol pmt, to Stich Construction materials. whether they be warranties of fitness .or warranties of merchantability. PurChasoftoxclusiveremedty for breach rat t I@I wLarranty she;be t6requlra 7%Iler, at Seller's option, to refund the pprchase price, to repair said material, or t4 provide Purchaser with a conforming replacement for any.now-r,,�Yformingm*Tws, No cons_e ential damages maybe claimed by Purchaser against Seiler in connectionwith - soy :breach bf thislrigreenWrit or breach of warranty herein. Z'F31UFIECEER 'WARRANVIISZ IN UEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED - YWARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR 'AIit PARTICV11LAR PURPOSE. „ '3. LIIiNETifI'Ili ON UAMAOM Softer assumes no respons)btil7-J&, arld shall not be liable to, Pifth#ser-tot arW -Consequential darnages,incurred by Purchaser in connection with, this 06i6rt. Including without limitation. Purchaser's: lost prp,' Iurehaseryood.Will„and any injury to persbwor property proximately resulting from any breach by Seller of breach of warranty by Salter r ' 414, CLAIMS AND BACK CHWOxES. Purchaser's exel'usive procedum for Co rtaing.claims under-this:Contract against Seller for any reason, Including brgw4l of contract of iamilarh we! Notfce of rJ,aims agafnstSaUWfdtP an n including but not l m it l to; breach of contract or.warranty. roust be given to Seller In writing nadir three (3) worlkii pave aflekiiiscove Satriutd,haiilar n glade. The written btlorn shall lrrclude the reasonts) and grounds for the claim and the dollar ie Tq I% tllsj THREE (3ti IN RJNG DAYS SHALL CONSTITUTE A WAIVER' BY PURCHASEROF f TA RIGHT TO LATER MAKEAN4 SMI—VOCAvG Efa"dispute arises and QIS7�fftif Ived, the parties involved agref-t'obittdtrig arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Uffless otherwise expressly stated herein, kitte tore materials sold hereunder shall reMAn wit17 Seller until Seller has received full payment tatr its® same. Risk of lass of the materlefs sold under this Contract shall pass to the.Purchaser upon ;delivery of the some, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compl'rarlice with all goverrnmtental mgWations and ordinances with regard to,storage or placement of the Sartre and shall Indemnity and hold Setter harmless against all claims for personal injuries, Including death. end property damage arising from the storage, use or handling of said { materials. 10, .CONCRETE WARNINGS; Injurious to eyes_ Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt. ful!-lengttl trousers, and tight fitting eye protection when working with these materials. If yfou'tlave to stand in wet concrete, use waterproof boots that are tight at tops and high enough to keep concrete tram flowing Into them. If you are finishing concrete, wear kneepad'; t0 protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if notation persiats. _Wash wet concrete, mortar. cement, or cement admlxWres from your skin with fresh, clears water immediately after contact. indirect Contact through clothing can be as serious as direct contact. so promptly rinse wet concrete, mortar. Cement or cement mikfums from clothing. Seek immediate medical attention it you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recomniended limits (see MSDS), wear suitable NIOSH.JMSHA-approved respirator. in case -of eye corlte "h With plenty of water for at least 115 Frinutes: Consul" physician -immediately. KEEP OUT OF REACH OF CHILDREN, USER AGREES TO CONVEY THIS WARNING TO, ALL PERSONS WHO MAY USE OR COME INTO CONTACT WITH WET (UNHARDENLD) CONCRETE, MORTAR, CEMENT OR CEMENT MIXTURES. DAILY INSPECTI(NV DIARY REPORT # DAY: M pN DATE: Odl16 /Oq WORK PERIOD: ( yr -05 vp.m. to a.m. p.m Z. WEATHER: ee c TEMP. MAX OF MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: phi f Hal! w 49 -�-,—> 7- 3)- �tz. — --- ✓1 L1: V-c/�� :SGS -16 u T 41,1 In / l a i.. —f ✓Ow► /nC ,c /( h A.✓-eu s5 4 A i 1 Alaek-rd ev r'�ma;L."/io a59.�1tLyl' a �r �-' �-- ; r c s a f' �'�. � eecn � �'►Mt /�l � ��i t Q� 7 ' �' e� 1,,, caul di �'�✓ � � P�y mac. ' f�, ���, ilz�/! -- � ©//-G/�-���,/ rA Lam`•+• ai c�H S +'�. l%� S 7�s � S h LG ?.� Dy1A v, inn a n Dot We- Ae,." a / S CONTRACTOR SIGNATURE 1/ INSPE TOR SI DATE: 0, U r! b - &y DAILY INSPECTION DIARY p, REPORT # DAY: r�� DATE: �U / 3 /� WORK PERIOD: /p.m. to �45 a.m. p.m WEATHER: L TEMP. MAX OF MIN OF PRECIPITATION: /V WORK ACCOMPLISHED TODAY: le bp t N`i / I Hie ma;, w%./C ,2.�? - 3 / L/ 2� Zfd✓ic-( TY(/rK FO✓rtM�in (� TNUck' �/rvty i - �✓.trcrfe✓ Lac \Or-aao Ayr s� �t le Atdh/4!!� >Gr CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 0 9''p- It 1 '` -71 DAILY INSPECTION DIARY REPORT DAY: DATE: LO WORK PERIOD: .m. to a.m. 4C WEATHER: �'�(� TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: Sri J 3 l Z, , y' Ekva j. Ti vo y,- GIL � 'L ^ 1 t� C O ✓H ��*- r [ �// � / j � � � W N. T U/c'c� r N � VG .�iJ 6unQ cans �...i�;� i,�c0,Vt oh- tou ltr;u! � TrAwic- kra � 11- Q fQ� ! f till S i✓tL f OvN� nYO 1tOH Z L >ltti �oUP!' qi %D%Y �jB�s to 1/iG�f C irOSS H� +O 6�S 5 J) 1 �.fti S 1 r-e-/n r Ef �n o✓Iy7 �' 6�,�d s e@U/'�GI C•�yll �+i 1 60CleS It11 01V4 Ofawe-I C.Y l��© t+i?a•�-► c2 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: a6 '/.,2 •(J STANEWOY SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle DELIVERY TICKET TUKWILA (Plant #12) 17024 W. Valley HWY., iuKWua SALES/PLANT & CONCRETE RENTON (Plant #14) 915 Houser Way N., Renton ORDER DESK (425) 226-1000 ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley FAX (425) 228-4924 SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. TICKET TIME AM LEA E,PLANT r ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM /'� 1 .I �- - DATE ClSTOMER NO. ORDER NO. PROD CT PLANT # .i ! 10-1, 1 1 1. Ili CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. }i+ 11 0 i i A II V-' I Ni t+. I I +.11 t 1 I 1 i, ::.; ;i ::: - 1 ._; _' +­, JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) ❑ CASH ❑ CHECK # ❑ CHARGE MAP ZONE CARD # EXP. / SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD El DISCOVER 1l, DESCRIPTION • ® SI'ID 7 /8 4000 PSI CA S 770 5.00 L D 30001 MIDI HAUL I_E SS THAtI 8 YDS 3.00 CY :3007`_i 04V I RONMEt-i],Ai- SURCHARGE 3.00 C`{ 3008 READY MIX F�EL SURCHARGE JOB TOTAL SLUMP SPACING ORDERED BY • TRUCK NO. 7VER7 ii'i + iiPi , REMIT TO 912510th AVE. S. WATER ADDED ON -SITE CYLINDERS SEATTLE, WA • AUTHORIZED BY: 98108 ❑ YES TERMS ON REVERSE gals. to full load ❑ YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ JOB NOT READY ❑ LACK OF HELP ❑ ADDING WATER ❑ WHEEL BARROW JOB ❑ YES ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN ❑ DRAW BRIDGE gals. to 1 /3 load ❑ WAITING FOR TRUCK TO UNLOAD El PUMP BLOW -BACK D NONE ❑ WAITING ON PUMP ❑ WASH PUMP ❑ OTHER ADDITION OF WATER WILL REDUCE - WARNING - RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY IJAMAGE TO HIS REAL STRENGTH. WATER ADDED AT SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BACK (5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR SURFACE Additional unloading time charged at current hourly truck rate. DISCOLORATION PRINT NAME DATE -------------------------------------------- BATCH DATA: DELIVERY TICKET NO. 10/03 NBF CUSTOMER'S COPY TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty (30) days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1.25%) per month will be payable on all past due invoices of thirty (30) days or older. CREDIT CARDS ARE ACCEPTED AT TIME OF PURCHASE ONLY, IF PAYMENT IS MADE BY BANKCARD AFTER PURCHASE DATE, A 3% FEE WILL BE INCURRED. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof. without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies, and post -judgement collection efforts. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal, state and local taxes, assessments, fees, duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (including, but not limited to. drivers, quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merlino Construction Company. Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks, damage to the premises and/or adjacent property, or personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from. resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false, groundless or fraudutent, to the full extent permitted by law and subject to the limitations below. Purchaser's duty to indemnify Seller for liability for damages arising out of bodily injury to persons or damage to property caused by or resulting from the concurrent negligence of (a) Stoneway Concrete. a Division of Gary Merlino Construction Company. Inc. or its agents and employees, and (b) the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts, disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indernnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim. s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up, or blowback, will be borne by the Purchaser. An additional charge, at Seller's discretion, will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays, delivery systems, placing equipment, or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing, including concrete strength testing for acceptance, shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a copy of all test results within three (3) working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four (24) hours of deficient concrete compressive strength test results, to retain test specimens. and to make them available to Seller for further inspection and testing. 11. ADDITION OF WATER AND/OR FOREIGN MATERIAL. If water and/or foreign material is added to the concrete by or at the request of the Purchaser, its employees, agents, contractors or subcontractors, Purchaser accepts the concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. 12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties. express or implied, are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price, to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES, Seller assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, including without limitation, Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contract or warranty, must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall Include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15, TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of lass. Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries. including death. and property damage arising from the storage, use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at tops and high enough to, keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothir can be as serious as direct contact, so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediate medical attention if you have persist or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suita NIOSH/MSHA-approved respirator. In case of eye contact, flush with plenty of water for at least 15 minutes. Consult a physician immediately. KEEP OUT OF REACH CHILDREN, USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY USE OR COME INTO CONTACT WITH WET (UNHARDENED) CONCRETE. MORT CEMENT OR CEMENT MIXTURES. RENTON CONCRETE RECYCLERS 22121 17th Ave. S.E., Suite 117 - Bothell, WA 98021 PIT SITE: 500 MONSTER RD. S.W. RENTON, WA 98055 No 79230 A (BLACK RIVER QUARRY SITE) SITE PHONE: (206) 772-2278 BUSINESS OFFICE: (425) 481-9101 Date: Customer: Phone: Address: Delivery Address: Special Instructions: Hauler's Name: Scaleperson: ❑ CASH CHARGE TRUCK# TIME MATERIAL GROSS TARE NET NETTNDS PRICE DRIVER'S SIGNATURE 71 Subtotal DRIVER'S Tax SIGNATURE: _ Total NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customer's property, resulting in deliveries beyond curb line. TERMS: NET 15 DAYS fiom the end of the month. A finance charge will be assessed on all past due accounts at a rate of 1 112% per month. Annual finance charge of 18%. ft DAILY INSPECTION DIARY DAY: �/�/� DATE: Q 8/ (/ /p WORK PERIOD: _ REPORT �� `i % `IS a.m /p.m. to 5 �S a.m. p.m. WEATHER: G L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: Tal fie oil H2o /Ma, w,Z ze 27- 3 /qZ L/ V. AYYI tvI `In a,, ✓o t!/t.!/' M A 9 c t- , u/ S %4.' S 00 13�oc 1- Fa✓��y �'i 2'y ' s�rv,� cv/wi fir IJu.,� o J✓yL1( �,/ c is/c✓^ �` fyyiL-le 1 B, YS t e ,. T,GK­4 I1.7I1 �i << is Wa 4,c ; tti40i, ways/ G/n��tKJ �� �i�.crti l'Y�� _i7`kG �/Osi+ ,/Wuxi✓ 0 9OD,r�„ QA I., Its- any �crn n 60m5lrc.c ViVA w�SO �,. s�� a �?.- ,sGvv ��S ok7 fal keof le, e-c ;el4„ f a f 70 Z S 11 e f O/c ti � "j'l, in Sio/l;ti�, y, i.(/ � �ty �Ox is Blrili=wac, a..� �ta✓'y�, �/i9 DATE: RENTON CONCRETE RECYCLERS 22121 17th Ave. S.E., Suite 117 - Bothell, WA 98021 ' PIT SITE: 500 MONSTER RD. S.W. RENTON, WA 98055 (BLACK RIVER (QUARRY SITE) No SITE PHONE: (206) 772-2278 BUSINESS OFFICE: (425) 481-9101 Date: -; Customer: Phone: _ Address: Delivery Address: 19 Special Instructions: Hauler's Name: T 1 iy Scaleperson: ❑ CASH 0 CHARGE 79166 TRUCK # TIME MATERIAL GROSS TARE NET NET TNDS PRICE DRIVER'S SIGNATURE p-cc 1;)1 r r - i C-1 ��❑ -31 cc)o �❑ i jc-4 ,c) N -10 _ Subtotal DRIVER'S p SIGNATURE: Tax Total NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customer's property, resulting in deliveries beyond curb line. TERMS: NET 15 DAYS from the end of the month. A finance charge will be assessed on all past due accounts at a rate of 1 1/2% per month. Annual finance charge of 18%. DAILY INSPECTION DIARY - - 0 rL- - a DAY: DATE: Oe /to /cry WORK PERIOD: (;YS a.m /p.m. to WEATHER: G (� TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: l a/b8f IV d/. 14,6 Jn-6;-1 c�T 9 -2-7-31`tZ REPORT # a.m./p.m. 2 _2 S{/✓,`c-c f,-,A,k �o.v�vtgr, -,�iu✓;cG t�(i�:n�i�-L✓ r Ell 0-7 +r�ri i 4,k- y, /. � Ti.Kc� hf/aci+aG 3.av jo.t A VJ-00-O4/ i//��✓l0 Cv A&15y/'Gfa /n -t X e�zvcrical SvDnl:c� Du��S c��a[ �� 'c Cevr�ro/ Ic"r W'q�-crt',c-;"!5 !�� S 1 `j4h�/''lQrris ,y_5 �ic5�`'si -d-1'�ory;S i� 50 undi .S 17s? d /"lry,y,5 , V. S.- Lrf�L/'Cyi l�C�,�i Sc•_. R✓<g�J- L'r.� - M,/�� aDf �. - S-[rxN arrTervn,[G� �� t ✓, Dt iYBN/� Sl,v7 O� �� Q Qy �',t�4s�rvt Fi!•'r � �" �A�Arvi !7�'v►D CODS � COf/'f/'ts% ��cr�yR��G°h5 t�'iiG� f ��c� ✓!�i-Lt'�S n0 CO.,�� i.�5 )d��C/_� G(infL�' rlS�l�t�icv5 OjIs�%�� -T �60h0 CaS 4,0 w .s f ; I�/vf1�1 c� ea C✓ /� iG %�G��^L%I !i ryyt ii �Gd f.'c-�'n S >Gbt, rj fa rc_S;a6, i- u / S i7-14,-,-Mer, ;5 Al al C-cina ee- - dlcgti zfi:iL, oD So; l d- M CONTRACTOR SIGNATURE V 'INSPECTOR SI NATUR DATE: Q l,g -a y ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 e Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF Srrz D�ior�xr • FANN6 Con*wcrons m DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE/MAP OUANITY SOLD TO: DELIVERED TO: TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRODUCT PR NDOUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM GROSS WT TARE WT NET WT RECEIVED BY. AMOUNT TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, dowers, city sidewalks, roadway or private property in delivenng matenal listed above to these premises. RENTON CONCRETE RECYCLERS 22121 17th Ave. S.E., Suite 117 - Bothell, WA 98021 PIT SITE: 500 MONSTER RD. S.W. RENTON, WA 98055 No 7,9070 (BLACK RIVER QUARRY SITE) SITE PHONE: (206) 772-2278 BUSINESS OFFICE: (425) 481-9101 Date: Customer: Phone: Address: Delivery Address: Special Instructions: Hauler's Name: _ _ i ; `" Scaleperson: ❑ CASH ❑ CHARGE TRUCK # TIME MATERIAL GROSS TARE NET NET T/YDS PRICE DRIVER'S SIGNATURE Subtotal DRIVER'S SIGNATURE. Tax Total NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customer's property, resulting in deliveries beyond curb line. TERMS: NET 15 DAYS from the end of the month. A finance charge will be assessed on all past due accounts at a rate of 1 1/2% per month. Annual finance charge of 18%. DAILY INSPECTION DIARY REPORT # DAY: MdPA DATE: 0,$/0qP'( WORK PERIOD: ,Yf�/p.m. to a.m./p.m. WEATHER: CL. TEMP. MAX OF MIN OF PRECIPITATION: AZ WORK ACCOMPLISHED TODAY: i�lb�� �l Nam® GzP rR �7- 1itZ � Z- .�ili) /{:,.di�a.� 1. �l ar'�4H.c,c•► �'' Fl�2 i�rv;tee/6L%�t��'��' Z ' v ;" � �� Z - o,aer2fo✓ I -1 S t�y'�-c - w%.,. �fYy 2. — ${vvicL %YvtlC .2� �vvc/C /�I�y'sv' 3-. Ss.✓..�-Lv/s.�c��� S-e e✓ f`` J t tcoAt�` c rsSS;ns S l5 143 2:rySL-/Jim' s t, c i GP/dv /� VZ Ott o/'e'r y ✓�sr - �'�, i7�/ ' l ,�s t_�'c.i}.�. ..1� g% f2 YZISug�..Kq �2 S�►�s�'1 12-- l 1,. /z MzPk�°) -�►`' '7 I �_� � } � 5 i � 5 a .�yi s -c /'�,� /� � � �; �'/. �r-,a ^ S Gf�z `.. -0 Oy! �r� QFi-6G-�k IQ;cK I �Y<Np �•rsA-c-c.�.0/ /�vrµsls, iY�c, c�bs�.+L.. J �, 3 wn�cy iarv`LyS ins/�//ts'( O,r iP/�js ►"� SD ¢Z 3'f( 4�%-l�`ct�s„vf.s^ 2r2?ez ?5�� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: Yi8'09-09 DAILY INSPECTION DIARY DAY: h i,{rS WEATHER: (_ WORK ACCOMPLISHED DATE: TEMP. TODAY: C99 /05- /py MAX OF WORK PERIOD:A.If > a.m /p.m. to MIN OF PRECIPITATION: REPORT 46 14'6 a.m. —L-Z N %a/�aT N;1( N O Ma'., Lt/1 7 3IyZ .� %pow,. L v 5 M r SO A dk k o y w. uk,sowsr f�r,4/s 2 - Si rv,`� .c j �"vG/< L - (fir%yti✓ { 7a g S k. Ivt/< q V'r �O rur� 5 Kir<d, S-y1"ve- 4L" t W.,J �0 CAfc l� �,c., ,/ • curet 8c� b.ry;S %�Vi 5D � 3A i,.,.�iiy 1►cy'l l�s�-, rn;ss��/ .or'ar �o f',� fit,, I lrkve s tics-�.'1 S-cr✓"c �5 Dv+ S/ 5��4 j ti-•' S f a 17 % � W—& — o SeNr v I c_ z6 i o S� e. CONTRACTOR SIGNATURE INSPECTOR STGNATURE DATE: OF)- 0 5--e( DAILY INSPECTION DIARY REPORT # r DAY: �,%+CQ� DATE: Q /011 /B WORK PERIOD:p.m. to qLc a.m. 40, -7-2— WEATHER: 0, (i TEMP. MAX OF MIN OF PRECIPITATION: �V WORK ACCOMPLISHED TODAY: l af�iT_6(;l�3D M -R u!l ..?7-3/y2,_ vl 2- 1 Y✓rd 2 - o ��� e�ce' S c9 - `� n- 4" g-L T— _ Y- ✓ 2. - 7I'✓LK 1?r;✓t/ S ,f- C Oki c r'yL l f=c ec, �✓ 2, s 7oH i 2 ,�► ;hs eoyu�ti�Lvr cat4- SI cll"' 144/./ydc G(!/G1 L � �� C ✓�+N �B /4eo�ts, � � 4 �s.Irw -� (7J^c�< li G.cr ��.C.✓ /t - GNr't, )lra l�mzeyr,ned ii k&;l1 g4m , r-r-tAt A� 4- �Cr %O✓ ��t��[� (A"qg p- fff 2 ��DOa.Na m>n' lA:3d .• 6rr(r, D � o n S � v� D(L/J,�1 "' /►� �► fit.. ; e� %S - mac. [sc �'�. � % e K � f "a i'T� � c e,� �a ( �7 � Yti� /S L3l/S Li�N�LS ON Sift. c ®hcr� f� /��/cs vs�•n�i st���'- d' 441,As t �� �a ✓n%onS /)•«lG 1�� �.t/, fly /r c",df- ��ii i oL L' O I/�'/ s'Yt �X..01 x--L ir►S ii,�Q[(�,t�-cG1 f W. � Lr U<o ��aN ( �o✓ �B/I''� S />y m 4 4- O/if - 11 0 G ► � s I S �`' S � Sr. z a, 08-(7 at PR 0", SlG'��'�' Tel f CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: STONE WAY SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle _ _......_ ___....... .. _.. DELIVERY TICKET 701 CONCRETE ' umvvi `r" ',, ' `u`" — —my nwy.' -N-1. RENTON #14) 915 Houser Way N., Renton SALES/PLANT & (Plant ORDER DESK (425) 226-1000 ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley FAX (425) 228-4924 SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. 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 MAP ZONE CARD # EXP. SPECIAL INSTRUCTIONS r ❑ VISA ❑ MASTERCARD ❑ DISCOVER • PRODUCT�DESCRIPTION• JOB TOTAL SLUMP SPACING ORDERED E't • TRUCK NO. DRIVER REMIT TO 9125 loth AVE. S. WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE, WA • 98108 YES TERMS ON REVERSE gals. to full load ❑ YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ JOB NOT READY ❑ LACK OF HELP ❑ ADDING WATER ❑ WHEEL BARROW JOB [ YES ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN ❑ DRAW BRIDGE gals. to 1 /3 load ❑ WAITING FOR TRUCK TO UNLOAD ❑ PUMP BLOW -BACK ❑ NONE ❑ WAITING ON PUMP ❑ WASH PUMP ❑ OTHER ADDITION OF WATER WILL REDUCE - WARNING - RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL STRENGTH. WATER ADDED AT SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BACK (5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE DISCOLORATION PRINT NAME DATE BATCH DATA: DELIVERY TICKET NO. REV 10/03 NBF CUSTOMER'S COPY ,4 TERMS, CONDMO14S AND WARNINGS � �^ 1 • CREDIT. Condition precedent to Seller's obligation to perform any�and all credit terms of payment.mustt>e set forth in this Contract. In the absence of ary eu6il it fiems, all deliveries under this Contract are "Collect On Delivery" (G(Ip.), Purchaser agrees upgn request to furnish Seller such information as is ,reasonably necessary fob( Seller tb determine Purchaser's financial condition, Seller's obligation.ta.perform under this Contract is subject -to the condition precedent that Seiler shall have 1" (90) days from receipt of the executed Contract from P ttciiaser so that Seller's credit department may review and approve or disapprove: any credit terms of paymentspecified in,"s Contract. 