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HomeMy WebLinkAboutWTR2703198_10DAILY INSPECTION DIARY DAY: DATE: D / (� /c� WORK PERIOD: Q REPORT (� �Jl�l �};Qj a. /p.m. to �`,md a.m. p.m G-( WEATHER: Qt TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: S 16 /? 94 Wit V 4 1 v--- AV v -t e-K- f- i-1 5 e kjs¢ K w u i 5 j r 6-co 5S) o A l 40�- CONTRACTOR SIGNATURE Zd 0- 2q INSPECTOR SIGNAT E DATE: d Z -/,7 - d 6 DAILY INSPECTION DIARY REPORT # DAY: % jJ DATE: WORK PERIOD: 6,3d(�/p.m. to 3;36 a.m./40 - I WEATHER: LL- TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: J CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: /Z -,2- Z" 0— DAILY INSPECTION DIARY DAY: y j DATE: 12 / 23 /05" WORK PERIOD: 0 , m / m. to -� REPORT _�t' P • Oo a . m . �i(�. m .) WEATHER: C v TEMP. MAX OF MIN OF PRECIPITATION: Y �..•� WORK ACCOMPLISHED TODAY: _. V J b��J;]✓.rt� (era EEL CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 1 Z - --C) 314846 S Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. DAILY INSPECTION DIARY REPORT DAY: �;�� DATE �, l�."1 /„_, WORK PERIOD: ._ ;a.m�/p.m. to a.m. WEATHER: D, L TEMP. MAX °F MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 1"11` , t�" l I �,1 � r u t12 � -/- 31 q F V. s� d AE � b H( 1c a III I f'/� 6 f j Cp� 14, f t /c 0 fo. V i r�1 1 b)5�.,/�Ld/ �-/✓ t,!/<i�r✓ S./(/i c.rS Dv+ /A/C-t AV S — n N,��. -_, a� ,►�"�/C 4 t/i Z "1/ he ar �yvilc rL�cl/cc4�/� , .ti " "I C, G L l l 0 1 �i t� V �i ✓ R `e i f al v i t r f O w r !�, CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: n./'613..&,- V- DAILY INSPECTION DIARY REPORT DAY: At d DATE: /v(j WORK PERIOD: /p.m. to WEATHER: 0, C. TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: l a l b n t "; / I c,z, � Gy j n ?- 3/ el 1 34w1t , — ( ��(, � Scr✓,'mot. ✓Gee.�.ac.�?e:� 1 Ste✓ c C�wrltc.�;Oh �v G��S�iKti l �O�/o✓ �itnwi CONTRACTOR SIGNATURE Six 4 cut- 0J of 515 ' SA.erivc,�' 't✓ � - &-, X 4 INSPECTOR SIGNATURE DATE: d (` 0(-/- 66 30 14 9%* '13 9 Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS, THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/2% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 31492,,7 a Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1'/z% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 3,14495,7 .1. Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11i2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 3,14988, I'l )67 Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A 'PERIODIC RATE' OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. QUAY.., I T`; Rid%t` PR(.KWJ l I NfL. Shipping Locac inn. Rentkjin (;40, �u�� " N�re a :� � f M fid}4�T�T'C L �t•.t - - `_ q*b `Job Add: TALP-OT HII I • WATE:F�'MAIN-:WcL !iCit y : RE114TON f'O!Job# PO/Jots: ,` r D as o t e ll : #3588 Trt,#. P'JJIli rGY o �� '•yft��� Tat' a W� w C i.5?o 4 M o r, s: :i. I ., F? Me, A T.t} n scr.8 (). j� Curls : ��a. rl IYlE` t' 1c �t311'a�3 iC . y154 i Job T.rns: 467.97 Metr t� `Ccm_.« rs ;, r STANDBY TIME �.� It�Ii;.Ii-1L_ Material Check. No. Tax ,� '� Viaa/Mc, Appr Ado Total.. CUQTOMER r Our driver- will make every effort to place material where customer designates, but tr e company assumes no responsibility for damages inside the curb or pro^erty lines. Claims for shortage will not be allowed unless made at the time this material we- delivered. You will be charged fc, excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE' OF 1"2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. DAILY INSPECTION DIARY DAY: r DATE: 0 1 / 04/ Qd WORK PERIOD: p.m. to WEATHER: 0, L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: f r REPORT # a.m./p.m. � -( cAA 14,( S�vG G CONTRACTOR SIGNATURE 70N s/� csTc. r� S,evviccS Cs�� S (C��451 INSPECTOR SIGNATURE DATE: d)--01 0C S •� .Il 4Shi�ing. Loca.#ice; Renton patt: 1'I4/262 Time1 h8, PM ,! Customer #. fl$ AJ'� �tugt Name: VJM CONSTRUCTim4 f, - .Jots Name: Jo'6 Add: job Adds TALBOT H r 1..I._ WATERMA I N Pf+P City: REN TON PClf.Job# FAD/ -I ob: ��aotei#c B688 'f 6d. 5/13" CRUSHED rJir- .E% t.iP ,C"r. PICKED. UP M.:Ip Page Trk# PVJM2 ross Wt : 46440 are Wt: ?E4�71 r Net Wt .- 2.?8i1 O p . . !Vat Tons: 1.1.9 mi-tric ��k�. �•'� Day Tons: '24. ti Metric Tons: 21.87 g• �`• Job Ton_,: 431.72 Metric Tone t 391.0-497 'STANDBY TIME INITIALS No t e s t ---- — Material Check No. Tax _ Visa/mc A P F,.. C"e ________. _—_-- Total. CUSTOMER- --_ P Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs. including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 116% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 3r14994 Wit MOO OKA IMMMAhs; lob Ama: Mion lyaf TTY K! . A FT vmii Mau Wo t Ora Men Ono : SI AN04 L W Me Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS, THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE' OF 11./2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. A. 0010 4nipping 1 O,Wwn, RIO, AV q !W MAI lob, - lays; van r swown wa, rte Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. taS037 1 t fa f Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs. including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1%,.% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. i'r�'? �� Ii � ' Y �-. Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1'/z% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. LtG50 Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs. including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1 Yz°% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. F, Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs. including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1'/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. DAILY INSPECTION DIARY REPORT DAY: DATE: j / /(LWORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: Q • TEMP. MAX __!5D F MIN t °F PRECIPITATION: WORK ACCOMPLISHED TODAY: CONTRACTOR SIGNATURE ,-i Dom-,�SPe�.•(.:"j c-, c j INSPECTOR SIGNATURE DATE: R DAILY INSPECTION DIARY REPORT �d DAY: �; s DATE: I / WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: © C-, TEMP. MAX �F MIN��F PRECIPITATION: WORK ACCOMPLISHED TODAY: �A�� CONTRACTOR SIGNATURE "INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: _yj�� DATE: /y' JORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX,°F MIN L� PRECIPITATION: ` WORK ACCOMPLISHED TODAY: to uuC�. A 19 `�• 4-r-' S.)1; 1 Sly,, 1", +k< ,I , +�&G i1 CONTRACTOR SIGNATURE INSPECTOR SIGNATUR w DATE: A: 1 - DAILY INSPECTION DIARY REPORT # DAY: DATE: D ( / /Qf/6(v WORK PERIOD: g;ew a.m./p.m. to 3;a.m. P. WEATHER: U: (, TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: E- /blot h;II c.I,r w I r-D- -�-3/7R ram,) 1� �' Sv 6 i ��+✓ I-� G� S 4 Lt/ L u /� . ". s, CONTRACTOR SIGNATURE INSPECTOR 5IGgATURE DATE: 01_ld -e6 DAILY INSPECTION DIARY DAY: T kVL' DATE: Of li c[ E REPORT /�,% IC WORK PERIOD: 8&) (O/P.m, to 3, Jcd a.m.�(_ I WEATHER. 0t C- TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 7-al 7-3%`6w Slt w ir 6, .an C 0&1 f'HvtS C-y CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 01 / -C6 DAILY INSPECTION DIARY REPORT (� DAY: �y j //'' DATE: C'�( l2e) /C)6 WORK PERIOD: C-ed a.m./p.m. to 3'3 a.m. �- 1 WEATHER: L/, L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: To /J,(I 6 6J� t&-,Zb-,)-7-3/9 LCiSc s CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: & / ^ e6 DAILY INSPECTION DIARY REPORT DAY: 0 Ul DATE: 0 a6 WORK PERIOD: ;D-- a, /p.m. to 3,led a.m. WEATHER: 0, L TEMP. MAX OF MIN OF PRECIPITATION:�� WORK ACCOMPLISHED TODAY: l& f 11L/1 (- -1 Iy e .), 7- 3 1 cl 9 'c/ ✓ 3G. c Av e �1T a INSPECTOR SIGNATURE DATE: 0/- 2 3_d 6 c DAILY INSPECTION DIARY � REPORT DAY: Ti/ti DATE: Ci( 1_2,i /0& WORK PERIOD:,j;dp 6 /p.m. to-?pri WEATHER: L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: /9s424F �� d.� s J h d�o t c_. G S r` �,/� a o -, 5f,.2 j6,-4, 5 4VL- 50 U -r�'yr�' � � w�'•�c(✓v.'�% A�'S - �'r��'�t-� two.- Y=r�:r ��.z,pvau� mti CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 0 1 - ',z/- 4 I5 , SC 7s �� ` 315162 � Qi/ALI[/ K�Ck PRODUC� IHL- � Shipping Locations Rentc» Date: 1/23/2006 Time: l0:@J AM Gustomer #: 88150 Cust Name: VJM CONSTRUCTION Job Name: Job Add: Job Adds TAL8[/| HILL WAlIRMAlN PHR , Wty: RENTb|< PO/Job# PUIj'/b: 0uote#: 8688 Prod. 5/8" CKUShLD PI[OLD W Carr. PICKED UP MWp Page: TWO PVJM1 O,oss Wt: 46220 Tare Wt: 2l460 Het Wt: 24740 Hen Tons: 12.3/ M*t/ic loos: 11.R219 Day Tons: 12.37 Metric Tons: 11.2219 Job Tonw: 543.03 Metric Tons: 492.6P84 STANDBY TIME__ NITIALS Notes: Tax ________ Visa/MC Appr Code_.................... �..... ___ Total A Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delive ed. You will be charged for excess time if shown on this ticket. The buye agrees to pay all costs, including attorney fees incurred in any colle tion expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHA GE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE ARGE IS COMPUTED BY A "PERIODIC RATE" OF 1Yz% PER MON WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 d Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 E- ICONM**982CF SrtF OEVFIOVMun PnMx� CONPNCTOPS 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: I 'IT Rdr7 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: 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. 526405 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 me Dwsmvw:rrt a,vmmrw,cmws 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 I 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. 5&;.6417 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"' DtvEioPMev-, v.... eo-- 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 PRODUCT QUANITY PRODUCT i UOM NO. i PRODUCT DESCRIPTION PRICE !UNIT AMOUNT GROSS WT TARE WT NET WT AMOUNT i 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. 526445 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 otve�rrnexr • vvrtw eom�wa 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 PR NDDUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM GROSS WT TARE WT NET WT RECEIVED BY: AMOUNT TAX TOTAL is specifically agreed that 526458 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, Dtveiovuwr • v,rnw ewrv.cioa 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. PLANT NO. PLANT NAME SCALE NO. QUANITY PRODUCT PRODUCT UOM NO. RECEIVED BY: LOADS TODAY TONS TODAY LOADS TODAY TONS TODAY PRODUCT DESCRIPTION PRICE/UNIT AMOUNT GROSS WT TARE WT NET WT AMOUNT TAX s 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. 526450 DAILY INSPECTION DIARY REPORT 4� DAY: •(O� DATE: WORK PERIOD: N;�p a. /p.m. to WEATHER: G TEMP. MAX OF MIN OF PRECIPITATION: _ Z WORK ACCOMPLISHED TODAY: U b27 1 I c .�, Uv ►, a Z3) � P 7«5 d')4 --1, el-1 V S h, Nc. i L a 5 fi r,. r 4 C S( S 5 1 # l ,e --f f .5 r•-c a .2 " /O 16 / Piy G fU f la 42;y, < i A-i Mr.hareo eH 1/0",lwev �6i' 44/� �.�r �,5 ='As/-/ CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 0/ -,L5 -d L 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 s,n Dew---P—Co—mm 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: !' 11 IF, i I il,i 1 1 -,{ l li t! ! t'.. Itl' 1:'''i,,ll Iil it( !'1 i I Ii i i:Itt 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, flowers, city sidewalks, roadway or private property in delivering material listed above to these premises. 526839 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 SRF UFVFtOPmExrPnxcCaxivn«on5- DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE I MAP OUANI7Y 01:'} C ,{ f SOLD TO: DELIVERED TO: +'Itl{< I l It.l{ • , { f+'��-'{il_li � I � �, t � I ti.' _. TRUCK NO. •IS! , PLANT NO. PLANT NAME QUANITY PRODUCT PRODUCT UOM NO. �� E'er•; " GROSS WT' TMT SCALE NO. LOADS TODAY TONS TODAY LOADS TODAY TONS TODAY PRODUCT DESCRIPTION PRICE/UNIT AMOUNT NET WT AMOUNT i 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 526824 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 >i i. DLV[lU4MEN1 VVING Coxm,.c:ovs - 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: .li 1f% i F41;.pi i t iq4' 1 :'f:, l 1-f TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY QUANITV PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM NO. . , (1 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, uowers, city sidewalks, roadway or pnvate property in delivering material listed above to 526815 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 sEOEo.MtM o,�ca....�' DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE / MAP QUANITY SOLD TO: DELNERED 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. iI GROSS WT TARE.WT NET WT fr 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. 526497 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 se oeE�vM�,.. v,viue ea�c� 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: t•i� 1F� 1'I-lt�l1`_� :: f t�i'_,t>1 11-1i t (=t'ir'r t (- 1 fiifl TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY �_,F OUANITY PRUOM ODUCT PR NDOUCT 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 liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in delivering material listed above to these premises. 526817 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 Stn Dev[inrmexr•P�viHC Corrtwc*oxs DATE JOB NO. i P.O. NO, PHASE NO. TIME i ORDER NO. CUSTOMER I.D. 1 !1 i;` { 9.11 1 F! .l•! la . SOLD TO: DELIVERED TO: IJII!.,) "it'll i 1. I t I' d 'I ili! CONTRACT NO. ZONE/MAP C.O.D. OUANITY TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRUOMODUODU� PR NO. CT PRODUCT DESCRIPTION PRICEtUNR 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. 52a831 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 Srt[ DFv[,ovn,[x,. PwmG COH,w.caxs 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: DEUVERED TO: - F+ I IrI{111 TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRODUCT UOM PRODUCT PRODUCT DESCRIPTION PRICE/UNIT NO. AMOUNT GROSS WT TARE WT NET WT RECEIVED BY: AMOUNT TAX TOTAL It is specificaliv 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 prenuses. 5L,��,iJ 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 ** 982CF — —p-- — cox,ancroxs 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. Q/9/ GROSS �TiARWT NET WT AMOUNT RECEIVED BY: -- _L—' -- • 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. 526833 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 sre osnorru.r v.Mr.e eoxr,.e.o. DATE JOB NO. ! P.O. NO. PHASE NO. TIME ORDER NO. CUSTOMER I.D. }•_t , i t it �! (, !i.I} ... t , , SOLD TO: � '.. I I. ►i1�1 �� . 'i till �=?F;l'i'��i . fell I .I1 I-Ji"I t.1} TRUCK NO. DELIVERED TO: PLANT NO. PLANT NAME SCALE NO. OUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION UOM NO. GROSS WT TARE WT NET WT l '4 { G RECEIVED BY: - �rz ^` ' CONTRACT NO. C.O.D. ZONE/MAP OUANITY LOADS TODAY TONS TODAY LOADS TODAY TONS TODAY PRICE/UNIT AMOUNT �i AMOUNT f ' / 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. 526820 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 $rtt DI-l".- -'.. CONiw.croAs 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: f, TAX TOTAL is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, dowers, city sidewalks, roadway or private property in delivering material listed above to mese premises. 526496 DAILY INSPECTION DIARY REPORT �d DAY: DATE: C'j /Z 610E WORK PERIOD: 9;od a.m /p.m. to TOd a.m p.m j-j WEATHER: 0; (- TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: Azo itLii/ L.fr,1,14 W,,3 CONTRACTOR SIGNATURE Fw- e INSPE TOR SIGNA E DATE: r DAILY INSPECTION DIARY REPORT # DAY: DATE: 01 /.2-? /D( WORK PERIOD: 7;L*)6L M. to j,'&) a.m. WEATHER: Q, L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 711ly o1ee CONTRACTOR SIGNATURE )Z�- 7x -a�, INSPECTOR SIGNATURE DATE: C lf -,,Z 7 - O 1: 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 sm oeve�vmercr•p,awc coxrncronsm 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: f it!f.' 1; it<j'i -; I i-I'a'1'10t I I'F ld ii,l1 l li 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, flowers, city sidewalks, roadway or private property in delivering material listed above to these Premises. 