2, TERMS OF PAYMENT. All invoices aredue for payment by the 30th dal after the date of involce, Service charges of one and one -quarter percent (1.25010) per mohth vAl be payable on all past due invoices of thirty (30) days or older. CREDIT CARDS ARE ACCEPTED AT TIME OF PURCHASE ONLY, IF PAYMENT IS MADE BY BANKCARD AFTER PURCHASE DATE, A 3% FEE WILL BE INCURRED. ff a service charge is assessed. it mu%t be paid in order to maintain'an gpen account. Purchaser shall make all paymard"i4lar hereunder in lawful money of the United States and in accordance with the terms hereof. without any retention and without regard to any agreement Purchaser may have +Kith other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals. bankruptcies, and post -judgement collection efforts. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOB&' 3. TAXES. All federal, state and local'taxes, assessments, fees. duties and charges levied by reason of this Proposal are in addition to prices quoted' herein and shallbe,'jW l by Purrhaset. - 4. SCHEDULING. Changes or vaitations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (including, but not limited to, drivers, quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be madisiri concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneuvay Concrete, a Division of Gary Merlino Construcbon Company, Inc. (Seiler) to make use of a path for the delivery of materials and access to the project requiring 7trucks ,to travel beyond' the boundaries of the nearest traveled public. highway. Seller has advised that due to the.rwize and weight_of trucks, damage tothe;premises and/or ad}ont property, or personal injury may occur and that trucks may become damaged. disabled or stuck if Seller makes use of the path hquested• Seller has further advised that it is their.p01lk;y that deliv,atio" . requiring Seller's trucks travel beyond the nealrest highway to obtain access to the jobsiOn at the risk of the Purchaser and that Seller assumes no Ilabilityfor property damage or personal injury that may result. Purchaser agrees,to assume responsibility to Seller and third parties .Jot -property damage,. personal Injuries, truck toliyOq and 'winphln9 expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a resent of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and Ilaboifies to or by third padjas arising from, resulting from, o"onnected wrt�t(ie use ©f, On ed patb for t�.i �f er sp1p ns r qus o> , ground _ or frattdtrlortt. to the 11 exteM ¢errn(tted Yy f_+ arm >tject tQ bow Pure s d!Elswh rrlhiijP > tit i pf oGi1Yy iktpersorts or dame to prop fry caul : by or resulting from 0o'oncu negiigerree vFtt mretz* fi [3irri of Gaty Mef1i 1 srtiry3a¢fy, ff1 iF'iis f agents and employees, and (b) the Purchaser shall apply only to, the extent of the negligence of the Purotipser or its agents aloe employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any imrn�fiity that may be granted it ugde( the Washington State:lndustria) Insurance Art, Title bt RCVV, This waiver does not pen'Mit a direct action by the Purchasers employees agains.tthe Purchaser, Further, the ibdemfiification obligation. under this Agreement shall not be limited in any way by any limitation an the amount or type of damages, compensation or benefits payable to or for silly third party under worker's compensation acts. disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include. as to all claims, demands. losses, and liability to which it applies. Seller's personnel related costs, reasonable attorney's ,fees, court costs. and all other claim -related expenses, including attorney's fees and other casts incurred by Seller to enforce and establish its right under .this Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice,to defend against third party clajm(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on at prbja& •` G. WASH OUT AREA. it will be the Purchaser's responsibility to provide' a su fable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7_ PUMP HOLDS AND 81.,OWS.Il Seller holds no responsibility or /obligation of communication to Purchaser when Pump Company holds or releases orders, Service W Purchaser v+jll,be done lo,tit pestgf Seller' ability, noting Purchaser may not receive on in ) rate of pour requested, It fsthesesponsibikly of Pump Company to,notify Purclfa$sr -2 of all holds and ra1PJ : S ee 3 gy es incurred during Pump Company Efean up, or biowback, will be bdri id by the Purchaser. An additional charge, All Sell 'a discretion, will be %7 uMid CPA to clean u 8. POINT OF ACCE . �d kt$3lt ar s acceptance is at he, trick chute. Seiler will not accept responsibility for physical changes of the concrete caused _ ` p P y P Y 9 by job' delays, delivery - trif fit; or W1, cumstances beyond our control. Q. READY MIX CON. 11rolIasBC agrees that all ready mbt eoncrete testing, including concrete strength testing for acceptance, shall be in accordance with ASTM, UBC and ACI and Qr©7ded'witA a copy of all felt r8§lflt>swithin three (3) working days the performanceof said tests. ; - 110. NOTIFICATION. G YIPRESSiVE STRENGM TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four(24) hours of deficient concrete oompre _ C 1i in test specimens, and1d make them available to Sellerlq further inspection and testing. 11. ADDITION OF 1AL If water andVo3oreign r1l0drial is added Ito the cdricrete by or at the request of the Purchaser,. its employees, agents, contractam or su _ ha concrete as delivered and imaiyes all right torejeci4 ravoke acceptance or assertany claim for breach of any warranty and Seiler is not responsityle t) gf'the concrete. a h 2. WARRAN, Y. Sefer WWWalmts $ii3t'Tite eofnpres5�ive strength of ready, mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design ranio dot the mix desigrtt sold Under this Contract. Seller warrants the aggregate material soli cinder this Contract meets the description and specifications for the same set forth iWthfs Ci>ritrAot No tither walre$fdes, expil"s or implied, are made with respect to Ruch construction rrtatenals, whether they be warrantlea if fitness or warranties of merchantability. Purchaser's excliqlaive remedy for breach of this, warranty shall be to requite Seller. at Sellers option, to refund the perrehasa price, torepair said mawrial, or to r . provide Purchaser with a conforrtldhg Vl4cement f0f •any, non-corfforming ratwials. No consequeln4al famages may be claimed by Purchaser against Seller in connection with r any breach of this Agreement or bread pf warranty herein'. THE PRECEEDiNG WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS.AtLL IMPLIED ` WARRANTIES OF MERCHAN4MIiLITY Atli OF FITNESS FOR ANY PARTICULAR .PURPOSE. '13. LIMITATION ON DAMAGE'S. Seller assumes no responsibility for, and shall not be {lablep. Purchaser for dny 0onequentia► damages incurred by Purchaser In gormection with this Contract,, including without limitation, Purchaser's lost profits, Purchaser's good wilt, and any injury tj person or property proxtrnk ely'resulting from any'Ixeach by Seller or breach of warranty by Seller. t 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing, claims under this Contraiat against Seiler for aRy macron, including: bre*h.of contract or - breach of warranty!, shaltbe as follows:, Notice of claims against $o1lerfor any reason, including but not'llmited W breach of contract or warranty, must bB.giveh to Seiler in writing within three (3) working days after discovery or when discovery should have been made. The written'ajairri'shalt Inclubethe reasons) and 'grounds for the claim aW the dollar amount or rejJef sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITRN'THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHA"SERiORITS RIGHT TO LATER MAKE ANY SUCH -CLAIM. If a dispute arisE9 and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15- TiTLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materiels sold hereunder shall remain with Seller until Seller has received full paymem for the same Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal Injuries, including death. and property damage arising from the storage, Use or handling of said maturiais. 16, CONCRETE WARNINGS. injurious to eyes. Causes skin Irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirl, full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight all tops and high enough to keep concrete from flowing into them, If you are finishing concrete. wear kneepads to protect knees. FIRST AID: if dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar. cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact so promptly rinse wet concrete, mortar. cement or cement mixtures from clothing. Seek.immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended llmds (see MSDS), wear suitable NiOSH/MSHA-approved respirator. '-irrease of eye contact, flush with plenty of water for at least 15 minutes. Consult *,physician immediately, KEEP OUT OF REACH OF CHILDREN, USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY USE OR COME INTO CONTACT WITH WET (UNHARDENED) CONCRETE, MORTAR, CEMENT OR CEMENT MIXTURES. RENTON CONCRETE RECYCLERS . ' 22121 17th Ave. S.E., Suite 117 - Bothell, WA 98021 PIT SITE: 500 MONSTER RD. S.W. RENTON, WA 98055 No 78789 e (BLACK RIVER QUARRY SITE) SITE PHONE: (206) 772-2278 BUSINESS OFFICE: (425) 481-9101 Date: Customer: _ _ _ _ _ _ _ _ Phone: - Address: Delivery Address: Special Instructions: Hauler's Name: } Scaleperson: CASH CHARGE TRUCK # TIME MATERIAL GROSS TARE NET NET T/YDS PRICE DRIVER'S SIGNATURE Subtotal DRIVER'S _ . - Tax SIGNATURE: - Total NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customer's property, resulting in deliveries beyond curb line. TERMS: NET 15 DAYS from the end of the month. A finance charge will be assessed on all past due accounts at a rate of 1 1,2% per month. Annual finance charge of 18 DAILY INSPECTION DIARY REPORT �l DAY: %'y DATE: 08 /03 /04 WORK PERIOD: f q5 <0/p.m. to 1 it a.m. p.m. a-L. WEATHER: O L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: C o : o *_„ i- f.., .�., .Pe u. v > a /tr, K A( Y��✓�;ct w%m-c.,�w 1- v ",g 2 - T i,- i lit 1 5-�vv�c �JyyclC 7- o,ydr.�o/ 0 gy a2.32- Tons cle o9-aZ-e � 30,.64 Tc�s $ R ec'na 'r;mt ? A,- -.- 8 '' Gt/ Ond 2.4r-cr /J C evy, o%c. �c e� a -f' S / G ` � T a l -bet .� r w l� � o rrc�y 9 a HIt Ad naKi �fo ;6 ",bi6 �l l Alin Lc.✓&4 gYiS Liu.c Ytnun �iOn d-rmkf+riw/f 6c 6e.He Conk f' `yr ryer�Gc� C/t[dJ �;✓�cIie,, 60,*+ R:c Al rt/,0 oh otrtS%sra-f;en �� T{a- C.vt' ! r.(/ r a cut qr-c-hc or 41 I7 t t�[ 1 k CONTRACTOR SIGNATURE ,Vzn�-Al a7� 2x AVt-t-,,- INSPECTOR SIGNATURE DATE: 0 B-G) 5-0 ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 e Asphalt Operations: (206) 575-3200 ! FAX (206) 575-3207 ICONM ** 982CF .,oe�omv* • r.hr+c eomw.cmxs DATE JOB NO. / P.O. NO. TIME ORDER NO. SOLD TO: TRUCK NO. PHASE NO. CONTRACT NO. C.O.D. CUSTOMER I.D. ZONE/MAP OUANITY DELPJERED TO: LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. GROSS WT TARE WT NET WT RECEIVED BY: It is specifically agreed that AMOUNT TAX r TOTAL not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivering material listed above to these premises. ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF SrtE D[v[iormxi • Pnnxc Coxmncrons DATE JOB NO. / P.O. NO, PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. SOLD TO: DELIVERED TO: ZONE/MAP OUANITY TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT F AMOUNT UOM NO. GROSS WT TARE WT NET WT I L` •. AMOUNT RECEIVED BY: TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivenng matenal listed above to these premises. BUNG CONSTRUCTION, LLC. DAILY REPORT OF CONTRACTORS REGISTRA77ON FORCE ACCOUNT BUNOCL"981BN Date: Job Name: Item Number/Description Prime Contractor Subcontractor Workman Occupation Hours Worked REG OT Equipment Make & Model Hours Worked REG OT Materials And Or Subcontractors Quantity Description Of Work Contractor Inspector A BUNG CONSTRUCTION, LLC. DAILY REPORT OF FORCE ACCOUNT CONTRACTORS REGISTRATION BUNOCL'98IBN Date: Job Name: Item Number/Description Prime Contractor Subcontractor Workman Occupation flours Worked REG OT Equipment Make & Model Hours Worked KEC OT rr Materials And Or Subcontractors Quantity Description Ot Work Contractor Inspector � s j DAILY INSPECTION DIARY M REPORT 4l DAY: boo DATE:/per/®� WORK PERIOD:4�/p.m. to a.m.40 2-2— WEATHER: c TEMP. MAX °F MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: a ; PYYi tivt �' /►n a n ,00 wt y pvt_ li y'z✓ a, Is Z. %%�/ h„�e%C [ • T�� 3/fie` Ssvd.Y c L!/,��tr Z 2- ?rr c.k /.%;✓sv ro%t IL►A u S h4ol/Ln( Wg fc/ f-ceg c{S go f-lve e;S Sa worK.^n� fl ' 4 - lB k, i- r �0a : r ems(' C ' S: ,G s•ccGti` a f b t 6 / GorNi 4 l�dr Sh {�• e-oHe. nya jey S-e-ey c— 4,4 157'1-7 Mclr;S NVE-5 is a fl"i-tw 5-0✓1I1,c-c w;1-/1 64 S G✓ O K-&� aBue b jr-yn /yy► G��/✓ ✓ Syi i re 41 G Z J6ex i rx fkf- C/-c ne"4f f:�cii/A�S �'�.: S %GY✓iG-L (,y,�� }jfi l<.f't ►n .�IfitrL.G alvtL� }Narsf�fc�( �G 1�dG/C deS,i�-G i rircrr►kH ,.U; [/ co,ty et- do liwz Jscke-H 04- 344 tj"d n.-� +4,- xg5 CONTRACTOR SIGNATURE {.�, fihs t©rZfrp��� �crrA S7%Id�t� Ses��S j �'I��✓; S INSP CTOR SIGNATURE DATE: mB�PZ-Dt� DAILY INSPECTION DIARY REPORT DAY: r r DATE•O % / 0 /© WORK PERIOD:6 ,f (o/p.m. to WEATHER: Q, TEMP. MAX °F MIN OF PRECIPITATION: N WORK ACCOMPLISHED TODAY: u y/itir a4-tv02 �s 3 p ' oz, � � � - /tea �/� �.r G f ro✓t P" l - 4Kar l{sue f -[v✓, cc ld��iv� �tcs^ Z.. �v.ti � � ►'y e �C S 2' �✓✓ c IC- i'ir. �.e r 75ctr S-L,'yic •6 s oil mpolr;s A�.5 -- Alvz �f ti✓o.f S> i s i z#1 d✓t/ Ab /c6 is s o �`yr S liv 4Lr7' W141n w,`: S.cah c;kf �s1ICc�T �m el-s 14 )V � � �©Y SA( I a 4 j $Z 3 /? Vi cvx„ is & oe k,'l c`f cr-0( $Z,-1 Pve Sa a,-Ag is }sdS�;�j Sesdf It,ft S/JRAl7 /L. 04i✓eaepq 'vw CONTRACTOR SIGNATURE INSPECTOR S G TURE DATE: d 7 - 30 -D q DAILY INSPECTION DIARY REPORT �k DAY: ( kt&,� DATE: 0?/2q/01WORK PERIOD: ``l (9-/p.m. to U y5 a.m.to WEATHER: C ( TEMP. MAX OF MIN OF PREECIIPITATION: %V WORK ACCOMPLISHED TODAY: # Z i - avcM-/er ''154*1Aed new s—',e,6 reel,— Str✓;cc czfMapr;.5 /Tui% sd I key or r'cp/ac.�� lash Scr✓,`cti o.� 519��' ST r�.,,�-/ J�grt=� dc.rplir�+'as. $try ccf NOr�J-t o... /Lick/`�S Q✓ S � �irati.,c/ c�,?.-<, cl i�Yc�t-1- -f� in on htY � Ty 4h TR1hef Rt� R/Sa S I of>b` �` � tv.S /�✓ s bu<,clG a lSd O�o t- inS T� � Lti� 1y� W-ed z T i Y. A crtw :S-,n C- c 4 rc/< e-� /ems •ne ire 4 ; 4 �Te so, 8' n'-T -A s 14 -1, Y. do /<C l i✓tY{ d( lO 4,a A CONTRACTOR SIGNATURE IN CTOR SIGNATURE DATE: 0 -7-Lf!q RENTON CONCRETE RECYCLERS • 22121 17th Ave. S.E., Suite 117 - Bothell, WA 98021 PIT SITE: 500 MONSTER RD. S.W. RENTON, WA 98055 N-o 78454 (BLACK RIVER QUARRY SITE) SITE PHONE: (206) 772-2278 BUSINESS OFFICE: (425) 481-9101 Date: Customer: Address: Delivery Address: Special Instructions: Hauler's Name: I,IT.TAT-23 Scaleperson: ❑ CASH ❑ CHARGE TRUCK # TIME MATERIAL GROSS TARE NET NET TNDS PRICE DRIVER'S SIGNATURE Subtotal DRIVER'S ' SIGNATURE: � Tax Total NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customer's property, resulting in deliveries beyond curb line. TERMS: NET 15 DAYS from the end of the month. A finance charge will be assessed on all past due accounts at a rate of 1 1(2% per month. Annual finance charge of 18%. RENTON CONCRETE RECYCLERS • 22121 17th Ave. S.E., Suite 117 - Bothell, WA 98021 PIT SITE: 500 MONSTER RD. S.W. RENTON, WA 98055 No 78452 (BLACK RIVER (QUARRY SITE) SITE PHONE: (206) 772-2278 BUSINESS OFFICE: (425) 481-9101 Date: Customer: Phone: Address: y� Delivery Address: Special Instructions: Hauler's Name: E Scaleperson: ❑ CASH CHARGE TRUCK # TIME MATERIAL GROSS TARE NET NET TNDS PRICE DRIVER'S SIGNATURE Subtotal DRIVER'S Tax SIGNATURE: Ilk / y Total NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customer's property, resulting in deliveries beyond curb line. TERMS: NET 15 DAYS from the end of the month. A finance charge will be assessed on all past due accounts at a rate of 1 1/2% per month. Annual finance charge of 18011o. DAILY INSPECTION DIARY REPORT �P DAY: t,�,A.L� DATE: p%/,2�/p� WORK PERIOD: C.W(O/p.m. to 4t,/5—a.m. � Z-Z WEATHER: GLL TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: T wZ 7- 3) y Z r y'NI. �ac.{��Irl. Z - j ►` l - F(n Wall � �� �4��'C� �',6ssc [ �� Lf/ar��✓ 'f tY✓i its t7yl �dfi,S /"�}V� � b o vt S �a /frdi � H u�tas✓ .S�r:v{s O� S 1 G1 �' Sj' tohc 1(4- /, 923 IHor,-,-5 4me So / fmGa�rs�7 �L%ar5 b way�v t-"ir-f'sy Dfn i/G/�1,5 I �'c�l�,✓<// I.li,�l. C f (AA M: [f G d- k a 7 7r- T CONTRACTOR SIGNATURE (V� —� g /Z 2) r 2?1" r /e�— INSPECT R SIG ATURE DATE: Q 7-.Z c9" r--l' DAILY INSPECTION DIARY REPORT # DAY: DATE: 07/27 /Oy WORK PERIOD: /p.m. to 4(:(S_a.m. WEATHER: G r, TEMP. MAX OF MIN OF PRECIPITATION: N WORK ACCOMPLISHED TODAY: C. G �.: �/wr-c", Y" �aN ��ec.y.c✓' rvlca T {Y' i � /S '¢ 2�58� ���kki� z � �o.•.azlu-cr �- 1n � Styv«-�5 LU�iL�c..�ic� N s-e 8 �'�Y e S l 4 t c. 5 T LSo (✓S i 2 hr etstte'! %.-.Sf�//•t� �._�� S-cryictS Gllr�iv�ytsr evr ��v+5 k4y,�6 /rh G� c% 15��.�7�%/l 4N /ff �•,� S[r✓i c•/S fct� fy,rz� 1 e•A, c /&Ae & e,Ale r,� q-1t cd Wad *M 4 5 t 4 / / l N�e�i✓-C �W!/--,i- +iG" iUs �✓i•fp"K,C LsH� We 5,,. A l S/ 1-4 4,519 I.3 T.QL L%'fS (_2 Z � V,= � - 2� � ?!:: �e W_ CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: Mp/A DATE: 07 /,2610ac WORK PERIOD: a /P.m. to k;/S a.m. WEATHER: C TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: L� AviOYncsh� Ilan lee c /cp- Ma Fu•; ods ` •2 -.� 0D K14o!•fi�c✓+ .{/ I _ TIYr7� �- SeeV iG { ! ✓•4/i� ` " r 0✓4i'V+sr/► �(„�S^� 10s1, sa.e� ©T-12 -o y " d, ILlMs.6✓ f � Ah I' Y i GI6 � I ] � =Z �' o �/ INS ✓�G 'j I ®br II H �: G /C- % l PLUG it O —M gr -2, 6F —k< l CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 0 7 -_a G - 0 -t( I - DELIVERY TICKET STONEWAY ROCK & RECYCLING ACCOUNTING (206) 762-2566 ACCOUNTING: 9125 TENTH AVENUE SOUTH SALES/PLANT & SEATTLE, WA 98108 • (206) 762-2566 ORDER DESK (425) 226-1000 BLACK RIVER QUARRY FAx (206) 762 2358 510 MONSTER ROAD • RENTON, WA 98055 • (425) 226-1000. EX. 3339 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. 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. JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) ❑ CASH CHECK# CHARGE CARD # EXP. / SPECIAL INSTRUCTIONS L- VISA - MASTERCARD [I DISCOVER •m7 •�DESCRIPTION TONS• DRIVER TRUCK NO. ORDERED BY REMIT TO 9125 10th AVE. S. • DISPATCHER TAX CODE TIME DUE - SEATTLE, WA 98108 TERMS ON REVERSE RELEASE - CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY ROCK & RECYCLING, A _ DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL • PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON REVERSE. CUSTOMER SIGNATURE • PRINT NAME DATE • REV 05/04 NBF PLANT COPY ::. TERIW1S, CONDItOWS AND WARNTN+���-. - 1. CREDIT. Condiflon preced6hto SsIWs obligation to perform any and all: C►edit terms of payment must be set forth in this'Co�_Itthe ab cre of a such credit terms, all defiveriesi 3t�jsrrtrt "f.cillect ( De�yery" (C.QQ.)^. Ptrcaseragases upon request to lr'sitt frhf81<Fc�fi �1 is F�sona4l rses inr-Seiler toSnrT18 PUFEha�er of that e%ardr ieract fromaPurc so tha that s c►di under this adect 4partment revi' precedent that Seller shall have thirty(30 days frdrri d approve or disapprove any credit terms of payment sped_yi this Contract . `2. TERMS OF PA'ir1A Nt. Ail invoices are due for payment by the 30th day after the dot*of invoice. S64ice charges of one and One -quarter percent (1. 