52a851 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 SCR l7FVEWVMFn•P,,nN4 CONixncIOPS DATE JOB NO. / P.O. NO. TIME ORDER NO. CUSTOMER I.D. SOLD TO: 'i'A 11 TRUCK NO. PHASE NO. DELMERED TO: 11, 0, y 1.0 1 1 I II 1 CONTRACT NO. C.O.D. ZONE/MAP OUANITY LOADS TODAY TONS TODAY PLANT NO. i` PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRUOMCT PRNO CT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT GROSS WT TARE WT NET WT RECEIVED BY: � I`i(/ / � �%• � �/ C��-„ AMOUNT TAX TOTAL is specifically agreed that ICUN Materials will not be liable for any damage to shrubbery, dowers, city siciewatics, roadway or private property in 526854 to ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 t- o Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF 111E --•1-KCoxrgA-1 DATE JOB NO. / P.O. NO. TIME ORDER NO. SOLD TO: CUSTOMER I.D. DELIVERED TO: PHASE NO. CONTRACT NO. C.O.D. ZONEIMAP QUANITY TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY QUANITY PRODUCT PRONO. CT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM GROSS WT TARE WT NET WT AMOUNT RECEIVED BY: TAX TOTAL It is specifica0y 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. 526867 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, U[vcovM[H*. P.� CONmacroas 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 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. 526872 ICON MATERIALS P.O. BOX 88050 Tukwila, WA 98138 I Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 t Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF sry Ov[wwMF+• vn.rx. coN*:ucroas 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 QUANITY PRODUCT PRONO. CT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT GROSS WT TARE WT NET WT AMOUNT RECEIVED BY., TAX It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, dowers, city sidewalks, roadway or pnvate property in dehvenng matenal listed above to mese premises. 52f333 ICON MATERIALS C P.O. BOX 88050 C Tukwila, WA 98138 ' Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM**982CF sirz oeviavMern •>.,nwc cou.w,c.ou DATE JOB NO. / P.O. NO. TIME ORDER NO. CUSTOMER I.D. PHASE NO. SOLD TO: DELIVERED TO: i}I I}'�! li!;J! -! L.i "c'•�-�! it ii , ", II' i i��i I'._ l.I Ir ,I�; I (S I'.i 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, flowers, city staewatxs, roadway or private property in 526899 to these premises. ICON05MATERIALS Tukwila, WA 98138 Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 I Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ICONM ** 982CF sirz oevnoomx.-r.nxc eomnucrons ~ �J 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 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. 526906 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 EDtvuorr w•PA— Comwu ns 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 .00 AMOUNT RECEIVED BY: It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in 526911 TAX TOTAL ng material listed above to ICON MATERIALS P.O. BOX 88050 ) / Tukwila, WA 98138 Aggregate Operations: (253) 839-2101 / FAX (253) 946-1383 IC Asphalt Operations: (206) 575-3200 / FAX (206) 575-3207 ON S. 0-1- ICONM ** 982CF P.- DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE / MAP OUANITY # 3 : I 0 1 .: 'i .. SOLD TO: DELIVERED TO: t.U! (HkA. :f 41it i YOP.ISl1Jc* t 1. I_I. P11.1,'. C'i:'�:�'I 1i-il•'1'-.R4-. TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY f'..l '1-il JI OUANITY PRUOMCT PRODUCT DESCRIPTION PRODUCT NO. PRICE / UNIT AMOUNT GROSS WT TARE WT NET WT AMOUNT RECEIVED BY: TAX TOTAL It is spedfically 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. 526916 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 VrE D[vuarME'n Pnvixc CONIPACfOPt - DATE JOB NO. i P.O. NO. TIME ORDER NO. CUSTOMER I.D. 'I . I_'u'. !'At IF" 1 S {, 4 PHASE NO. CONTRACT NO. C.O.D. ZONE/MAP OUANITY SOLD TO: DELIVERED TO: t:+. Il i � d'•_E I i I`..:;F i it it s d:(-�R E (.}t_� a I_O['i•i'f l i l� ! , TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY '._l I i 3 i•I'I tt�l 1 QUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE/UNIT AMOUNT UOM NO. GROSS WT TARE WT NET WT RECEIVED BY: r' 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 526938 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 ICONMirk 982CF 1111 - -1. C.- DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE I MAP QUANITY SOLD TO: DELIVERED TO: 14 TRUCK NO. LOADS TODAY TONS TODAY rl I I I'J i 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. tz 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 526964 DAILY INSPECTION DIARY DAY: M_ D DATE: ©I / 30 /06 WORK PERIOD: a.m. /p.m. to a.m./p.m. REPORT WEATHER: 01 c, TEMP. MAX WORK ACCOMPLISHED TODAY: OF MIN °F PRECIPITATION: I ,alLrif /-;/I CToe WTI -7 ?!'r, 0� © i'i ssrv-r � Got �Yur 7�Gv' S GY�w J [i'vLiC m 5, f `� n v +.tom C relidi S a� o �k c �n N- v CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: ©t" 3 O- .0c DAILY INSPECTION DIARY REPORT DAY: Tv ti DATE: C2 / a.m E'ri /e)(, WORK PERIOD: S,'6t% /p.m. to 2,.a.m. , I WEATHER: ©, L TEMP. MAX OF MIN OF PRECIPITATION: y WORK ACCOMPLISHED TODAY: 41 n�r s cY CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: D / ` 3 1 0 DAILY INSPECTION DIARY REPORT DAY: Aq 0 DATE: O..ZID WORK PERIOD: $��-J a.m .m. to ,9� Vim. p.m C- f WEATHER: , [ TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: l a I hei- Y,I( Gji/40 LET, 9 -2.?- 3/19 V ) M [72---0/ -oL Q7 �✓�%�ea� do�a�! /►YcP�✓{� a✓-c- f To✓ Pot m ; K a s /Ple d if )5e{4Jora fie" 0 1V 4. g e- Q1R `, f� !✓k v +c O K O 2 - d � - D � CONTRACTOR SIGNATURE C, -�. /w /( INSPECTOR SIGNA URE DATE: .012- - 0 4 ` 0.6 R DAILY INSPECTION DIARY REPORT # DAY: j L) DATE: 0)-/07/06 WORK PERIOD: 7,4V(�D/p.m. to C;A) a.m.4 WEATHER: C L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: &Uvi- wtl czf uz- i k �-'� `3198 a I-cr.uls l l � � • W f O rr S � ` �� f� 5l�ie a � �' ! .` e le c � i 61 #, .4,// CONTRACTOR SIGNATURE �ye Sa lei S1 INSPECTOR SIGNATURE DATE: OL- 0� -06 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"; U—:,—T.Vcnrx, c"ioq.'ioxs DATE JOB NO. / P.O. NO. TIME ORDER NO. SOLD TO: PHASE NO. CONTRACT NO. C.O.D. CUSTOMER I.D. ZONE / MAP OUANITY DELIVERED TO: TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY OUANITY PRODUCT PRODUCT UOM NO. PRODUCT DESCRIPTION PRICE 1 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. 526778 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 >:rt orvEca,�,n • a.�r� caxm.croxs 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 1 OUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE/ UNIT AMOUNT UOM NO. -14 GROSS WTI i` TARE WT NET WT � •.e 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 materia 526775 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 SOLD TO: ORDER NO. CUSTOMER I.D. DELIVERED TO: ZONE/MAP QUANITY TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY QUANITY PRODUCT PRONO. CT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOM1� GROSS WT TARE WT NET WT RECEIVED BY: AMOUNT TAX TOTAL It is spedfically 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. 526763 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 SiiE DEYEIDP—T-P� Cwnxncioas DATE JOB NO. / P.O. NO. TIME ORDER NO. CUSTOMER I.D. SOLD TO: i;ff.l�i)ii iJf� TRUCK NO. ! ( ` . :"I o PLANT NO. PLANT NAME QUANITY PRODUCT PRODUCT UOM NO. RECEIVED BY: ! ,I DELIVERED TO: PHASE NO. CONTRACT NO. C.O.D. ZONE/MAP QUANITY LOADS TODAY TONS TODAY SCALE NO. LOADS TODAY TONS TODAY PRODUCT DESCRIPTION PRICE/UNIT AMOUNT GROSS WT TARE WT NET WT 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. 5"6745 DATE ICON MATERIALS C 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 I CON M ** 982CF Si DlvEiovr� • P,mxG CONlPKi0F5 JOB NO. / P.O. NO. TIME ORDER NO. CUSTOMER I.D. 1G .0,. 10 if, i iil I;. .:iI. � 1 SOLD TO: PEH'T OH DELIVERED TO: PHASE NO 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: - ---- �, - 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. 526737 ICON MATERIALS C 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"D- vwmr. cm - DATE JOB NO. % P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE / MAP OUANITY iliIf if:1.o. tl SOLD TO: DELIVERED TO: ililf,`'{!{i;-IF i tl`:,I'Ht6 I t'I{i'tiitf;'. TRUCK NO. LOADS TODAY TONS TODAY PLANT NO. PLANT NAME SCALE NO. LOADS TODAY TONS TODAY 1 OUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION PRICE/ UNIT AMOUNT UOM NO. 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 delivering material listed above to these premises. 526730 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 vrz a�,ov,rcM • v,,wc ca,r„c,oas DATE JOB NO. / P.O. NO. PHASE NO. CONTRACT NO. C.O.D. TIME ORDER NO. CUSTOMER I.D. ZONE / MAP OUANITY ..t, t SOLD TO: DELIVERED TO: i,F l,1 �jf(1 tlil TRUCK NO. i i I 1 6 PLANT NO. PLANT NAME SCALE NO. QUANITY PRODUCT PRODUCT PRODUCT DESCRIPTION uOM NO. GROSS WT TARE WT NET WT RECEIVED BY: LOADS TODAY TONS TODAY i 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 fisted above to these premises. 526682 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 oFve,o>M,u, . cavmc Co - 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 V TARtWT 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 6?6661 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 ICONMdrk982CF srz U[ni.avmfrvr c,�c. corH<croP.: 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 PRONO. CT PRODUCT DESCRIPTION PRICE / UNIT AMOUNT UOMGROSS WT, .. ,TO NET WT AMOUNT RECEIVED BY: It is specifically agreed that ICON Materials will not be liable for any damage to shrubbery, flowers, city sidewalks, roadway or private property in 526680 TAX TOTAL ig material listed above to DAILY INSPECTION DIARY DAY: DATE: G 1p �;JaEi WORK PERIOD: REPORT I 't v .� /p.m. to +-/,c� a.m. (— j WEATHER: cz- TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: CONTRACTOR SIGNATURE ,o yn� ✓� (s� i-J� wa/rX 27 INSPECTOR SIGNATURE DATE: e)' L, -0 cj - O 6 DAILY INSPECTION DIARY REPORT DAY: �J(/.tU'� DATE: 02,Io°>Ir'Ea WORK PERIOD: 9 (a 1./P.m. to a.m. m� WEATHER: {`f G TEMP. MAX OF MIN OF PRECIPITATION: %✓ WORK ACCOMPLISHED TODAY: r 6 t / , c ter.:,/0 u iltc-/ �t S TO 9r` S i 0 y t 2-3 M,9vr 5� 19 ;ZSt7>- S IS sT 5_O 20-rIp S t-1� 5j- zty7 14A< �S 1 �u I� V-e $ �✓ �/� �S ow /I /on S ha 4 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: �� � �'� �� ������� ^ � q|`ippiog |'ucatinn: Renton Wte: 1/31/20P6 )ime: 09:p7 AM Customer Or 6615N uust Name: V}M CUhSlRH[T)Ow Job Uam*: /,b Add: ]ob 00d: TAiDQ '!ILL WATEkMAlH PH2 yv/Jo|,, ou"te#: W88 WuJ. 5/h^ CRUs||ED PICKED UP Parr- PACKED UP Map Page: Trk# IVJw` w,moe Wt: 49960 TIre Wt; 21960 Net Wt: 05000 Net Won: /4.0 Mo*/ic Town i2.70m6 Dav T0nv0: 14.0 Mpt.W ioW: 12.700E .}ob Tons: 55/.03 Metrzc loos: 505.309 STANDBY Nutes: Tax Visa/W; io�al __ Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 315389 f "k :1 t" -0 1 1 T .1k Ton Nwme:: inh-AdQ W; THOUT HILL WMITMAIK! fqf,'j ilo/juh:; • 0 CON a 8686 p5p P kv"�y W: 151MJ, 1 ''m wit" 09401 hot Wr W4200 HAP Tunqn 1I.G Notric fonv! jo.n&13 Wy Tonsl 11.0 Helvin Town 3"b Tons: 568.63 WtTvc Own 515,AKK-4 ... . . .. . . ... ............ e. ii, .. .......... Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1 /2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. DAILY INSPECTION DIARY REPORT �I DAY: �, .-C DATE: WORK PERIOD:6W) 6�'m /P•m. to L2—fo a.m. L_ I WEATHER: G L TEMP. MAX °F MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: l ., / h, I N :I i GI�j� / l 9= 2_2' 3 1 9 9 v44 R , �9 6, y - -ft 069- 17 "*c_ 1A/_ f-Gr 6v�Z64/ oEr L S ., /af JV- 9J^,- - cones ��t n cw a'' �z Mu h to 1,4 Vv. S V I / 1 p G6a vk le" :� tv///i L�7 III q f c/'.R1S V," lc1.,-•c�'. z/ "'lee /< d5- dZ� 31'4'77 8 :: Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1112% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 9A QUALITY ROCK PRjUUCTSj INC... i dht Renton lelp.A1,20015 T i me.- I V-v 17 u 4 'Gut qa'� e" -.jm CONSTRUCT I ON 'J o Niim e ,Job Aod: Er-4ajF_RmA) N PH*r Job qdd: TALBOT HI -Clty.v RENTON AV'jo b# PO/job: Prod. 5/8" CRUSHED PICKED UP Carr. PW*KED .'UP Mal-, Paue: ,Trk# PV#M2 l6ross wt.--44800 Tare Wt Net Wtv,122k?06 t T 6 T1 S 1. 1 Met,rlc Ton 10. 04'l-', 4 -Day Tons. F:�.AoMetric Fon**2* s- .1.1-3098 -Jots Ton's:,0_37EF'._j Metric Tana: ,$fAtkMDBY TIME iNot IRS f ,Material. '-Check 'lljo. tax VisaML Appr Coca Total TOMER Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs. including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE' OF 11,,z% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 3­41-47 9 0 it p�j Lt 1& 3 ,t fill in -i d, Our drivers will make every effort to Material where customer designates, but the company assumes ,,,rr�!-,ibility for damages inside the curb or property lines. Claims to „% ortagge will not be allowed unless made at the time this material was ' ' ered. Ynu will be charged for excess time if shown on this ticket. The buyer agrer io pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANC" C,HA iGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FIND-tiCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/z% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. DAILY INSPECTION DIARY REPORT 1� DAY: 1- (/- l DATE: J f,�C/0) WORK PERIOD: a�/p.m. to 7:ge, a.m.: j— WEATHER: C t- TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: tr �S / a a 4 A/ f 0ay �<< �y M,�`n �y Ak 5 >icra, jt VIM/� b WE fL✓ OI ZiyOpws V �d� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: / y2^Z6"OS` d 314*706 Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1'/z% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. DAILY INSPECTION DIARY REPORT DAY: DATE: /C,S WORK PERIOD:/p.m. to V :1r1 a.m. p.m j_I WEATHER: C L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: E fv- L a �,v (1nr-i2r" , is S a 1 4z -t,( 0 0 6 - G y O/n L y k1 A V� S d < ('i't/ ul L C� Ems/ (t ✓,/t n �t - C 1,- ., ti t 0 /V G <c/c, S !,� i t�I4�Lnf Td �� (v0 t- u/� e, I CONTRACTOR SIGNATURE INSVECTOR SIGNATURE DATE: / .)- -/ 19- d 5 DAILY INSPECTION DIARY REPORT DAY: DATE: �� /�6 /ds WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: C L TEMP. MAX OF MIN OF PRECIPITATION: —Az WORK ACCOMPLISHED TODAY: T al bo f 1u: I! C,l,O �t T A 2- 3 1 19 /L>tdf 1% T ,e.r//t o'� a s>' n. �: t�,`�al'y"ti.AL GEC k d ✓� / �Byd/* h CONTRACTOR SIGNATURE INSPECTOR SfGNATURLY DATE: DAILY INSPECTION DIARY REPORT 4� DAY: DATE: 12./ jj /OS WORK PERIOD: a.m./p.m. to , Q a.m./6m:-) (-( WEATHER: C L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: X-IL&i- 14-,lI GIe w j1= a?-3t!18 ZZq& Zy n� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 12 _1,5 ©S' DAILY INSPECTION DIARY REPORT # DAY:y/(/'d( DATE: 1,2, /(y /Os WORK PERIOD: a.m./p.m. to 3_Lba.m./ c-( WEATHER: TEMP. MAX OF MIN WORK ACCOMPLISHED TODAY: OF PRECIPITATION: V I-J;l t c -p 41 j, R A >- 31,7 Co`; n:ntK 1,g Lsr M I fe, /s _ S.� w► 3 4,,,. / 1,0 G ^ rLe ",. Gi 3,1� w.*, 5 evy: c -G e 6 " L/� litS ,Z 1C /,Z /0" �, oL c r v,< tS k-r-A d S� SG`t' uP _fm�' cv,r ��r /�w �r, � � t :I1S Gv,' f k f oa �✓ac-fOY C K,,( 6ei� SG. tF Oki /2-z4-o5 aao( s/4. uc 4f + S /3-,"6, -G ',A-.2 /-0-f— CONTRACTOR SIGNATURE gitazz)-;�x �, � INSPECTOR SIGNATURE DATE: 1 2 -1 y-OS 3� 416 41� 1' 4� C! �j Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 3 58 6 14" -1 CON, PLA, I litl "VI I Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE' OF 11/21% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 314551 ! Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. Our drivers will make every effort to place material where customer designates. but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time it shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A 'PERIODIC RATE" OF 1'/a% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. DAILY INSPECTION DIARY _ REPORT DAY: [i-L DATE: IZ /13 /03 WORK PERIOD: "ap./p.m. to 3:0d a.m. WEATHER: 6?, L TEMP. MAX OF MIN OF PRECIPITATION: /V WORK ACCOMPLISHED TODAY: la 14:l/ C.Z.P u�7.le ��-,�(c •�,:�.�t�.i �-a LoY 7L Surly-� S avrz-t 06,6 — �f e.x�(� 7� w,o�cv SLv✓�`c V:1,M »s4llfof 2 /oHR -d z .5kar4- wk � Seems;<. ,s off 4vg So CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: M eA DATE: 11 /12 /OS WORK PERIOD: a. ./_.m. to q a.m./r�J !--( WEATHER: P,C, TEMP. MAX OF MIN OF PRECIPITATION: r WORK ACCOMPLISHED TODAY: 7/l -i- N:I( 6,1u/1fz-27-31ct9 V-, M %-" ctlr ao,SCI'✓t!/ AI�tO✓1'M d` ii�a�G i0i✓t���1� %r41Ts a!�( S i /��i 9WZ4 sr;�t, �-�4 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: WORK PERIOD: 0l01► a.m./p.m. to 34oa.m. -� WEATHER: [✓ LL TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: LV -TA 2-7- 3 12 8 O vc S'/S >� ST - t2,L2S*'r✓so� %�s� + r1�•oHr tyi�.+•`fcr.�5 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: ] :)- - D 11 -O DAILY INSPECTION DIARY DAY: T Li DATE: iZ /C 0 /O5' WORK PERIOD: Jam, a. /P.m. to3� a.m. / REPORT �� i -- t WEATHER: (' L TEMP. MAX OF MIN OF PRECIPITATION: A/ WORK ACCOMPLISHED TODAY: f af/x4 9; /( c f W- 79 Z -71 9 8 fey/©0 (o y c 7� H>o Socaczs V Ma c % V'IhcK- -- �►•S�ul/tt/i A(�vkft� St`-ei,c-e5o`. S 9��� S/ I�� % /Lto r-�H 0 6—v t off yrk c far )Q ✓ CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: —/ 2-08 -Qs- -_v k a � 1 � � - � e �s � ��ac�� � - r�cwc ��� - �� �Q � �� 3 aY�,1` )1fl't A, ����. -f G je 1,0 0' "S -ro 1<5 I I z4j S S k LA 4) � e X/�S T"• � ,rc 339, a( -a ivnjS 7 13 DAILY INSPECTION DIARY _ REPORT 4i DAY: (,V tp� DATE: / /d5 WORK PERIOD:p.m. to a.m./p.m. WEATHER: Q� TEMP. MAX OF MIN OF PRECIPITATION: Ali WORK ACCOMPLISHED TODAY: 1 atkv-f *-11 mh Si 5`-jk S i t f'Le,-Ida-,Joe 1%Y'ot/;S; on,r 1 5-{l,v.`c--c ct 4- S I5 &- 54,�,/c % D t ✓ ,�k Mvr-�K o CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: // •-/ c- 0 3 14.16 6 Y'l Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs. including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11,, % PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 314146 00AL.I n-- `ROCK Pf2ODUC1 INC. Shipping L.oca."on& Renton Date: 11117/2005 Time: 11t40 AM Customer Or 88150 ! Cunt Name,: VJM CONSTRkXTION Job Nave: Job Add Job Add: TALBOT HILL. WATFRMAIN PH2 City: RENTON PO/Job# PO/Job: Quote# : 8688 Prod. S/$" - CRUSHED PICKED UP Carr,. PICKED UP map Pages -Trk# PVJM1 Br o s� Wt : 47480 Tare, Wt : 21840 Net Wt : 25 410 Net 'fons:.12.82 Metric Tons: 11.6301 Day Toni: 25. 714alk„ ir:, Tons: +46 �- Job Tans: ;'258':51' Metric Toni: Y 234.5163 STANDBY T I ME_ ,- Ifil I T I ALS Notes; Material. ��fF@CE( NCI.. Tax visa/l C., Appr Code Total _ CUSTOMER i", Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs. including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1 Y2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 314136 Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. I V SSTONEWAY S 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 I'I � •; I COLLECT ON DELIVERY (C.O.D.) ❑ CASH ❑ CHECK # ❑ CHARGE MAP ZONE CARD # EXP. / SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER DESCRIPTION JOB TOTAL SLUMP SPACING ORDERED BY iSUB-TOTAL TRUCK NO. DRIVER 1)14 1 1.11 N, !_, 1 L I o-, SALES TAX REMIT TO 9125 10th AVE. S. WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE, WA BALANCE FORWARD 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 delfaiaries under this Contracture ".Collect On De1hl C.O.D. Purchaser t r t and all I f P ittit6 Y asj ¢gilt ern this Contrast time rsi . detdrtnina Purchaser's finarxhal condition, Sellars N ltlorl ir+ pt h1 � 1 , e - �b(";ar aiCfcli �i y- Ctonth t ;B+ idLtk'n'�reQetf 'Filia IlC9r ) Y$ ,, t, CREDIT. Condtioii�precedent to Seller's obllgatlon to perform 2. TERMS OF PAYMENT` Alt invoices are due for payment by"30 alhiir the 0M.1a t>si�1e and aria-quas�4dt � 259� perfa Conti metipt of the executed Contract frarn Purchaser sath'at Sell ft c dlse eTmgcredp tsf if In _ payable on all past due invoices of thirty (30) days or older. CREDIT CARDS ARE ACCEPM '1 WE CIk PURC}�i48E ONLY. IF R/WA9f�tifA - _. BY 6ANKC= _ r E INCURRED, it a service other parties.' Should money f the be initiated to collect tt rd Invoice, the prevailing era pa _ Y ~� PURCHASE e rendAerS In lawful mo a n� theLUnBi United States and n accordance,with tltr3� to het�T W rd toiler y - (tat a�i Tr; tltrl4tled lft tafei ble of r%lil ahtl isankrtiptcfes, and,gpSt-judgementaofletign eifiorts. ST4tdEffyAT4NE5RETE _ TN�iR RIAHT>�CI 9�i0 3. TAXEs.T All federal. state and (treat Mrs. assessments. fees, duties and charges levied tt rea9on old i ar%l , d"titot pre s�crtfco�d' heMin alelclt e ipsid: _ Purchaser, _ 4. SCHEDULING. Ghangesor uariatio�is from, every request shall;be corweyed.1hrough &elfel -'i1l adch'ofilri and no other Sedler't); agent Ovilu ding, but itiGi�.1 drivers, quality assurance psfi odMe`l or saldi==tives). 5. _ PELIVER Y CONDITIONS. All concrete del4ecte4; -vill, be made Jn concrete trartsir rabcsr-tiuol unless-oMfarW>Bo-nated. ; ppad Purdw erims,"yueated r a Division of Gary Mer6no Constriietion Company, inc. •(Seller) to hiakeusi�ef a path4w the delivery of melerisis andsaael3s to the prolaotrequiririg trucks to Neese) �e boundaries of the nearest traveled public highway. Seiler has aclvj�I:l that diolo lltae and "Act tucks damage to the premises andtor adjacent properly, dr personal Injury may occur and thattrucks maybegome damaged, disabled ar s�tuiok ifSsllr useof tNtapet r mod: der has fartheradvisiadthat R is 11'191r pR tart dis s I requirirttf,Seller a trucks travel beyorO.ft,inearest highway to o6taih eccesz to theioh site are at the riskof the Purchaser and -that Seller assumes no liabitlty fW pp i+tydarnal , or personal injury that may result. PuR"er agrees to assume ►esport5`ibility to Sailor and third partfes, for property damage, personal frr(urtes, truck touring and winChin9� expanses, and/or damage Fo'" elfer's trucks Mouid the trucksbecorfre damaged, ¢faabled br'etuck >l�;'k"ftaf Sgifer making ui Bo ilrth9'path requested or far the;delivey - i materials and accriss to the project site. Purchaser also agrees to Indemnify. hold harmless, and deleted Seller (roan any Claims, deMands, losses, and IlabilltWa to,or by third oarties.arisirw Imm. reslufOo from, or wrinecl er3'with the use of the requested path -for the delivery of roerials whethersuch claims;may,prove to be true or false;8roundtess or agents -and employees,IndaRCWWaiver on only, not the it ur eadb) the lfo fishaII b sandy( a f t>1CttasM _ e1PpiQy f?br tde,puall of tfis Ptl l At. i - y _ it a Irtt![raltlnl Ma>yranceACt, Title �u m by iWSA* � under finis enf abaft not = r limited in arty way;lry any Imitation nn tine arnoum br. type of damages cornpe�tlgrl banaClrls oR ¢! iantr �otker i+r1Qe aCl$y d benefit acts, or.thi* employee bgnadit at*. This false of Indemnity epeciseally apq 'in Die^ _ the tlA�at ill"*oyesa: The'tside ilgnedt duty to defend, indemrilfy and hold Solterih+trml s p II include, as to aftMathis, demande,'lasses. and.110M.4%whlch Itapp . Sderu personnel ri sostrs lrsesQnstitls attorney % fees. mum Costs, mid all tether afelr l-ralateol 9atpenses. Itlowing attor re.ya fees and othero0t. incum§d by Seller to e,.kq anti estab"js p rigM under this , Agreement_ Upon Seller's tender of defense 'under this Aersement, the Purchasereagress to appoint I of SeW cholce to defend against thlid perly clsfp'Ilfd- Such counsel *111 be at ttte sole experiss of the Purchaser. 41le, is not responsible for mo.artallnd meth of riasdy ritixeil concrete or aggregate pradu6" a prolsrj_ WASH OUT AR It will be the Purohaaasr'3 mspatrsit ality to pwVjde.p suitable area fcie4 ucks to oleen'.bakre IWIng the job site- An addttida'ai ohargewill'be matke) per lodd if *'westi'but area is not providefL 7. PUMP HOLDS AND SLOWBA69. Seller holds no responsibility.or obligation of oommurilcetion to'Pukhaser when Pump Company holds 4qr relreasas+lyders, srltvlce to Purchaser will be done to the be fit of SelkW5 ability; noting Purchasermo notrecelve oriplttal i>Lte of pour;requested. Itis the; res0ondbility cl PUMP* Compan tont>tlfy PUMASsalr of all holds and ( as incurred during-PunIp. Company, gleafa_ pry bb+Fl fC Lorna by jhe Ritrt fuser PUMP* a Cfiarga . Q# 3BIEBYS discretion. will be to Crean up p cess. i r i S. P_QtNT QF A(f ceptance Is at_thal truck chute. Set _srffl rlgt accept lVainaib>sty Ibrphys at afnarrBes f (fie aonctr3te caned 6yiapls =. defxyr, delivery �Youmstaricasbeyond our control. _ ,wit. i 9. READY MIX CON s that all ready mix ct4ntrRte testing, inolutfmg coi4o�ete std@itglfriteattrfg for 8, shalt be in aeep�danc+<yith A$TM� ti y - UBG and AGi and , copy of all regult� j itl inrjhme 3) working ,- _ the peldotiriarice of said tuts. 40_ NOTIFICATION O - S1VE TI1 4E$7�t„SULiS. Pum i6fh�rttly:Sellerinwr�iiktg1M71f1�iTtwef-[et `sAFdeffCienf '.t Ir concrete compre 'l �t test specifn� taq�ake them available to Seller for tub Inspection and testing, r - 'l1. ADDITION OF1Af j iERIAL It wato..aae WL oreign material is added ke the Gbrir.retrebyW at the request of the Purchow. Its employees, agants„ contractors or su i t the concretes as delivered and waives aft right to reject, revoke acceptano orassert any cisim for breach of arty -warranty anct Seller is not respooiiilble t bf the concrete; . r l rgfdb (12. WARRANTY. Seller warrants�t tit, tii0. domp�slve'stiAngtltl of ready mixed concrete test specimens teMi for �eptanee, irtfoahce with.ASTM wiG•meet the desig _..strangth.I or the mix design sold un0w,this Contract. Seller Wanetits the aggregate nmetsnel •sold th t this Contract meets the dwi iption and specifications far the same selt forth in thls.CrortraGt. No other warr�Llties, express or irgplled re made with rcispect.SRci�stmati donstr. Vriaterials, whether�hbq be rvtirtanlSps+df Hteryea er warranties at I merchantability. Purchaser's exclusive remedy for breach of th!a wa rarity sh211 be to` ' uWs Sellait option, to refund th purchase prfc0, to rtipafr said ttieteriei, or r provide Purchaser with A eomormlh6 fppladement for any non-odMorrrhing materials. Notorrs shtial� be may cisimed-yrgturttaSer againaLSeiler in connection wiles any breach of this Agreerner-iLor breach of .warranty herein. T* E PRECEEDING,WARRAlrt7`Y, IDS VI UFO/ glr'AND SELLER HFRE13Y ®(PRESSLY DISCLAIMS ALL IMPLIED -'r-VIr AE#AryTIFS QF:MERQUAN77il31LITY <4ND OF F?TNf sS FOR l 1Y lRTICUIJIR 13 �rth ootection with not be( uertal im(dgd by PurchasLIMITATIONONA.rmneq *Pugraers good andaynjuthis Conl ad, including wittzout jmitation, troh s9rls lostl -, Rprettmt or pfoperty prnie t resulting ftbrd shy LreA@h by Seller od I breach of warranty by Seiler. 'i . _ _ r,;,- -F ti -... r a • i 14. CLAIMS AND BACK CHARGES. Purchasers exclusive procedure for commencing claims under tali% Pontrect ageftlst Seder fflr bur? 401VOIL-CmVact or breach of warranty, shall be as follows; Notice of dating afldlrW Seller-fprarty t o}iFWuding OA not lill.to breach of contraert birworr$nty, itr Vt6bivdn'ib fieiigr-ln writing within three (3) working days after dfscovcry or when dils69arphould have been madis. The Written ataipnahaWindude the t tl l d guQnnda0the o_i�irn the dolia amount or relief sought. FAILURE OF PURCHASER TO QIVE SUCH NOTICE wIT _ 7HElEE WOAkMtC# tIWAYS SH1� L CClNST = TE A WAIVE* BY PUR R OF IT; , � _ p If *Vd--w - tut tl7rD tt - r,. .. � :Po� TO lAitRPdAKE ANY t3tJCH CLAIM.. it a �gpubt)�tiaea and carrrtotbe ,the. ra§to {alndhig atbtaEs`ii , _ � ngrr-19� _ i 5. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein. title to the rt eW,919 sold haieusder shall ramaln with Selferuntif $affair hats received tuft i;or It(ie same. Risk of loss of the rc+stenals sold under this Contract shall jai» to the Puu►Chasar upatl deivery' of the seise 'at ttjs piece of riaNv9ry designated herelrt reaftar,z addition to assuming all risk of loss. Purchaser shall be responsible for compliancevriittt all governmental regulations grid ordhiaricaerw-0_riegard to storage or piaCemBnt Of tti� some and shall indemnity and hold Seller harmless against all claims for personal inOes, including dearth, and property damage sluing MW the storage, Use or haridog fsf W4 materials. - 1i3 CONCRETE WARNINGS. Injurious to eyes,: Causes skin irritation. Avoid contact With eyes and skin. Wear waterproof gloves, a fully buttoned Icing -sleeved shirt, fui1;18rfg; trousers, and tight fitting eye protection when working with thase materials. It you have to stand in wet concrete, use waterproof boats that are tight at tops and high enough 19 keep concrete from flowing into them. If you are finishing concrete. Wear kneepads t o protect knees. FIRST Alp;: If dust it; lnhated, rerpove to fresh air, Get medicaI'at ion if' I irritation persists- Wash wet concrete; mortar, cement, or cement admixtures from your skin with fresh. ole9n Wator Immediately after Contact. Indirect contact throtligh Clothing car} ga as ssnou4 as dit*C contact, so promptly rinse wet concrete, mortar, 00nribrrt or cement mixtures from eiothing, Seek immediate medical attention if you have peraWleril or severa discomfort Avoid breathing dust from cutting or grinding hardened Concrete. When exposed to oorftrela,dust above recommended Limits (see MSDS), Wear surtawe NIOSH/PASH.4-approved respirator. In ease of eye contact, flush with plenty of water for at least 15 minutes. Consult a physician rimedlately, KEEP CXJT pF;REACH 0_F GNIL OREN, USER AGREES a CONVEY PHiS WARMW To ALL PERSM WFi01W OSE OR C0MF_VMC0N7ACTVM WET (UNHATCENED) CMCRE l_ _ ORTAR CEMENT 08 CEMENT MIXTURES. ' le a • 1 I IA t l— T S 0;c� c7A AO STL Gr4Sl.cd 1� CK-us+JJ�v TOP L x $„ , n►�aS �Y� S l ►-k � �� ` SN �T�cl cat, ,�v� � . v5- N Ed -A it a\/ ram„ I ,k n w n f g l.<, �r�il 0 i tiQo 0L -nl`./1.1fR t7 F1f�-r✓ N `i�D t� � i� � ��J Pz. 0 arm V L . o" z-L.F, \/>= u • S J 1 L-r,s VOL IVAF 16-7" hl l-I l TT w Q YL--n-1 11 , 1 --7 _ 015 d X g" ! Ncrt�er�SL�YL V-OJAI Cfl .r E ti j0 !AA -Teri Wew s r DAILY INSPECTION DIARY ����� REPORT DAY: j U-C, DATE: j� / /S /c5- WORK PERIOD: �3o�/p.m. to Lj;od a.m. j�i.m.) (� j WEATHER: D, C TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: zv. V. ['LS Off! Sl•4�uL/��J ,T 3 04 c, R C u f ,t-- d, h S l ug`' S/ a, i-1, G c0 _S -/. L I *f•- CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: I /" /S -O S DAILY INSPECTION DIARY jj DAY: %' (��/! DATE: /j't /05"� WORK PERIOD: 9:3o� REPORT /p,m, to .) a.m. p,m i WEATHER: ( TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 5wd-� S �,► Ao(, 7,� ' k ilia Sty✓,�.4s 1/.i,M i id'4 61 !AZ 4.119' Sck✓,`cr5 a 14 5 1,Idive/( ttleu� /�pG.C'T.�� � vt �Lv✓'G'� 1v9L /�//LhGLt `^ V �%� �d P" " �,/,2) �,- � , , " �;;, /. - - - - CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 1 /- 1 yP 05 K4021 Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE' OF 1'/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. DAILY INSPECTION DIARY DAY: r i DATE: li l/t /Os WORK PERIOD:$;od<0/p.m. to 1D;3�a.m WEATHER: c L- TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: REPORT # /'L�'(-I t Nall c-rf wi1CA)-3115 4.4 a Sa 4e on o !_'1/� Na v(�'d f �r 1iN t //� CGN iraC Y ayo✓' sr�a s N/o e- ZA rl A C {i CONTRACTOR SIGNATURE INSPECTORSIGNATURE DATE: J / — I /— d�, e DAILY INSPECTION DIARY REPORT DAY: ��y DATE: I I / ��� /O� WORK PERIOD: �t:06, ./P.m. to 77,�? a.m., WEATHER: 0,C- TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 7a/h,t P;// G,7P w7/2 --2,7-3igy ee L i y- ill A 4-C 1, i "1 (.< 3 ` V..T1 1 c e , " ins/n 11rW --r-! - I'A /l-/e >t/"Mel CS 4 UZ se N ` / f CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: i /— / 0 - 0 i— 313957 V QUALITY ROCK INC. thipping Location: Renton Date; 11/10/2005 Time: 02:31 P14 ' Kr Customer #: 88150 Cust Names VJ14 CONSTRUCTION Jab Name= Job Add: .fob Add: TALBOT HILL"' WAr*F ?MAIN RHc City: RENTON PCl/Job# PO/Jab: 0110t e#: 8688 Prod. 5/8" CRUSHED PICF,.F_P LIP 'Carr. PICKED UP Map Page: tv—k#t PVJMc Grasp Wt;.45760, Tare Wt 22000. Net Wt 8,3560, Met Tans: 11.78 Metric Tons: 10.6866 Day Tons: 1 i. T8 Metric Tons.- 10.-0'866 Job Tons: 219.42 Metric Tons: 199.0544 STANDBY TIME Not a S.: Material Tax Check No. visa/me Appr Cade Total CUSTOMER_ Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs. including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/z% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. DAILY INSPECTION DIARY _ REPORT # DAY: ! y DATE: WORK PERIOD: 8�eV, 0/p.m. to 3,3,0 a.m. (- WEATHER: 01 (_ TEMP. MAX OF MIN OF PRECIPITATION: /t/ WORK ACCOMPLISHED TODAY: 7 t e4c1. % d scr✓;cG Yzlo�i T co✓ile4clov ��S�Q/lf� S�rvi4--cs ®n cxf oe- ap Sk.•dvc-K -i So mil `o, sP�c, y'-.eW a�v� 4 l l Z _�,�/� %�'�D✓ono Z CONTRACTOR SIGNATURE INS CTOR SIGNATURE DATE: 1 (— e9l — 0� 313898 Data: 11/p/RO05 �vme: v4zip "M C"Stawec 0: M51''I Cunt Namp: Wm WNSIRUM.KH JG6 Nams- lub AAM' Joh Ado: HEW Al1w 101nRIVIN 1102 City: RENT011 00 / 10 Ph FW� ok, U1_:01061 U&M Pr&d. 5/9" 4RURPIP nlckED K'-, Carr. PICKEP UP M-P pAqw; TKO PVJMz--,.' G;00� wtl q/Qb'/; !are Ott ?W50 Not wt: RIM" Nec Toast id.? M&CIC law; .1 DAW Toni: V . ' Mohri- TQwi l!,WQ' job Tw"Q: P01.6m Mptrio Tow: 08.�KW Men!! Appr COM,-_ Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11,a% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. DAILY INSPECTION DIARY REPORT 4k DAY: me" DATE: it WORK PERIOD:,O'60 40/P•m• to 4.8d a.m. WEATHER: 0,(., TEMP. MAX °F MIN OF PRECIPITATION: /'V WORK ACCOMPLISHED TODAY: TUltial 141( G 1f wIk 27-31'f8 - L; .cvt it t �0,- GjA;u 3 � �'` 3-dot-e ,�' 6 � �:cuc L► �t Ff d S�.d,'�� R s Cvhlvac�OL' iH5Sccl -r_S aPl klA-Ywovt14 L(fln� IY` NSL/� �� !/�fcLf �� �i^ hltc� C!I'LGC l J Sc�^v,�c cvHvicvl - "7 ct r3/g W,4,,4,.�.��r�k 4&1 S GOy�_/h4t9�yo^ e®nn-c-4- ,G,c"S�'"ti �o0,9idyv►id i?