'i) per monttrwill bg payable on all past due invoices of thirty(30) days or older. CREDIT CARDS AREACC€PTED ATTIME OF PURCHASE ONLY. IF PAYMENT IS MAl'31=-iW6oftcARD 1>IFTER PURCHASE bATE. A21V!f MILL 13E INCUARED. Tf e, service charge Is assessed, it must be paid in orderto maintain sari open account. Purchaser shall make all payments due hereUf* in lawful Money of.fihe United States and in accordance with the terms hereof, without any, retention and without regard-trranyagreernent Purchaser rimy-ave with other parties. Should legal action be initiated to collect this invoice, the'prevailing party shall 6� `ei r�ln rsdr�'F b l t nay feekand r4sts, including appeals, bankruptcies, and post -judgement collection efforts." SYONEWAY ROCK & RECYCLING ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERtALMAN'S NOTICES TO ALL JOBS. J& TAXES. All federal=state andlocal taxes, assassment% less; duties and charges levied by reason of this Proposal are in addition to prices quoted herein and _shall bq paid by Purchaser _ _ L+ 4. DEFY ITIONS P,�tochaser has rgpy �ed Stotteway Rock & fiecycring, a Division of Gary Merlino Construction Corns ahy, Inc. (Sellelka - make use o ft igrth,v�aie� of materiaW aril access to the projea'Grequilrirtg trucks to travel beyond the boundaries of the nearest travetec public i� highway. Seller hataadvjseel tha 'due to the srze. and weight of trucks, diamage'to t ie prerrirses and/or adjac$rrt property. or personal injury may occur and 1hat'trucks may it come damaged, dimpled or stu�: rf Seller makes use of the path requested. Seller has further advised that it is thelrpolicy that deliveries I ,true towing wi , or age o s eca roe arnaged'. fed or' ck as a fesu i making use of the path request. •or for delivvery of materials and access tb*e'6rojeat slue. +Purchaser also agrees to indemnify, hold harmless, an defend Seller from any claims, demands, losses, acid liabllftfes to or bytWrd parties arising finel; resulting from, or connected with the use of the request pafhfor the delivery of materials whether such claims may prove to be true or false, groundless or fraudulent, to the full extent "permitted* law and subject i to the limitations below.Purchaser's duty to indemnify' Seller for liability for damages,arfsfng out of bodily injury to persons or damage''to property cause by or resulting from the concurrent negligence of (a) Stoneway Rock & Recycling, a Division of Gary Martino Construction Company, Inc. or its. agents an employees, and (b) the Purchasler shall apply only to. tpe extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchasers indemnification obligabon only, the Purchaser specifically and expressly waives any immunity thatmay be granted It under.the Washlrlgton State Industrial insurance Act, Title 51 RCW. Thits waiver does not permit a direct action by the Purchaser's employees against the Purchaser.. F-mrth, th ` indempifirratign',obfigaban under this Agreement stiall not be limited in any way by any limitation on the amount or type of damages, com�nsallAr� beta . able ratlffbr any third party uh vrarfcer's compensation acrks, disability (fit eats, ar their err►pt acts. Thy romise of indemni 1:- ---s "" pe cesa FFnjuries to es - e nt 3t . ado Seller harmless sho ; ' rnclud as'to ail clams. de►nan�)s, losses. and IiabrNty to which tt applPes, . la's pet'sgitfhe'I related costs, reasonably ie#tomey's fees, court costs. and al� nthaF cletm related elgaenses, including attorneys fees and other costs iri¢urrecl by I 11 t tis enforce a11d establish its right under thisiAgreemeft *orl , Sellerds'tendpr t d+afense under ttris Agreement, the Purchaser agrees io appoint q s l of Setlar'a. hoitjla to defend against ttilpi9 paFLy claim(s)ucs 1 cqursSel will be 8t the sole expefise of the Purchaser Seger is not responsiblefar means and metttcdS'af plaementof readq mixed cosrcrB> e or agg i� products an a project. r- 5. LIMITATION " DAMAGES. Seller assumes no responsibility for, and shall not be liable to. Purchaser for any consequential damages incurred ' Purchaser in connection with d* Contract, including without limitation, Purchaser's lost 'profits, Purchasers good will, and any injury to person or properttl proximatelyresuting from any breach by Seller or breach of warranty by Sailer. 16. CLAIMS AND RACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including bre%t of contract or breach of yvarranty, shall be as follows: Notice .of claims against Seller for any reason, irfeluding but not limited to.'breach of contract I or vArrenty, must be given to Seller in writing within three (3) worldng days after dasoauery or when dis-coirery;should have been made. The written claim slim . includetbip eason(s) and grounds for the claim and the dollar' amount or relief sought. FAILURE OF PURCHA;�ER TO GIVE SUCH NOTICE WIT14IN THREE (3) WO>3OW LAYS SHALL CONSTITUTE A`WAI'VER BY PURCHASER OF ITS RIGHT LATER MAKE ANY UCH CLAIM. If a dispute arises and cannot be resolveiC thq parties Involved agree to binding arbitration through non -legal personnel. 7. TITLeAyll KW OF LOSS. Unless otherwise expressly stated herein, title to, the materials sold hereunder shall remain with Seller until'Seller has received full paym fcri 4 same. Risk df lbss of the'materials sold undef this Contract shall pass to the Purchaser upon delivery of the'same, at the place of delivery designs herein, Thereaftdr id ition to assuming all risk of loss, Purchaser shall be. responsible for compliance with, all governmental regulations and ordinanads with: regard to storage o; placement of thesame and shall indemnify and hold Seller harmless against all claims fbr persong)[44urie'% including death, and property damage -arising from the storage, use or handling of said materials. ^r t .+s _ W -I f DELIVERY TICKET ,TONEWAY ROGK & REGYGLING ACCOUNTING (206) 762-2566 ACCOUNTING: 9125 TENTH AVENUE SOUTH SALES/PLANT & SEATTLE. WA 98108 • (206) 762-2566 ORDER DESK (425) 226-1000 BLACK RIVER QUARRY 510 MONSTER ROAD • RENTON, WA 98055 • (425) 226-1000, EX. 3339 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY. INC. FAX (206) 762-2358 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. JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) ❑ CASH - CHECK # ❑ CHARGE CARD # EXP. / SPECIAL INSTRUCTIONS C VISA ❑ MASTERCARD 'I DISCOVER • PRODUCT DESCRIPTION • I ® • DRIVER TRUCK NO. ORDERED BY REMIT TO 9125 10th AVE. S. • SEA98108 WA 8108 DISPATCHER TAX CODE TIME DUE TERMS ON REVERSE RELEASE - CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY ROCK & RECYCLING, A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL _ • • PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS ON REVERSE. CUSTOMER SIGNATURE • • PRINT NAME DATE REV 05/04 NBF PLANT COPY t 5y_ TERM% CONDMONS AND WARNING§- --' 1, CREDIT.. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this' oI request to ntlyd' fin the absonne of any such credit terms,. all deliveries un Contract ne t►aser'sare ilatA finanOn Wivpcia4 o©ra sari Seller �_ 'ga#onto aes u m u der -this Copt r such olrr► ion ors rs reaseynak}41r�fite�se $sry for -Sell t c# issubject to the condition precedent ghat Seller shall have thirty (30j day§ firom'receipt of the executed i;efi64! m Purchaser so that Seller S'credit department may review and approve ar cifsapprove erTq credit terms of payment specified in this Contract. - TERMS CW PA . Ail invoices are due for payment by the 30th day after the dat6 bf invoice. Service charges of one and one=quarter percent (1,OS'%) { per month rf,±±ill bepeyablepn all past due invoices of thirty (30) days or older. CREDiTiCAADS ARE ACCEPTED ATTiME OF PURCHASE ONLY IF PAYMENT IS MAID b_AIFTFRkWHA'SE bAiE: A39�. F6 WIEL 13E N- CURRED.lf a service charge is assessed. it must be paid ip ordprlo maaintain air I open.account,, Purchaser."I "a all payments due hereunder in lawful money of the United States and in accordance with the terms neregf, without any rete6bon,arld wit � to agreement Purchaser may-tWe with of t# parties: -Should legal -action be initiated to collect this invoice; the prevaiNr ■• party shag• Gdq e i tornelr ides and costs; InnOuding appeals, bankruptcies. and post -judgement collection efforts. °SiON�tNAY BOCK & RECYCLING ROLITINL-LY EXMCiSM THEIR RIGHT TO SENAT D FtiI'ALMAN'S NOTICES TO ALL JOBS. rY 1 3, TA6Akfaderal, state aneilocal taxes; a�nts and charges levied by reason of this Proposal are In addition to prices quoted herein and shad bRj49by Purchasel_- '4. DELI}ppNpl l (Oil hasBr has f led Stoneway'Ifi�k & Recycling, a Division of Gary Medino Construction Cailirrp$* InG- (Seller) to i make use it a Oath for the d of materials and access t4 *ie project requiring trucks to travel beyond the boundaries of the nearest traveled public highway, Seiler has,advisO that due to the siie and weight o-nrucks, damage to 66 premise's and/oradjacent property. or personal injury miy occur and that trucks rrta_+ become,&Fllti4ed, disabled or stuck if Seller makes use of the path requested. Salter has further advised that it is Their policy that deliveries I lhjurles, t Ck tpwirtg and winc6l expenses, and/or damage to Sellers trucks shoilfd the trucks become -damaged, disabled or stuck as a MSUIT o1 N lei' making use of the uesied or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, an defend Suter from a, Claims, demands, losses, and ttabilities tc% on by third padlilis arising from, resulting from, or connected with the use of the requested path for the delivery mal*ials whether such claims may prov"o be true or false, groundless or fraudulent, to the full extent permitted' by law and subjec} to the limitations below. Purch� Sr's duty to indemnify Seller for liability for damages arising out of bodily injury to persons or damage to. property taus i by or resulting fi�arri the cone nt negligence of (a) Stoneway Bock & Recycling, a Division of Gary Merlino Construction Company, Inc. or its agents a rid emptopes, and (b) the Purchaser shall' apply only to the extent'of the negl'igenee of the Purchaser or its agents and employees. For the purpose of thI Purchii6r's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCUW. This waiver does not permit a direct action by the Purchasers employees against the Purchaser. • Further, the rndernni{cation obligation under this Aw, ement shall not be limited in arty Way by any limitation on the amount or type of damages. coi»ensation or benefits payable to or for any third party under worker's,eomperldation acts, disability benefit acts. or their employee benefit acts. This promise oti ndernnitl specifically _ l cta�etlettiands, lurbsses�attd liability, t � � n employees.. The undersigned's duty to defend, indemnity and hold Seller harmless shall tp ly applies I g include, as to ab It applift Seller's personnel related costs, reasonable attorney's fees, court cosh, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this' Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice', to defend against third party claim* Sidi 1 counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project, r5. LIMITATION ON DAMAGES. Seller assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incun'ed' 4 Purchaser invonnection with this Contract, including without limitation, Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seiler or breach of warranty by Seller. �B. CLAIMS AND BACK CHARGES. Purchaser's exclusive p ure for commencing claims under this Contract against Seller for any reason, including breach of, contract or breach of warranty, shall be as follows. "ce of claims against Seller for any reason, including but not limited to, breach of contract or warranty, must be given to Seller in writing'within three (3) worteing daysafter discovery or when discovery should have been made, The written claim shall .- include there4#n(sj*W grounds for the claim and the dotter arridunt or relief sought. FAILURE OF PURCHASER TO GIVE SV.CH NOTICE WITHIN THREIi f (3),WORKiNG C�NYS SHALLCONSTITUTE A WAIVER BY PURCf•AA ER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. ff a dispute arises and cannot I be resolved, the parties Involved agree to binding arbiRm ton through nonlegal personnel. 7, TITLE AND RISC OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, of the place of delivery designated heroin: Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shalt indemnify and hoW Seller harmless against all claims for personal injuries, including death, and properly damage arising from the storage, use or handling of said materials. f DAILY INSPECTION DIARY / REPORT 4i DAY: I kuy�S DATE: 0712-2/0q WORK PERIOD:tole/p.m. to 4,(s a.m. G2- Z WEATHER: G(- TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: l a / bP f H ;11 n M YC - 2.7 - -315t Z dB i a % , .14dAlm �-- -0 �c 3 '/ V;cl�4 3i(4 as f a5 .Soyfti s �4"J;,-sue Gi t S I S ,�) . �3'b�grrSS.N� Sou>�. 2 vt.r,:•+o9tr�! ;a/c Mop -Hu l ky 4 Z G,,, -�� z 3- o y ca/V4—,a Gdi/Byitintti 0 K x 5`ad , 8 /` r� ✓ o-7-Z �- d C4 c t lysl,id% CONTRACTOR SIGNATURE INSPECTOR nGNATURE DATE: 7-,Z2 -Ot IF DAILY INSPECTION DIARY DAY: L(/�� DATE: f?-? /,_I /QV WORK PERIOD: ,) a.m./p.m. to Li"15- WEATHER: (-L, TEMP. MAX WORK ACCOMPLISHED TODAY: OF MIN 'F PRECIPITATION: REPORT a.m./c:L-) 2-2 v ; -,c.1 can ct A f i,n.ulS �G r 1 86 Z Ace.* v r .csl�sr+'1 .ry i-�-1 Gs+ S / l fti 1Glk.-t is v1 � •� c'G C,.� l Z . c�O' t i f C cc � r G i' l tv 2v Tu / bo t u. 5 ,-o.�., , $ s ��� i , b < �� I � t7 It Bv`10 C Ot i S f Cf�_ CONTRACTOR SIGNATURE 4a INSPECTOR SIG TURE DATE: (9 � - 2 /, 0 SALES/DELIVERY TICKET 584622 8Ab22 LOAD f Administrative Offices- (206) 764-3000 Dispatch-11-800-750-0123 P.O. Box 1730 5975 E. Marginal Way South G L % C 1 E R Seattle, Washington 98111 Seattle. Washington 98134 LEAVE PLANT ARRIVEJOB / N O R T H W E S T START POUR / �l WARNING: IRRITATION TO SKIN & EYES "" This product contains Portland Cement. Freshly mixed cement. mortar, grout, or concrete may cause skin irri4ion REASONS FOR DELAY TIME ❑ JOB NOT READY ❑ LACK OF HELP FINISH POUR and/or allergic reaction. Do not use without protective gear and clothing. Avoid any direct contact with skin-&sh exposed areas immediately with water. If cementitioLls material gets into the eye, rinse immediately and repel dly with water and get prompt medical attention. RETURN TO PLANT KEEP CHILDREN AY. ❑ WHEEL BARROW JOB ❑ PUMP LATE/PROBLEMS ❑ OTHER RECEIVED BY /- - X 1 TIME ALLOWED WATER ADDED AT CUSTOMERS REQUEST TEST CYLINDERS TAKEN SLUMP ON ARRIVAL = GALS. TO FULL LOAD ❑ NO ,1 ❑ YES SUPERPLASTICIZER Total amount added in gallons TIME USED EXCESS TIME GALS. TO 2/3 LOAD GALS. TO 1/3 LOAD ❑ YES ❑ YES. Trial load TICKET # PLANT GUST. PROJECT # DATE P.O. NUMBER ORDER TYPE ORDER BY PHONE CUSTOMER # TAX CODE SOLD TO ZONE SCHEDULED ARRIVAL TRUCK # DRIVER NAME D STD. BY TIME LOAD # E L I T V O . CUBIC YARDS RETURNED CLEAN-UP PRE YES NO (Explain) E POST YES NO (Explain) R DELIVERY PRODUCT YARD SKS AGG TYPE SLUMP SIZE CEMENT LOAD QUANTITY OTAL QUANTITY PRODUCT CODE U/M UNIT PRICE AMOUNT t COMMENTS SUBTOTAL TAX WATER ADDED ON THE AUTHORITY OF TOTAL READY MIXED CONCRETE BUILDING MATERIALS SAND & GRAVEL CUSTOMER C; C R.NORTI3VVEST, iNC: = DELIVERY TICKET i:P 'IRAL TERMS RIND CONDITIONS 1. PAYMENT: All invoices.are due for net payment by the last day of the month following the month in which the purchase vvas made. APPI Ifr4BLE cash dfscottnt{ ttlfowed if paid on, or by the Ithh day of the month following date of purchase, pr . r;tf no priIor invoices are past due. A monthly service charge of l5° ,per ttioi4lii (18% 'emalutum) 8411 be charged and paid on all past due balances. If a service cLAMB assegat itmust be paid together with all delinquent amounts, at SeUer1#gption, in order teniiiatalm an open account with Seller. If Buyer fails to make payment ac - tc0ih terms and conditions contained herein, Seller shall ribt be bUgdted to make anv further deliveries to Buyer, may elect at any time to cancel all or part of tht' filled order- and proceed to enforce all legal rights for collection of the delinquent amount, 2. ACCEPTANCE: BUYER'S REQUEST FOR DELIVERY OF MATERIAL ORACCEPTANCE OF MATERIAL CONSTITUTES ACCEPTANCE OF SELLER'S GENERAL TERMS AND CONDITIONS OF SALE. 3. WAIVER OF OBJECTIONS: Buyer waives any objections to charges assessed in?Seller's Invoices unless Seiler is notified by Buyer within 10 days of Buyers receipt of -Seller's Invoice. 4, DELIVERY CONDITIONS: A11 concrete detiveries will be made in concrete traatlit mixer truv*S'tatless Otherwise noted. The Buyershall prov-idl suitable ". as. road- ways and approaches to points of delivery. If suitableroads, Actress or approaches aprnot pro vi tett, _Seinermay 'stop deliveries wrtil the condition is rerncdied'. In the event Buyer orders delivery beyond the curb line, Buyer shall indemnify and hold Sell less against all claims, loss, cost, damages, expense and liability resulting from damage to the premises. Buyer shall be liable for all damage to Seller's trucks car by unsuitable seem-, roadways.or approaches to the point of deliverv:including with- out limitation, truck towing charges. 'Buyer agrees to handle all materials aupplied.b,y Seller o conformance with ASTM', requirements. requirements. Seller is not ponsible for job site conditions. Seller reseries the right to refuse to deliver materials to a job site utte'ler.eonditions the Seller deems adverse. 5 .- MATERIALS- All materials are produced to meet the applicable ASTM specifications. All tests of concrete must be made according to applicable specifications and by a WABO (Washington Association of Building Officials) or an Oregon certified testing laboratory. Buyer shall bear the cost of inspection or'testing trade by or on behalf of Buyer to determine compliance with ASTM specifications. 6. DISCLAIMER OF WARRANTY: SELLER MAKES NO GUARANTY OR WA ftANTY OF MERCHANTABILITY FITNESS FOR A PART.ICL4..Ai, PURPOSE 6R' USE, PERFORMANCE. EXPRESS, IMPLIED OR STATUTORY. SELLER SHALL RAVE NO LIABILITY FOR CONSEQUENTIAL, INCIDENTAL, LIQUIDATED OR (YCIiER DAMAGE HOWSOEVER CAUSED. SELLER'S LIABILITY TF A.4Y iS LIMITED TO THE REPAIR OR REPLACEMENT OF NONCONFORMING MATERIAL. SELLER'S OBLIGATION TO REPAIR OR REPLACE NONCOMRivIING MATERIAL. SHALL TERMINATE 6Q DAYS AFTER DELIVERY OF �J MATERIAL TO BUYER. 7. ADDITIVES: Additives, admixtures and other products are available at Buyers sole expense and risk. Buyer expressly assumes all responsibility fotpngredients added to the concrete without Sellers approval. Such addition shall void Seller's warranty oPie material specifications. S. CLAIMS: Seller shall not be liable for correcting or replacing any nonconforming or defective materials unless Buyer promptly notifies Seller of the problem and Seller s responsibility is pnaven by Buyer. Seller shall not be liable for any special sheet- itpd_ircct or consequeatial damages caused by reason of said materials thilurg. defect nonconformity. Any claim for nonconformity or defective materials or for any othet dMise whatsoever shall be deemed waived by Buyer unless written notice is given to Seller within 6d days after date of delivery. Seller shall have a reasonable opportunity to investigate all claims. g. CONDITIONS BEYOND SELLER'S CONTROL: Seller shall not be liable for delays in performance from any cause beyond Sellers control, including but not.lirnited to, fire, earthquake, flood, windstorm, or other natural disaster, labor stoppages, lo$VAuw. strriW or cater d fl'erence4 with employees, war, riot, or embargoes, failure to secure materials necessary for manufacture and production of those materials, Cities+ an- gtwetttrtttytt agency or authority. Vttt�g the titre of any slicb delay, Seller shall have the right to apportion among it- various customers such material 4s Seller may manufacture and deliver. In no event shall Seller be liable for consequen- tial, special or incidental damages, including without limitation, liquidated damages for delay or failure to deliver material. Seller shall not be liable for any physical changes or damage to the material caused by job delays, delivery systems, placing equipment, or any other circumstance beyond Seller's control. 