/JLcls t�1na: r+ l�f� cx;S��H�l 5 _f, ty t / d- /N v}.v /)/rc : �l a c c iO cLt.: ts �e �ve f CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: I/- O�'US Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/z'% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 313791'"_ QUALITY ROCK PROD00 IfIc. Shipping Location: Renton Date: 11/7/2005 T3mo,- 01;14 Customer Cust Name: VJM CONSTRUC T ION Job Name job 'Add % - '' Jab Add: TALBOT H11A. WOTERMAIN PH2 C-ity: RENTON 'PC/Job# PFJ/,J(-Ih. t2uote#: 8688 Prod. 5/13" CRUSHED PICKErs 1%_11P Carr. PICKED UP Map Page: ,Trk# PVJM2 'Gross Wt: 46620 Tare Wt: 22400 met wt, is 242;0 Net T 0- n 15 12". 11 Metr1c.-Tonst 10.986- Day Tons: 12. 1.1 M-e-tric- Tons.- -10-. 9,86: Job -Toros 157.- -71 Xvtric Tohs T­ ki 6TONDBY TIME Notes Mat er i a I Chec'h N4.. Tak 9 i sa/Mc! 72 Ftppr Code Total -GUSTOWR Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs. including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11,z% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 31385 Q 'OF Ak� Jo 41 Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1 Yz% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. •,0 �r ge DAILY INSPECTION DIARY REPORT DAY: E DATE: /@'7la5- WORK PERIOD: g:d&Oa . m. to .3`Qv a.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: /V WORK ACCOMPLISHED TODAY: lalbof f(:ll 1. wT A-3f °1,d +Gac4 of,7 �Z 3.3Ta 1hs,lfikd cu,Q jev Szr✓ �cs en tvh:&Iee�t� Ave- Sd vj K;�AC rHf�tc�+�l�l ant eaf>r�0✓QG� J � :uSiltc c �FCe ve �67�,�1 � G Scrvic{s �r�.,5�{rt� ®nfo tA�•U rlia-�c✓ vvta :✓� CONTRACTOR SIGNATURE 1� 2X ✓�' ' INSPECTOR SIGNATURE DATE: //-07- 313806 • — lama T F .'JMj. Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1Ya% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%, b / 313159 Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs. including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. Rick: Should VJM request a contract price adjustment for asphalt trench paving due to the increase of material costs from their paving sub -contractor (i.e: notice from Lakeside or others), we will evaluate the request. VJM must submit documents substantiating their request, i.e.: written cost proposals quoted to them during their bid preparation and revised cost from their sub, mark-up, overhead, etc. We will then submit the information to the City Attorney for a legal opinion. VJM still must complete the paving work within the contract deadline, using the contract unit price and they can file the request for additional compensation for our review. LAKESIDE INDUSTRIES November 2, 2005 VJM Construction 12409 - 230th Pl. N.E. Redmond, WA 98053 To Our Valued Customers: As you are very much aware, the prices of energy and petroleum products have increased substantially in the last few months and are predicted to continue increasing into the 2006 construction season. These price increases obviously have a significant impact on asphalt production costs. This letter is to serve as an advance notice to our customers that the price of asphalt and our paving work will increase significantly in the near future. Lakeside Industries will do its best to keep these price increases to a minimum. However, the outlook for energy and petroleum product prices is not positive at this time. We are presently in negotiations with our liquid asphalt suppliers regarding prices for the remainder of the 2005 season and for next year. The oil companies are not willing to guarantee a price for any length of time and will attempt to shed as much of the risk to us as possible. Price volatility is in the very near future and the stability of oil prices (and thus asphalt mix prices) may become a thing of the past. We anticipate substantial cost increases in liquid asphalt, fuel for operating our equipment and trucks and drying costs (fuel, propane or natural gas) at our asphalt plants. In the past, we have always tried to hold prices steady throughout the year for our customers. Unfortunately, we may be unable to continue in this fashion. Many of you may have received notices from our division operations with detailed price increase information. The purpose of this letter is to make sure all our customers understand the state of our economy and the cost pressures we are all under. As I stated above, Lakeside Industries will definitely be increasing prices for both picked up asphalt and paving construction work. Each of our division operations will be responsible for setting pricing with their customers. We will keep you updated as best we can as we determine more accurate estimates and actual amounts of our pending cost increases. Please contact the division office you work with to determine the pricing for your work. As always, Lakeside Industries appreciates your business and will continue to do our utmost to provide quality materials at competitive prices. Sincerely, Timothy Lee President P.O. Box 7016, Issaquah, WA 98027 • (425) 313-2600 • (425) 313-2620/FAX AN EQUAL OPPORTUNITY EMPLOYER • WA. ST. CONT. REG. NO.223-01 LA-KE-SI-•2741D • OR. ST. CONT. REG. NO. CCB 108542 DAILY INSPECTION DIARY REPORT # DAY: Fy DATE: lQy /OS WORK PERIOD: OVOa-/p•m• to a.m.0 WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: T WORK ACCOMPLISHED TODAY: Talbot 14,11 G I,p ki T R 2L3150 I J, A4 V c*1-,A# 4-0 I^d �,, a t �rt�3 r' K- y vs5 % D /��� -✓si'' -i'1 (i. CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: / l - 0 L/- OS DAILY INSPECTION DIARY REPORT DAY: V(/. DATE: // /42/oS WORK PERIOD: /p.m. to 7:3a a.m.=i WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: N WORK ACCOMPLISHED TODAY: I a/hof H;I( C1,9 l,&<1,/' ?-3/99 d Morr-5 A✓.S w{s� s:�-= O►ho'� m+r c f S 1 S;�' ¢ /`'10: ✓: g %al/ 3 t R5 S/GiL G M•:v, c{ 4 "' A -A- � t �ri�v-t �r/a� �t wo:, l�?orr•� C/j 61/'R1S <t�nns�c.tco, , /�L� S�✓1r:c-cS D.-r i'lGvr%S /��/ S- cf/'�rL �Na»51�✓tea dimr(/� t t �h 5 r} yz:ac mA;n rlct"✓� Ot�i C('e0��., Vim, G R /M' 7'L y }� �"C ✓ i �'fG� %YI C! 7 z I' i p l f t5 uv., s e, ;4am k da ., nor l►.f rov,�ruoior blief ;40 �hStirv�r/I ar S>�L CONTRACTOR SIGNATURE INSPECTORMUM DATE: 313661 m ., .. � i Ili :- �:T •.. 1 4r, �I.! i.t.'. 1'1 '. _ !lei � !_�I':•. i I''. I__..I .,i ; t. Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 313697 j, IF 1, 1,-1 r Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. IOCT-28-2005 FRI 11(51 AM KING CO FAX NO. 2968431 P. 02 j Laucks Testing Laboratories, Inc. 940 S. Harney Seattle, WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY If instructions are not followed, sample will be rejected. DATE COLLECTED TIME COLLECTED COUNTY NAME VONTH DAY YIAR 4�71O 5aAM ❑ PM TYPE OF SYSTEM IF PUBLIC SYSTEM, COMPLETE: APUBLIC ❑ INDIVIDUAL LD. ND.L C GROUP (We oruy t reeKle"V) Ll CI:) A B NAME OF SYSTEM SPECIFIC LOCATCN ,ERE SAMPLEOOLI.CCTED TELEPHONENO, Tc� rJ �SOIL}+��'� EVENING SAMPLE COLLECTED BY: (Name) SYSTEM OWNER/MCti.: (Name) SOURCE TYPE CROUNU WATER UNDER SURFACE INFLUENCE ❑ SURFACE ELL or ❑ SPRING ❑ PURCHASED or ❑ COMBINATION WELL FIFLD INTERTIE or OTHER TO: (Print Full TYPE OF SAMPLE (check onpr one In thb column) ❑ ROUTINE DRINKING WATEfi Chlorinated (Rosidual: _ Total Fra Cl ❑ chock treatment Filtered ❑ Untreated or Other _ ___ ❑ REPEAT SAMPLE Previous coliform presence Lab IT._ Date ❑ RAW SOURCE WATER Source a Es] m ;?�IJEW CONSTRUCTION or REPAIRS ❑ OTHER (Specify)_ RF ARKS ❑ TotarCoAcrm ❑ Fecal Coliforrr (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTCRY, Coli(orrns present SATISFACTORY, REPEAT ❑ E Coll present ❑ E. Coli sbsent Coliforms absent SAMPLES REQUIRED Fecal present [� Fecal absent ❑ OTHER LABORATORY RESULTS TOTAL COLIFORM /100 rrd E. COU —.—/100 ML FECAL COLIFORM ., /100 ml PLATE COUNT___/rni ANOTHER SAMPLE REQUIRED SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: ❑ Sample too old ❑ Confluent growth ❑ Wrong container ❑ TNTC ❑ Incomplete form ❑ Turbic culture ❑ — . ❑ Exce.:s debris Sht REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS -Aa NO. (Y DICITS) DATE, TIME. RECEIVED RCCEIVF gY oa l C)I 82l )0 DATE PEPORT I> LA50nATCRY ' 28 REMARKS Z DON 30S 002 (REV. A/M Laucks Testing Laboratories, Inc. G 940 S. Harney Soattle, WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY if Instructions are not followed, sample will be rejected. DATE COLLECTED TIM9SOLLECTEO COUNIY NAME MCNTH DAY YEA4�m [ " ❑PM I_ ` TYPE OF SYSTEM I (F PUBLIC SYSTEM, COMPLETE: 4T IX ❑ INDIVIDUAL PUBLIC ).D. No. I CjA4�E CROUP (nerve& only 1 rmidenm) NAME OF SYSTEM SPECIFIC L(ZCA�N WHERE SA10PLE COLLEC'EO TELEPHONE NO. DAY _ ( _ EVENING ) SAMP E OLLECTED BY. (Name) SYSTEM OWNER/MCIi.: (NiLmo) SOURCETYPtE�o�LJ GROUNDWATER UNDER SURFAU AFLUENCE yti ❑ SURFACE WELL or ❑ SPRING ❑ PURCHASED or [] COMBINATION ELL FIELD INTERTIE or OTHER SEND-,FEPO TO: (Print Full Name. AddreSS .Wd ZiP rode) � L ` rJp.S!' TYPE OF SAMPLE (check only one In this column) ❑ ROUTINE ❑ Chlorinated (Rosidual; _ Total — Free) DRINKING WATER -- check trsstment ❑ Filtered ❑ Untreatod or Other__,_ _ ❑ REPEAT SAMPLE Previous coliform presence Lab It Date ❑ RAW SOURCE WATER Source 0 m ❑ Total Colifonn ANEW CONSTRUCTION or REPAIRS ❑ Focal Coliform ❑ OTHER (Specify) (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTORY, Coliforms present 3 SATISFACTORY, REPEAT ❑ E. Coli present ❑ E. Cell absort Coliforms absent SAMPLES P,EOUIRED Fecal present ❑ Fecal absent ❑ OTHER LABORATORY RESULTS TOTAL COLIFORM _ _ 1100 mr E. COU _, _, /100 ML FECAL COLIFORM _--. /100 ml PLATE COUNT,,,_,, /ml ANOTHER SAMPLE REQUIRED SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE DCCAUSE: ❑ sample too old ❑ Confluent growth ❑ Wrong container [] TNTC ❑ Incomplete form ❑ Turbid culture ❑ ❑ Excess dehris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAB NO. (7 DIGITS) DATE. TIME RECCIVCD RG�VCO Y :ATE REPORTED ILABORATOR'l', REMARK �O DOH J05002 (nFV 4JX.) QWT-28-2005 FRI 11:52 AM KING CO FAX NO, 2968431 P, 03 .� Laucks Testing Laboratories, Inc. -� j� 940 S. Harney Seattle, WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY If instructions aro not followed, sample will be rejected. DATE COLI_EC70 MONTH OA-Y YEAR /© / y TYPE OF SYSTEM IF PUBLIC PUBLIC INDIVIDUAL fse004 only 1 resldnncol NAMI_ OF SYSTEM ME COLLECTFO COUNTY NAME �ft.: -/= A 6j`M ❑ PM SYSTEM, COMPLETE: 1 0 M1 _ _ SFEC'FIC LOCH N WHERE SAMPLE CCLucCrED TELEPHONE NO. 1r� 8P . sc i g� d ,C>A\1 t S SAMPLE COLLrCTL:D BY: (Name) CIRCLE GROUP A El EVENING SYSTEM OWNEIVMGR.: ame; SOURCE TYPE I ] GROUND WATER UNDER SURFACE INFLUENCE ❑ SURFACE aWELL or ❑ SPRING ❑ PURCHASED or ❑ COMBINATION YELL FIELD INTERTIE or OTHER SEI�.R^EPQ_RT TO: (Print Full Na e, Address and ZI�Codtt) tbL--� G2A>"k, i l u ZZl 'E OF SAMPLE (chock only one in this column) ❑ DRINKING WnrER D❑ Chlorinated (Residual: _ Total _ Free) DRINKIN chock treatment ❑Filtered ❑ Untreated or Other ❑ REPEAT SAMPLE ~� Previous coliForm presence Lab fl,___ Date / ❑ RAW sounCE WATER Sourco t1 ❑ Total Ociiform NEW CONSTRUCTION or HCPAIRS E]Fecal Coliform OTHER (SpcciM _. (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTORY, Colitorrris present SATISFACTORY, Conforms Absent REPEAT ❑ E. Cali present ❑ E. Cali absent SAMPLES REQUIRED Focal Present ❑ Fecal absent ❑ I OTHER LABORATORY RESULTS 'TOTAL COLIFORM _ /100 ml E COLT _ /100 ML FECAL COLIFORM _ /100 ml PLATE COUNT _ /ml ANOTHER SAMPLE RCOUIRED SAMPLE NOT TESTED BECAUSE: TEST UNSUrfABLE BECAUSE: ❑ Sample too old ❑ Confluent growth ❑ Wrong container ❑ TNTC ❑ Incomplete form ❑ Turbid culture ❑ ❑ Excess dobris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS [AB NO. (! DIGITS) DATE, T,ME AECENED nECEIV�I; BV DATE ReaORTEO LA8OAA1ORr. 10 PCMAgKS DOH aoe cap (nN 4nl2) Laucks resting Laboratories, Inc. ,.• r` 940 S. Harrey Seattle, WA 96108 WATER BACTERIOLOGICAL. ANALYSIS SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY If Instructions are not followed, sample will be rejected. DATE COLLECTED TIME COLLECTED COUNTY NAME MONTH DAY Y"cAR t , J.-i I� -7l ei_ , AM ❑ P M 1l 1 A TYPE OF SYSTEM W PUBLIC SYSTEM, COMPLETE: PUBLIC ❑ INDIVIDUAL ),D. N0. `7 ' © GROUP twm only . raridcnce) A 8 NAME OF SYSTEM SPEC'FIC A N WHERE SAMPLF.COLLECTED TELEPHONE NO. —r!! 7 O . —5�> 14o0r� DAY SAMPLE CO_LECTED BY: (Name) SYSTEM OWNER/MGR.: (Name) r � SOURCE- TYPE GROUND WATER UNDE SUraF E INFLUENCE ❑ SURFACE 56ELL or ❑ SPRING ❑ PURCHASED or ❑ COMBINATION LL FIELD INl ERTIE or OTHER SCE REPORTTO: (Print Full Name, AdPMS agd Zip C011q)1 'E OF SAMPLE(check only one in this column) ❑ ROUTINE ❑ Chlorinated (Residual: Total ___, Frea) DRINKING WATER check treatment ❑ Filtered []Untreated cr Other_,___ ❑ REPEAT SAMPLE Previous Coliform presence Lib A Date / / ❑ RAW SOURCE WATER Source # $� ❑ Total Coliform (NEW CONSTRUCTION or REPAIRS [] Fecal Coliform ❑ OTHER (Specify) (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTORY, Conforms present SATISFACTORY, Colifornls absent REPEAT ❑ E. Coli present ❑ E. Coli absent SAMPLES ❑ REQUIRED Fecal present ❑ Fecal absent OTHER LABORATORY RESULTS TOTAL COLIFORM — 1100 ml E. COU /100 ML FECAL COLIFORM _ /100 ml PLATECOUNT___-/ml ANOTHER SAMPLE neOUIRED SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: ❑ Somplu too old ❑ Confluern growth ❑ Wrong container [] TNTC ❑ Incompleto foml ❑ Turbid culture ❑ ______.,, ,_ _, ❑ Excess debris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS A3 NO. (7 DIGITSI DATE, TIME RECENCO FICCCIVCO DY C)3 0 S ZOil DATE REFORRTFD LABORATORY: �V PEMAPKS D01' 306 ON PF-V. 4N71 DAILY INSPECTION DIARY REPORT DAY: I t ptl DATE: /0 /3i /eA- WORK PERIOD: g):©U /p.m. to WEATHER: a, L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: -1 n/hef (I'l1 cdx c4_1 LIC a7 .319R ®t7b 3 2. 1-kyra- 0`` N ��.afluy% Cty-y 5d d-Oy�t At �! %�Swi ��.tsS ffv sd Gx:S�iv�i YLni n B✓� S M �%ilv .i(Jx 5 k �► <<rt dvi h P at/l sc✓✓�c.,cs �" 5n., t pY e) kII.- t� ; + �, Lyt ,r, � µ � �—f A � : /✓ ..►- S'� K �, G , U s �o/ kc� -� - � - ; �, a u a� V f iV! e-K e- (/,r I uil d �Z� z ,ems s1� ��l�o/o✓ /�-2-d>� w,�h ��<<� 5�.��( � 1 1, ` S ,`.e: h� ti �`r S Jt �k i h n �C �YD,N1 i/�vt-w � ' a �� - s� / � taa.li ." v+ G.L�evo.•�t c', H/l S-�v✓; cZs � v� iw► ��:v S �- t/Vl, �wur�h -i r Hns ��dKy1 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: / d — 71 —O�_ I V DAILY INSPECTION DIARY DAY: DATE: # WORK PERIOD:� •�P-m• ks �� a.m- �f""UKT WEATHER: TEMP. MAX OF MIN 9°F PRECIPITATION: fE�,L WORK ACCOMPLISHED TODAY: CONTRACTOR SIGNATURE I SPEC SIGNATURE DATE: 313538 Aipping Ln_Aiwn% Are: Q EEZ20OF liks, vly-� A, TmAurz- 07 8310'' :mst Name: VJM FONKTRUMOO lob HAMCI Ob Pda; WC: FALOOT 101 , AqTFp%;N PQ TO M! OQ-7_, UP Ap P"QL, SCSI Wk 'ARROO pf t ; ivy M4. !� 75 K-try "on lob Town A3. A Net ;r -Dn, AANDW Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1112% PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. DAILY INSPECTION DIARY ./p.m . REPORT DAY:DATE: (C) /�>ORK PERIOD:�./p.m. 4� WEATHER: �. CTEMP. MAX�OF MI�°F PRECIPITATION: WORK ACCOMPLISHED TODAY: CONTRACTOR SIGNATURE DATE: INSPECTOR SIGNATURE 1 313471 I Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs. including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. ..�_ 313468 DUALITY RP ODUCT IW. Shipping Location,: Rent,)n Date: 10 / 25 / 2005 Time: 02 : 56 PM Customer #: 88150 Oust Name: VJM CONSTRUCTION Job blame: Job Add: Job Add: TALBOT HIt_L WATERMAIN PH2 City: RENTON :)O/Job# PO/Job: @uo t e # : 8688 prod. 5/8" CRUSHED PICKED UP Carr. PIKED LIP Map Page: irk# PVJM2 _ 3r e s s Wt : 46240 rare Wt : 22660 det Wt : 23560 yet Tons: 11.78 Metric Tons: 10.6866 Day Tons: 11.78 Metric Tuns: W.686f, Job Tons: 145.E Metric Tous: 132. iZ+861 STANDBY TIME _ Notes: Mater.ial Check No. lax Visa/MC Appr Code Total _! USTOMER_�__��._ �_ Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. I DAILY INSPECTION DIARY REPORT 4i DAY: DATE: ���jSWORK PERIOD:/p.m. �a. /p.m. WEATHER: C— TEMP. MAX �� F MIN3��°F PRECIPITATION: WORK ACCOMPLISHED TODAY: CONTRACTOR SIGNATURE f it i ram,« INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY � _ ,� REPORT DAY: r DATE:�� / WORK PERIOD �./p.m.a.m /p.m. WEATHER: TEMP. MAX (Qo F MI F PRECIPITATION: WORK ACCOMPLISHED TODAY: 1 �L CONTRACTOR SIGNATURE INSP R SIGNATURE DATE: STONEWAY SEATTLE (Plant #11) 3803 E. Marginal Wy S.Seattle _ , _ DELIVERY TICKET CONCRETE e ENTO�Pant 14) '"V`o RENTON #14) 915 Houser Way N., Renton SALES/PLANT& (Plant s rWayN., ton ORDER DESK (425) 226-1000 ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley FAX (425) 226-1000 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.) MAPZONE ❑ CASH ❑ CHECK# CHARGE CARD # EXP. / SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD DISCOVER • ® •• . ®® • I ' I JOB TOTAL SLUMP SPACING ORDERED BY TRUCK NO. DRIVER i 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 YES El JOB NOT READY ❑ LACK OF HELP ❑ ADDING WATER WHEEL BARROW JOB ❑ ARRIVED JOB EARLY ❑ TRAFFIC J TRAIN LJ 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, RRITATION 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 v "-,' r� TERMS CONDITIONS MDWAMNGiS' 1, CREDIT Condition precedent to:Seilers obligation to perform any and all credit terms d►'�y mu sat fottli In this:Cofrtract. In the �1orair , deliveries under this Cdntract are `Collect On Delivery' (C.O.D.). Purchaser agrefs tuptzirT A pea 4Q l;;h Suter such infexmation as Is �, tietertnine Purchaser's financtiai Condition. seller's obUgatlon to tierfofm. under thi$ 91 SU -Ro` lia ariditicin precedent that S01liaral7ts9UWiaVe Chitty ,(3i�yt fioiTl mceipt_of the e�tdcuted Contracttrom Purchaser so that Seller's aredlt department'. apel P tYYt!e og aa>§apprdve ar fg creditherrris of pA)�ritent ed in Chi Contrac �. TERMS OF PAYMEW.' All invoices are due for payment by ihvJ 30th bay after the data Of Invokte: ollprgett Ili $rig and one-q4airtar-pelci f.