10. TAXES; Prices quoted do not include any federal, state or local sales or excise ta.J. 11, MATERIAL QUANTITY: The terms and prices stated in Seller's Quote and inwit s are based on Buyers estimate of material quantity requirements. in the event that - Buyer fails to take the specified quantity of material, or requests cancellation of a livery after Seller's trucks are loaded or two hotus before it schechded-delivery, Seller may charge Buyer' for the cost of the material, including without limitation, Seller' cost of securing ingredients necessary for manufacture and production of the material and any other costs incurred by Seller attributable to Buyer's cancellation. Seller is of required to provide more material than the estimated quantity of material efttained in-Buyei s Purchase Order. Seller assumes no responsibility for any change in Btia+ft order or quantity requirements. unless such change is eonfirmrxl in writing by B.ttyer and accepted in writing by Seller. Any price variation resulting from such change shall become effective immediately upon Seller's acceptance of such eltang-6 or as the parties may otherwise agree. r 12, COLLECTION EXPENSE: if any account is not paid when due, Buyer shall be liable to the Seller for all costs fees and expenses incurred in collecting the balance due. Such expenses shall include attorneys fees whether or not legal proceedings are instituted, and if insiittited, shall include all other costs. fees, expenses and, including with- out limitation, expert witness fees incurred in both the triaiiarbitration and appellate proceedings, 13. INCORPORATIOIN CLAUSE: All terms and conditions contained in Seller's Quote Purchase Agreement/Credit Application and Invoices as now exist and as may be modified, are expressly incorporated herein by this reference and made a part of the terms and conditions of this Delivery Ticket. The terms of Buyer's purchase order or contract notwithstanding, all sales to the Buyer are subject to Seller's General Terms and Conditions incorporated herein- In case of a difference or inconsistency between Seller's General Terms and Conditions and Buyer's purchase order or contract form Seller's Geru^ral Terms and Conditions shall prevail. Customer assumes full responsibility for the weight of the load and for the ability of the vehicle to bear the weight of the load and for traveling over, across or on any road. path or entryway. Customer will defend. indemnify and hold Glacier Northwest harmless From any claim that may arise due to the transportation of materials purchase&1y eui- tomer. _ CUSTOMER SIGNATURE WALING CONTACT WITH FRESHLY MUTED CEMENT MORTAR. GROUT OR CONCRETE MAY CAUSE SKIN BURN. AVOID DIRECT CONTACT WHERE POSSBLE AND WASH SKIN AREAS WHICH HAVE BEEN EXPOSED TO SUCH CONTACT PROMPTLY WITH WATER. IF ANY CEMENT OR MATERIAL CONTAINING CEMENT GETS INTO THE EYE. RINSE I.MMEDiAT.EI.Y AND REPEATEDLY WITH WATER AND GET PROMPT MEDICAL AWENTION. KEEP OUT OF REAQH OF CHILDREN Page 2 DAILY INSPECTION DIARY REPORT �l DAY: (�-C DATE: D%/2O /dY WORK PERIOD: C;q a.m /p.m. to :/S a.m. L`� WEATHER: i, G TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: ia(bB� N�II N,d M ICU; -Z7 31V7 #� 1 - Cliff liJSb Z'oi��G✓ �/' ��` d1 �(j �/ �✓1/C� ! _ ! Ott /�VeNH l 4f � il.L JJ -1 � � 7 f (//_A 7 4 N ©N S I S S Jy SS 7 ""I, J � L�r`c M:,tty Y�Nr, 9 Gv✓� 1 2 h�- dam(:ti fPGn �,cffiy�G new ,oh, fI ol {✓ 6-eo 5,,.,41 IvBv%.��a L4--, X - ✓alert//qu f hptf� h1cn A 4e0ut,01 h-v Lt/� � { ✓ � � 5 f � r n � � ©� � t�, � G G c "Y tZ361 1 4L,o o-7�li SD wK%/� c �V<r��1� [.f.,� 1, S,tY � S� t< 'f -t-B✓ LG'<o�hsSs*��, y CONTRACTOR SIGNATURE ) ro� /j � - �, Z/- / I T /-- /-�—z / c -x SPECTOR SIGNATURE DATE: C9 7-2 0- DAILY INSPECTION DIARY REPORT DAY: M o o DATE: WORK PERIOD: t; �'fs�i /p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: fU WORK ACCOMPLISHED TODAY: +ys le # " -. 0gi- ..." f/ jl 2- �-c�✓; r r✓o,/C 1 17,•, i•�d 3 I.Zs ws 4 4 ( i i /ccs c�t U JA40j .2'' ?.� �s y' ��low 8 17L /v4 t:yti ,ol- Geo d.11 t//�t,- ;a a✓ o�-Lo-oy d� 4 •oa R.1.. S/3 3`'� 1�Rv:s a.,,A' �:s- /ot 5Fo✓ 07-Z/-0L/ /. -ti.r -7 to CONTRACTOR SIGNATURE INSPECTOR SIGNATUR DATE: 07 -/ -7- d y RENTON CONCRETE RECYCLERS 22121 17th Ave. S.E., Suite 117 - Bothell, WA 98021 PIT SITE: 500 MONSTER RD. S.W. RENTON, WA 98055 No 7 7 9 g 2 (BLACK RIVER QUARRY SITE) SITE PHONE: (206) 772-2278 BUSINESS OFFICE: (425) 481-9101 Date: Customer: Address: Delivery Address: Special Instructions: Hauler's Name: aAT$m Scaleperson: ❑ CASH ❑ CHARGE TRUCK # TIME MATERIAL GROSS TARE NET NET TNDS PRICE DRIVER'S SIGNATURE Subtotal DRIVER'S Tax SIGNATURE: Total NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customer's property, resulting in deliveries beyond curb line. TERMS: NET 15 DAYS hom the end of the month. A finance charge will be assessed on all past due accounts at a rate of 1 1/2% per month. Annual finance charge of 18%. ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM irir 982CF s� ocveiovmex* • cxvwcoxrxnc*ons [DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. ORDER NO. CUSTOMER I.D. ZONE/MAP QUANITY TO: DELIVERED TO: TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY QUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM I NO. GROSS WT TARE WT NET WT AMOUNT RECEIVED BY: n I I TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to city sidewalks, roadway or private property in delivering material listed above to these premises. WEATHER: e-I- DAILY INSPECTION DIARY REPORT 4i DATE: BZ/j b &q WORK PERIOD: (, a�./p.m. to3;rsa.m.� 2--Z_, TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: v: L%WJ-cn Yyi as ✓eu�.�v-• tvt a 7�'Lr;O! 15 � IR �" / (,w�- 112 8 C ) - wla-M I J, 6 1 3oa 1Z,2/o/ h, "'K 7~ !J• ✓G <-tus� ov, S/ 6'`' S1 ra wr,St S.'�i i/yl (�fi�i ft� LOy►T �.`G f Lli. �:� L �oK//tiSiliY� /L' cr.1� 11 `' Hp a��PS� ✓'�,e a.� f; fc� IZ•�-.�' ,1'VCQyc�+Q .�1,:'u.c�s�/ �o ,oafs /�cw Q3`' !i� r,G•R liv,� �Kc%sv ft,"� Loh�fiLf%�� �.I��;//"tS 0v r h . ( G s'G i-V dt el a oe1"D X !r ✓ ►^L f, S�•h 4 i ."�� -fa��►�d% Iu�'� t cry 5 j /4 i 3t 93- L CONTRACTOR SIGNATURE INS TOR SIGNATURE DATE: 07- % 6-01 ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF SirtlNuawbrtH, • PRNMG CartArcrons • DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE/MAP OUANITY SOLD TO: DELIVERED TO: TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. GROSS WT TARE WT NET WT ��.•' AMOUNT RECEIVED BY: TAX TOTAL specifically agreed that ICON Materials will not be liable for any damage to shrubbery, tlowers, city sidewalks, roadway or private property in delivering material listed above to these premises. DAILY INSPECTION DIARY REPORT DAY: T hvyS DATE: ©7/15 /Dy WORK PERIOD:j:�s� /p.m. to cf;/fa.m./�i.m) 2-Z WEATHER: L - L TEMP. MAX OF MIN OF PRECIPITATION: A WORK ACCOMPLISHED TODAY: a l �„ f y: C I 7-1� o r'�►..:., w- T.)e - 2 ?- 31 V Z ✓ �/ V i ,OL�YI t n //,,� {'VI C� n 1�0 ti:/t `' N'1 A ��Y i` A /S l � 'i � � �c,K�Ot � � �B✓lam♦rn �— l 3 114,k S 4- d ;-I sue• /-� 4 / O tJve U/ ;ob 4 L, fiV So wit .ivy o G co Sip l �S c!%-cc_ e,,--JS o., f 6<o 4� 1�e i� �.1 � �, .t_ J : t . � (s rn �' � %O!-t J .' � l' %� o -� � I Gl ^ U ✓�w d "✓.-ree/ w fA iJs,e/ fA-c.-�. CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: O > - / S ' oj� DAILY INSPECTION DIARY REPORT # DAY: w-tp� DATE: /) / 0 WORK PERIOD: GW�/p.m. to y,,� a.m.`— WEATHER: C �. TEMP. MAX OF MIN OF PRECIPITATION: V WORK ACCOMPLISHED TODAY: ,� v: f`' j►r1 �.� a c1 C-✓' i G{":u / S d /� '0' �1�1LytwN r %!•t /t IAL C L! cat 11��G i-r -��,. IeA -Jos, C; 4 e G,"rc e .,tn ✓Lr',-r ne G/, ✓tt�/vu O � _ c " w S ),O wcpl y a vI i O k st -f ifYao ✓1 and � IL t Y! �// S r / /y1.. 'vr 7✓OYH s �i,4 } Tit %J�'f -� yv�c S �S ��'� /J l [/r f �(/E'. SC ?�' 01 s�orr,-► uKyi 4-6sh 5I9��' J/ 0 s 1. /�(fGk CONTRACTOR SIGNATURE v t4ezri/Aa INSPECTOR SIGNATURE DATE: 0 7 `/�/-� DAILY INSPECTION DIARY REPORT 4� DAY: V-L DATE: 07/13/by WORK PERIOD:6�ys��/p.m. to Lt;fs a.m.C1 �.m. L_2 WEATHER: G TEMP. MAX OF MIN OF PRECIPITATION: A WORK ACCOMPLISHED TODAY: orl ,bet � / / fJ , a , h 1 �� ! , J2 'Z i —3 I ti Z ,Fp- 011: oe 4,1' h w► aK ooav cv 1� a y c-H," !s — go Ga,kk.c 1 •- S �r v It - % AIC/r To d,4, G i f c. C rt sv St..,,, La ... kil st M "x-e S'� d:,Z --C-,4 /o✓ i.��* ftv� 1 'Y -70� of n-e �" 0 7 of 0K ti- Gvr, fra��©I� 1V� o��,�r Cons�vrac,F:�s CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: d 7 - / 3- O�( „f I DAILY INSPECTION DIARY REPORT 4� DAY: M 0 14 DATE: 07/ I2-/01-1 WORK PERIOD p.m. to q,'1 a.m. Z-Z WEATHER: , G TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: I oibe }- H;/1 ”, o W,i, 9�, 7- 31 N Z a do1(, 3 i rp' ALL ;,. C.n tom/ �',^t Ph 220 YS8 l.�,ic'sf� y770 fzsi-mow h lePi/N 4 1 e1A 5-t for %yc 3 G�v �, 69 `7 D-Gv' C7 cd Sfa �s % CONTRACTOR SIGNATURE -�L"/,/ &ice �� INSPECTOR SIGNATURE DATE: �r CITY OF RENTON WATER DEPARTMENT Pressure Test $ Purification Test Form 0 PROJECT NO. V//' j_�=,��j-3I Z NAME OF PROJECT j a l �ja f N ;l l �/d{✓ eta, /2{c.�r �_fi �� R st PRESSURE TEST TAKEN BY (�O /c� `r�'�2 -t ON o cl AT A PRESSURE OF 2, S D PSI, FOR j ( -tMIN. TEST ACCEPTED ON 0 "7 -- PURIFICATION TEST TAKEN BY ON PURIFICATION TEST RESULTS, SAMPLE #1 SAMPLE #2 SAMPLE #3 REMARKS: /4 L L a P, S l G a 51 ✓u -ttf 7�z(/j' s.z.Z�/'� y�� `SlG'45J� � �770 / � N�,GI✓an'/s CITY OF RENTON WATER DEPARTMENT Pressure Test & Purification Test Form PROJECT NO. NAME OF PROJECT PRESSURE TEST TAKEN BY AT A PRESSURE OF TEST ACCEPTED ON PURIFICATION TEST TAKEN BY PURIFICATION TEST RESULTS, SAMPLE #1 SAMPLE #2 SAMPLE #3 REMARKS: ON PSI, FOR MIN. ON � � P Ave� t i Q �atie .w�a-cam +- ev �� c r4 E 6 4 4 r U t � , a StirG t � � � � . as GAS lam, G S 1. pl.ti � G` ► � � I S L GI.'�1' YL 1�'2 STA �rl b� 6F F11S I X%%i A, 1 �4 3 . 4 4" l8 i q T 3, l.T 11-4 - --- -- — DAILY INSPECTION DIARY # DAY: T hyN j DATE: m% /0 9 /6L/ WORK PERIOD: b;y�; a. / ' P•m. to �./5J a.m ,,, REPORT WEATHER: L TEMP. MAX OF MIN OF PRECIPITATION: /V WORK ACCOMPLISHED TODAY: L a - : O m t. �. Lin w ri & c Z - ��O Be�K�rot � T'rswiCe�ii✓-cr 121, eve G i i-f ✓ -e l� {rirvi _ 5 / 7t�'ff -3 i�eRy,S %'Lfr�✓cG/ i.� S/`) - 2) {r<.t� Dn ✓ s A r �' So '� S �. a i'f L c /� y Sl 9 -fit gvc% So --3) f/41 f�S1 �� !"1o•-/"s Arm So lcvcss) �) fr®,,, i''� , r r s /1 ✓C S o -� s i 5 ?`' s ~� TA / Se f Pals So fo S ! G ' S� (cieSTT 8 /eav <p41- 9- cPeSS 3as�.►//�a1 8'�"l I/+ / �31��u,, alpp S1J/9 oj, 5/3-IFAs) Y� cuy c5_� o� �C L/C /'IS�/'�H O � .2 i� r`S �/' SU ®ba�IlLiyli a! 7�7 i o b-c�t-f-- �d �t,r.:n//-C � l�:r./� MiN.cK♦ �'h � 1 w�l � �j� s!� uiBi^/� �7 o�j �y e� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: -- B`'-06-0q DAILY INSPECTION DIARY REPORT �E DAY: W j% DATE: d7/07/D�/ WORK PERIOD: /P m• to �,'/5 a.m.00. 1--a WEATHER: 0, G. TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: ra(,Get 1-141 HjC} Ma'., I.c/,J_ R 7— 3/ y2 Z A 7sa ck.40 { f l Pv�c�K /!/sir'✓ s� / n L .11—c o N< r'-t 7 -c g 1 a c•,C S A .T el S 1S f' Moir;S 4. apt 3 wAV14A. l;l7ts w0a i^Ldv'ri Vcr Gl CONTRACTOR SIGNATURE STA. 11. 10" 22 10" S.00( 10" LOW CONC4E1 (4) J" S1 DEAD—M/ INSPECTOR SIG ATURE DATE: 07 7 --t-- STONEWAY CONCRETE ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle TUKWILA (Plant #12) 17024 W. Valley Hwy., Tukwila RENTON (Plant #14) 915 Houser Way N., Renton CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. DELIVERY TICKET SALES/PLANT & ORDER DESK (425) 226 1000 FAX (425) 228-4924 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT # CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) CASH L' CHECK # ❑ CHARGE MAP ZONE CARD # EXP. / SPECIAL INSTRUCTIONS '❑ VISA ❑ MASTERCARD ❑DISCOVER ••. • DESCRIPTION• •� t JOB TOTAL SLUMP SPACING ORDERED BY • TRUCK NO. DRIVER 7 REMIT TO 9125 10th AVE. S. WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE, WA • 98108 ❑ YES TERMS ON REVERSE gals. to full load ❑ YES REASON FOR DELAY TIME: gals. to 2/3 load El JOB NOT READY ❑ LACK OF HELP El ADDING WATER ❑ WHEEL BARROW JOB ❑YES ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN ❑ DRAW BRIDGE gals. to 1 /3 load ❑ WAITING FOR TRUCK TO UNLOAD ❑ PUMP BLOW -BACK ❑ NONE ❑ WAITING ON PUMP ❑ WASH PUMP ❑ OTHER ADDITION OF WATER WILL REDUCE - WARNING - RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL STRENGTH. WATER ADDED AT SKIN AND EYES OR PERSONAL PROPERTY CAUS BY DELIVERY OF ATERIALS IS E ABOVE. DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BAC 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR d (! CUSTOMER SIGNATURE j VVV UNLOADING TIME INCLUDED. VARIATION OR SURFACE Additional unloading time charged at current hourly truck rate. DISCOLORATION PRINT NAME DATE BATCH DATA: DELIVERY TICKET NO. REV 10/03 NBF CUSTOMER'S COPY TERMS, CONDITIONS AND WARNINGS. - i 1, CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absews of any siuch; , - it terms, ail deliveries under this Contract are "Collect On Delivery" (C.O_ik). , Purchaser agrees upon request to fultaish Seller such information as is ,reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to pel'form 'under this Contract IS subjectito the condition precederif that Seller'!hall have thirty (10) days from receipt of the 7ecuted Contract from Purchaser so that Seller's credit department mayfeview and approve or disapprove any credit terms of payment specified in this Contract, 2. TERMS OF PAYMENT, Ali invoices are due for payment by the 30th day after the date of invoice. Service a1446eiivof one and one qurarterp6i�ceni (1.25%) per;month Will Ibe payable on all past due invoices of thirty (30) days or older. CREDIT CARDS ARE ACCEPTED AT TIME OF PURCHASE ONLY. IF PAYMENT IS MADE BY BANKCARD AFTER PuAcHASE DATE, A 3% FEE WILL BE INCURRED. If a service charge is assessed, it must be:pgIc in order4o maintain anopen account. Purchaser shall rrtakb all p *eratsOW hereunder in lawful money of the United States and in accordance with the terms hereof, without any retention and without regard to -any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals: bankruptcies, and post-jddgement collection efforts. STONEWAY CONCRETE ROUTINELY EXERCISES TH[Ok RIGHTTO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3 TAXES. All federal, state and local taxes. assessments, fees, duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shalt be paid by Purchaser. 4 SCHEDULK&A Vvhgnges or variations from original delivery request shall be conveyed through. Seller's dispatch office and no other Seller's agent (including, but not limited to, drivers, quality assurance personnel or sales representatives). 5_ DELIVERY CONDITIONS_ . All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stonewayl_ :oacrete,,a Division of Gary Medino Construction Company. Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel 'beyond the bo,undaries of the_pearest traveled public highway. Seiler has advised th@t due to the size and weight of trucks, damage to the premises and/or adjacent property,.or personal injury may occur arid that trucks may become damaged, disabled or stuck If Seller makes use of the path requested. Seiler has further advised that it isxhstr policy 1hatdelivertea. requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability far ptopIbrty damage or personal Irtyury that may result. Purchaser -agrees to assume responsibility to Seller and, third parties for property damage, personal Injuries, .truck towing and winohing expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a. result of Seller making use of the path requested or for the delivery of _ materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and Ilabilities to or by third Ai�bnso,d" friest,Orwclaims may prove to tr►r Adl or ' 'Pax trt#eYi by r strlWit9 fm t e e I f OF (aib �)iv of j3 1th>5 fttett qy _ agents and employees, and (b) the Purchaser shall apply only to the extent the, negligence of the Purchaser or its agentsd employees, For purpose.ot'the Purchaser's ipdemnifioation obligation only, the Purchaser specifically and expressly waives any immunity that rrlay it under the Washington State Industrial Insurance Act, Title 51 Am This waiver does not permit a direct action by the Purchaser's employees against the Purches . khher, the Indemnification obligation under this Agreement shalt not be limited in any by any limitation on the amount or type of damages; tiwmperrsation or benefits payable to or far any third party under worker's compensatfbn acte3 disabtity beftfit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersgned's duty to defend, indemnify and hold Seller harmless shall include, as to ail claims, demands, losses., and liability to whfch it applies. Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this AgreemarA. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third parry ciaim(s)_ Such counsel will beat the sale expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project, 6. WASH OUT AREA, It will be the Purchaser's responsibility to protiide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be madiit per load it a wash out area is not provided. 7" PUMP HOLDS AND SLOWSACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders Service Purchaser will be i re to the best of $pJier`cabrliik; noting Purchaser may not receive original rat"f pour requested. It is the responsibility of Pump Company to notify Purch2 of all holds and set+rioe 5tarttt'ees incurred during Pump Company dean tip; oI blowback, will be home by the Purchaser. An additional charge, &fSef�r'a,_ discretion' war be rrted o9noreteAhe to clean up process. y11 8. POINT OF A The Stlyer%-p* o, acceptance is at the truck chute. Seller w4not accept fsponsibility for physical changes of the concrete caused by jolt delays, delivery placing equipm6rit, olti4cumstances beyond our control. 9. READY Mix OON _ Nor J tirotPRESSIVE eft that all ready rniw concrete testing, including concrete strength' testing for acceptance, shall be in accordance with ASTM, UBC and ACI an t copy of all test r�11ts within three (3) working dfWa9f the performance of said tests. } 10. NOTIFICATION STRENGTH TEST RESULTS. Purdhaseragrees to notify Seller in writing within twenty-four (24), hours of deficient concrete comp - _ r t!# t,c�,�in� test specimens, and to make them available to Seller for further inspection and testing. 11, AODITION OF W GN�,O,IAL. If water and/or foreign Material Is added to the concrete by or at the request of the Purchaser. its employees,, agents, contractors or su the concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of any warranty and Seller Is not rftpotlsibfe 1W strePigffi of pftip es of the poncrete. .12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract" No other warranties; express or implied, are made with respect to. such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price, to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIE13 WARRANTIES OF MERCHANTABILITY AND. OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract; fnclucllrg viithout limitation.. Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranqty by'Seller. 14, CLAIMS AND I-Clf CHARGES. Purchasers exclusive procedure for commencing claims under this Contract against Seller for any reason, Includifr�g breach of contract of breach of warrantwsliall be as follows: Notice of claims against Seller for any reason, Including but not limited to, breach of contract or warranty, must be given to Seller in writin1i within three (3) working days after discovery or when discovery should have been made. The written claim shall Include We reason(s) and grounds for the elatm knd the dollar amount or relief sought, FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITRIN THFfFfE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF IT$ RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through nonlegal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein. title to the materials sold hereunder shall remain with Seller until Seller has received full payment for thk same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, to addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnity and hold Seller harmless against all claims for personal injuries. including death, and property damage arising from the storage, use or handling of said materials. 16: CONCRETE WARNINGS. Injurious to eyes, Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt. full-lengtfl trousers, and tight fitting eye protection when working with these materials, If you have to stand in wet concrete, use waterproof boots that are tight at tops aril high enough to keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust Is inhaled. remove to fresh air. Get medical attention If Irritation persists_ Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water Immediately after contact. Indirect contact through clothing can be as Serious as direct contact. so promptly rinse wet concrete. mortar, cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS). wear suitable NIOSH/MSHA-approved respirator. In case of eye contact flush with plenty ofwaterfor at least 15 minutes. Consult a physician immediately. KEEP_ OUT OF REACki OP CHILDREN, USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY USE OR COME INTO CONTACT WITH WET (UNHARDENED) CONCRETE, MORTAR. CEMENT OR CEMENT MIXTURES. DAILY INSPECTION DIARY REPORT 4� DAY: DATE: 0`7 / 041a t WORK PERIOD: ;ls io/p.m. to WEATHER: G L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY, 2- 7 gD 6g� i%e-i i ✓'U1,/( i :t. �Q..gLrR h-�✓' 1 r %7G. /I'/ 76 g P9 G 11,03 ✓ k161 ' u k -.1 5 1 ✓9 t i-L. v j 1 t r:5 i a-T.1/bit :N1�4//��2�3y s�,a,�lyvr�s '' $S ek oir �� �K t"'l+Ps•�►�'��OP��tel:/1 ,�'S ,r; ►yig n �/�� Off ) G1 �cr `mot _ ;v%;A0f v P�E4%L ��[I��iAA4r 5Lt'Ui�Z Ai 14-t/' $ •5 4 31.3i dtr� /CCui{Oi t Or c t �t rY` / O is sr 5 i C t� (.mot s/✓ m G t ✓ !! fi �i / 7 5 / (r 5 T, L/u 4 Tcti A/o - Ali S`ell-L BY S !s">n G'� 5yrr, ��1c✓S//il�`C Sa "� y 5 �,.</r<( i�o�/'s J(/ f 6es e S✓%1 L1rt![ f G G/ lid f�3 �f/s� SL � �1 /'Icy �tP Sye(�l lose $/is��u./SrGl t°.� S:1L 7d✓ f•c -;.is o.4 Sis-�a:tJ/••r,•,> awk i/ /L �h d T191hor 4k c 4 A,&te— ewe 4,-- I fN.7w6T'c✓-cryi-Gi JfG-c- ;Nf f OV`el"' )2'cx - oxuc, CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 07-64 -0� ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF s*r oevei.ovrnExr vr..w coxrn.cwn DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE / MAP QUANITY SOLD TO: DELIVERED TO: TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY QUANITY PRUOMCT PRODUCT CT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT GROSS WT TARE WT NET WT �) � AMOUNT I RECEIVED BY:v ` '�) I V(— TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to city sidewalks, roadway or private property in delivering material listed above to these premises. ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 ` Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 I Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM**982CF s*r oevovw.ex• v.N,rw mxrxncmxi DATE JOB NO. / P.O. NO. PHASE NO. TIME ORDER NO. CUSTOMER I.D. SOLD TO: DELIVERED TO: CONTRACT NO. C.O.D. ZONE/MAP OUANITY TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. RECEIVED BY: GROSS WT TARE WT NET WT AMOUNT TAX TOTAL is for any damage to shrubbery, tlowers, City sidewalks, roadway or private property in delivering material listed above to these premises. RENTON CONCRETE RECYCLERS 22121 17th Ave. S.E., Suite 117 - Bothell, WA 98021 PIT SITE: 500 MONSTER RD. S.W. RENTON, WA 98055 No 77344 (BLACK RIVER QUARRY SITE) SITE PHONE: (206) 772-2278 BUSINESS OFFICE: (425) 481-9101 Date: Customer: Address: Delivery Address: Special Instructions: Hauler's Name: ,�'TOTAT-. Scaleperson: ❑ CASH ❑ CHARGE TRUCK# TIME MATERIAL GROSS TARE NET NETTNDS PRICE DRIVER'S SIGNATURE L Subtotal DRIVER'S //� t//~ Tax SIGNATURE: _ —'� Total NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customer's property, resulting in deliveries beyond curb line. TERMS: NET 15 DAYS from the end of the month. A finance charge will be assessed on all past due accounts at a rate of 1 1/2% per month. Annual finance charge of 18%. DAILY INSPECTION DIARY [ REPORT (d DAY: ( r'_ ; DATE: rj7 /pZ /off WORK PERIOD: 6.15~a.m /p.m. to 1-S�a.m.0 Z WEATHER: C) L TEMP. MAX OF MIN OF PRECIPITATION: A/ WORK ACCOMPLISHED TODAY: i albrit 9j/ cv6�sr /'Rcy fle- -2, -) Y'Z L 1 v: -Jo, -,.•f ± Nt a., Oo Au o4lt ITagc /-rr/�,P. A A70 —'- -- - ur7✓J fi arc /C l -�Y 'A la.„cr Z/� 7 L fd.,5 l'-f / /- (A., .!f ✓-cr—.Cid /Z 23/0 d� LvJ L att i4/�4t��S % k", c 0 - S7'9,q S j t9 slorgo 4 sT4 y 3 wLIL rilTa/ Ilet ,ram So /'/u /iy-e s.e..� i�/L�nr°Y , L7 : ,�, forSzofi aH e l ,Fob o��vsr dui, S 93 " G V a 4 5 / N -I v!/! PC.-Ck ObSe✓�t�/i /�vNy ��w�/i�tb �YCNLLt �/Jo:/sCard��v- d � S 9 L ��' S 1 d— Tg 1 b� �' �ol f o /�/a � " Il •rc� �Q; c./C /�'Ior��o A c. u.Q S A lycaa(_ e 2 m ;ti-L � ()� �i)r: ,c,� ►0/uG �G�0410/, cii,'44 A14 Slr�'i GFn� �l,c� / .�%e)`' �/'// I�%L�4./f/tlllLtOOp1 _Ty��('YIM�'� •G ON ��+5 TI� /!I^e�CG'�' r�k a-;// Imle i"-/a con Lrc S;71r f-Jti (a4 2y�i oh CONTRACTOR SIGNATURE �Za F,,,r 2�-tr .- - INSPECTOR SIGNATURE DATE: 0 7- o z -eV RENTON CONCRETE RECYCLERS 22121 17th Ave. S.E., Suite 117 -Bothell, WA 98021 PIT SITE: 500 MONSTER RD. S.W. RENTON, WA 98055 NO 77295 (BLACK RIVER QUARRY SITE) SITE PHONE: (206) 772-2278 BUSINESS OFFICE: (425) 481-9101 Date: Customer: Phone: Address: Delivery Address: � ��� %jo ' r "_' - Speciallnstructions: r __ Hauler's Name: _ _ Scaleperson: rl�f. ❑ CASH ❑ CHARGE TRUCK # TIME MATERIAL GROSS TARE NET NET TNDS PRICE DRIVER'S SIGNATURE zi Subtotal DRIVER'S SIGNATURE: Tax Total NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customer's property, resulting in deliveries beyond curb line. TERMS: NET 15 DAYS fiom the end of the month. A finance charge will be assessed on all past due accounts at a rate of 1 1(2% per month. Annual finance charge of 18%. DAILY INSPECTION DIARY _ REPORT DAY: j DATE: 07/ d i /oLt WORK PERIOD: b: a. /p.m. to 3; O a.m. � WEATHER: t �— TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: o / de it gill tN_ -T, 12 - 31 Lf .)— 17 06 1- 1-lkaace .Z.Z, 4J Id�S 1� ftli,c/C K}y02Ir14 S/7�urfza1 S r �4 'Y,?-t ('C " bV 'fk2 3deli% 5414' %a ket r,-' 3,a—t1, f A lkp,( h 4 .4-�a,.✓o.. ti r, y S' 1. c lC l rot b z �w�r vi f �, c r/tk�wr t.� i i f �O / 1 `n L [. k M ce -e_ N D b .1 '� , f t ©�a s. r e+� 10 G O 0 41 M re d( .` N S &.4t rJ lLlov► yo✓ o rn S; I -i I N 14 iorsf 5Lle-c ifx 5 /ia ti NtnrbL, Z,e,i J; d' cam, th �'44A l �oy L (-2 ej, 07-/3'oy CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: e` - 0— O Lf RENTON CONCRETE RECYCLERS -- 22121 17th Ave. S.E., Suite 117 - Bothell, WA 98021 PIT SITE: 500 MONSTER RD. S.W. RENTON, WA 98055 No 77?26 (BLACK RIVER QUARRY SITE) SITE PHONE: (206) 772-2278 BUSINESS OFFICE: (425) 481-9101 Date: Customer: _ Phone: Address: Delivery Address Special Instructions: Hauler's Name: _ ' y Scaleperson: ❑ CASH _ CHARGE TRUCK# TIME MATERIAL GROSS TARE NET NETT/YDS PRICE DRIVER'S SIGNATURE Subtotal DRIVER'S Tax SIGNATURE: Total NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customer's property, resulting in deliveries beyond curb line. TERMS: NET 15 DAYS from the end of the month. A finance charge will be assessed on all past due accounts at a rate of 1 1/2% per month. Annual finance charge of 18".. STONEWAY SEATTLE (Plant #11) 3803 E. Marginal Wy S._Seattle DELIVERY TICKET CONCRETE urmiW(riamniz) i7624W. Vaueynwy., iukwua SALES/PLANT & RENTON (Plant #14) 915 Houser Way N., Renton ORDER DESK (425) 226-1000 ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E.. Maple Valley FAX (425) 228-4924 SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. TICKET TIME AM LEAVE PLANT ARRIVE JQB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. 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 MAP ZONE CARD # EXR / SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER PRODUCT •• • • ® • �K SNU f 8 4000 PSI CA 5 r11I11`1 HAUL -LESS TFHAFl 8 YDS 04V I RONMENTAL SURCHARGE + 0 1)'r' MIX FUEL. SURCHARGE JOB TOTAL SLUMP SPACING ORDERED BY 11 Lei V-11 TRUCK NO. DRIVER IJ I L I. FH9QPG, 17101-1 (l REMIT TO 9125 10th AVE. S. WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE, WA • 98108 ❑ YES TERMS ON REVERSE gals. to full load ❑ YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ JOB NOT READY ❑ LACK OF HELP ❑ ADDING WATER C WHEEL BARROW JOB ❑ YES ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN CI DRAW BRIDGE gals. to 1 /3 load ❑ WAITING FOR TRUCK TO UNLOAD ❑ PUMP BLOW -BACK ❑ NONE ❑ WAITING ON PUMP ❑ WASH PUMP ❑ OTHER ADDITION OF WATER WILL REDUCE - WARNING - RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO,HIS REAL STRENGTH. WATER ADDED AT SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OF SITE CUSTOMERS OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BACK (5). 1 i.. 6 MINUTES PER CUBIC YARD 1 NOT RESPONSIBLE r FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR time charged at current hourly truck rate. SURFACE PRINT NAME DATE Additional unloading g DISCOLORATION BATCH DATA: DELIVERY TICKET NO. REV 10/03 NBF CUSTOMER'S COPY TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all: credit terms of payment must be set forth in this Contract. In the absencepf any'such it I* t $, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract Is, subject to the condition-precedapt that Sellg0.0all have Mirty (30) days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disappr©veAny credit terrt" pq rnent specified in this Contract.. 2, TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. 'Service charges of ope and one+qua�er percent (1.2ft per month will be payable on all past due invoices of thirty (30) days or older. CREDIT CARDS ARE ACCEPTED AT TIME OF PWRCHIASE ONLY. IF PAVWNIT.IS MADE BY BANKCARD AFTER PURCHASE DATE, A 3% FEE WILL BE INCURRED. If a service charge is assessed, it must be paid In order to maintain an open account. PtiVbt{ear shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof, without any ►etefRion and without regard to any agreement Purchaser may have with other parties, Should legal action be initiated to collect this invoice, the prevailing party shall be ent111led to recover reasonable attomey;files and costs„ including appeals, bankruptcies, and post -judgement collection efforts. STONEWAY CONORETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL jOBS:. 3. TAXES. All federal, state and local taxes, assessments, fees, duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be:paid by Purchaser. A. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (Including, but not4iited to, drivers, quality assurance personnel or sales representatives). i , , 5. DELIVERY CONDITION$: All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stonew*y Concrete, a Division of Gary MerlinoConstruction Company, Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway, Seiler has advised that due to the size and weight of trucks, damage to the premises, and/or adjacent property, or personal injury may occur and that tracks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policyy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property+ damage or personal injury that .may result. Purchaser agrees to assume responsibility to Seiler and third parties for property. damage. persona) injuries, truck towtng .and Anching expenses. and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify. hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third pmrkies arjsing tram resulting ttQm, or connal:ted with the use axf,t#te reggeated fiath fpf the delixslr.ui ttaaterlah; whethersuchclairlts may prgva to be.trye or fare gtnundless or �' s wra ere %itaq, lxterR Itted by Isiii and sttftjeot t4 tfte Iht trtAdrartQe Purchaser s rtaa�rlr►ffy tab ter erl�jp_g out p_� injury to persons or age ttl prbp�§"cat�3ed by or resuhtng from tfle canaun'ertt negertiE;e o€ (a� Se�oharoafes a$D�t of t3+liAerl�irro.rt>dRon t3omto: or its agents and employees, and (b) the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may'•Deigranted it under the Washinllijian State Industrial insurance?tetr, Title 51 ACW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further. the indemnification obligation under this Agrelernentahall not be I1mVd in any way by any limitation on the amount or type of damages, compensation or ,benefits payable to or for any third party under worker's compensation acts, disability h �nafit acts, or their employee benefit acts. This promise of indemnity specfically applies in the caste of injuries to the undersigned's own employees. The undersigned's duty oafend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it .applies. Seller's personnel related coats, reasonable alto-ey's fees. court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Akz=Ament_ Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such co,n,: el will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project.. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge Will be made per load it a wash out area Is not provided. T PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will, be d oJo the best of Selfabilijy, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and r se $tantf ctlalgas incurred during Pump Company clean up, or b)owback, will be borne by the Purchaser. An additional charge, .at Seller's discretion, will be p�gitYtlsllljc Ue to clean up process. 76. - POINT QF ACCE Ea- ! - acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays, delivery syl3ers, {` ,, cumstafrces beyond our control 19. READY MIX CONE Tt ok Tees that all ready mix concrete testing, including concrete strength t"Ving for,ac2ceptance, shall be in accordance with ASTM, UBCand 'ACI and i Seller will a copy of all test results within three (3) working days f-the per(orrnaneli ofsaid .tests. s. 10. NOTIFICATION OlPDEFICIENT Co Cf&PRESSIVE STRENM TEWRESULTS. Purchaser 'agrees to notify Seller in writing within twenty-four (24) hours of deficient concrete Comp strirloth A;i , to fetain test specimens, and tdtalaker them available to Seller for further inspection and testing. 11. ADDITION OF -.MlMR fN la" iAL. If water and/or foillf4b" iaterial is added to the concrete by or at the request of the Purchaser, its employees, agents; contractors or suki rttit);t¢I f olEfasi a concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of any warranty -and Setter is -not tiysponsible1ior &ngtfl DT pr 8 biF, the ygr�ccete. 12. WARRANTY Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design. strength for the Mix design sold under this Contract. Seiler warrants the aggregate material sold under this;Contract meets the description and specifications for the same set forth in thiswCdntract. No other warranties, express or implied, are made withn'espeot to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's excluQv$ refn®dy for breach.of.this warranty shall ),te:to. require Seller at Sellers option, to refund the purchase price. Jo repair said material, or tq provide Purchaser with aconforming replacement for any non -'conforming materials. No ecnsequential damages maybe claimed by Purchaser against Seiler in connection with any breach of this Agreement or breach of warrantkhereih'. 'THE PREC_EgbING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF.MERCHANTABIUTY AND OF FiTNESS FOR ANY PARTICULAR:f?URFOSE.. 13. LIMITATION ON DAMAGES. Seller assumes -no responsibility for, and shall riot be'liable to, Purchaser for any consequential damages--jncurred by Purchaser in connection with this Contract, including without rimilation. Purchaser's lost profits, Purchaser's good will, and any, injury to person or property proximately resulting from any breach by Seller of breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this .Contract against Seller for any reason, including, breach of contract o�, breach of warranty; shall be as follows. Notice of claims against Seller for any reason, including but not limited to, breach of contrast or warranty: must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reasons) and grounds for the claim and the dollar amount or relief sougfit. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WO h1NG DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 11 15. TITLE AND RISK OF LOSS, Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for tie same, Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter. in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries. including death, and property damage arising from the storage, use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete; use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. if you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after contact. indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar. cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable NIOSHlMSHA-approved respirator. In case of eye contact, flush with plenty of water for at least 15- minutes. Consult a physiciarl..immediately. KEEP OUT -OF-REACH OF CHILDREN, USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO irl1AY USE OR COME INTO CONTACT WITH WET (UNHARDENED) CONCRETE, MORTAR, CEMENT OR CEMENT MIXTURES. DAILY INSPECTION DIARY REPORT 4� DAY: 2 DATE: U6-/ jO /,I' WORK PERIOD: C15 a.m /p.m. to a.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: ILL WORK ACCOMPLISHED TODAY: alb � 14I1/ vvy f.Cr' Mg,, Wc ! ,Y\ - ?-7- 3i yz /" dJ. QyM t/l f M It 4 k i 1266 x 1- 3 /2, T " YA-ILI i O,o� 14 ar fu,,t,ZZ on f4--gjoc)�rL s:cdzw-K 5 iS� �� �7ST/9 35-4Sl j0 i S i 3 7 7 S rth.icr C"' ` �� ✓G /I N f Jr oc, ��v; �s Ter;q, c a r 5 7-)0? 3�t30 s14 3c`jr `%� 71, 5^is✓/�r�; H 07—� 9 ix �/ 0 - & ?, - r- e- CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY DAY: t tr't DATE: 06/jQ/0Y WORK PERIOD: REPORT G:rS�/P.m. to ._ a.m. — WEATHER: G L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 71C - .2-7— 31 Y 1� L1 �,L�, rrs H � M s•.rr O,pt w Z _ 5"go iCt� hoe f l rug lC L./i,'✓�v (j J�� / G Hr,c (, ��� ST/l -�y4-No 1NS }ol/eelf eI Eli5 r yH t1.c t,ovti. S`Li/K oIke' S tS is .5 i 14 3S rfi7 4 a -e S 1 S'}�" fz tkti ScytLe �i�� off fo tk,-e S 1,mv1E��e✓ # T ti's ; u e 1,gti u e il�o),�tia /i^vuePe 0 �U i /u� n�m✓ Hh Htici/ic�v.f rOvV, �G, emu!J� ii(�� D S/ s 9% I !!,� wts�s5:W,4 nth /5, 1r: ti 4oyf,l ie Cow, e.S/L� t®�oe: z T),.K. LC re iretr.�0i' f r1.Cy-�" -���� Gi"6W �,,ve/YS ��LtGI'Hh Lr'a �OLwj^ee"I [1Tf lf`liCf `l h� ` i►fR A,— 41. `S A✓ta. J n i Ik;� 121 .2S Co✓t✓ DaSSita/i 4�'{f" <tra J)' 44- OL''fk 5;4- ✓✓ 35"J.hyypr%er CONTRACTOR SIGNATURE X114'a,qY 2w, IN ECT S GNATURE DATE: 0 - j1_71 y RENTON CONCRETE RECYCLERS r 22121 17th Ave. S.E., Suite 117 -Bothell, WA 98021 PIT SITE: 500 MONSTER RD. S.W. RENTON, WA 98055 No 77101 (BLACK RIVER QUARRY SITE) SITE PHONE: (206) 772-2278 BUSINESS OFFICE: (425) 481-9101 Date: it J _ Customer: 1') lA.f b Phone: - Address: Delivery Address: Special Instructions: Hauler's Name: Scaleperson: ❑ CASH CHARGE TRUCK # TIME MATERIAL GROSS TARE NET NET TNDS PRICE DRIVER'S SIGNATURE I ; Subtotal DRIVER'S Tax SIGNATURE: - Total NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customer's property, resulting in deliveries beyond curb line. TERMS: NET 15 DAYS from the end of the month. A finance charge will be assessed on all past due accounts at a rate of 1 1/2% per month. Annual finance charge of 18%. DAILY INSPECTION DIARY DAY: DATE: - REPORT (7�1�0/d/ WORK PERIOD: �.hS a.m./p.m. to i�'a.m./ .m WEATHER: G (_ TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: la l6e f a:/ ( vy,, i c✓ M. N "/. lj� .,?, 7 3/ Y 2 i�qd �a�,k{ z" GG.41ra�or�3 8 ca 1_/ 3 2, 9 S To s yo ecx -) �: Kt tS > wti t orr 0 G 1 0 c -2 3-G4 A/". �4v� So ,�o -� do °w//'csf' ©tr S•� �tit�s �i� So N; f �h� roi � t,fOGa�{o/ ,Obdrr /S©% ot� Merr;S AvF So Yc ✓��rT� lj� 4J��t 10 9"Dl- f✓a.z. Si4 31+70--93It��d CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 0 6 :-2 � -!q q— ICON MATERIALS P.O. BOX 88050 Tukwila, WA98138 ' Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM**982CF ' srrt oevaMevr r.rme eewrw,,c ,- DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMIER J.D. ZONE / MAP OUANITY SOLD TO: DELIVERED TO: I; TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. GROSS WT TARE WT NET WT AMOUNT RECEIVED BY: TAX TOTAL It is specifically agreed that ICON Materials will not be Gable for any damage to shnibbery, bowers, city sidewalks, roadway or private property to these premises. ICON MATERIALS P.O. BOX 88050 Tukwila, WA98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM*k982CF JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. ORDER NO. CUSTOMER I.D. ZONE , MAP QUANITY DELIVERED TO: LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITy PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE /UNIT AMOUNT UOM NO. GROSS WT TARE WT NET WT RECEIVED BY: AMOUNT TAX le TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivering material listed above to these premises. RENTON CONCRETE RECYCLERS 22121 17th Ave. S.E., Suite 117 -Bothell, WA 98021 PIT SITE: 500 MONSTER RD. S.W. • RENTON, WA 98055 No 17 n 0 3 (BLACK RIVER QUARRY SITE) SITE PHONE: (206) 772-2278 BUSINESS OFFICE: (425) 481-9101 Date: Customer: Phone: Address: ----- --- --- --- - Delivery Address: � � �'� rn, f ^t -14- Special Instructions: Hauler's Name: __ _ - -- Scaleperson: - �, CASH CHARGE TRUCK# TIME GROSS TARE NET PRICE DRIVER'S SIGNATURE +MATERIAL / jjNETTNDS Subtotal DRIVER'S SIGNATURE: Tax Total NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customer's property, resulting in deliveries beyond curb line. TERMS: NET 15 DAYS from the end of the month. A finance charge will be assessed on all past due accounts at a rate of 1 1/2% per month. Annual finance charge of 18%. RENTON CONCRETE RECYCLERS 22121 17th Ave. S.E., Suite 117 - Bothell, WA 98021 PIT SITE: 500 MONSTER RD. S.W. RENTON, WA 98055 No 76909 (BLACK RIVER QUARRY SITE) SITE PHONE: (206) 772-2278 BUSINESS OFFICE: (425) 481-9101 Date: Customer: Phone: Address: Delivery Address: Special Instructions: Hauler's Name: _ _ , Scaleperson: 1� ❑ CASH _ CHARGE TRUCK # TIME MATERIAL GROSS TARE NET NET TNDS PRICE DRIVER'S SIGNATURE Subtotal DRIVER'S "%���j�! Tax SIGNATURE: Total NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customer's property, resulting in deliveries beyond curb line. TERMS: NET 15 DAYS from the end of the month. A finance charge will be assessed on all past due accounts at a rate of 1 1/2% per month. Annual finance charge of 18%. �14 � yL✓Eep�r� �c�lt rG� COi>lCIE� �lo�l�� �� �,v►C(�aiS D1^ r, t i r I I � � i9 II 1+ r i i STON EWOY SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle DELIVERY TICKET 7ZOICONCRETE iuKvviLA lriant siz) i /Uz4 vv. vaney nwy., IJKwua SALES/PLANT & RENTON (Plant #14) 915 Houser Way N., Renton ORDER DESK (425) 226-1000 ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley FAX (425) 228-4924 SEATTLE. WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO, PROJECT PLANT # CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. • t 20059 JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) ❑ CASH ❑ CHECK # ❑CHARGE MAP ZONE CARD# EXR / SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER • •��DESCRIPTION• JOB TOTAL SLUMP SPACING ORDERED BY TRUCK N0. DRIVER REMIT TO 9125 10th AVE. S. WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE, WA • 98108 ❑ YES TERMS ON REVERSE gals. to full load ❑ YES REASON FOR DELAY TIME: gals. to 2/3 load ElJOB NOT READY ElLACK OF HELP ❑ ADDING WATER ElWHEEL BARROW JOB EYES ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN ❑ DRAW BRIDGE gals. to 1 /3 load El WAITING FOR TRUCK TO UNLOAD ❑ PUMP BLOW -BACK El NONE ❑ WAITING ON PUMP ❑ WASH PUMP ❑ OTHER ADDITION OF WATER WILL REDUCE -WARNING- RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL STRENGTH. WATER ADDED AT SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BACK (5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE DISCOLORATION PRINT NAME DATE BATCH DATA: DELIVERY TICKET NO. REV 10/03 NBF CUSTOMER'S COPY _k. I . -IF . TERMS, CONDITIONS AND WARNINGS CREDIT. Condition to "ellr - ,;blrgat,on tc, pe,lorm any and all credit terms of payment must be set'oI'h ir": this G: t r,ct In Ir F, absence of any salt, terms. nil 0,,:;r• ; under ti,i., r:',-ricer' re "Grilled On DeC;r�ry" (C.O.D.i Purchaser agrees upon rer,luest to furnish Seller such :rrfcn;ration as is reas�naf:.y ri + ar; _t � :liar 10 rtennin . Pw,_ li'n._t's fn .