(1 _ $6) Per �1 Mllbo , payable an all past due invoices of thirty (301 days or older. CREDIT CARDS ARE C115& 8,D AT '- OF PURCHASE'ONLY. IF PAYMEN,T IS MADE Y BAN .. AFTM PUREHASE DATE, A 3%FEE WiLL BE INCURRED, If-aService barge is assesSad li t hatbepald,JM _ +f altaio_eln open►aGeoultt:• Sh 1r Al►�ts'due hereunder 0 lawful mohhy of the United States and in accordance with the terns hefeot,,W Wutlar►y e0tldn aridvl ifltairt Fagard Purchaser'ttlatlV-raVaVJM other parties.. Should legal action be initiated to collect this invoice. the prevadldng ;partjl shall be entltled to ds(iCWort7g8sonable aftfteV, end 94 fnpl4rdjm Is+' g apiP� banitruptgles. and post -judgement collection efforts. STONEWAY CONCRETE ROUTINELY 5XEWSES THEIR RIGHT TO SEND MA ERiALMI ITS, NO 68? .fOR�.. S. TAXES. Au federal, state and Ipcal taxes, assessments, fees. dut{es and Charges lievtad by reason tfori of this Proposal ate to pddttq.p,"s meted herein ands alI bbe" paid by Purchaser. 4. SCHEDULING. Q,hanges or .anal(",, from fKiginal delivery request shall be conveyed through Seuet�s dlspaUh office and no other Seller's agent{ncladktg, b►ri�itett,M. drivers. quality assurance personnel or s+ 14i representatives). b. C DELIVERY CONDITIONS. All concrete deliveries will be made fn cc�lcreWtransit MWif-trucks aMeaeottierwiae rroted: Sighed Powhoserhas fiquesW 3UinaN2y�inorete, a bivision of Gary Mielino Construction Company, inc. (Seller) to make use of a path for the delKliry:of rnatetial5 and access to the project requiring trucks to travel•Es�yond the boundaries of the nearest traveled public highway. Seller has advised that due to the st:m and weightof trucks, to the premises and/or adjacent property, or personal Injury rrisy Occur and that trucks May become damaged, disabled or stuck,, 0 Seller makes use ofthe-Path tegnested�haslarther a� tt i v>7ries requirtr ig Seller's trucks travel beyond, giea oeamst highway 10 obtain aCeess to the jobs" are at the risk of the Purchaser And .that Seller assufines no . icy 0, mage or. personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage. pemnall injuries, truck (owing and winching expenses, and)or damage to Seller's trucks should Ilia trucks become damagi3d, alsab ed or stuck as a result of Sellafrisking lice of tits- {3ath r6gU8sW or for thadeUvegy of, materials and access to the project site. Purchaser also agrees to indemnity. hold harmless, and defend Sailer from any claims, demands, losses, and. liabilities to or by third: arties arrsrng frain r esult+n from ar connected with the use of the regtrested-pathfor the delivery of materials whether such claims may prove to ire true or false, groundlessor . IpW9 r'sdutyte'in y' ton' oxKk 6gent5 and employies, and (b), Ctrs Pwt3hasershell apply ortl ytb therexief►Yaf .thd 116g0genca of the Purchaser w-Qs aliania and employe".T For t parprase at the Purchashrsir indemraificattan obligation only+ the FturCliasel speclfleauy ariH �pres53y Ives arty imrtwrtRythat maybe granted It;underlhe Washington5�te trtdWIlriallnsuranoe Act. Titte 51, RGW. This waiver:does net permit a direst action byihe Purchasers empl§y99s a9eslettlte Purettaser Ft4rtfter.•t♦ie6ndAr trtffieation obllption under thls Agreement shall notbe limited in any way by any Iimitration on the amount or type of damages, compensation or benefits payable to or for boy third party under worker%compeitsatlon 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 undersign, ed's duty to defend, indemnity and hold Seller harmless shall include, as to all claims, demands, losses. and liabWV to Which it applies, Seller's :personnel related' costs, reasonable attorneys teas, court costs. and all other claim -related expenses, ftioWding attomeyta 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 Sailer's choice to defend against third patty cla{m(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 aggregateproducts dii a protect. 6. WASH OUT AREA: It will be the Purchaser's wsponsibilityr to Provide a suitable ama Por trucks to rinse and aleambefore leaving the job sit$. An additionalsharge will be per load it a PUMP HOLDS AND SLOWBACK. Seller holds flo. responsibility or obligation of calatrrtunication to Purchaser When Pump Company holds or releases r p orders. Service . Purchaser will be done to -the best of Seller's ability.noting Purctw4er may not. recel"Odglnal rate of pour requested. If isthe responsibility of Pump Company to notify of an holds and icR:. � _ s incurred dtuing PUMP Comp j,�ls8tt up, of i510W4a0k_WIll be borne by the Purct"en An additional Charger at Se discretion, will be to dean tJP process: (' i j POINT Of ACCEfXG r _ 4cceptano is -at the truck chuteL. _Seiler will not axa� rgspons{t�ikty for physical changes of _the concrete caused by lod delays, delivery syste t oracr rmstancea.beyond our control i �' = 9. READY MIX CONE that all ready micpn r e testing, including 66hciists strength town for k0eptance, shall be in accordance with ASTM, USC and ACI and that l IN l be copy of all, test re u)tsi v%d6tl fee (3) working days of•the perfonrfianee of said tests. - • � 10. NOTIFICATION OF IYE STRENGTH TEIM:RESULTS. Pwchaset ilgfaes to A Htjr Seiler In writing igithifrtwev yi wr (24j hoursof deficient concrete com rest e:8tr n test specimens, and to jMalim them available to Seller for further inspection and test'mjg. 11. ADDITION OF W _ SRtAL if water atadtor4eimign yttste►ia1 is added to he concrete by gr at the request of thwPurchaser, its employees; agentsi contractors or su Concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for bregoh of any warranty Seller, is not respcuist4bTe iti rt4swf the concrete. 12. WARRANTY, Seiler warr-atits)that Ute• rnpresstub' sirerfgtfi of ready. mixed concrete test specimens tested for acceptance in 46COrilarice, W`ttYt OSTM will meet the design material Id under er this Contract meets the description and speLi ications for the same set strength far tog mix desiyn sold.rrnder It1f3Gorrtracl. Seller warrants the aggrtrgata d forth h► this Contract. No other warranties, express or implied, are made with �pect to s ch con, materlal�, whether thmy' be 1Netranti as 0{ fitrlees or, warranties of ' merchantability.. Purchaser's exclusive remedy for breach of this warranty shall bejo t'equ`ve Seller, at 3ellsr's option, is refund the purchase price. to repair said material, or toprovide Purchaser with a conforming replacement for any rton-conforming ?nAterials. W consepdential' damages may ,00 claimed -by Purchaser agaktst Seller in conaectign with any-breach.of this Agrasmant or lama&, cf warranty-.hw*n. 11141E PRECEHDINIS MA RRANTY MIN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED Wqj , t�4 _1 A NT LI TY AND.OF_FITNESS FOR ANY l' ART.f,CU$AR VLM y SE. -- - 13. LIMITATIt3Ni(M jP4111AWS. Seiler assumes iio•moormbility for and shalt pot 6e-Cis tQ, Purchaser for any corlpequentfal damages incurred by Pift%asei n conriteCttOh with - this GonttlaiM jffi".Iutlling yvitltgnt lfmta'�an. Purchaser's lasf_profits Purchasers gaofFtnrllV, end afly,InjurAr. tD persoo.or jortoperty prnkirnstaly resulting ft+om-aityi.trrt�ch'by sailor or breach of VishAnty, by Seller. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claim$ undo!-ft,,`CoMract xt,,'!t InsfSelter for any reason, including breach of-cmdract or= breach of wartarty. shall be as ►ollows. Notice of claims agalrwA Seperfor ally reapgPi.lraaludit+g but hot Wittedto breach of Gontroa or wart rtty musi'b"Umto Setterin wri" 4 within three (3T working days after discovery or When discovery 0outd have been made. The written 41alm shall include the mason(s) and gr iupd#s for the m and the dollat amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTiC€ WITHIN THREE q ViORKiNG DAYS SHALL CONSTITUTE A,WAIVER 13Y PUSCHPi¢ER OFF ITO RIGHT To L4TEtFt MAKE ANY SUCH CLAIM. If a-dhWa drlses and cannot ba molveo, the parties Wmlyed agree tq trini#rig arbion itratthigugh ran -legal prarsonrraf. 115. TITLE AND RISK OF LOSS. Unless otherwise expressly stated Heroin, title to the matwiall%�sokd hereunder shall remain with Seller until Seller has received full payn .orAoe same. Risk of ions of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of drslivery desigrda3ed' lierelrt. 1ltereafit3r in addition to,assuming all risk of toss, Purchaser shall be responsible for compliancoi with all governmental regulations end ordinances With regard to storage or placement of th%' i same qnd shall indemnty and hold Seller harmless against ail claims for personal injuries, including death, and property damage arising from the storage, use orhandling ofsafq materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes.and'skln. Wear waterproof gloves, ahOy'buttanod long d shy fu6len " trousers, and tight tit tiny eye protection when working with these mistertafs, 0 you have by stand In wet concrete, use waterproof boots4hataretight at tops andhlgh.snough keep connate from flowing into them. If you are finishing concrete, wear kneepads tD ptotect knees. FIRST AID: If dust is inhaled, iretritAcaytr fttistt air. Med ical dical attention it irritation persists. Wash wet concrete, mortdr, camera, or cement admixtures from yourskjn with fresh, clean water Iminedlately after contact indirect confactithrougt clouting; - jean 4a gSWoukss direct contact. so promptly rinse we, concrete" mortar, cement or cement t ktures from clothing. Seek immediate mettjaHl atfenifon if you Fitive gelslat or severe discomfort, Avoid breathing dust from cutting or grindingbei Mened concrete. When exposed to concrete dust above recommended limits (see MSE)S), wear suitabld 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 rl CHILDREN, USER AGREES TC CONVEYTHiS WAPNING TO ALL�ER50NS WHO MAY USE OR COME INTO CONTACT W(TH'WET(UNHARDENED1 L'17FiL;4iE?E, MORTAR. CEMENT OR CEMENT MIXPURES. I L DAILY INSPECTION DIARY REPORT DAY: ��� DATE: %Qg� WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: ©_ �, TEMP. MAX �F MIN"F PRECIPITATIONx� WORK ACCOMPLISHED TODAY: OVA—W.M mr—TeLes�s Aoc ► Q Zo ~� ,(-.31 To�� 5/ �; " � �4 ► 2s3 �"drr CONTRACTOR SIGNATURE =r—, " �S NSPE TOR SIGNATURE DATE: lv: i.: 0 IF r TF F 8 3 IF-, I, , F, F 41 A r) f f Yl -, !- iz , - i _-t 1 _. ­ . - ­ C h e c L: N c, , y I „o :, M C. pr� Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 313160 C h in c k i"Ippr Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1Y2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 313176 1 � ) Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1112% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 1 10. 313235 Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET LOTH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11h% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. [?ST014EWAY SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle • TUKWILA (Plant #12) 17024 W. Valley Hwy., Tukwila CONCRETE RENTON (Plant #14) 915 Houser Way N., Renton ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley SEATTLE. WA 98108 • (206) 762-2566 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 J CHECK # []CHARGE MAP ZONE CARD # EXP. / SPECIAL INSTRUCTIONS J VISA a MASTERCARD ❑ DISCOVER •• • ® i DESCRIPTION ® • JOB TOTAL SLUMP SPACING ORDERED BY SUB -TOTAL TRUCK NO. DRIVER . I r I REMIT TO 9125 loth AVE. s. WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE, WA BALANCE FORWARD 98108 J 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 EWHEEL 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 DR Additional unloading time charged at current hourly truck mite. SURFACE DISCOLORATION PRINT NAME DATE BATCH DATA: DELIVERY TICKET NO. REV 10.!03 NBF CUSTOMER'S COPY TERMS, C(D17°i1y1NQ M1AiMtl.[t5 1. Cfti oT1t Condition precedent to Sellers obligation to perform any and all credit to _ payrci+�rd ttigatU set in 8tis{;ontitaot. IIta i del.041as under this Contract are "Collect On Del ^ i 4 - _ leery (C.O.D'.). Purchase�dg ry request hs - or srRrh lrifiormatlran as. 0etettirtine Purchaser's financial condition_ Sellers obligat on'tb peffofr_%' i ' Cl Q�rT - receipt of the executed Contract from Purchaser so tfigt BeNeftm tt _ _ _ _ lee 'tarrd8 fri�htaL � 2; TERMS OF IPAYMENtF"All invoices aredtie for payment by thd�.WMAy (�rtiie Oltt c 'ol, and an payable oil ail past due tnudrcas of thirty (30) days or older. G REVVICARDSv4FkE Waif PIJRQHASE x. It; PAYMiFI)11 }$ BV11ytSC, PURCHASE D'ATF, 63% FEE WILL BE INCURRED. It a service oharge:is"Waim-44- +e Pe dln6AFa�tmlt'Itra%rttefnAnaJ}aa �avurtt� _ _ �, hereunder in Iawfiil f ai,ey'of the United States and in accorda a vvr�h theter�rs haeot, withdlJl Blty _ - and Yu>fihelrlt`1 pd Ark 19X' = him other parties.' should legal action be initiated to collect this frivoleR, the prevaiQriq l>� mall bB to rer gte�s sane!)fe rf r lea afs, J nn efforts: S' JBN� Y EFOPES HOR RIGWW TO SEI+li3 M (A+UMIAt1!J+S bankruptcies;and"jyost=lldgernent I ,ClZiVORETFROiffAF1ELY� T 3, TAXES. All federal, state and local Isxes. assessments, fees, duties and cha WAd tsy rieveM'at this I°rcrpasal ar0100ddilion to Poss,quoted her h paitiby Purchase''. 4. SCHEDULING. CW. gagor Var* pns korYt.a(ic�ltlal request ehallpe rionveyed through 5enor%dlapatdh blow tied no ottteir-Soller's ag d (Inclfadfrig. to, drivers, quality assur9nce personhei or sales repr en tiverys). i I r' t 5. , - DELIVERY CONDITIONS: All concrete deliv+ wiu be made jn eprrCr9lp tiartsi! +ell {tucks uftless o1MNwise noted. Si ed PureFtASaKhaS.tegl au"WMay Obi a FA i Division nl Gary Merllrio Consttuetion Compiny, Inc. (Seller) to make use of a pl{ith for the delivery of materials and access to the projed:raquiring ttucl(s to .list eT-It: nd 1FIe boundaries of the neeresttraveled public highway. Seller has advised,that due to the shee and vie r�it of Vocks, damage to the prertpses and/or adWer(l "arty', W. PWSq ell injury dray occur and that trucks may become damaged, disableci'oF shrck'if ea requidno sefferls trucks travpf baycyt ,*,nearest highway to obtain access to the Jobafte afs at the visit of 1he PuMhaser and that Seger alssumea'na If e or personal Injury that may result purchaser agrees to assume responsibility to'$W* and third parties for pnaperiy damage. personal injuries."k (owing aridWt ping expenses, and�or damage to Seller's Mucks should' the trucks become 4airta tl did "$i sZuclt T a-1 171t oTSelfe iinQ ti96"of !h4 pffift rBgtJdSLbd Di for thA idel{very t�i materials and access to the project site. Purchaser also agrees to indemnify' ho1d'hwmfess, and deterid Seller from at4y cleima, demands, fiascos, and IlAbIlRies to of 4y third nrties aria! from result from, or cunnetfed with the use of the requested tbt t11te d0ljvery of rtlAtetials wftetflraf such C�irO]s may prove to betrue or b"a, grgWMIess or indamndicat anpnbt atfanna f the Pu chaser 3psclficaltyantl isxpre tywalV a der e r or bs 18 amp . a totiaee51 g � aPp v ^iSr 9f - _ 'lam k t�tha�Nesh- I' 59 � Y y Y a9 ener�,t�y�. arts, thud parry ur�ar I�rnkar'$ � DtptDe limdsd in any wa b an limitation 4n the amount or type of dam e&, c4nipe b tc1_o for ��� RCW. This waiver does not permit a direct action by the Purhaser s ernployeai� sklJ Itla PurjA4sps#ier..he fndiiittnifioatf�ff N�CIQn .w far benefit acts: ar tneir employee benefit acts. This promise of indemnity specificaliq in thL tied_ 1ft Rallies to the 4vWft' Tine i t? duty. to defend, indwnrilty and hot Seller harmless ---hall include as to all claims, darrrwida, losses, and itabilfty to which hMpape f3ellwr's r et Attorney's fees. court' costs, and all other' claim -related eenses, lncJuding attoinay!6 fees and outer Hosts lncWrled i�tr tb enfo►tni i ld iat> l Set �ta rig antldr itlif Agreement- Upon Sofier's tender of deforms under this Agreement, the Purchaser agrees to appdht counsel of `3o11er`a t>ftoletq dSTer►d a tfifrtl pertyolatAf�i, f31 counsel will beat die sole expense of the Purchaser. Seller is not responslttle,for means and methods of placar ientof (e8dy mivad'canemko or 8IN to n P�4� ow a"plQ�ct, 6. WASH OUT AREA. It will ba the Purichaser's responsibility to provide a.suritablwaraWhft kooks to rinse end clean bef n blaft tha job jftC ,An ;adilHipfW Cb_ffl"45@'ij per toad if a wash out area is ndt provided. i 7. PUMP HOLDS AND OLQWBAGIC. Seller holds no responsibility or gbltpatioivof caMunication to Purchaser when Carrr$any'holds qr rehmsewbrders, S¢rAw id Purchaser WIG be clone to crf SMeller•s W*ity_ noting Purchaser may not eve tirkinal rate of pour mciLlesteei. 11101 l8 resaarr WRy'a Ptimp C1iPry18tttt o notify Ptrr " of ail hratcts and ri3 - es incurred during lump Cotnpm serl;uR; or blowback, wiiiba.lhp�jQ byVW Pvtesha9er, JRftpddrtfoAatvKara ,?z 775 f" discretion, will b, to clean up process. _ = ; ` . r IL POINT OF ACC eeptarice Is' at the truck chute, &Aar will not iaccept responslbillty far pl jyst0ef chimes of ttja eonow)* oat li�kt delays, delivery s mstances beyond our control. a' _ b, READYI INIX CON ea s that all ready mix can�p�ret`e taating. including Gomr reie strartt fit testMJ*r Wc*anc:e shallibe ina000rr&nceW thA$TM' UBC and 4CI and ropy dad todi results)�"Wf C4 wortdngckiyawf the perkrrmdncaof4akiAests. - ,10. NOTIFICATION 0 S PRESSIVE STRENGTH {'[JsaB� as. PUrchaB f,� 16notifySeller In wM tgwRitkt4JveRi�r�¢t� - clokfe"i . concrete caritpre ,b rn test specimens. and toywake tFiatri aviallable tp Janet fix further m�n amtl ttNig es: i t. ADDITION Of V Y LI If waierapWar tay pt ial-is added To tfl8 cottcrets by or al lies taqueat-0of the Fist Iraaer, !?A eztipioryreea agents. contractors or su rmu. est fire concrete as delivered d Waives all right to r®ject, revoke acceptance - a_MMIr by f ia(rir for++�+t t anytaal'rprtf)f a(re� Seller is nqt rWof sir ptio of the concrete, 12. WARRANTY. Seller warrants e'iif the dorii0essi4e srthingitfi of ready MIXed =I to spociii;er t" for acceptance irr y 'Asw igo, - wrtfr �wfll sect the cJas' �strar+Btb for" ±nik 4tn+r this CantraCt.::Sallar warrr�rtts tile agglegpte rf{arjal rmdar lhls Co7th8at meet9 the da9critttioR still' ep4Diiaif6 fQr Cite bslj+9sel forth in this Gantt". No other warragtfes. express or implied• are n-*de �Vllh t4 saRth conptrueBoq materials. whetheP they be't�an>�ar - merchantabiii�y`. Pfrcchaser'b exclusive remedy far breach of this iroarranty:stiat) ba Soler, at seller's option, lb refund the pikdit price, lrJ.Aifpeir said mNtor(a1.11r 4 provide Purchaser with fA fotM tg riiplatiment for any non-aOilibrrriiff >itatariais W*6d Malign@ t"IW�gs maybe cWm,&d byihfx+ Kvwa4ftC er k=m ttection i pi any. breach of this Ag►"rivrd or b, of,warranty: Herein, - THE CEf�ta1NG WAARA"W IS IN ti AND -SELLER HERE' $Y EXPRESSLY p1f3I3 I Ws$ AL kfi 00A - _ r WARFiWES F Ml R _ TASiUT'Y M OF F"ESS FOR n � � 1 13._.LTaA17ATIQI�9flil r no. neibi' fob # tiot:belfab iFi=haserfor'any.consoigoaltialdert►9 itt Po ►ity. > 98a con I this Gonouct. inctookQVIftut I1m4atior4 Pureisdser's fast ptofds, PionclyassMi; good yvtll; and any lnjwFy to per54I7 Ar Seiler rir breach of warranty, by Seller.ji 14. t.`LAIMS AND BACK CHARGE& Purchaser's exclusive procedun6for commencing claims under:tot 9pritie i a" Sell eFfor ihd4d1*6maek,_0 otsntratft of breach of warranty, shall be as loilows: Notice of claims against Seller for any reag oc tN:JeJollyd►ng,k�gA M iirnhad t ,.breach of I114et in wfiG within three (3) Y401kili9 days other d[sCavery or when discovery should have uean rrittrede The written claims lnici the taasofr an undo . _ sirtfi F amount or relief i'4 fit. FAILURE OF PURCHASER YO GIVE SUCH NOTICE. pt•TFi I►AIORif[R!G' C;O 1.TU tVE 4 � RIGHT TO.L ANY SUCH Ct If a dispute �isexat�annotba-rsylyved, the.p: � intiafvett i,tgiee to mg atditratian �y►alt9h =. �'.` 1'Par 5. TITLE AND RISK OF L11M. Uttlois otherwise expressly stated hereirl, title to me rtlata&O sold hamunder shall racpain (with 6eileriyrdil SVilpt has,moVK4pdi ',pay B-Illi same- Risk of loss of the materials sold under this Contract shall pass to the Pylechiser Upon "Wary of the same, at the place r f delivery deafgni* rvaW . 1 addition to assuming all flak of toss', Purchaser shall be responsible for compliance withall gav_errirnental regulations and ordinances with 'to of nt of same and shall indemnify and hold Seller harmless against all claims for personal injuries. Inelading Usift and property dArnage a{faing from the at ate, far halndling of said materials 1 B. CONCRETE W�ANINOS. Injurious to eyes- Causes skin irritation. Avdld c qnW with eyes and skin. Wear walterpnobt gloves, a fully buttoned imn4-sWpyed a fUO48rtgtq i ousels. and tight fitting eye protection when working wrth these materials. If you have to stand in wet corrorete, use waterproof toots VW air W- , I'Allope.ftl ho artdogt+.tq' keepconcrete from flowing Into them. If you are finishing concrete, wear kiisepads to protect knees. FIRST AID: N'dtist i9lfihafed„rerrtove to li,eah elif _Gel tttmtl atURiKfutt i{ ifrflation'persists. Wash wet concrete, mortar, cement, or cement admixtures frcim;yourskin with fteati, clean water iri irriediately after contact. JndJract conWd thwhgh *tbfnd cdrl `4 as cilract contact. 57 PrompuY rinse wet nenceafe, mortar cement of cement mlxttitea tram cfaitrfrtg. weft imt aia MOW attaptiM itVW hauls,Pair W or severe discomfort. Avoid breathing dust horn cutting or grinding haidened,baniireiti. When exposed to concrete dust above nwmirimand6d [Was [t�a MWS), w NIOSHiMSHA-approved respirator In case of eye contact. flush Witif pl of Wetat for at_laW 15 minutes. Consult a physician fmmat$ately. 'KEEP OUT OF> CHILDREN, USER AGREE910 CONVEY THWWARWNG T Ll Ail FERSiW WRI1MAY-MIF QR-CO:MtE1s9'f,O-CONTACT 70M WE'VItWHARDENUEDYCONCA" MOR* • _ CEMENT OR CEMENT N..U(TURES. _ , 313261 ISM i i�t' IWj i ti- t 11-1 -it? T, Tow d1l.;48 "lob ovis: i I "ITINODY T iylr'..' VIC t. � Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs. including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE' OF 1'/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 31325Q - rji, Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. f _. 313277 • .Ir Pp_ng LVc�aticone Renti "fit. Y_ : L�"i/ VylF�.a!4•�3 / 1 m. e o 02: 04 r'M -i..ist Name: ": JM CONSTRUCTION Qt.� Name: Jet Add: ?ob €idd: TAi_8C].-t Fiii...1 WATFRMAIN flHP :lrer. 1 1/4" CRU.6HFU` PZCKFD--tJP PICKED UP Map Page: ir'k# PYJM2' Care -►.•Jt : '22680 ►tel Wt : 2728 4,E.t Tons: 13.E�9 Metric 1on=: 12.;1194 )ay i-ons- 1•_;..69 Metric Tons: tl-A.4494 job _Co-ns: 20E-P. 6 Metric Tnu�,- IRED.84-3,7 y'TAPdDBY TIME INITIALS `,iotes: fat e y' i �� I _____,_••_ Cfi► e � I. i=J � . �-------_._ _ Tax V i s a Apur Code_—._.- o t a 1 Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/x% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 313341 &L;nKq CCCnKLvH: ken i W'z Olt,: 10xPW005 �iyp; Oslo/ PO4, "p-lume" uz a0150 lwh wamul vim CONSPRUCT:0N Ph 93s". ion POM Tob Ado: TAL OUT Win! WAITNMATH PHR V(tv: RENTON Dol)oht� if! %J, Don i at . 860, Pin" Page - TV pm "UXI Orson Woz jn�40' Toro Wk; ?1=71 �P' YVI 25640, we: lonv: 11.92 metpir Ton,; DA? Tow: 2N94 Me"L`7 Tonno jub Two: IAS.AL Mptric yon-! 121,390"1 SPANDBY TIME V 11 Total WROMER Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1112% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 313299 J nil 17 i., r� 1 T I Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1Yz°.o PER MONTH, WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. DAILY INSPECTION DIARY DAY: DATE: JO //Gj /QS WORK PERIOD: eE /p.m. to REPORT 76r-)a.m./ WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: L,wH IA14e'lT L1 LaY Mlq�t✓ a�S S A wr -r r- < e- V. f i H 'I t9 N i ,-1 � in (l ; v f) G4 ,� i t ✓ � � �t � Orr 5j -` 5 f 574 3t30 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 5— DAILY INSPECTION DIARY REPORT # DAY: % (J-(. DATE: [tJllid /as� WORK PERIOD:/p.m. to 3;3e) a.m.40 1-1 WEATHER: e, L TEMP. MAX WORK ACCOMPLISHED TODAY: OF MIN OF PRECIPITATION: E v[[ of etit LC 4 I,a✓ 7Gr✓i-I +lirN-C �CJc 170 c [ 3 - I cam 1, 4�; ✓G GL✓l 1r;ril-45 �l7 - J 2, 3 2 r&3 1 cr "a e,,-ea ed a.�d1 IO--iti-oS' elm � / fi I.�1 � � `C.X f G vt. � : ��, e� .� !� � �. fc. /l�r•�-�, ��'u7� t✓ [ i n 2 � S 1 i� J i 9y r9>L•t-t- —Se Gi14-".1 t!14d,a i STl� y ?0 G11-7 S !43)' ✓Z �1G /+� +v/l,1i 74��1V1 'L / o 5-fa? qi1 C/i/ 'I /i�6 /7L✓1 L/if�+Kj 74//[�T/� / %H �rL'V CL�YNa`L•7 �IOLLS .�Od✓1p�c'V(+�+�Ns-SS2(� k+vtt�[ �Kere.,r� 70✓ �.a.ekl"�I �` Z.,fri��/uc.�L, Sf�Vi_ %�iNk ��ti fo U.�c� uS +�-c_ ��fd«7�✓' f � CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: % 0 --( 9 r5-- '134 12 8 5 5 V;P&Pg _qrnlnonn 5�,w: lollovcoou �Usyum&, 9: 0010"; - "st Namn: UjM QDNFTPWTT0I',l To- Nime- im Add: y0b pdd, F&I pol IHLK Wp!VpMqlN [qj,--�* cinyl RKWT("i� DD: i 0 Wrl 05/jun. QnUes: AGN., Drod. nip" �XWAFP PIT17D QP Trw% WHITET �Cuzl Ott 7�?N Tore ut: Wanc Apt W; 1 1449,-) AV Tom: HpLrio lcm: way lanq; K&.24 MGtPig Tom: R0.160.'' job ypp�v 10.32 metrin Toj�L 71. 140" 51ANOOV 1 No t a n!: Mat er wt Chuck W 0 1 an: W-, APPP 60&- AD Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs. including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1'/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 312924 4 p In 3 C� u .11 Q() JJ ;k,r, jj� Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11112% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 31"991.5 Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 01 31-0,864 t i 0 1 O'i noo L 17,� I f I I F t v a RJ-:T �JPJ N e t LI Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1 y2°-a PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 312878 Net Job STANDBY T 1 N j,'f I ALS-- N Mat C, t 1 Chock No. Pppr C . ode- -USTOMEP Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1Yz9b PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. Sc� STONEWAY J 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.) Z� CASH = CHECK # []CHARGE MAP ZONE CARD # EXP. / SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER DESCRIPTION JOB TOTAL SLUMP SPACING ORDERED BY SUB -TOTAL TRUCK NO. DRIVER REMIT TO 9125 10th AVE. S. WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE, WA BALANCE FORWARD 98108 TOTAL• - ❑ YES TERMS ON REVERSE gals. to full load - YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ JOB NOT READY ❑ LACK OF HELP E ADDING WATER ❑ WHEEL BARROW JOB — YES ❑ ARRIVED JOB EARLY ❑ TRAFFIC ^ TRAIN n DRAW BRIDGE gals. to 1 /3 load El WAITING FOR TRUCK TO UNLOAD C 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, STRENGTH. WATER ADDED AT IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL 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 f T �; • y _. `: j: ; TERMS, +CWvIQ1TIONS AND WA Mds' .r' 0'T_ T. CREDIT. Condition�nt:ed9nt fo Seller's obligation to.jarform any. and a�l�rttr tdj reyittettt` Est lvrtii in this Contract. In ttt9 tfeliveries under this Cdntraet are "Collect On oeliv O p.). Purdiiaee>? upgn req kii, _ h Seller such information aria `io' . 3letermine Purchaser financial aDndit _Sellers ,qpl a pedo�rrr tUi. — . t§ . tits ctitidAion �%tt tle�+ V31M 1 t; kaoetpt.di:the:esserted CotrtraCt ndiri. roftaser so tb6d l� _ pProO -nY -adif '_ p in llais, 9? T�IERNIS OF PAYMENT. Ali invoices -are -due for paytrienl!, yIW*I:tr ddV af�rihe d& 4��tlMoft��. - *Mig&al ohE and one-q BF jPW d� a'b�` � payable, on all past due invoice$ � thirty (30) days or older. GF DIT.GARDS ARE AOC17TM AT' _ :OF PURWASE ONLY IF PAY B Ha!iP1KrAkw PURCHASE DATE, A 3% FEE WILL SE-INCURREE). Faservicaotterge fa y 1E 041111111 66 hereunder in lawful it'loi [e' of ttfeUnited Stales arld in accordance with the termshaeegl', a y tb _- heu+E+ j other partih.` Should legal action be initiated to abllect this invoice. tfie ¢rsyalttnl� + Awr bartlrn;p(oiw and post4d9eMertt14; .L�• TAXES,.AII f�deiral. state and Ioc8,1 t;�es. a @serrlerfts, fees, duties and charges .� reason thBs Piapne$I-ard'Ih:-0 *tQ �Mn4 >�i� t Purchaser. 4. SCHEDNU►JP.,..t ttengq ms.frgm o�frta��akvery request shall be conveyed' thicWh ^eltili &tlepifth office, and no other Salk-b.bg0it ( udk b4q; - drivers. quality assurance personnel or sales repr"ttitives). F....OWVENY CONDITION$, All concrete dellvavi� w/71,1 a made coitcretetrarnsd mbt ttvcks uMeeeette toliDteif: SlgneO Putalt t tgrebst ai Division of Gary fvierilrr0 Cotl3trt1ct4G(1 GQttrWalny, In (f3etler) to make U6f# of a pfltit tar rlellver)r q f rttaterials and access to the prtrjeet rrecpilrir tram to travaM eyorrtl fife bound ane -9f the nearest traveled' public highway. Seller has gd) ised Chet due tr3 the size and W040 oi1i'itucks, dtltnege to the ptenlises aitd)ar adjecerA prtDp�rty, or pet9onal; in)ury maq oadtir and that fru ,)is rti t ore tlarnaged rflaeliled'or s iinfc it 6tt f ues of the th gnestr=ill.Beftrhasfurther advtsed'tltat It !ice requiring)$0ller'ktrucks travelbgnnJltj're nr#m*t highvaay to ohtaAt access to the job tilts ere at thsliek of the Pumhaerlx and that Seller as:�timeAtt� r e or personal Injur�.that may raxtiit. Prtaah8�r aprees<to assume respansli�)lify Err Baiter and thud parties tar pmpest pamage, psirwnN'Jnjun Gk totcrltig and vrriitohing .expenses and/or damage to SelfeN tr icks,sttouid tTie tr4ol become damaged, tjles61Wor etLta c as s trsult of Sel* Viking u6isollheOpiffre—~bif9rthilbVivelyof materials and access to the project site. Purchaser also agrees to indemnify, twild harmless, and defend Seller from any .claims. demands, laws, aAd katiil s. to. or by third' -+ .agents a9tc16mptp"es, and (b)i fixt eurchaser sholli�ply only to t _ ESE � �r its a .tt►id tnddmnification ob igation orlty't1ldf�tl;lo(1 er speomcesi end +rtat that y tiranlet�it _ file lrrc!' of In _ �e0pl l} AChfll pewhit by erripbyPurity t � o iDrt undar�tlls tit t> ' _ This waivetloes not a dint action lluPurahaaier's [. llmW' in anyway'by any limitation on tti�tliotont pr _ of dJsrnagea: cotrrp$naetiort or benefits payable m or for arty third'Rarty under worker's s;o spefe� disaTtHily, 111 benefit acts, or their employee beltBFit AA.. lids TLromise of Indemnify specifically applies in the cell of injuries tp.lha undersigned's own errypto�rees. "he �_ a igtted's duty Y ! to defend, indemnify and hold $elier harmless shell htdude as to all claims:, demands, losses, and liability to which it applies, Seller's peaoartel releQadl eos 5,' 1 Attorney's fam, court costs, and all other claim-rel®ied-expenses. including attorney's fees and Other icosts Incurred by Seiler to 6dkmft and ltgh right trtadert = l ,Agreement Upon Seller's tender of defense under this Agreerent, the Purcb&-; r agrees to appoint counsel of Seller% chops to .dlsfead VV"W to ttllyd duff il( counsel will be at a sole erse of the Pure nelbVller is not,i ponsibte for means and methods of placement of ready rpitted ootfcatBte m am regat refs on tide P $. WASH OUT M It will to the Pumhagar's ry to provide a suitable erect for trucks to rSnse..end olei3rrt't�efofa featllftg Nte jtftrsi[e . An atfdftl - ctierga will tees . - t par load if a wash out area is not providi., + ; PUMP HOLDS AND DLOWBACtG Seller holds no responslhillty tsr'obligatiori of Cragimurtfcatkan tn.Piirdisaser tnhen Pump Oamp�riy !hrslds � relatisae wdera:. toi = Purchaser will toe done to the best of Seller's ability..,noting PurohaSbr may not re "original t*W'of pourrequee>pdi-k is the responsibility of PL"o Ci;rimpany npttfy�t nhaser o?'rjtl' holds ante, , ipr incurrert durffng'Pu`mp C&*ffr y, e[er�gpp, of l V*ftck.:+�Ni biiPirga bV the PUrt tlf -A+t BC btlat`Ctt�tge , motor:. will be-, e a e o to clean up pfoessS? i l B: PQltfii OF. ACC ceptartae .ik at the truck elt►ite. $QW _' q* .eWoev f"_Ponsl ?ft for phyeicw uheng_as of the gPncrete-cau"o by ! dMays, delivery s mstances beyond out contrpl. READY MIXCON r as that all ready r ttna testing, inohxfipg c o tiste strength tasting for aecreltitanQg, shau'ba,lq wwdemervithASTIM" —i[B6 and ACI and cociv of all 1L�stre�usll (3) woorkime -ofthe performartoeof said tests. - t i d, NOT[FICATIOAI OL I !