{ ,:ia1 (r ridil or: s nbl,gadron to performunder this Contract Is subject to the condition Pit-:tident that Seller 21pt p1 the riser_u,;u i;c:rt•act +chin r „rc ,a<;rr sa That Se:ller's credit tjepariutent may review and approve cr disapprove anY ,r,-du teiii of pa; m•.r' si=, c. fi !d in t1 i t;,.n race. TERMS OF PAYMENT. i',it .,it- till I.-n paii I,y the 301h ba; the date of invoine ,rjervrCe• charges of ont= If 26°,riIr rT:oi1iI will lot, ;IrI 1 ;II pals[ au� shun e= .jt tl t,, d vs o. older. CREDIT Ce',RDS ARE ACCEPTED AT TIME CF PURC' HASE ONLY. PA, G9EP-h 11_; 1'.1,�,DE BY B.ANk:C;RD AFTcR �P.; ; f L:•' E, A 3`e FcF WILL aF INCUFRED. If a s._.ice r:harge Is ,as sad. it must be paid ,n orde, to maintain an open zzhall make it ps_ymr-nts due I:, 1,9'::: rh. "It). L•, f' I in,t , ``t.',it x:-1 ,n'---Jrdarce r,ith ih,rtn: hereof any retention arc .I Iu't:t :;•,.: I:^ .r t,.;- , F'�.: irl•i-,,! may have whit 1 C _ LH .nit 131 t} I- .VOLT th' cniliog Marty mull r e enht'ed to, jvcl i,,=_. t includ r i {ppr:als: i_r i >Ird o3. ,.,', ? Ci111eC�inr- c is ` T D t,'1.41' COP - c l-:alT NEI Y EAFPCIti1_5 HEIR Rlr.Hl T f f_ ',1 �T: r,tl r 74 _ „)T` ' ,7', I-r £,.. ( O JE C ES r. ALL J BS. TAXES. l:il iederai ;':.dl to,­;'tt t arir{ r,' Tig, 1-vird o, re anon of this Proposnl fire ,r ,dr I 1rd ':*,'all !-e p,a,rl Dv SCHEDULING. CF; n h•s nr ,,trig:ions from anginal deli: �r, eruest shall bF' ucn,,(, ed filterdl, Seller e d 1,:- o L rc c'lic'I ` -liar 3 :.tgr a sta rot r l r. rt! rill DELIVERY CONDITIONS. .I ci f e;,es .roll t: rac!e in co, r•'ti t ur a:l nc:ea Sil_Ir ch ;; r na In. =led u,e.:,:v C•ir,ci:=te .i :?:n1. Inc. Ice,llef,r le make -r:e if a p?]th for the :7 F? IA'E,I'V of materials arcs ut,ld._}� IL 'r'] k: rr,i �c'.t toL]Ur in", Irw.k-, to Ira :•91 t10,, u .r:: r• ,f :i,r: � ,,-rl pat sli r,:u, Seller nas advised thaw :rsr, to the size and '.veigh! of tri da'li to ih,-: 1:0-? .es andlaradjacent properly, or personal r ,, ,: ;; : i'::'r• L , t. rr-,-I,r h.. ,_I,_- d nrant-d, di'saYaed Or stut,J< ii c III=.;r inak e5 Lr e of the. path r'equestted Sciit%f tie further fvrs?d !I r-:t 1 17 their policy that deliveries r, innr_ ler s tr r, t .,.. - "I rre,,crd the nF;in s' Noltwav to ob'lallacr,-s:: ?he jet, site a e at the risk. of the Purchase, +not t -rr -_e, ler ass:.��e,- 1, Iiability for properly damnge fi ry ,t r Iri r=suli. F .ii ll,aser tni to assume respcnsrb I,'.y to Sekr and lh,td parties for propert_; dan ,iqc_ per Onm chili*, u�n :owing „arc v.lnchrng s'n r�h� :,ho dd r e trot s becom,� damaged disabler7 or stuck as a result of E _I,er ilia, in , sue o tl e n-:III �questad or for the dei very of r11.1;. d �• silr. .=rr,:I , .,,t also nq,crc to In,,r,rrnify, hold harmless, and defend Seller from, ,nv :ia, n•, nin . iab,llt;es to or Ly thlid „ s r,nsu,g in m. resi.6nnq tram, or :.; r netted mtr, the use of the requested path for the.dehvery of materials whether sucr; :laims nix, pi uve to be true ur Is , groundles_ or to the full em.lent permitted by la,'., and subject to the limitations below. Purchaser's duty to indemnify Seller for liability for damages arising out of bodily injury to hilted h; n• rest.lring front the corcur,•ent negligence of (a) Stoneway Concrete. a Division of Gan! Medina Cor,st:'uCtion Company, Inc. Or its t!".,_ Purchaser I rtpr!', only to the fa, -lent of the neQllgPncc Of the Purchaser or its aaeritr, ri )d n , ;•,r- s Ffx tr'r cur pose of She poldhasr- : 11— Pi, , e_ - CAI', cnpiesgiv fiI any ImplUnity that ma'y be granted ,t Ur,^er this State I:1d U.arial 11sLfa ,:e Act. Tier 1 n, the Furclinsr 's emplob, s a,:a:nst the Purchaser. FLlrirer. ti''s Agle_nn-• Int shall v .) flie e in: or type of damages comp- n_ahon or benefits payable-- to or for anv th:,d party cnar'r Aork,r s k.,rnpenoation acts disaC try ?rsrellt 9C's Th ti '> n:crag" �' Irdc; SI:�'<it l Ga l ly aj7phes to tl,e Oa-e of njuries IC rho Ur,aQ G,CInP.d n O-T1 Ogees. T he und•r s: q ned s c:,IV :'u,ri *,mid �ne!!r--r _., .,,ass ;.hall wrilaI as to air spa m.,. den:ands. losses_ and liability to %viri It app _s. Seller.; t.aiscautei re -ales costs reasonc:,le '.: c, irf and :Ill :i;I7-: CI:{fl r'; _:P:"J _ti,-iJ n .Yin q i?lnmey'F, feces And other costs incurred bj Sellerto °rlin,Op 7r,p .est,:b ish iS rghl Under ii+i5 f:oc `,.:11:,--, r,:nde: of C also under tht:, ^,greenicnt the F'urchaser agrees to appoint counsel of Sellers choice to dete, d agn,n r tli;r;i {_a t:• ,,lai^Tls} Such sgr•i� F N x' ui tie cur.' SC !,er .s nor r,sf.o,slbla for nnans and methods of placement of ready mixed r•or crate o, aggregate products on a ptojeot. WASH OUT AREA I! :; III !:-: the Purr-t L,se, s r..:por _;bll to per,, c, . ,: 5u10abra area fr,r trucks to rii clean before i,avinq the jrb ilia. An .udr itonal rhart}e will be made lorsr: 11 n;:rf ar,:a l; not Iuov:rlet-l. PUMP HOLDS AND BLOWBACK. .r ii.n hello no or obliq'Itinn of communication to Purchaser when Polio r:cn',narrr hnids or I;da_As . crdefs. Service to . _ru._,_:.r :..II be c tlr,• 2 5t a' Sell r `; ibd',y notinn FJ,:rch2s :tray lr.,. rceic:• or ,mat rate c7 po!Ir requested It Is the re no•-s,h C r. ,.-. t, Cc-rr+,pa to notify PLnchaSer �leasPS .n service. Standby charges :ei; ned du inq P,,Inr, '_'.or, ;trig clean up or blo'.vback, !•.ill be borne op the Purchas'?•. r. ',u�;itir)i ;nr,l:v. at Stales s n. .. ;e added for returned concrete due c1-,-,r p':_ .. POINT" OF ACCEPTANCE. Thu Buyers path*, of r_,-er -rnr_e s ;.' rn< 1.:.K c:h,.,fe Seller Will hot acc;ef,r rash m ,fill Jr>, (.h,aca °,2r,;1 - used by lob . ',,'> .,,. systems. PI'cr-g equipn-ent, o cn- .:.. .. = .. .::... READY MIX CONCRETE TESTING. Purchaseracj _ -s that Seller voll be provided with .1 .;;f,;... .1,:-,t r.:s;,r :r..:lri three 3i c, Lire N;r i•. NO TIFiCATiON OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. PIIrChdSe. aAMC -" I'­t Ir,,r :` .jchr_.;ent �_;_:• v; rip essive sU2ngth test results, to ret2 rtest s,rclr^ ,c ..rid Tc rrak: t!:enr a:adt,t:!e to Seller fo, i ,r; ADDITION OF WATER AND/OR FOREIGN MATERIAL. It .;rid br f=r :irin ,irate: ial r; ,idde,:i to tl:= cn: a: a n_I:;y ❑dent:;. o, iris, c.1 subcontractors, Purchaser accepts :lie cor -i _ - as> 1, t. _red i i -:nr :.xs all right to relact revoke ,L c p r:,,;; 5. 1 z,nv ;. ,ilr , rer ch .f an,, w . r;. ,tp and rill I_ net for sir^rig;h cr prope,rties at the concrete. WARRANTY. v. cart:arl(s' that the cor;,p r,-._,.i1,, strength o' rear; •ni,i,=•d concrete t,l:,t specimens rested for vats ASTfdI void ;neiet the design nn,l for r+fe inix d,=sign sold finder tPu t vonlract Sailer warrants Fite adaregate material sold under this Contract meets the description and specifications for the same set !,i, !I! Ili "his Convacl Plfs 'Ah, i ,,aiiatities, ,=xf,t ss or implied. r+ra made with respect to such construction materials, whethc, th,,y bt: sv,urranlies of film—s, ur vdau,antii of n-,r•: chai, Purchaser , exclusive rerrredd rot breach of this warranty shall be to require Seller, at Sellers option, to refund the purchase, price, to repair said material or to ::r_"tide Purchaser w.A)l n replace lent for any -ion-confon-ning maltenals. No consecµ,enhal damages m y bi=claimed by Purchaser -griin�t Seller in connection with ills kris a. h Of this hc:,rremecf air r.,,'each of ,.t,;;rr,�nty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HFI4-EY EXPPESSLY DiSf L IMS ALL 11,1PLIED a: ",Hl';,SrdTIES OF MERG lANTAHILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 3 LIMITATION ON DAMAGES. seller assume-= no res_ponsibdlrg for. and shall not be liable to Purchaser for any consequential damages incun'2d by Purcr:elser In cnnrlectron with h,: Co; Ct, I ocluding ':411: ioir I ?,I?anon, Puicr, •.:!ors Io T h•'Crits. Piachaser's good VrilI, and any injury to person or propr,, v, Urr: %,fnate i,_; resu It in frrrrn any hre-ICh b`. �,:.l ter :I i.:..t-:h i,, ?: i, iy o'y Seller CLAIMS AND BACK CHARGES. Pt r h; e „lu_. r- croc.,adute. lot cornnte,icIng claims under this ContraCr age rst Griner fc,r any n_asr, r:i:ludr:'q breacri of rr,ntract rsr ..: ,n c .,air,.,+., srnl he i. )',I _ .v; N. Ti,.e Of .3rn<s a 5,-11er' r t an; re%,-rn'1. InCluding taut not limited to. br-,,r ch of c,•,.,nr.ct tar ;arrarty. thus*, be g,,,er to Seli..r it ,,,... 1 g :+I ) ;lu, =r di; sitter, '11 c:uen 1.11scwe,Chou cl hers' bean made. The written claim shall include the er-asnnfsl and grcnrnds fur'the claim arc: r`:u ,foller `,LJL: RI '117 PURCHASER, PC!, ilr't SUI NO TCE 'WITHIN THREE (311'V)RKiNG DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER Of- ITS W� Y 'Lit.;ti '.L dfit It a c)I•-f.ufF ar sea aril r.nnnoi ne resolved, the parties ri:•olved agree to brnilinq ❑,bltr<`,tior thr:,uch n _,n-renal t,ersonnel TITLE AND RISK OF LOSS. I ni sa i J cull=e ssiy _r ::ed hr,r, , h?i:_.:n the materials sold hereunder Shall remelt vritt S,Iler uiftil .::Ilar r ,­i, ;ec,_i re fu:i payment frn the •.:a a,: �, :is •.!-... ... -.[.,r�;,l Fu„ unq„r I it,::=.onrr r t S::all t;: th-� Purchaser -,port delkvery of the same. ,t tii 1. arse of isI -r� '"1's'Jr.3lec; srr•_r� r l _„r. In k,s. f fir, respo!ls hk• to, ::cmphancewlth all governmental regulations and grdir es h i1,gji r t i. -.t it e and 'pail :::l n iif. -rI d I ,Ild S,:II,�•r r.a•mle , egarr, t all c a.' , tot to)naf lnlutie=, lnciurtrng death. and piop~;rt,: darn ,,_ic it sin( _i )✓ hat q I I 3_ CONCRETE WARNINGS. Jr iw rn+:: t _aur:;s sl: t, A.vord contact with evr,s and skin, Wear water, loaf n: zi full r.ir:�:>nr�r r, �r -s; _ �ti I ls,nglh Yi:7fi' 1 r _) _'�/r I; �Ctr'::u" - lilts. bb J'k • ,', J,ilh the&e r t 3lr.rialt It VOU have to stand in wet concrete, U ,e Watr-•piocJ boot t r i' : s tignl it :o:ps .a, ITq ..., r.: r.l'i to b4'ar krieepads to protect kn_,s. FIRST AIIL. If dos; IS . h.,'. re , Tr) f - r_ ! * :C,,l :t:: luor, �1 ,dmr JIVOl, !i your _-;kin with fresh, Clean daater 1,r it:ai:-tr' ; -filer .,nt,ii, I fir-;r'. -a ii-,r: ,1 �.:...;t!t� rg ilia, +, a _,.t „'tort, n:.. m .a . rrri nt or -emert iniA'Lires fror`t rac'Id d c.. t .,r c , cf,;r;; ;, r,:nrili VJhi.n c*'.so^ed t, coi L1ir,I {b; rn•nt ::r :.-r: i -... ;C'.' r , tc:i.�l= n= U,ni(i, In ill - cont.*, tl,Isin 4VIth I,flr iv of water for at limst 15 min-tes_ CO .suli it n Cra1' i"I[E '—h f E,ICH [�F fJ =.1_I l -.ail•".I...'aHCi r,1AY USE C'R CiJfv1E I',J'-Ct �')rvi�;i.:i :,rl-; -I �. Ef lI1fJ ;',I �.ti _-..�.: �'r iL. F:1L,f?i4.i' ,Er.Jr rill). r' IRE:-' DAILY INSPECTION DIARY REPORT # DAY: T h✓r5 DATE: WORK PERIOD: iYs� /p.m. to 3; 6 a.m. WEATHER: a,(_ TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: I u(1x t- »;(I w4at-<1,- MR,Ol al i ,/� ?- 31 YZ ,� r /yi t t�► t- Ll t e� ti J/O r (i C !/ i'l f tv . ce (S 9 � � t 1' ✓'�- N c, pli'a.� �' <+ �/- / 7 e2. Z t7 a �; S %� UL 5 0 �' ;/ f � 1% �LxFj_ !�( 'C � 1/ N s^-t ✓ S � O: M '� '� 7� i i � • rr C /'c �o�i �loG�ls �' D'roG�/'Ns4r� ,t�0v✓ C7-fi /,Z.'Ol3,�iYt 1-✓,!i'ph YVID ✓�! G� � t� ate' /Yt sr,'+ �YOM %11 fL IN+Hn✓r �b G K-LS l i nh � �'.� yjp a. r G i QayJ l Z h i Z DrY it l�Or s c ,,� n-Fo/'•�r,-! L.£ 7.�Y'a c� `f' (/1 i c-/� �iVlGN-c .a c 3 k .r -�' ('J li � Z ��' �' �-1 � S CONTRACTOR SIGNATURE I EC OR IGNA E DATE: c DAILY INSPECTION DIARY ° ,,„ REPORT # DAY: �, i O DATE: tit 11 lc`"( WORK PERIOD: G;�s_e.1/P.m. to it;/5 a.m. % a WEATHER: L TEMP. MAX OF MIN OF PRECIPITATION: /V WORK ACCOMPLISHED TODAY: VVA %tR w / 7 N 1 vv,j }'Yl.4n �l�..oc tote' Ad '� - tat / i �► - -O✓tvn" G co ��• ic�9t'cj4 lic{S `40 5 wt tio� l /- ik c cr e4-� r .1- t r't I -t, k j c c,ze s ah em a r C A "'s cap., 5 %7 V- S A- 1'►0!✓ J �yL j o jer"4,, /S --> S /'ritI 5 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE:y6-2 3104Y / � •STON EWAY eat W 1) 3803 E. Marginal SEATTLE (Plant #1nal y S., Seattle _._......._. ._..___........ .. _ ... DELIVERY TICKET V CONCRETE Iun L kMd-nI" I, �» - vaimy "wy., 1U a #14) 915 Houser Way N.. Renton SALES/PLANT& - RENTON (Plant ORDER DESK (425) 226-1000 ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E.. Maple Valley FAX (425) 228-4924 SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT # CUSTOMER NAME CUSTOMER P.O. 7NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) ❑ CASH ❑ CHECK # ❑ CHARGE MAP ZONE CARD # EXP. SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER • PRODUCT� • • t JOB TOTAL SLUMP SPACING ORDERED BY TRUCK NO. DRIVER REMIT TO 9125 10th AVE. S. WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE, WA • 98108 YES TERMS ON REVERSE gals. to full load ❑ YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ JOB NOT READY ❑ LACK OF HELP ❑ ADDING WATER ❑ WHEEL BARROW JOB ❑ YES ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN ❑ DRAW BRIDGE gals. to 1 /3 load ❑ WAITING FOR TRUCK TO UNLOAD El PUMP BLOW -BACK ❑ NONE ❑ WAITING ON PUMP ❑ WASH PUMP ❑ OTHER ADDITION OF WATER WILL REDUCE - WARNING - RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL STRENGTH. WATER ADDED AT SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BACK (5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE DISCOLORATION PRINT NAME DATE BATCH DATA: DELIVERY TICKET NO. REV 10/03 NBF CUSTOMER'S COPY TERMS, CONDITIONS AND WARNINGS * CREDIT. !,l to Z'nlk- latiol, to 1),•, 1[,]rm any and Al c.i terms of payment must be set ici,th it tI it i It, t,,t,, of any sOch tainls. ill 7: Dehl.�>1,f O.D.) PLJICIlci­r acii L;pofi rtzCLIC-St 10 I'Lif-iiisi, r neceF 'A y fur Stoller to -1-11el 10 j)eI ',idler this Contract is subject to rond,tic,I cr eoent t,ljl Seller -1 111 hav, th[,ty (3O) i17"'s from ­T P�,;rOl !Spr so t"nt ctcdf oepa,im,-nt ntay ievie* 'Ind Lypplovet C, d,sappwv.- o, (..fei iF,ri_ of in this Gontra(;t, I ERNIS OF PAYMENT. i,,, :ces if.- roe P2l',:!T19:nt by If 30th day after rhe datc, of Invoice. Servlc,. chatge'i cf cap , cluml,,r it per month will be CARDS IRE ACCEPTI-0 AT TIME OF PIJRCHA1,iL PAYMENT IS f✓`,ADE BY BANKCARD AFTER P3E Ni_.JPRFF_) I! a sr.. n citm.,op Is it must ne I'ald In order to Inalnt.rin al, op.3i, lii; i: It, Pwchaz:i!r, 1h,01 l)zike all pavi-nerits due -I -,f. iv-\ retention ii-A "'Itil �1-e t,�m iletc, _11,11,r)�lf Pit rr:ii m, I,,-. It, sts i'C 'ippp,'.,I�. P( It ES THF.iP pjI i C, J ():i AL L 1013.3 _hL,i,'I,, le', lej 1%'. 'oil of '[)I', �,cq w,'I! IaJ'Iltl I in, 11 all bc jf�id ,)y LING. tic."n rig al 4Ji III t_,� thro Iqh sel!er's d toil offi, , v:,J r, WIL . l IifT1.lT,,o to, D&_I_iVERY CONDITIONS. d0illttflie,; Alil kt� iTI1.11P in 'Jilless othe,)",tsm noted. 5,fin--d Pi;f,.h-ar L­-.­,ii(­,tf)d '-tonri,wv a :i P:ftl: ttor the delivery of nlati i"Cl I.-, tl�, c=rli nil -r_r,,Z I I, t I l lI-t r,as adviier' 7hrit due In t')� size a"id villight Of trucks da,raj� tc :I,r? :wC 0I i -,tu k if SeIlc, ni:r',,,s fts'P (,.if the Patti r.-i". h:!*I­j, !(! I_.e:J tli­r poky thtr 1! lV-1 I o"Id t I- nee t ly to LAAC1111 :1 '10 tMe joh site afe ni Inc rsK Of Ititle PljfcrlasP,r and 111! cis_imeF l, li",ihil i . 'of dairfa(je je,�porisibihty to Setipi and ilh,td parties for popery, dtlnl�lg(�. 11,�rsowil rtL)Ck !0N`VMI7J and Wltlt.hlng t'. tj,­irnagc�d disabled or slunk as a �sult r� i%imklr!�? 01 tf- �CILJI to, !f1p del �!y of 0 1 lid betrYl, , - J!t,es tio trjlk-rin,t,v, ii,i harmless, -Ind defend ;leper from aifrc, dt,m-md--; Iii it lI ­1 to at I), third delivery of firi whether such .w1alnis may I;iL',e Iwo ci groLincjlt:s, of t1­lIiIfl1J IIL-I 1­000e­ij tJ%I)th Ill- Use Of the tHquested path for the .1 to the hill f.:,rit peimiltied by I-lw and subject to the limitations below. Purchaser's duty 1:0 indemni"eller for liability for damages ii out Of bodily injury to h," 01 oncreiti� al Division of Gary IvIerlinct Cnwsimctinn Company. Inc. or its rlt-1.11"in(I fro?"I the concurrent nee of (a) Stoneway �; 11 flo—, op, t.0 11ol iinrieghgencc :If the Purchaser or it jgenl� and 1 •_2tri, pi, Pwr nfliePurictwser ;l r it7i�ri­,t shall1101 be mplo,,,eetI� acj�inst :11i or t,iii, of or payable to or tor w, ilki,d party under ,inr�­­ I Il`lI-(J!15at­n arts, msabillry of lr­l,_ applhi-s if 1 1 ite case Of injuries tc (I - 01 Id­*';I:fnei it -ir tv uf,di signed's di ity l •df!,­r)Nr1fv; and lllh,hty 'o ,0ort, it s(pphffc )I al -"I C!dII _. _. `_!II -f-, + t ! n ri s f e I? ii f -. I ni r,., r e i'L"0. I.j -'I- ;f, ti"'s ,i, lnron­Iiiv­T ­,c PL,r_-asi -gr�e­ to coull—I Chi a g;mwt Il'i'd ljl'). a,misi Such f they r,,, - !!f, cri ect, ll,�[ s not, -,,,;c and metnods of placemelt! 4 mi.,e-1 i f� lt J i I f o'-1, p o 'Y 15H L Ul AREA 1',, 0 o,o, i.i aii-a t,)l le ims, and -,,�fnre li:) ti, 111 ­1it sl ltqe 1­-,F, rlr'dt' I M P HOLDS 13 BLC)WBACK. r S e I N, J !-, L: t G � "J, rit'i" "t (Erl--Ve Of g1n,11 I J;,­ f It POW r;.�qu-- :7telJ, It i� It, I I ttlty Purchaser !1by !., ) Sjf ! (!III hu I it j_!di'."_111 at Seller s ;I- P.CCEPTANCE. The Buyer's t:., It,. -t f r 111 i-IV IUD m;., pinto--q nr Cif �t,IX C.'JiNCRETE TESTING. PLJ[0171�;(�[ 11�1 L,!] ­tcj, ri,, :ullcret� co�t, fl.t*,: t i ,�it S2,IIFat - i r I I S ' �_: I I TI i I n lhf­� ­rl ii1,titwi uf 1he will he Provided viiffl J� %. 'i FV I-)F DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. -Iii, test resull,. to i ,11 )is Zii 4ATER AND/OR FOREIGN MATERIAL. i­,rI I I _tl !3co,,trat-Irvs, Purchi dpt�� 1-Z i, 1 It �1( 1 ta­; I'll WARRAN Fy In wf%!�, T t­ 'p, f l"zTrlZI 11, '1 1-1,' 1 fit(, c'! tl,' --t 11 1 c, so, i ionsl!u•ill wi.,tei :il 1 1 IT crk), " 1! , oof or'' 1, 1 it t 7 1 1 1 q.ri: diii-fir,'wiii w.i, I- t I,., Tilt F P ,It l P A"j`J[HPOSL �Jft.11 rATION ON DArAA,.,ES. 1", kilhfy I"t, -,tl,i I t". to Purc haser for ariv 'onsetq,lc till )I in tv �ill(; rJJJ.JJv to t­g r ...,ono i A:t.tl`[ A,ND CAC H E S tilts co!ltlac, j[J, T: inchidim-, hut notlimit,-!' o by solt: til f), :ffit. 1,1c,t ;,_1 1— ir !;i. - jr, .' n: ,.;l r I I nt. r'l , J" kI II lt-11 wndo. The mitten clairn =hall WGIL!lj!? tee r.ui (s) -!n'i for the. r1 (11 and !1 4 ' iti- .','I _T l (,J THREE (3, \`ii, OFi KI I,: C. DAYS S! . 