� t? EBStYE STR 1S. Para to n6tify Seller in writli Vv1Nfl�rt� p �rs oFdet3ctan� - concrete comeMzW7 ; . test specimans, an}#,jtrtneka ther►t avaflableV further Inspection and testing. ' a iL 1.1. AODRION OF W A RN If water„igrit iga d9kWal is added' o.ft_boncmte by gr at the request of the Purchaser, Ito ei»pioyesc aqua%# . contractors or su - concrete as aefiver id and waives all right to jej�f revoke acceptance or assert arrydaimfor trreach of enyvatttra(rtY and ' Seller 15 not respo f the concrete, _ - . .. . I r ' 1Z WARRANTY. Seller warrettis�tlrietT tip coitKiiesskAlsf ptfl�of fetidy rtUxed cortorete t►+st specirl+>eMl9lestie fon'aooiptanaa In aLlcardai ce vA(flt its will meet design strength far the mix designsold•umden this Contract. Seller warm aggregates maligul;sakt tinder this Gor)M t-Awela We� piles _'and n esfitn speeit=Uo_ - for the same sat; forth in this Contrrt� act. No other. warranties, expor mpti 1, Tnedo. with reepectr to 8ijch cii �, wheth lag wao� ess' or warrantiqs. merchamalAity. Purchasers exclusive remedy for breach of thi woarranty shall lie to rtequire S0184 at Salle► s optiotk to teftrntl ate pike, its rlapek said material, OrW y provide Purchaser with a conform ttg ropfaoement for any soft 4ohteattiRg df$ieriais. Nd ctflitsequentYs[ sltt�+ lie Clafrl7eci#iy � a aila6t ether ac>rtnectbon vVrtYil t any breach ra this Agreement or breach of warranty herein, TYRE MCEMING WARRANTY It; jN L AND LLER HFR86f IDWRE.Ei6LY O CLAIMS ALL IMPUEO WARRANTIES OF ff ERCFUWTABILiiY AND OF FITNESS FORA " TICigL�PURPtICE 13. _ LimmirtQN,OM 1]AMAr3PS. Iler assu tsna responsibility ford shall not .pe liable to, PlttcheserWSeny eengpqugntial d�irra hip Ptifctitl C writ tltirtwltfi i, this Contract. inctwOrt.0 without liniRatiom Purchaftes lost-pronts, a?ii;iqhttBer� gclodwlfi ar4 ariy injury to perspn aJr w6perty Prole rm9**&.h1y Refior ai� breach of warranty by Seller. i # tri 14, CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under vits Ct t a$sittst Seder for h ofCotktrraCt or, nth w nti(Notice_ of claims 9arn4 Seller d..t�n�gwith}�ngcraye.1m�coveriaWfidis`very-shoulhave BdeThewritonidritjhailrotdateej gA4f.ao9i"NOV amount.ortaftVailght. FAILURE OF PU9044ASERTO ' GIVE SUCH NOTICE WITtgjll�l AAW (:q WORkfl4 DAYS S�QQNSTi lM _ '%*eR_®g [iF 11 RICFiTTD i�Cf9R MAKE ANY SUCH C J111A1 lint dispute atl>Aets ar>d aanlwtbe r oNred. M1a parlf h4vril4 tt aglae o arbiti�tion tfuorig�i'tion-J6 ttrt�r*r�._ ?5. TITLE AND RISK OF LOSS. Unless otherwise expressly stated hersirt, title to the maWalls said hereunder shall remaipQr-sealer until Seller has reo~ fuRpayffl rN1W*. �, same. Risk of loss of the materials sold under, this CorHract shall pass to the Purchaser upon delivery of the same, at the ptace.of delivery designated herein..Tfrgrosfbw, tq 4 addition to'assumlng ail risk of loss. Purchaser shall be respor4lble for compliance yvith all govglilmen:%al regulations and ordtn8hces wim regaid tosW ageorplaceinerltyD[ ttm same andshatf indemnify and hold Seller harmless against all olahrisfor. personal frtwles, including deethi, and property damage arising from the storage, yse or handlirq Osaici materials_ t16: COIJCRETE WARNINGS.. Injurious to eyes. Causes skin Irritation. Avoid Caynisct with eyes and Wear waterwW, Weargloves, a fully bUtfon*d,lorW*bkd shift kill-1 I trousers, and tight fitting aye protection wren Workint) with these materials. B yaU`ha+re tostand intNetConCrBbB, ttse'tkakerproof bocrts tlsat eta tight at [Cps/.led highett4ragh . I keep concrete from flowing inia therm if you, are finishing.conerets, eisarkneepads to protect krK*C FIRST AIL. If dM is inhaled. remove bo fresfCalk gaLrttelliCal,atterttiotl if irritation persists. West, wet concrete. Mortaft roment, nraameml admixtures from your skin with fresh, clean water imnre¢iataly after GD1t eCk irtdheot eorka Cj _ can ba as serious act dirilict contact, so prompt& rinse Wallooncrete, mortar. cement orpement mixtures fronts Clothing, Seek Immediate Medical a _ antion it you have erfiiteti t# P or savere discomfort. Avoid breathing dust: fr4n ruttrng or grinding hardened concrete. When exposaBcj fo tSortCrBte dusf'tlbova recofrlmerided limits. (see f419D8} 9¢e8r 9 NIO$H/MSHA-approved re: prator. Incas of eye oentert, ftush'whb plenty of water for at least 15 mimtt. ComWit.a p"ic)an imrnedlately. KEEP OUT OF REAM Q CHILDREN. USER AGREE$ TO CONVEY THIS WARNiNt3 AL P€R N§ W-M NDCY Ug OR C I bNTii MWl'T(ftt (u.NFtARUENEE)) cant i CEMENT OR CEMENT MIXTURES. STONEWAY SEATTLE (Plant #11) 3803 E. Marginal Wy S.. Seattle DELIVERY TICKET TUKWILA (Plant #12) 17024 W. Valley Hwy.. Tukwila CONCRETE RENTON (Plant #14) 915 Houser Way N.. Renton SALES/PLANT & ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E.. Maple Valley ORDER DESK (425) 226-1000 SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERUNO CONSTRUCTION COMPANY, INC. , 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. 00(hf:hLt JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) MAP ZONE ❑ CASH C CHECK # ❑ CHARGE CARD # EXR / SPECIAL INSTRUCTIONS C' VISA MASTERCARD ❑ DISCOVER DESCRIPTION �I l JOB TOTAL SLUMP SPACING ORDERED B) TRUCK NO. DRIVER REMIT TO 9125 10th AVE. S. WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE. WA • ' ' • 98108 C YES TERMS ON REVERSE gals. to full load C YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ JOB NOT READY ❑ LACK OF HELP ❑ ADDING WATER t WHEEL BARROW JOB ❑ YES ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN C DRAW BRIDGE gals. to 1 /3 load El 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 10103 NBF CUSTOMER'S COPY �y r�r • M1r.+. '.; i, {�.4a r G mi. CON ,J0610J i"S - _ ' _, t■�+ , ':F ,:-r •S 4 ' 1. CREDIT, Conti ion preeedal id'Seller's obligation to perform wry and I10 . 1t _ fl rim_ tS�t jft Cotttreo : Ill thEh rt FeR itt a ail' deliveries' under this Confir3cc are "Collect On Delivery" (C.O,QJ. 1?urohaser__ tr feq�_ _ ley information as T3 s0. 1 9dilei to detbrrrtirt8 Pupoitasers financial condition. Seilall oblig tqn onrr 1� m I)ia _ at1 ` i tla #rom reeeipS gf the �tecutt9d CottU act from Purchaser Sr)' LItBt art' _1. _ _ _ z f!� ;ffil Rim fion0raat. $_ TERMS OF OkYiu1&NT. All invoices are due for payment by 043% air--h iijf the t fQllt Ice and � �ial+oa� pQr,dWin h rMBN'!� payable on all past due invoices of thirty (ail) days or ofdac ORi DiT G+�Ir; 8,ARE�R� t EJ�3;J TTV -DF P 12Y iF i� IS MA � ' 15W �gR PURCHASE SATE; AI FEE WILL BE INCURRED. Ifd �►viCe r�r ance- With the terrris �� � 91�C�assaet3�7.-0Rd ,hereunder antis$ eShauldMorley l a oaotlon be�lnrt red o collect thi. States and in sic8 the preyaAllig�ar[Y §fseil 1% t4 lttay FM1hV h` p ego griped tti lw wfRtyi6 _ . . d urtr ,ail[ .t �:. BOBS..- ba and posr�udgemem collection efh3Tis: 3T4h1EWATGRE6t3iiM Y'ISFTH3 fdtaFiT TO t9END MATERtAtMtFiS TAXES&.44 federal, state and %tom texas. asiomments, fees, duffs and charges *.%d'fiy masop of ills Proposal are Ipoiddition toprrops gWed herefg -bald by L Purchosel,- 4. SCHEDULINQ. , ti gay or Narimiloi l5 fjom original delivery request shalt be conveyed N4bugli saltees dispatch cffice.anrl no other Sellarys art tinctutiing. iKnaf�. . drivers, quality assu rice peisanreel ar sales representatives). i .rWJJVM CONOMONS. Ali concrete do6sries will be made in concrete transit mixer tnisks unim othm iffeei oted. Sigfied Purchaser -ham requestisdii"Way. fyaf}cretera Division of Gary McAine Construction Company. Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks toArevall t�and`thie ' boundaries of the nearest traveled public highway. Seller has advised that due to the;alze and welghtot truekc damage to the premises o nWor dolitoent property, Awparsonal injury may occur And !fiat !nicks rimy become damaged, disabled of stuck if Seflatdtallm use ofthe pads requested --Seller has further advised 11hat it poll requiring Seller slrupks III beyond the nearep high"V to obtain arcessto thejob rsfte are at the.g %,Purchaser wipHttat Selletassurr>Mnra poll !fat , or personal injury thiat may tesuft. Purchaser agrees to assume responsibility to Salter end third parties for property, damage, personal iAjurles, truck towing and winai-i, one-enses, and/or dartnage to Seller's trucks should fhe trucks become damaged, sties' S1ad or stuck as a result of Seller making Use Of tits pent requested or for the defivery materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seiler from any claims. demands, losses, and IWbiffties to or by thl re athi for khe delivery ofmaterials whether such claims rctay _ ve ib be trueorfal6e grtiw00 qr, •. ' - .� .. lee ar sir; from. rvsruul from, or connected � e use of the r ues _ I _ . . _ - -- i. . agents and arnploym. and (b).fha Purtmiltser shall apply ort{ti!'ba thq exillint;#Ll t a of the Run%asergrAs eg" emit emplo , For "purpose oFV*Fkr0h0WV indemnification obflgaruon only, tjte Purchaser spee)ficatly and expressly ' that y'� g rnedk W►d a WaokpgtonSOW Industrial Insurance Art, 71tis oil r RCNf, This waiver dose hbit LRklrCt a direct action by the Purchaser a amp �Pur�er. Fib or. thellI .anon oW0i!iition tinder th`rs-AgriiiI@nt sh3ep riot' [ limited in any way by any limitation on time amount or type of damageeL 0mMeftall tl�Ar ber deft. le tE>bior for party undk?aa ter s eompensatibn acts! aa]N i benefit al or their ernployee twq#'it acts. This promise of indemnity, spoit;iketfy applies In theease.of injuries to 1pd ultderslgned's otim employers. The undor5igper3$ dtutq to defend, indemnify and `hold Seger harmless shotl'inplude, as to all claims, demands; losses, -and liability to which d applies. SelleFh personnel rdsited•costs, n»gneb�Q attorney's fees, court costs, and alt other cfaimvelaipd expenses, including attorney's fees and other costs inCir9W by'Seger to enforce and establish its right under thid , Agreement. Upon Seder's tender of defsrwe under this Agreement, the Purclial, agrees to appoint counsel' of—Il chpice to defend against third .party aft& (s). Such counsel volt beat the sale. ax pens$ of the Purchaser.. Seller is not responsible formeartsand methods of,placeatsnt tlfleady rn)xed COrVV CFr aggregate pMducts ort a projectd WASM,OUT AREA. It wiu be the Purchaser's responsWilly to provide a suitabla:ares fbr trucks to r hm and c*ikn belfbila 3avlbg t)fq )pb ate. /{h $dditfonal charMe wip be fmWq per load if a wash out "a is not provided. Company munlc PUMP HOj.OS AND BLOWBACK. Seller holds no responsibility or obligation of comitirrn ftYt'ylftd188er when " Punts holds or releases orders. Samos to 5 Purchaser will be done to the best of Sell et'Sabillty :hating Purchaser may not receive original rate of pour:requestad. It is tTte.r®sponsitsi)ity of'Pump Comperry to ttotaTy PuNrrttm8er' l ` of ail holds and re - as'irilurrsd during Pump Comparly. Clean' rip, of blr Wilted. Will be both by thePurchloW, Air additional c6n;iI Soori (wietion, will be to clean up proceffe., 4 1, 8 POINT OF ACCE " cceptance is at the truck chute- Sel►sr will ndt aecept_iesponsggity fat�physica).O%Ages of the concrete caused by job dejays, delivery sy } instances beyond our control, 9. LADY MIX CON p. a grees that all ready mix concrete testing; includitrg testing -for acceptatf6e, shall be in a9cor'der a with ASTivt, URC and ACI and q' copy of �) test roultS-tivi%hirt three (3) worldeg heaperformance oFssid-tests. p, NOTIFICATION O. ESStVE STRENti iiE8UCf8. Purdy . 7f Seller in writing vriith�fttveelt�jr Q}Jr 7i rrs of dsfici ' concrete comp►e _ test specimens, and ko•make them, available to .SOW, tar furthitr Inspection and tesdbg, a-• A! i.. ADDITION OF W i 1AL. If water aeWe sfvrslgn Material is added toAhs oprwrsteby or at the request of the Purchaser, fte-employees, agents: contractors or su : - a concrete as delivered and waives all right to L,revoke acceptance or asset any clairnfor-breach of any:vva`rrartty and .. Saslter ie not re3pansib p%),a f the concrete 12 WARRAPITY. Seller warrantslilli theof ready mixed concrete test spec) tesl4d foraccepfsr►ce in i cCor�cs with A9'ilhA will -meet a design strength for mix desion•aold under this Contract; Seller warrants the aggr%pte rmateritsoid � this Contract meaisthe . �tft� n,and 11peciy-cations fort same �etI 1 forth in this Contract.. No other warranties. -express or impgedi,srp mat p,, wttff re pisc to suph Qbt114Luctlori materials W t the! rarrift f @r w�ntia8 d j merchantability. Purchaser _exokaa(vg remedy for breach of,this Ohaii beloraquire Selisr, at9Seiler`s option, to refund purchase pace, �irSWd maMetal, of to provide Purchaser with aieanforming placement for any nolt ng motel Imo." fro •r7ohaequentislaamages may claim 'fin Pure! aCer elfer4n CormeCiion twit any breach_ of this Agreement 'or breach of WafTttrtty herein, THE. PRECEEDIfs(3 W6ARRkYW l6 ;IN LIEU OF AND SELLER HEREBY. EXPRESSLY DISCL MMS, ALL INIPt l61� V ARRA, IME}5 QF HA iLITY AND OF FITNESS FC7FCA! .y RTjCULAR PURPME .13. _ LIMITATION. ON DAl1A (ter $ y l �. /t13FS. 'Seller oasumes no , and shall noteiiable to, Pu►ch ser for an erxt txjrrtial dams Purchaser Pnorinection'WHh I. this Contract, Including wifjwut limitation, Purchaser's lost proftts„PurchapWs goixf_Will, andal Injury to person of property proxImi 3y,risIfrom any tlrsachby meter ore breach of warranty by Seller. '14. CLAIFAS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under thir,, Contract against Setlerfor any raasoriOncluding lgeaeh otwittrer;t o4. breach of warranty, shall be as tofil Notice of claims against Seller fill-My.tefsstan� iilfhOdling but t5ot jir1titeq to, breach c+t contredV)Drwi3tf+lA'Aty, muef 9 riio Sellt3r in'Writit within Mae (3-1 wetting days after discovery or when discovery should have 'been mada, The written claim, dfall include the reel and gmurt 4fait�ee clalm-an ithe dollar amount or rote!.sought, FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIipI'7twfil ,{3) WORKING tdAYs SMALL GONS�E A MYAIVI Ft�t'JiUFt�HA >AF ITS RIGHT TO LATER- MAKE- ANY SUCH CLAIM. it a dispule,arlses'and Cannot be resohied, the parties hivdlved-agreeNo binding arbiki tlon through rwOegel personnel 15. TITLE AND RtSK.OF LOSS. Unless otherwise expressly stated herein, title to the matefials sold hereunder shall remain 3o" Sedw until Seller has received full praynrient-for, same. Risk of loss of the materials sold under this Contract shaft pass to the Purchaser upon delivery of the same, atthe place of delivery designated herein. Thereafter. addition to assurning all risk of loss. Purchaser shall be responsible for,comptiance with* reguistiorrsand ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless againtst all claims for personal injuries, indluding death. and property damage arising from the storage• use or handling ofsaild materials 118. CONCRETE WARNINGS. Injurious to eyes- Causes skin irritation Avoid contact with eyes -and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt fo'jwangthi. trousers, and tight fitting eye protection when working With these materials; If y�ou.trave to stand in wet concrete, use waterproof boots that am tight at tops and high 'enough tal 1 keep concrete front flowing into them It you are finishing concrete, weer kneepads•to protect knees. FIRST AID: If dust is inhaled, remove to fresh air: Get medical attention! lfr I irritation persists, Wash wet concrete, mortar. cement, or cement admixtures from your skin with fresh, clean water imm�ately after contact Indirect contact through clotl"gl can h� as seri6ua&41 q coreraef, se promptly rises wet caricrete mortar, cement or cement mixtures from glothing,. Seek immediate medical attention if you have persistent or severe drs^On fort. P.yo 4irwthing dust from cutting or grinding hardened concrete. When exposed to Concrete dust above recommended limits (see MSM weer suitable NIOSH,`MSHA-apj roved reolipj ter. In case of ape contact. flush with plenty of waterier at least 15 minutes_ Consult a physician immediately. KEER OUT OF REACH OF CHiLDREN, 6SE11 AGR!`ES TO CONVEY fHflSWARNING TQA PERSONS WHO FAA'rt1Si= OR COhQE INTO CCNiXCT`WIrH WET_(UNHAADENED) CaNCi3�TE�byt�R�41j, CEMENT OR MMENT MIXTLIFIES. DAILY INSPECTION DIARY % DATE: / /p5" WORK PERIOD: REPORT DAY: 1 � FJ%�'J �/p.m. to 3'�3d a.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: /V WORK ACCOMPLISHED TODAY: C7- 10 ctak12 �1R� L e rJ: Orytcv� fi L a 600' sn,� 'y 4a4 . j � %� � �roKc �r=�o,•`�'� vre%eRfc<� io>',c s",ccccy r-tf S f� p1r4� e2 ? op �� % �� tonG /QH tr� tPJ �S vk�`��� f "•�-t S rwtj" 0-LlC9L:yt a ✓es-' i k'n, S CONTRACTOR SIGNATURE INS•CTO• DATE: DAILY INSPECTION DIARY REPORT # DAY: V e 4 DATE: j2 / G} WORK PERIOD: Y;GC%�•/P•m. to .3'3G a.m./� WEATHER: Q , G TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: i s /A, I I L I e W, �, �g - 3 1 V 0 0 — !C) L,/tT + �'Q i3 � r��� ►l.'rc N�� -- T 1. `S �,,, s l�cc �A✓s 7 ,Y5 % L�,. •, h c �C i�✓i m �Wu t✓%evl 0 —f r2, TLc,,-1 f' *i i K tc�z / OW I �f0-t0 I nS�� i�`r q ,� /Y- i S / O }4®Ijw Lake OL) 56_ i h s -ja I/c,/ T ; r c �1 to( a 4 isi lJ I P"c u �o uyo. r/f Cyr.'