4 L L F !iY U l i,- I r Ind i'-c :'nrtips nvolvrri aar� e '1 11' 71 T 1 i f 01-r I i"L.rldot 311 1- mp J-: Ipul lt+,,eq" 11 sv. il. :)[ v,. th ill lin t: C r 1 _4,ij il"Lt jt�-t iIT' ll, I LJI-i ;'T z ol I,. !,i(t, 1-1.1, 01 dt iea:,1 17 I'd lib f L)I HII F i :,,AN' IJ'_E 0;� C� ML INIO F if J-1 F I s­ ;,!01-, 4' 'STONEWOY SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle DELIVERY TICKET %EVSALES/PLANT CONCRETE I UKWILA (Plant #12) 1 tuz4 W. valiey riwy., i ukwua RENTON #14) 915 Houser Way N., Renton - & (Plant ORDER DESK (425) 226-1000 ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley FAX (425) 228-4924 SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. 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 MAP ZONE CARD # EXP. / SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD El DISCOVER " PRODUCT •D ��- JOB TOTAL SLUMP SPACING ORDERED BY TRUCK NO. DRIVER REMIT TO 9125 10th AVE. S. WATER ADDED ON -SITE CYLINDERS SEATTLE, WA • AUTHORIZED BY: 98108 ❑ YES TERMS ON REVERSE gals. to full load ❑ YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ JOB NOT READY ❑ LACK OF HELP ❑ ADDING WATER ❑ WHEEL BARROW JOB ❑ YES ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN ❑ DRAW BRIDGE gals. to 1/3 load ❑ WAITING FOR TRUCK TO UNLOAD El PUMP BLOW -BACK ❑ NONE ❑ WAITING ON PUMP ❑ WASH PUMP ❑ OTHER ADDITION OF WATER WILL REDUCE -WARNING - RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL STRENGTH. WATER ADDED AT SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BACK (5). 6 MINUTES PER CUBIC YARD NOTFOR CONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE PRINT NAME DATE DISCOLORATION BATCH DATA: DELIVERY TICKET NO. REV 10/03 NBF CUSTOMER'S COPY A. TERMS, CONDIVONS`AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must beset forth in this Contract. In the absence ofaRy aucht r fit tef this all deliveries under this Contracture "Collect On Delivery" (GO D:)- Purchaser agrees'upon request to furnish Seller such information as is reasonably necessary fqf Seller.40 determine Purchaser's financial condition. Seller's obligation to perform under this Conti4ct is subject to the condition precedent that Seller shall have thirty (30 days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1.25%) per month writ be payable on all past due invoices of thirty (30) days or older. CREDIT CARDS ARE ACCEPTED AT TIME OF PURCHASE ONLY. IF PAYMENT IS MADE BY BANKCARD AFTER PURCHASE DATE, A3% FEE WILL BE INCURRED. If arservice, charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due nereunder in lawful money of the United States and in accordance with the terms hereof, without any retention and without regard to any agreement Purchaser may have with other parties, Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies, and post4tudgement collection efforts. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3- TAXES. All federal. state and local taxes: assessments, fees. duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by %rchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seiler's agent (including, but nottimited to, drivers, quallty assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be madoin concrete transit mixertrucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merlino Construction Company. Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks, damage to the premises and/or adjacent property, or personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy: that deliveries requiring Sellers trucks travel beyond the nearest highwayto obtain access to the job site are at the risk of the Purchaser and that Selterassum6$ no liability for property damage or personal injury that may result Purchaser agrees to assume responsibility to Seiler and third parties for property damage, personal injuries, truck towing and winching expenses. and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third ,partiewarisingfrom, rsulWgfrom, or connected with the use of the requested path for the delivery of maWriails whether wAclai.mmay prove to be tru ,or false, groundless of "katxftiiept, to ths.ftextgnt�ermitted (ay law and subject to the limitations thalovw. _ ipuret dse►'s duty to nify, Sals get rising q1t of bodtly�irt}trry tdh persons or damage to pr"erty caused by or resulting from the concurrentnegill dt (a) Stonsway Concrete: 8 "Na 'AA Zm rr�tr'r�tipri Oompatys i� br'lts agents and employees, and (b) the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any Immunity that may be granted it under the Washington State industrial Insurance Act, Title5f RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts. disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies. Seller's personnel related costs, reasonable attorney's fees. court costs, and all other claim -related expenses, including attorney's fees and other costs Incurred by Seller to enforce and establish its right under this Agreement Upon SeQWs tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. S. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before Weaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be dyne to the best. of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases ill service. Standby CK, rges incurred during Pump Company cleanup, or blowback, will be bowie by the Purchaser. An additional charge, at Seller's discretion. will be akdetifor r+etur(ted concretefA to clean up process. S. POINT OF ACCE'PTApCL The flityei s point .of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays, delivery systems, plAting equipment, ortnrcumstances beyond our control, ;9, READY MIX CONOFWXTESTUNG. mrohaseragrees that all ready mix concrete testing. including concrete strength testing for acceptance, shall be In accordance with ASTM, UBC and ACI and4thet Seller wiu be provided with a copy of all test results witMn three (3) working days of the performance of safdtQsLs. 11 NOTIFICATION 006EFI0"T CONCRETE OMPRESSIVE STRENGTH TESTRESULTS. Purchaser agrees to notify Seller in writing within twenty-four (2aj hours of deficient concrete cornpra�ive stied o test results, t6.retain test specimens.. and to make them available to Seller for further Inspection and testing. li i, ADDITION OF WAT",.A*"fi F pFtE1CaN'MATLwRIAL. If water and/or foreign ti4aterial is added to the concrete by or at the request of the Purchaser, its employees, agents, contractors or subcontfilliMe, Purchaser accfpts the concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of any warranty and Seller Is not responsible for strength or propemes of the concrete. 12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in, accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth: in this Contract. No other warranties, express or implied. are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchas©r's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price, to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of wartanty herein. THE PRECEEDING WARRAiTY IS IN LiEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES(*F MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13, LIMIITATIOlit ON DAMAGES. Seller assumes no responsibility for. and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, Including without limitation, Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting_ from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seiler for any reason, Including breach of contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to. breach of contractor warranty, must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written cialm shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITIifN THREE (3) WORkING'DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel, 15, TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seiler has received full payment forthe same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnity and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage, use or handling of said n,atorials. 16 CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: ffdust is inhaled. remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar. cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar. cement or cement mixtures from clothing, Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable NIOSHIMSHA-approved respirator. In case of eye contact, flush with plenty of water for at least 15 minutes.. Consult a physician immediately. KEEP OUT OF REACH OF CHILDREN: USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY USE OR COME INTO CONTACT WITH WET (UNHARDENED) CONCRETE. MORTAR. CEMENT OR CEMENT MIXTURES. DAILY INSPECTION DIARY T \ REPORT # DAY: DATE: 06172/oLf WORK PERIOD: ZAc Qm /p.m. to ILa.m.. , WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: k1 WORK ACCOMPLISHED TODAY: o f Lu j 3 r 1-t Z ! ,cut 2 S fT z- vp �. 4 � c �� [� a 1" h { �y Y u H ,� i .� � f ; ,-� -c L!i i !' l� .�; c-IC 11'to✓{ la a � %/:1 G 9yi �i 5��� /�'1�-r✓rs ---� �v�e;�ke+�s y►+c��ur� S` of 11.7 3y+,'/4�v5� l�lbof T / G ,04 yu ay.< 1� f a .ti 4411 u f = ! li 1yi 1( Q-e— fit C- ffyFo�r/^�t� 7 O -mar le-e 0✓/ llL1 K- � � � �'4a.d� �r/leQ TlNi�> Vim'% S 14'h 5 J z lU' Sov-14 v-i� S�wry (t�-c, e- & j, 5 � P/ vc 4 i ©;, �► S l � /f rr/i /�lLl D&v;s AV S© if}l_v Vevif 4vc S® mo rri5 %41/1r: 30;�Sj7Y4 G — �4 i / u L-7 S,J I— .S % 0) � 1' i i CONTRACTOR SIGNATURE f INSPECTOR SIGNA URE DATE: DAILY INSPECTION DIARY REPORT DAY: �'� © DATE: (%ii/nf 1401 WORK PERIOD: �-;15 a.m./p.m. to 3 3y a.m. p,m. .2-2 WEATHER: C c. TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: Tatbo' hVI WA741co mol'lam.?, -.��- 3r'f2. 4f 4- 2 3 g o (C t Z oti. •, �r ; z. ®Y oN s e r(�/H., . ►c l �yme %✓���C l - %►-NL14 i%r:.cv T �c(Gs{ KL,.r /�i�,'A /5 3�� 3 k'' � i v2.•.L, (u�,1�� .. �-���1) t � � i� �.y, c„ �-�. �vtw G4��: 5,,.2: t<,� I=N, � � �r l5EJ.1G 1MS�alt gel %�_ /a.�r a� fi J� JLZZ %��7✓,5 cailL- 3C 1�((b✓df,1C 0,2 4;f:<dl w, L t}kk t�,-uT.f �l'.�6�ti/s/1c�r� R t ZZC if- �L [-ld�ko 6.2 '� se r/L - t(I'l, s ✓-. S,�R sue/ i �Q / I iG / -`.I rLN t/[ irk rim/. �.. �i `rill,/ 2Z%-0,01 fG.," p! ► e- leed-,IY L� ;10 LCL7 %t[.:-�" l`GG I/AaNt to 404n-� H.) CONTRACTOR SIGNATURE r INSPECTOR SIGNATURE DATE: y � NWATERIA Ticket #M Northwest Division P.O. BOX 2037, EVERETT, WA 98213 • (425) 355-2111 Date Plant Plant Desc Ticket Time Zone Map ID Project # Job # PC „ Customer # Soid to Truck # Delivery Address Hauler/Truck Description WeighMaster Instructions LOAD CUMULATIVE # OF PRODUCT PRODUCT UNIT AMOUNT QUANTITY QUANTITY LOADS CODE DESCRIPTION PRICE TICKET SUB -TOTAL TAX TOTAL The undersigned promises to pay all costs, including reasonable PROPERTY DAMAGE RELEASE (TO BE SIGNED IF DELIVERY IS TO BE MADE INSIDE CURB LINE, attorney's fees, Incurred In collecting any Sums Owed. Dear Customer: The driver of this truck is presenting this RELEASE to you for your signature is of the opinion that the size and weight of his truck may possibly cause damage to the premises and/or adjacent property if he places the material in this load where you desire it. It is our wish to help All accounts not aid within 30 days of deliverywill bear interest p y you in every way that we can, but m order to do this the driver is requesting that you sign this RELEASE relieving him and this supplier from any at the rate of 18% per annum. responsibility from any damage that may occur to the premises and/or adjacent property. buildings, sidewalks, drive -ways, curbs, etcby the delivery of this material and that you also agree to help him remove mud from the wheels of his vehicle so that he will not litter the public street. Further, as additional consideration, the undersigned agrees to indemnity and hold harmless the driver of this truck and this supplier for any and all damage to Not Responsible for Reactive Aggregate Color Quality. No the premises and/or adjacent properly which may be claimed by anyone to have arisen out of delivery of this order. or SIGNED Claim Allowed Unless Made at Time Material is Delivered. A $40.00 Service Charge and Loss of the Cash Discount will be NOTICE: MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING NOTICE AND SUPPLIER DELIVERING INSIDE CURB LINE. collected on all Returned Checks. WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN LOAD RECEIVED BY: Standby Time Initals X CUSTOMER SIGNATURE 1320941 CUSTOMER COPY AGGREGATE PRODUCTS Aggregate products are naturally occurring materials (limestone/dolomite, granite (basalt), sand, or gravel) which may contain more than 0.1 °. crystalline silica. Hazards DUST MAY CAUSE IRRITATION TO EYES. SKIN, AND RESPIRATORY TRACT. SUSPECTED CANCER HAZARD. MAY CONTAIN MATERIAL (CRYSTALLINE SILICA) WHICH MAY CAUSE CANCER IF INHALED. Cancer risk depends on duration and level of exposure. Safety Avoid contact with eyes and skin. Wear eye protection and suitable protective clothing. Wash thoroughly after handling. Avoid breathing dust. When exposed to dust above recommended limits (see MSDS), wear suitable NIOSH,'MSHA-approved respirator. First Aid In case of eye contact, immediately flush eyes with plenty of water. If inhaled, remove to fresh air. Get medical attention if irrita- tion persists ASPHALT CONCRETE Contains liquid asphalt, aggregate products (limestoner'dolomiie. granite (basalt), sand. or gravel), and hydrated lime. Aggregate products may contain more than 0,1°o crystalline silica. Hazards ASPHALT FUME IS IRRITATING TO EYES, RESPIRATORY SYSTEM. AND .SKIN. MAY CAUSE ALLERGIC SKIN REACTION. HOT ASPHALT CAN CAUSE THERMAL BURNS. SUSPECTED CANCER HAZARD. AGGREGATE PRODUCTS USED IN ASPHALT MAY CONTAIN MATERIAL (CRYSTALLINE I SILICA) WHICH MAY CAUSE CANCER IF DUST IS INHALED. Dust may be produced during cutting or grinding of hardened asphalt Cancer risk depends on duration and level of exposure Safety Avoid breathing fumes from hot asphalt. Avoid breathing dust from cutting or grinding hardened asphalt. When exposed to fumes or dust above recommended limits (see MSDS) wear suitable NIOSHiMSHA-approved respirator. Avoid contact with eyes and skin Wear gloves, eye protection. and suitable protective clothing. Wash thoroughly after handling. Work clothes should be washed regularly and coparately from other clothes. First Aid In case of eye or skin contact, immediately flush with plenty of vfater. if inhaled, remove to fresh air. Get medical attention if irritation persists. CONCRE_TEICONCRETE PRODUCTS Contains Portland cement and aggregate products (limestone'dclorniie, granite (basalt), sand and gravel) and other siliceous materials. May contain more than 0.1"0 crystalline silica. Hazards IN CASE OF CONTACT, FRESHLY MIXED 'NET ("ONCRETE CAUSES EYE IRRITATION AND MAY C ,USE SKIN AND EYE BURNS. MAY CAUSE ALLERGIC SKIN REACTION. DRY CONCRETE DUST MAY CAUSE IRRIIAII ION TO EYES, SKIN. AND RESPIRATORY TRACT. SUSPECTED CANCER HAZARD. MAY CONTAIN MATERIAL (CRYSTALLINE SILICA) WHICH MAY CAUSE CANCER IF DUST IS INHALED. Cancer risk depends on duration and level of exposure. Safety Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection. and suitable protective clothing. Wash thoroughly after handling. Work clothes should be washed regularly and separately from other clothes. Avoid breathinq dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS) wear suitable NIOSH/MSHA-approved respirator First Aid In case of eye contact. immediately flush eyes with plenty of water. If dust is inhaled, remove to fresh air. If wet concrete contacts skin. wash thoroughly with soap and water Get medical attention if irritation persists For further information, see Material Safety Data Sheet (MSDS) for Concrete/Concrete Products AMERALS' which can be obtained by telephoning (425) 355-2111. Northwest Division DAILY INSPECTION DIARY DAY: M Q rd DATE: ()6 /N /oLI WORK PERIOD: 7(Oe a.m. /p.m. to 3�SG WEATHER: "6'. TEMP. MAX OF MIN OF PRECIPITATION. WORK ACCOMPLISHED TODAY: REPORT a.m. /& _2 -2-- I--- r in e i ceSl S 9G _ 12 �,r� 3nr- w t -t e4 - 33, kt otia.;T�1 S Rr7Rv( a,� f s �'/t f✓sw, -� 1 / + ' ✓o u a(�3 a 1 M / /t'� _fL �n ✓'L [� {� U y N ! a. / f N l�l ! 'Grf I S �ja rt "7 i/e e.. � MvvcvlD , S y y 5 �% u rio"' x l l/ O 1 12.9c// ,--' 4Gc i t ] k1 r E 4, 41 162y 31 Toys TZ-2-- fed a ! - /I -6 �l u z � 4 Of -./n -o�i 37, 14 r CONTRACTOR SIGNATURE I SP TOR SI ATURE DATE: 4 4—/!f ,oq DAILY INSPECTION DIARY REPORT # DAY: �", - DATE: %6/ i5 /G`a' WORK PERIOD: %../p.m. to Z:G:? a.m.��=�'' WEATHER: C j- TEMP. MAX °F MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: T,2 ! bo t- r r w,, / .f r ''-i Q; 0 / l/2 end Ma aw�v j.{ rr,Als l T ,2 S ( ' A, _ 5- Q rGl�kd .2 ♦ trA T�{� 3 _ - `nick ; �.c✓ 04,k" ur Z - Scrv;z- Trek -r/ J - Scv-c r pil C4 t 5 jai;/ 7 5-0 .2 5 t S %. C.q it p r r ; RGMev z ,Z©' e� �Z' c0,1 W% 4 1- 2 1 o W M r° ay. r, k-0 ovu i a 5 a 4;> Ald-(k/ S or L W In �M c ntil/ U' y�w� /✓ti l/V�1td J�'la 1/i I .s/ su 5 ,� _j ,,1 CONTRACTOR SIGNATURE -76 f� INSPECTOR SIGNATURE DATE: (26 5% 0 Li vE s6 WAILT 1I10t-EA l IM liir►nl REPORT 11 DAY: _ DATE: ©C/ ! 6/04 WORK PERIOD: 4� /P.m. to �a.m.4LM,� �- Z WEATHER: 6. - TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 2 a / k, ? P ; ll w " Ied lit/ i, r2 -:Z 2 - 3 / y2 ,6 // a, /,w'o -, i f"ian eoa-el, /"1 a Ac - A /f ( Se.Lt-i�✓s/ �t ! L7 (,Ll�C�� C ����t Gin✓✓p 40 %�r� tnjt✓ct�0��0iC�: f �� ttie 5o,,—:� r,5 /�t /; ✓Irc, , f Ynrr�� P t�� �r� 1.2 sJ&ram r'P� ; fH Z � o ld YJ.1 d z 2 l <.-hro Cac'ptil;ti:,f at 5 �19 23.t0G G/( cuv,•J� „va < oc, dvr;t j9vL.S Sovn-e- ct- w� rt o• t ✓ r L" n yr . W^ * l ,, K - C. k 11'1 oI- e h 10 w:11 l� ;„ rA „M/ y►�cvr g;,/t /o Nc✓ah r�oK✓r .� 1S t`' -�o I,04a1 rdS o C 0 SI ya jsU �pf� CONTRACTOR SIGNATURE a Or INSPECTOR SIGNATURE DATE: ©� _16"p DATE: DAILY INSPECTION DIARY R PORN DATE: Qk�(7/0(-WORK PERIOD:/P.m. to a.m. DAY: ✓ ' WEATHER: C (.� TEMP. MAX °F MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: / be ff /,/ i 6 R /yG. i t w, i, g - 3/ yz oali�t' a {sv,4/5 7. C? 1 i dpr 5 �z e- L �G 3z,7 T IVNS I De/,v{vim'Ju".. 0G-14-oe-1 o* a— K a pl/ ?l. t LVas, /Ol:✓ir+ � {y1v✓� oufi �u rGa� �otv jQ:ck /�to%rso, 4 1 -f I � G Mor! s 4 t/t soa4,1: -t(o-" a ;v �a / w D o� / ,. !l�NL S/a�•+n -c � �a t wu 5 vvr lvca �s/{ an� o ve,ca/ ,+ j c� I~ e w PI s CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: O Y /% .`/ DAILY INSPECTION DIARY REPORT DAY: j•" j DATE: Q L / ( d /7 WORK PERIOD: � �,� ,'YS m /p.m. to `eo a.m. WEATHER: L TEMP. MAX OF MIN OF PRECIPITATION: A/ WORK ACCOMPLISHED TODAY: 1 of ber 14 ii wd.reg Mc, 1411 1 e ., 7 31 V Z. 1 Z f 80 C+/1 or i> 61vY1 ✓1 TNvcIC ! - rr v�'� �rvlr� il<<rP�r� `,r/.�,' �4(, c1 f 1 5TAl 30 r qlr �, .� 1•rrf%ss� 5/l9 3/fS0 DOS lec%s.C�/ i+la 7�i 75 S /S j�`j /`1a'y; (isr iytc i.�or dvr _f lie d ko - /L Ma.'1� s C0V-r/'-r<� L> CeL�'1/:ys� w tL, Sjct//iht<7l IS�� /��i✓ urr<. L,d Aeti-.v ?) ' b 0 10 Sav f1+ ka/ K e ie' S / 5-t1- 73l/t,r,i 1 R-e •% gl- t- Toe U,-; 41ti /7c�H�' fw�co S�rrr f1 M 0 /6 V +�ti Cif 1S: I t- AyL SltL-4-4 I // c�� - c hac,hr c/ CONTRACTOR SIGNATURE ga—INSPECT OR SIG ATURE DATE: 04--1 `0l y DAILY INSPECTION DIARY REPORT # T:rx, m. to DAY: T �v✓�7 DATE: 06/10/dg WORK PERIOD: (/p• WEATHER: O, G TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: i� v vra ! O yr 5 �" � r 5 � f (Ovt � : •� v < t � v i t-r f � q 1 / 8 � %J..�- �y : rir /oN �v%S /�!/t ie v ♦0 S 1 �/ S % , �•S�,'/� cif -c -r � v� /ti7 s cvoSsr � /2✓d � %!j� G•/►s ��S /�SE �/�-r S'�t 5 y1P'. 5 4� i t r+ doH �a�;s �US tcs x pT /2 Al dlP75 i77 rJ'6 �GO sT�N 1e �rN ,�S/%�i./t e. i a/V f, iZ for J -Z 12 6 U r �-: r I �� ,,,, 7rv� K 6 J, l 7 'j o,r % ! G /2 ,*rti Sv ce ,- J f ol-<,ryllfe Jt/ f/ L-t PdL�s CONTRACTOR SIGNATURE DATE: INSPECTOR SIGNATURE DAILY INSPECTION DIARY ,� REPORT 46 DAY: �j�/� �! DATE: (% �'J`I WORK PERIOD:!�.�: ( './P.m. to 3:dd a.m.�P•m 3 ` WEATHER: (. TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: _ 13CIA " 5 1 f L fL .0" f tyty/t S 1 G ,e-, S Ao/� � 1 �0.7 o-( avi I L, o f it 1"'t'441 f or } 11 174 v ; 5 Avg So w� o u h/.c c� �/�. �✓ / 5 Nar f l� ! S L'GS �/ cr / 4G"5Si �is4r Pi.o,.n yr 6t % E, t naf �d, blea K"s .r�¢o �f;w� �d>z �cglNw,�.ti C ✓vSS �� Stk�` 5T ¢ ali.11 l�r. y, w<I n�w�:pt S /S��a S j`t7ti57 Mor✓r5— 5 /5 5 T �rt3svrs f�S� a S 0 rt ti ,! n, 7` 4k, z 5; }-r MAH ewe✓ 4 .v,E.,7` / / f{?Z� i�v;wif x, Z. 5 So 64 G /�- �! / �- - �7 J / ' ~ v 'F Y✓rV 2 o t wa }Ol 2 L � 17ri vt v 1 /%vKa✓� %✓��K l TOrLlH Nn �, St/� li."L Z �Ycic%f / �H CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: c/ (7 � C) DAILY INSPECTION DIARY REPORT # DAY: DATE: � ,,;e/„T WORK PERIOD: .m /p.m. to WEATHER: r ; TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: � c v p4 'ram}�y—� '1 i-r'-�� i • e s��`--i �� �- i�i:--, �-. C�—/ �-•� l �� ��%/ .' _ L i a r 7cv f f e alp 101F'gh Gv f Y - _"_. JSI / 5 ,Z- iY'vckS CONTRACTOR SIGNATURE cov,fi5 Sc,r✓,5 �✓2 ac r INSPECTOR SIGNATURE DATE: Q6 -c>9-0 o , �- e DAY: �" DAILY INSPECTION DIARY 05 0-7 6"1 7:,-70 0 RF�P_ORT �d DATE: / / WORK PERIOD: a.m./p.m. to a.m. %`m. WEATHER: TEMP. MAX OF MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: u n 0 C a 14 4 /Yl1G ,dim S uv r a L/'R vt a �h r iyto- SOU�� oa qv,s v O� lCs ti ca / ✓ O tit iv+�erf{� ibvr a7 ei 3 { r 7o orb 1 r.V•iK= ale c ex�.r� is W, 4wt tr✓rU d-cn mtif w��ti R;ck/ Moreno 9� s,-f1 _ ,tiers 7 ovt/�/ Seas{ �%e/�.% G /'� � � 5 I N C /riGti. t� i� R / , r n/p�► t y� -f' � 8 JL d � O t pjiy { OT �f%4 !/d /4'1 C /� �" l%ati.5 fsn / / JDlfa 'fie a ,, /,,,yd ,li�no�S df4�rT rhovel 01(-J, ,4AI4 Opilb /s401i/41rP' d{ k%'oa-G-4 f.f!7Aewn STFl 3c - �,EIJ11, -c 414G d45evfAL b'flr.ev ol;. y,�.„�.vr-l- Q�� ��Y inr✓✓.avr5ri O�v"e-/o v,iil:�� Pon{!:c"(S, TJ,,W,L ea"I ✓of -T1 4401i{r f`6-oI � rubte5 7— E t yA I yj;/w l*h.cr '04 cv ja l S p T 6v 11.58 k�.� 12,30 joNS �r�t2 j;Gkcf l0,+1iq ions��C� 1 iaksfi �AG/< �04 mil' 1p Err Seca�L fo (T .Z ao% 2 2 rl 4,41ye L.2 S-s✓.ct -f vC%r3 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 4 G - O-7' o DAILY INSPECTION DIARY REPORT DAY: , DATE: 196/04 /pc1 WORK PERIOD: (� /p.m. to a.m. p.m. WEATHER: G TEMP. MAX OF MIN OF PRECIPITATION: AJ WORK ACCOMPLISHED TODAY: Tal bo fi H;l< W, ON f / Z t %��c rNA P"Al G v, d/ U L- tY•r �-C s� Cos , 0 / L,o CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: ©6 QC/- 0 i DAILY INSPECTION DIARY REPORT DAY: 4 DATE: �( /�� S/p� WORK PERIOD: ,,:y a.m./p.m. to y_ a.m./'�_ WEATHER: r / TEMP. MAX °F MIN OF PRECIPITATION: AQ WORK ACCOMPLISHED TODAY: o/ a .l �4 , .'""," -, /i 4 F1 t � t-ol col T' ! " i -� L D/A!� Ovt f�Y cf ��agh-rrS o'T lo- c+b, ✓ "�/2 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: ac_ 03-4 DAILY INSPECTION DIARY REPORT # DAY: DATE: WORK PERIOD:%/p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: / ��[C�j�svr� d / �Uv►�� JO/!n S . it �A 7titG. w<✓t vT 1 �Ops"' r74 7'�17•P1 i�i�✓� 7 � �or;N t� `vt a isy:a/1 a of t �,my/o�id t� ?� 7/sv; S /�✓L� ,fy�v r �, � v-c u� cl. er % ; c, y ®�.► /t'lo rY. S /l U.� S ` _ S�Gr t lnt��+l/,r7 CONTRACTOR SIGNATURE INSP CTOR SIGNATURE DATE: 66 -0Z"0 DAILY INSPECTION DIARY ----.,REPORT DAY: fF 0LA DATE: 014 WORK PERIOD: 6e`j`'a:�/p.m. to a.m.%�m,' 3 > WEATHER: i& TEMP. MAX OF MIN OF PRECIPITATION: A/ WORK ACCOMPLISHED TODAY: 7alp&f Pr/( G(/a/-ev Mk`kl T� K u r-r K t i✓; �l� : c k %� v Y-� w{t wo"Itl k-c fig - ot^ C,�,� CONTRACTOR SIGNATURE o C St r v-c c.( r - / INSPECTOR SIGNATURE DATE: ICON MATERIALS P.O. BOX 88050 " Y; Tukwila WA98138 Aggregate Operations: (253) 839_-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 J FAX (206) 575-3207 L_ONMot*982Cr-- - - -Z. - x CK E t # 130914 DATE JOB NO. / P.O.NO. - - PHASE NO. - - CONTRACT NO. C.O.D. - TIME ORDER NO. CUSTOMER LD. ZONE /MAP OUANITY SOLD TO: DELIVERED TO: - IS-3-I P, ST� � b(," S AVE S0 20219 c�_; �T I tx 57. s::. TRUCE; NO. LOADS TODAY TONS TODAY tE�' 2, 5 07 Try. _ PLANT NO. PLANT NAME bCALE NO. -- - -- LOADS TODAY TONS TODAY AM; UNT - 10 GROSS WT TARE WT NET�WT � TRAIL.F.- F L_.C= G. •� AMOUNT RECEIVED BY. - - TAX TOTAL u . ,p�au �i abn•�u th. , iCv ; 'fat+ nas xw n„t i,c liable for any damagee toghrgbb ry tjoK,eis pty s+dewal� roadway or private property Y s r in delivering material ]:.tcd ai � I. t" t � t '. o ICON MATERIALS - C� 3 RO BOX 88050 Tukwila, WA98138 Aggregate Operations 2 3 '- - 1 "/ FAX.... . 4ir1383 _ Asphalt Operations: (206) 575-3200 FAX (206) 575-3207 DATE - JOB •NO. , P.O. NO. --- -- -- -- -- -- -- - I, _ PHASE NO. .CONTRACT NO. - a+. -- TIME — -- ORDER NO. CUSTOMER Lb. - ----� - -- ZONE'MAP OUANITY k�;,ILDS {TO:; _ --- DEWERED T7O�: L DAY _ - — --- '19 99?P, AV C tit LOADS TODAY TONS TODAY - OADSTODAY - TONSTODAY i QUANITY. PRODUCE _'-PROD(JGT - :PRODUCT;i3ESCRI - y! iC . ':zo .,,;.. + - ,�:,:aFiti' � r � is'T'�r "F.a?ti.�.'�: r�.�� .�-' .a�5��� -_-,. rc>� ��Z�► R E NTIaN O N C R ETE EECYC°LE R y 22121 17th °Ave.-S.E., Suite 117 -`Bothell. WA 98021 PIT SITE: 5,00 MONSTER-RD. S.W. RENTON, WA 98055 fl (BLACK RIVER QUARRY SITE)`=' SITE PHONE: (206) 772-2278 BUSINESS OFFICE: (425}, ` 01 " CITY OF RENTON 7 "R Planning/Building/PublicWorks Department Kathy Keolker-«'heeler, Mayor Gregg Zimmerman P.E., Administrator June 11, 2004 Dan Buno ,$uno Construction LLC 20219 99`h Ave SE Snohomish, WA 98296 L"'�yC OPMEN T Or RFNTON�cES Uh � 4 2004 t1ECE1 V 1 jt) SUBJECT: TALBOT.HILL WATER MAIN REPLACEMENT PHASE 1: S 16TH STREET CONSTRUCTION SURVEY Dear Mr. Buno: In your letter dated June 10, 2004, you requested permission to install a portion of the water main, within S. 16`b Street, using surface features as shown on the construction plans. This request is due to limited survey control to properly stake the water main in S. 16th Street. We agree that this lay out would work, and a formal survey will not be necessary for this construction. The City will identify the new water main alignment, after all utility locates have been identified in the field. If you have any questions, please call me at 425-430-7208. Sincerely, Rick Moreno, Project Manager Water Utility Enclosures cc: Abdoul Gafour, Water Utility Supervisor Ron McPhee, Field Engineering Specialist HAFile Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3142 Talbot Hill Phase 1\C0 CTOR CORRESPONDENCE\Construction-Survey.docUtMtp 1055 South Grady Way - Renton, Washington 98055 R E N T O N 8 This paper contains 50 % recycled material. 30 % post consumer AHEAD OF THE CURVE ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 FAX (206) 575-3207 ICONM**982CF DATE JOB NO. P.O. NO. PHASE NO. CONTRACT NO. C.O.D. .7. TIME ORDER NO. CUSTOMER I.D. ZONE/MAP OUANITY SOLDTO: DELIVERED TO: EHAW-) CCINSI Riff-*T I fit-4 9S�TIA AVE i3f:' LOADS TODAY TONS TODAY Lill, c-14 PLANT NO. PLAfIT NAME SCALE No. LOADS TODAY TONS TODAY .UAN1 PRODUCT PRODUCT PRODUCT DESCRIPTION I PRICE UNIT AMOUNT UOM NC ffjp �A.)' GROSS WT TARE WT NET WT RECEIVED BY. AMOUNT TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivering material listed above to these premises. 1CONWATERIALS P.O. BOX 88050 Tukwila, WA 98138 Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM**982CF DATE JOB No. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. off TIME ORDER NO. CUSTOMER I.D. ZONE/MAP QUANITY 0 P SOLD TO: DELIVERED TO: '4 V c-i !'.41 V 19 9 "CIN It. 9f 4 WA TQLIt N.O. PLIANT NO. PLANT NAME SCALE Nq- QUANrTy PRODUCT PRODUCT PRODUCT DESCRIPTION UOM NO. GROSS WT TARE WT TF4411 E'R: NET WT 69080 LDS. L. f-'111" LOADS TODAY TONS TODAY LOADS TODAY TONS TODAY PRICE / UNIT AMOUNT AMOUNT RECEIVED BY. All 'SK TAX TOTAL in deliverin material listed above to these premises. It is specifically agreed that ICON Materials will not be liable for any damage to snruDDery, DOWCr�, Uty 5IGe-aw, --y � F---e P—fl- R n inker ,- MATERIALS- Northwest Division Ticket # P.O. BOX 2037, EVERETT WA 98213 - (425) 355-2111 Date Plant Plant Desc Ticket Time J. 4, r_, TIM :�, C L� Z�. Project # Job # PO # :qZone Map ID Customer # Sold to 9025035 BUTIC, C0P3T1ZtxT!(j)q LLC.-' Delivery Address PF�-Ff'2'14 Wh"rVFP 013T M41�JPE WA 91155 Instructions Truck # 2 0 Hauler/Truck Description WeighMaster Lb ?AL- GCOSN 60 57 22 Teii x t- LOAD CUMULATIVE #OF PRODUCT PRODUCT QUANTITY QUANTITY LOADS UNIT CODE DESCRIPTION PRICE AMOUNT !�Rj.,�WTE C-CYLL, I-Irl SUB TOTAL 7�. TAX TICKET TOTAL The undersigned promises to pay all costs, including reasonable PROPERTY DAMAGE--REL—EA—SE _,T0_8_ES_1G.­E.T_:.E­Ll-­Ry Is T­.Ei­E._A11_E 1_.,1l.E C.R. —11.E1 attorney's fees, incurred in collecting any sums owed. Dear customer: The driver O'th4l�' is presenting this E to ou ror our a s , P, may Possibly cause d nnature weight of Ns trick 7d the driver r premises 1 to All accounts not paid within 30 days of delivery will bear interest you in every way that r wish to help at the rate of 18% per annum. responsibility from an supplier from any f t damage ls� of this material and he y is that Lt.- by the delivery - bon agrees darrm and yone additional consideralp him street.F.rffie,. as , ad,.... p rip. :h may Claim. by an Ft-h-rp�­­iises a..., all damage to Not Responsible for Reactive Aggregate or Color Quality. No SIGNEDto have a sen ou of delivery of this ortler. Claim Allowed Unless Made at Time Material is Delivered. A $40.00 Service Charge and Loss of the Cash Discount will be collected on all Returned Checks. Standby LOAD RECEIVED BY: Time Initals X CUSTOMER -SIGNATURE - -- -- - - --- ---- --- ---- 7 8 8 CUSTOMER COPY 2d�-q qu-wiz WATERMARK CREDIT UNION Rebeca Vargas Member Service Consultant rvargas@watetmarkcu.org 200 Andover Park East, Suite 7 Seattle, WA 98188 (206) 382.7000 • 1.800.732.9300 www.watermarkcu.org fax (206) 444.6309 •sn uo junog ubq noA Fyw�1e�l any cuP-s .ICON MATERIALS C P.O. BOX 88050 C Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM**982CF - 'r W f T DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE / MAP QUANITY I SOLD TO: DELIVERED TO: .1! Wul LOADS TODAY TONS TODAY TRUCK NO. PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY QUANITY P PH T PRODUCT DESCRIPTION PRICE 1 UNR AMOUNT UOM� NO — Wt!N p B fi GROSS WT TARE WT NET WT RECEIVED BY: ' 4 - AMOUNT TAX TOTAL It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, Howers, city sidewalks, roadway or private property in delivering ICON MATERIALS Y P.O. BOX 88050 Tukwila, WA 98138 Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 �—- Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF LR gvadwEM P.6MG CCMMCIOAS DATE JOB NO. / P.O. NO. PHASE NO. TIME ORDER NO. CUSTOMER I.D. SOLD TO: - - - - DELIVERED TO: hrlH R, L0 m N N r UTRUCK NO. N Z Q d PLANT NO. PLANT NAME SCALE NO. f O U 0 Z_ ~ PRODUCT qqPRODUCT Z OUANnY PRODUCT DESCRIPTION a ►i tit i�t? UOM NO. Y J Q U40; tiH11 n GROSS WT TARE WT NET WT RECEIVED BY: f; It is specifically agreed 8iat IC Materials will not be liable for any damage to shtu UUUU CONTRACT NO. C.O.0 ZONE/MAP 0UANn LOADS TODAY TONS TOO/ LOADS TODAY TONS TOD, — — I PRICE / UNIT AMOUNT - AMOUNT TAX TOTAL bery, Rowers, city sidewalks, roadway or pnvate property in aeavermg me•— u>•� o - •- - r --- P.O. BOX 88050 = Tukwila, WA 98138 Aggregate Operations: (253) 839 2101 FAX (253) 946-1383 ' Asphalt Operations: (206) 575-3200 / FAX j206) 575 3207 ICONM*ic 982CF DATE -''' JOB NO. (P O _ NO. _ - PHAS_-E NO. - CONTRACT —NO. ------- C;06-14- y rr TIME - - - _ ORDER NO_, CUSTOMER I.D. ZONE/MAP OUANITY- OttELIY RED TO: _ TH --AVE SE <<� ;1 TRUCK?JO LOADS TODAY TONS TODAY � a� PLANTNAME SCALEO f- .�'�-!t'+L$.i�.iY`;.`'E _ LOADS TODAY= O- -._ '..RODUC --'�_- _ C �. QUA �T _ 'GROSS.�WT TARE WT NET 1 _ atit 3 On RECEIVEDBY a t a� - t s= _ - TAX _ z -4. _ _ - ,;.I �l �Ih i dit k3VAtahnal � .I ""'t h� i�h,:� ix� l r -Ln r.` ;ti L r 3 w- c �,uSt<-I .�a, gnu L nn�;=riinhn,I L.tc3 ah io tii. ICON MATERIALS P.O. BOX 88050 = �° Tukwila, WA98138 Aggregate Operations: (253) 839_.2101 j FAX (253) 946 1383 Asphalt Operations (206) 575 3200 / FAX (206) 575-3207 - - ICONM*t 962CF - - - - DATE JOB NO. P.O. NO. PHASE NO CONTRACT NO, C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE/MAP - gUANITY SOLD TO: - - - DELIVERED. TO: I 99TH AVE -SE b t ±.. TRUCKN6 -- - --- ---�- -" -- - - - - - - -- -' ---- LOADS TODAY .?f ONS�T0f5AY PLANT NO. - PLANT, NAME SCALE NO. - - LOADS TODAY -; — NS O-D V a.. lad 1. At,-, b'�••- y- QUANITY PRODUCT. vo PRODUCT - -- - -' 'PRODUCT DESCRIPTION NO PRICE, UNf `A�MO�INT y -"07t----TGr-t it i,, �pa�-h I I v aIm,d tI t K IN Material, K'dl mit be liabl, fC AhT fan" l.4 1 ulde•rti; t 111111 r It I k n. :?i.-.ty r 1n1at0 Fein- ty in ylIdII I il; rttatt-nal IistCd aN"e to the 1 I' 'In'; � } P. O 8 BDX-8050177 ,c Tukwila, WA 98138 Aggregate Operations: (253) 839-2101 r FAX (253);946-1383 Asphalfoberations: (206) 575-3200 FAX (206) 575-3207 ICONM**982CF - DATE JOB NO /PO NO.. - - - _ PHASENO'� F, -R "'CONTRA NO. f , � f dAD TIME ORDEFLNO = CUSTOMER)-- - -- - - ZONE/MAP- - n. - OUANITY SOLD TO: BUMsoL — 2Si =`"# ,< sl f TRUCK NO -., -, - - - _--� - „ - r LOADS TODAY _ �. TONS TODAY 1 7- P,LANT"NO F� ICON. MATERIALS - P.O. BOX 88050 Tukwila, WA 98138 Aggregate Operations: (253) 839-2101 FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 ' FAX (206) 575-3207 ICONM** 982CF ,_v DATE - JOB NO., P.O. NO. - PHASE NO, CONTRACT NO. _ COD. L_{ /245 BPfil) 4� TIME - - ORDER NO. CUSTOMER I.D. - ZONE/MAP - -QUANIT-Y SOLD TO: . 1 DE RED TO: -- -- - - -- -` eJJN G MiSTPU -T.ION 19TH T DAVIS AVE G. 20 1-T 99TH AVE SE TQ> 01140MISH WA TRUCK NO. _ _ LOADS TODAY TONS TODAY 54 ei f_ { 12µ_ PLANT NO_PLANT NAME SCALE NO — LOADS TODAY --. TONS TODAY j{I y a -mot - ODUC.--��- _ -- - - - —'tl .,PRODUCT DESCRIPTION -- - PRICE / UNIT --- -- AMOUNT 1Cdfi MATERIALS - P.O BOX 88050 ' Tukwila. WA 98138 Aggregate, Operations (253) 839-2101 FAX (253) 946-1 183 _- > Asphalt Operations: (206) 575-3200 ! FAX (206) 575-3207 ,� � � icoNM**.�e�lcr - i' T i't1 C "i• � t rtha�t� rf 1 y Ls f 0 f?lN { ,H - p WoA 7PLANP LANTI�O. T NAME QUANiTY - PRODUCT - UOM -_PRODI1C?- NO 96 SCALE NO . - - - -- - -'"LOADS TODAY "— -' `7Oi - LOADS TODAY - T TBESCRI PRICE , UNIT __AM( / TOTAL :14PCd l'2X-2.-�C t at r.�1�1�1111�1ti i1�Iltl r•, ll.11�lt'I 3[l�'. ll.lill.f '.[ FC'I`�'TIy-Il cl,�l,'iIfl�Rid[I13t IL f'�,1F10VC L; I��I �tl��'.�',�tt��� I.I,�. '.Y I�.•R�.I�iK.I� fl�ll`: AV Rinker Ticket # MATERIALS" 1901012460 Northwest Division P.O. BOX 2037, EVERETT, WA 98213 • (425) 355-2111 D 1812004 PIa �1 PI R49 ore Amphalt Ticket Time _ 7 : 11 : ;25Aiyf Zone Map ID Project # Job # PO # Customer # Sold to Truck # 90*150.15 BUNO CONSTRUCTION LLrC 2027730 Delrve[yAddress t,,' ' d?�- . _ Hauler/Truck Description ret wzt-r-r lCEY k`=RE 14A 98155 B17117, K1140 rCt'i,MMUC T 1O WeighMaster Instructions LD Kftt tic Tem Gsoss 48,000 21.77 24-00 Faze 231920 10.85 11.96 met: 2,;, oaU .t.0 _ 92 12 _ iJ4 12 y 0 4 fiLrt 12 . CI 4 i } i$17 7 B BFti x ki }C g A. } TOTAL, �. _ _ AL M The undersigned promises to pay all costs, id1clUding reasonable PROPERTY DAMAGE RELEASE (TO BE SIGNED IF DELIVERY IS TO BE MADE INSIDE CURB LINE) attorne s fees, incurred in collecting an sums owed. presenting y y sign opinion weight a his truck y' g y Dear Customer. The driver of this truck is resentin this RELEASE to 0o for our azure Is of the mbn that Me sae and may possibly cause damage to Cie premises and/or adjacent property C he places the material in this bad where you desire it. C is our wish to help All accounts not y paid within 30 days of delivery ear interest will byou in every way that we cart but in order to do this the driver is requesting that you sign this RELEASE relieving him and this supplier from any . responsibility from any damage that may occur to the premises and/or adjacent property, buildings, sidewalks, drive -ways, curbs, etc. by the delivery at the rate: of 18% per annum. of this material and that you also agree to help him remove -mud from the wheels of his vehicle so that he will not litter the public street. Further, as - additional consideration, the undersigned agrees to indemnify and hold harmless the driver of this truck and this supplier for any and all damage to the premises and/or adjacent property which may be claimed by anyone to have arisen out of delivery of this order. Not Responsible for Reactive Aggregate or Color Quality. No SIGNED Claim Allowed Unless Made at Time Material is Delivered. A $40.00 Service Charge and Loss of the Cash Discount will be collected on all Returned Checks: LOAD RECEIVED BY. Standby Time Initafs X CUSTOMER SIGNATURE 132"a941 CUSTOMER COPY i - Ct - 5eb044 -- _ . l _k(i!o-6- _ s'j A21`'b— M t Af �X'Gt�1�7101J At - '�L1i_- V�WES A�t� 'F+t`fi �tlsS - It•,�_ TH+, f W'r97(-SPe OA . 1N MAi-= V fSvtA✓ O _ MA%d tlSfc�L itrisvt - -- - -----c�d----�ol'yi✓l__ L i N� _ t.�LI�t�D -aN t�1. Sl P�_1.� - S_ ��,t''� h�� -- ----- - ---- ---- -----_-- -- ---------- — it t SEATTLE (Plant #11)F3803 E. M�rgmal Wy_., Seattle _ T )ani'#12) 176j 4W. Valley Hwy: STONEViiQ►� TUI&a (PTukwila �1� N C R E 1 E RENTON (Plant #14) 915 Houser Way N., Renton i CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E.. Maple Valley ACCOUNTING.9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CON FTRU H pOON`OMPANY, INC.�LVE LE E ?LAN [7�WIN AM ! ��- [ _-- PM�:. nanFR N17 PROJECT DELIVERY TICKET SALES/PLANT & ORDER DESK (425) 226-1,000 i FAX (425) 228-4924 ARRIVE PLANT —� PLANT # CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. CUSTiJMER'NAME i va L� j 42L} --- U� � 'C��N'ST RIICT ICfla L��t COLLECT ON DELIVERY (C.O.D.) jO.B,ADDRESS 5 j 5TH D"V IE; AVE_ sa ElCASH [ICHECK # —.- - -- L' CHARGE �MRPZONE EXP. !, 134T'_ SPECIAL INSTRUCTIONS - 0 VISA ❑ MASTERCARD [] DISCOVER _T PS I CA S i i Q d C`>=5500 5. 5 Sl = Stlii f =` 3 0:4 00 CYI 30075 I ENV 1 f2OWEENTAt_ SURCHARGE � I c81oTAL "SLUMP - .SPACING ORDERED BY BRAD - t! 00 4.00 PUF 1IC ----=----_ 4GE4 DRIVER }qNSP4, HARRY -SALES = REMIT TO — WATER ADDED ON -SITE CYLINDERS 9125 10th AVE. S. SEATTLE, WA SALAN a6TAbRIZED'BY:El YES 98108 SE TERMS ON REVERSE ! • ❑YES REASON FORK iVl gals. to full load LACK OF HELP El ADDING WATER WHEEL BARROWL�I gals. to 2/3 load YES JOB NOT READY -, ❑ ARRIVED JOB EARLY � TRAFFIC ❑TRAIN DRAW BRIDGE' IIWAITING FOR TRUCK TO UNLOAD C7 PUMP BLOW BACK gals.'t0 1.I IOaCI ONE WAITING ON PUtdP WASH PUMP POTHER - RELE-'TOMER RELEASES AND AGREES TO HOLD' HARMLESS SFONEWAY GONCRE NC FO,R,ANY DAtvlAGE TO HIS RE --- ADDITION OF WATER WILL REDUCE -WARNING IRRITaTIgN •ro,,. f)INI${ON OF_GAEtY IyIERLINO CONSTRUCTIOtJ COMPANY,' 8Y DELIVERY OF MATERIALS LISTED ABOVE RETAILS OF S ST�iENGTH. WATER ADDED" AT SwN AND EYES OR PERSONAL PROPERTY CAUSED AGREEMENT ACCESS ON BACK (5). CUSTOMER'S OWN RISK. SEE REVERSE (1sl 6'MINUTES PER CUBIC YARD NOTRESPONSIBLE FIR 6oLOR - CUSTOMER SIGNATURE- NLDADING TIME INCLlJDED. vAalATION oR. SURFAcE - _ DATE' f PRINT�IAME _ — — — — — — -7- Ad'ditional.Unloading time charged at current tioudy'truck rates 'DISCOLORATION ,_ _ _. — — — — — — —' — — _ BATCHtWTA; ;r REb 10 I h;Bf- CUSTOMER'S COPY $TONEWAY SEATTLE {Plant #11) 3803 E. Margi 1 WyS., Seattle - DELIVERY TICK T /'a r TUKW{Planitfil}'17024�/V./a'�feytiwy,Tukwila " " RALES/PLANTS 'CONCRETE RENTON (Plant #14) 915 Houser Way N., Renton CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley ORDERDESK (425) 22 QQQ ACCOUNTING: 9125 TENTH AVENUE SOUTH FAX (425 22 SEATTLE, WA 98108 (20) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. i 8-4924 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT i PM DATE CUSTOMER NO. ORE) NO. PROJECT PLANT # 014 CUSTOMER NAMP.C. CUSTOMER O. JOB NO. DELIVERY -TICKET NO.` SUND CONSTRUCTION LLC _ -. - JOB 49335 JOB ADDRESS. COLLECT ON DELIVERYIC:O.D:) 5 15TH DAVIS AYE S MAP ZONE ' El CASH E CHECK # ❑CHARGE EcJt 13t ,; _ CARD # EXP. / SPECIAU4NSTR4dCT10N S fi. L-1 VISA E. MASTERCARD D DISCOVER IliO ` sLL .: 5g SF_ SEND F l E 40013 PS I Chi S 1 z>CY 30075 -FtV I ROWIENTAt- SURCHARGE 10&•1�7TAL=: _ i, ::--., :' -SLUMP V4-SPACING - - OFDERED BY = - . SUB -TOTAL 4.00 BRAD SALES TAX TRUCK NO. DRIVER - - 341- .. CR I TES, JE.RRY REMIT TO 9125 loth AVE. S. _-' ' WATER ADDED ON -SITE CYLINDERS _, , .< ;: AUTHORIZED BY: 'SEATTLE, WA - 98108 YES TERMS ON REVERSE TOTAL AMOUNT _ gals. to full load YES — REASON FOREtAY THE t0 2I3'ioad a JOB NOT READY a LACK OF HELP, [}ADDING WATER WHEEL BARROW JOB gals. U.YFS -ARRIVED JOB EARLY 1 TRAFFIC. L DRAWBRIDGE C TRAIN gals 10 4 %S ,load CJ WAITING FOR TRUCK TO UNLOAD ElPUIVV p� Bl_bW BACK " DNONE PUMP ❑WASH PUMP ❑.OTHER - WARNING - RELEASEZ"nn%TADMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, ADDITION OF WATER WILL REDUCE oN To A DLVISl{*J�pF GARY MERLINO GONSTRUCTIQN COMPANY, INC. F 3R Ar1Y DAMAGE TO -HIS REAL STRENG LH SAtATER ADDED AT dRRITAT SKIN AND EYES OR PEF3.S�IAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BACK (5). 6 MINUTES ER CUB[C YARD iJorn sPONSIB E to rjo CUSTOMER SIGNATURE (INLQADIN� IME INCLUDED., ; Y , -TAdd,j;S j nfoadingiidi63cRacged at current hourly truck rate.- fTigN.OR 12RFACE DISG'UCORATI,, PRINT NAME DATE — — — BATCH DATA „ _ DELIVERY TICKET NO. V 10103 NBF CUSTOMER'S COPY