✓c wt �j i �eaed. b [/Ec/�% l� �Icaf G'� iN S�avls%�pi 7tr1G[ Al C IC :k e,5a4ll A✓tA v f kial< c d-i-� a ✓�C� L:� /ac u ��� 8 S o % LIP 6 ihflk/70 d'�cy�Lr s �O✓,,� 30/ osn 0,s, f4Pzor tS f lv r�eeuyt .h1 C— CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 10 -% 2 -a �� DAILY INSPECTION DIARY REPORT DAY: � � DATE: / 1 / J WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER V�o TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPL SHED ODAY: •AMR %MWAR CONTRACTOR SIGNATURE 6�INSPECTORSI NATURE DATE: DAILY INSPECTION DIARY REPORT DAY:&joAq DATE: /0/f0 /WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX o 0 F MIN F PRECIPITATION: WORK ACCOMPLISHED TODAY: l-2- 4-41 5: LiL .111,01 All/..� i in I i- CONTRACTOR SIGNATURE 4TD$rAECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT �E DAY: DATE: i6 /07/C5/ WORK PERIOD: L!o (ED/P.m. to 3,04, a.m./� t —/ WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: wT�Z'2-7-3tgo ox Jf`ori'�te� txca✓aZ;0 ' f% { .t:rc f,Il� tl7it/ f� f f(fa 4 r fcrcry ufS7�1 3fi80 1 7s1 1z;75 0C-JA,* 1pa�vl x�+'n dv�✓ i; nf�tcw�r 3��`To-�' yP4O' C S �1. S G�fit/ T 3 I0P 4 " ' 4F 4/( $v/tYC&"l 's I4-vti ,� 0 w PIC L d- .�- I- c CONTRACTOR SIGNATURE i INSPECTOR SIGNATURE DATE: /0'07-0 DAILY INSPECTION DIARY ,���� REPORT # DAY: ( DATE: 10 /06 lee- WORK PERIOD: g a9 /p.m. to 5,30 a.m./(p.ml j—1 WEATHER: C L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: I wll2 2- 7-31�b' amen l s3 fG✓ia/J` 23,,Z3 fens 1�`�cr �ftir�;�i raffia Nr 0- 10151s Al ka/Ct 141/ -eel [Gtio �/r4 19t0S all /!`P c fo,04f) -n 5 -441-44, L1 C aV.cv' 7 /t; 3 oL/7,+ok- lve 1ftW Vc.oacr $ter✓,'c s 1 N Av w,j- v S 7A 1 i tgi' c-q f--r i Wc bP c H'f 09- oR r�Ok`r�of /` t �t -! sau�.� 5719 /Sr.27 3 Dt�n (�Sz•d �+ ���oYv�Y`.� Uj4 oltr S;1-j 14 i -j d' i?r®kl S o(,e S t wCA- 5 79 / 134 00 � b�cek4 /i cam[ �r lQ H-cv !'v�/� .'i (f�se iY bfc�-r•!�� algloe..[/ed tL wt.K./r, V//e`y; e- e- o-1 ner✓1 ryH.a,.e�r Lot ICe01w $ w44`1 l;hG a%l o/ %lLK-e .4,> 4- .S��l�k ITOJ w, f1+ Aic-k %l7-ii/raH0 -LVfYIc-e M61i�L1 t,Nt �/ Nt a/�aN / T �1 Y�k%�G✓ f�aH oNfMl� kc,,,66 kldcics C CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: / 0 - 04 •-ds" 312632 i n l -,�i 1. .. .• Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/z% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. �R ,.� CITY OF RENTON __ SERVICE ADDRESS BILLING DATE 09/29/2005 Unpaid Balance Current charges $ 0.00 Due: 10/24/2005 Total Amount Due: $ 104.56 1 $ 104.56 Iltlttlttltll�tttltltttllttltlttllttttltltlttlll�tlltlttl,ltll VJM CONSTRUCTION 12409 230TH PL NE REDMOND WA 98053-5624 Office use only: 90088 Account Number 15424 Amt Due Amt Paid $ 104.56 I UTILITY DIVISION CITY OF RENTON PO BOX 9119 RENTON WA 98057 3002 130154240006000104563 PLEASE RETURN THIS PORTION WITH YOUR PAYMENT ------------------------------------------------------------------------ IMPORTANT: PLEASE FOLD AND TEAR ON DOTTED LINE CITY OF RENTON UTILITY BILL Billing Period: 8131105-9129105 ACCOUNT NO SERVICE ADDRESS BILLING DATE PAYMENT DUE BATE AMOUNT DUE 15424 09/29/2005 10/24/2005 $ 104.56 SERVICE AMOUNT ACCOUNT MESSAGES Water 3" $104.56 Renton Wastewater $.00 Surface Water $.00 Kinq County Wastewater Treatment $.00 Garbage $.00 Haul, Dump, Extras\New Account Fee $.00 CURRENT CHARGES $104.56 PREVIOUS BALANCE $.00 PAYMENT - Thank Vou $.00 ADJUSTMENTS $.00 TOTAL AMOUNT DUE $104.56 METER iNFORMAI IUN Meter Usage From: 11/23/04 To: 09/29/05 900880 2832 2138 usage / 100 cu ft 7 MONTHLY WATER CONSUMPTION 18 Historical Billing Period Comparisons 16 14 12 10 0 8 6 4 2 0 SEP AUG JUL JUN MAY APR MAR FEB JAN DEC NOV OCT IM CURRENT 0 PRIOR iNI'ORl' NATION On -Line bill payment will be available August 1, 2005 for residential customers at www ci. renton. wa. us. Credit cards and e-checks will be accepted. There is no charge for this service. Information For information regarding your bill, call 425.430.6852, or inquire in person at the Utility Billing counter on the first floor of Renton City Hall, 1055 S Grady Way. Hours are 8:00 a.m. to 5:00 p.m., Monday -Friday. General Garbage Service Information Garbage service is mandatory in the City of Renton. All residential garbage, recycle and yardwaste containers must be at the curb no later than 7:00 a.m. on the scheduled pickup day. Waste Management -Rainier is the garbage contractor for the City of Renton. Please contact Waste Management at 206.243.4050 for any service problems. Payments Payments which are mailed may take seven (7) days to be credited to your account. Payments may be made in person at the Renton City Hall (1055 S Grady Way). You may also drop off your payment in the utility drop box on the southwest corner of Renton City Hall. Do not deposit cash in this drop box. Please write your account number on your check and include the top portion of the bill with the check. Delinquent Charges and Shutoff Notices Payment is due 25 days from the billing date. If your payment is not received within 20 days from the due date, the charges become delinquent and are subject to a ten percent (10%) late fee (minimum late fee is 50 cents) as well as water shutoff. Final notices for delinquent accounts are mailed ten (10) days prior to shutoff. If you mail your payment after receiving a final notice, please notify the billing office at 425.430.6852. Failure to notify the billing office may result in water shutoff since it takes up to seven (7) days to receive and post a mailed payment. Pay by phone payments may take more than seven (7) days. Payment arrangements that are not kept may result in water shutoff without further notice. Property Owner's Responsibility Property owners are legally responsible for all charges on this bill. Billings made in the name of the tenant or other occupant of the premises are for personal convenience only; it does not relieve the owner from liability to pay the charges on the property, nor in any way affects lien rights against the property to which utility services are provided. Holiday Garbage Schedule Garbage is picked up on all holidays EXCEPT Thanksgiving Day, Christmas Day, and New Year's Day. Following these holidays, garbage pickups will be one day later for the remainder of the week. For example: Thanksgiving occurs on a Thursday, so the regular Thursday pickup will take place on Friday, and the regular Friday pickup will be on Saturday. Fees Effective May 1, 2005 Special Request Water Meter Reading: $30.00 Utility New Account Set Up: $25.00 Utility Billing Account Transfer (Tenant Billing): $5.00 (Per change) Manual Closing estimate: Requested by fax, messenger, or letter $50.00 (Added to final utility bill) DAILY INSPECTION DIARY REPORT It DAY: W._fd DATE: L� l�j~l6� WORK PERIOD:N�_ala/p•m. to 3;30a.m. p.m_ WEATHER: / , & TEMP. MAX °F MIN OF PRECIPITATION: /V WORK ACCOMPLISHED TODAY: i , (be t om_ Care cli iR 2-7 -31 d��f �a��✓ ►^ qI eeikls LG K-',- �✓ I z S7 ,4 t' q± 3 t k`u e(�_d a + 5 -/ /1 Y�1 D j ! 6 oL s, ...l 1_ .., L i_ �.... .. C G �I . H H .� c Ji'GY! E� .5 ✓ NL. 07 _ , /'_) ..n . i . � r .., � � ! � ,_.... z w ,i( e rr e S 5'r G� O d2 �' -� �c � i �" i �+ `� �✓':r fie/ J _ ..��ts r Gam, c L ;`vt Yrfln %' G i- �i► iy kyB (/I D / 1►t/r iJ���i f; �S 4d b,_ ,k.,, h� J�,v�� �bVtvrA ioG✓ Cdh�puc�¢OY t/rr�-c. t��5t.v� ���,c✓ mx":lpe 414s4 9Z CONTRACTOR SIGNATURE 4& �fl _ZZ� INSPECTOR SIGNATURE DATE: o- DAILY INSPECTION DIARY REPORT !6 DAY: i coti DATE: J 0 /Oy /C1 WORK PERIOD:,?jLi a.m /p.m. to3,`3d a.m. t l WEATHER: TEMP. MAX OF MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: d./ prvr �, 7t 1 a �v ✓ a t:�/`� f s n4fl �S7- L.,Y+ �' r/17r b.cc✓< �f.of:.L "�" d t7 � 5.1.3`- Cr)3 ` / b4.�k.a�iF� !•.ikcFs 7'. c�:_r`s� ba.c./cctefc ,L._cKo'f AJ.,a t4 I OL! e�. li�+r as T' .�1s S'f60 k-,dt .fjd Zrl - 3 3 /lc%tc d3-8/`(�V L'xfcn.l« 74-4 U i-t /( .Z Z26 1- /1 H o✓ f B yC Ya h-e r If© Grp 1 en ![eG( r .'n L .f^ rnf>la/l-t.,i q ct�- Te- Lofi-On en LeAC-G 11-4,S e4-,. -e 11�dL rltk �rBn rf^ 4ON 1i V AA0/n W4/ A//✓b✓s� i14,i�AeG16 %i/.. %Licv /c- �O✓YHd 'e,z1 ho��t-� C/ea� cmlA�i.,yx tr, �sd��/r� arcrf /�7' llV-e QI/nNrt✓�L � ,/2 IiN-L h/1o.�7tiYor On �7'� �y✓!�'�vl�i '�YCny:i7''0!� /—Zt:s& X2 1-44 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: % 6 - eN- D DELIVERY TICKET �Z SACr09iP 4 FT.Sumner, P.O. Box 1850 WA 98390-0400 � 253-863-4556 • 253-850-1775 r E S Jtt CITYTI*999PH DATE NOT RESPONSIBLE FOR DAMAGE CAUSED BY DELIVERY INSIDE CURB LINE. CUSTOMER ID JOB NO. I CUSTOMER ORDER NO. TIME TAG NUMBER SOLD TO: DELIVERED TO: PRODUCT NO. PRODUCT DESCRIPTION HAULER NO. HAULER DESCRIPTION CTI TRUCK NO. CUSTOMER TRUCK NO. LOADS TODAY TONS TODAY PLANT NAME PLANT NCI. WEIGHTS SCALE NO. DRIVER ON OFF RECEIVED BY 1 UELIVERY TICKET • - SAC r 0 P.O. Box 1850 C� Sumner, WA 98390-0400 1 253-863-4556 • 253-850-1775 TE SUP CITYTI*999PH DATE NOT RESPONSIBLE FOR DAMAGE CAUSED BY DELIVERY INSIDE CURB LINE. TIME CUSTOMER ID JOB NO. CUSTOMER ORDER NO. TAG NUMBER SOLD TO: DELIVERED TO: PRODUCT NO. PRODUCT DESCRIPTION HAULER NO. HAULER DESCRIPTION CTI TRUCK NO. CUSTOMER TRUCK NO. LOADS TODAY TONS TODAY PLANT NAME PLANT NO. WEIGHTS SCALE NO. DRIVER ON OFF RECEIVED BY i I 312526 ?UAL I TY ROCK PRODUCT,, INC. Shipping Loc-ation; Renton Date: 9/29/20015 Time: 02:44 PM Claat.ostr- #: 8A150 ;east Nave: VJM CONSTRUCTION Job Na�e: 7at1'Add: Job Add: TALBOT HILL WATERMAIN PH2 it y : REINTON =10/Sob# PO/Job. it o t e * : 8688 Drod. 1 1/4" CRUSHED PICKED -UP 2arr. PICKED UP Map Page:. rrk# PVJM1 f 3ross Wt: 49E80 Tare Wt : 21941A det Wt : 27740 let Trans: 1.3.87 Day Tons: 8. 73- . Metr is Tons: 35.1353 Yob Tons:: 83.28 Metric Ton%: 75. J503 STANDBY. TIME INITIALS_ wates: Material Check No. Tax Visa/Mr Rppr Code fa�.al. USTDMER __ Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 312518 f 71 Jr. j� 117 fro C., - b yid TAL POT HIC-1 WPIERW411',i FFT110H Tr �4# I 1, , - o- -. ('44. -. I o T) k IN t i Tt'l. Checi; V i -= '2� ; I p P,� m t--- iti Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 31.2521 CnAompr 41 3810". Fq4t NAN,: VAM CONSTRUCTION Yoh Was: 3DO UK lob Pdd: fOLPOI HVI WATCPMOIN P02 city: Pmrs, 701 WWI PO APP, 7uV*Q- 16KA PIVPpl- Al cc, 1 K W C ! K - 41", Tare WQ 11940 "0' Q f 075A.') qion,: 12.0 Mot, in For.: K. W,.' 1 in, v Ic rap jot vom:.w -4. A! N&Pir Too, ny. Y67" YTANDBY TIML TNITIA14___. Material_ Check No. visa?mc Appr C'ode_ Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS, THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1Yz% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 312533 ]iC. I ,;titlti � 1 -I �t•.i„ i�i.;� '.i� . �fdL�BV i f,ME ha.it! i.di Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE' OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. 312624-- MJAb+TY'R0CV PRQDUCT,-.3,, INC. - oi kho Rent Time: -88150., Name; VJM CONSIRMT, Y6b �A­ddf' �bb-Add-. TALBOT HILL WATERMAIN PAP Cii_y: RENTON PO/Job# Re/Job: Uuote*c 8668 I- Redd, I 1/4" CRUESHED PICKED —UP Parr PICKED UP Map Page: r-t-W OVJM2 �ass Wt� 46760 Cara Wt-. 22560 Net Ott ; 24200 Abet Tons: 12.1 Metric Totes: 10.9769 Day Tons: 12.1 Metric Tons:,10.9769 Job Tons: -109. "113 Metric Tons; 99.0918 STANDBY Motes: INITIALS Material Check No. Tal Visa/MC Appr Code r/. al I.-USTOMER Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1'112% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. DELIVERY TICKET C� P.O. Box 1850 Sumner, WA 98390-0400 'R""W't W O�TE 253-863-4556 • 253-850-1775 gVY CITYTI*999PH DATE CUSTOMER ID SOLD TO: PRODUCT NO. HAULER NO. CTI TRUCK NO. PLANT NAME SCALE NO. RECEIVED BY NOT RESPONSIBLE FOR DAMAGE CAUSED BY DELIVERY INSIDE CURB LINE. JOB NO. I CUSTOMER ORDER NO. DELIVERED TO: PRODUCT DESCRIPTION HAULER DESCRIPTION TIME TAG NUMBER CUSTOMER TRUCK NO. I LOADS TODAY TONS TODAY PLANT NO. I WEIGHTS DRIVER ON OFF DELIVERY TICKET alit CT0-f0 p P.O. Box 1850 Sumner, WA 98390-0400 Ac 253-863-4556 • 253-850-1775 r+Jf< CITYTI*999PH DATE NOT RESPONSIBLE FOR DAMAGE CAUSED BY DELIVERY INSIDE CURB LINE. TIME CUSTOMER ID JOB NO. CUSTOMER ORDER NO. TAG NUMBER SOLD TO: DELIVERED TO: PRODUCT NO. PRODUCT DESCRIPTION HAULER NO. HAULER DESCRIPTION CTI TRUCK NO. CUSTOMER TRUCK NO. LOADS TODAY TONS TODAY PLANT NAME PLANT NO. WEIGHTS SCALE NO. DRIVER ON OFF RECEIVED BY j§ STONEWAY SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle TUKWICONCRETE RENTO A (Plant 14) 17024 H W. Valley Hwy., Tukwila RENTON (Plant #14) 915 Houser Way N.. Renton ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E.. Maple Valley SEATTLE, WA 98108 • (206) 762-2566 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.) MAP ZONE C CASH ❑ CHECK # ❑ CHARGE CARD # EXP. / SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER • DESCRIPTION • •� JOB TOTAL SLUMP SPACING ORDERED BY I -TOTAL TRUCK NO. DRIVER SALES TAX REMIT TO 9125 10th AVE. S. WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE, WA BALANCE FORWARD 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 I DRAW BRIDGE gals. to 1 /3 load El WAITING FOR TRUCK TO UNLOAD ❑ PUMP BLOW -BACK ❑ NONE El 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 a DISCOLORATION PRINT NAME DATE BATCH DATA: DELIVERY TICKET NO. REV 10/03 NBF CUSTOMER'S COPY [� STONEWAY S 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.) LJ CASH E CHECK # ❑ CHARGE MAP ZONE CARD # EXP. / SPECIAL INSTRUCTIONS VISA ❑ MASTERCARD ❑ DISCOVER PRODUCT CODE DESCRIPTION I I � I JOB TOTAL SLUMP SPACING ORDERED BY TRUCK NO. DRIVER ' I, 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 Li WHEEL BARROW JOB — YES — ARRIVED JOB EARLY ❑ TRAFFIC _ TRAIN ❑ DRAW BRIDGE gals. to 1/3 load — WAITING FOR TRUCK TO UNLOAD J PUMP BLOW -BACK Q NONE - WAITING ON PUMP r 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 x 1- GRWIT. Cgriditidtttmce 6dent tit Seller's obligation to peril - 'any and all erediti,tgl ' or' j�a F i ► kf cL. tot " 3dieliveries tfflder this fspnU "Collect On Delivery' �. !'urcflaae� a4L�:. h jNgrt>statiprt act x a,-- < idptpQdirWPurchaserS financial' pondition. Seiler r thiS t dfs'ia executed ConlmO ftom +'Umbel' ti4 ,2. TEfifYfB OITOAY1NE,i111:-Alt.inrfalces ara,dtie fbi^payM&nt by #4 go b�MN :d:aitd.�a' payable on all past due inv�s of thirty (30) days or alder. CRETi _ _ FjPI jR U3riLY. YtvAENi frM4� Bll BANKi It Pl ftR ' = pkflipHA9E OaifE k6 fEEINILL 6E iNC,IJfiiiEtk clad krlf_ openstc4muriti �F CIF rn ell . IieretrG dru in lav l money i?Y the United, Statesand in aocartjehae' . n)r heret>f, pit toll to any rchaser mut+p } other parties.. Should fegdl. actiert be initiated to collect this :invoice, the - AM be a�stt�eyte�`aad elppmldel--hank !t t t e 1.pa� = Ugemenf eoiV6cgon effects.STCN $: TItXEB. iI Ledaral, sta!>i and local taxes, 3 esmertla, tees, tlutlea and dhanges Igtiled by tea9orfsai > � toprririfls t7 sl �f6[4t #tad Pilrl tilr �wurgitasen: � _ ,; �. _ _ -_ _ t , t L a , ; � � r`_', • � , - . , a. ?sCtIFAULI tit m-O0gj19 �y ne4uesi shelUbe corweygi Etvough ettei� dispatch afar, a and no oAfier Sellars ag�M RM ' ti iteil.la .F''9n p, _ yair 'T'l�fpO dimeTs, quanty assurance persunnal or sales`iepresenWives). p"PW CONDITtOf . All concrete de -I ve igs,will be madq �soncretelrarbit - Division of Cary MerlTno Construction Company, Ipc. (Sellmi to make used a path for;hadui-wft 61 maleriala.vid 8r s fa ihe;woct taatf( 6ig'4t°trpkfs to'hays 4 e bpUndaryt Qt the nearest traveled public highway. Bettor has sfo tM�t due is cite,*4 and weightof trucks, .42111' gs to [tie t EtndiOaa�fd k �It6p r p�"3ollat ' ' iniiiry may oi¢CUr 8ilri tha(trurk9' ntay'GOCotne CteRta9ed','dtsani diir trrElt#f 5enermnVteaxfsra:-chid 'p4#1 r egt�+ed. "'finest _ requirr7¢ 5 �#rurrks cravel_beyortd the nearegf highway, to obtain pc mas to the job site am at the visit ct#W Purghaserond tf�at Seiler asstuptlsrro _ t'bi p patfiaie' or personal injury that may result. Purchaser agreaq to assume resfsortsibinty to Seller and fhied pantea for proparty.damage, personal irtjttdas tort, fgvrlrt$w# winching! , -expen5r=S; and/or- damage to Bailer's tracks should the trucksexOnie damaged, disabled of siiiak 8$a resuff oF�etlB>'�►tg ties of�le petl5 reyUBat t31� ' fmaferisis and access to the projet;t rite. Purchaser also agrees .to indemnify. hold. hermiess, and defend Senor from:any i:tatms; � r srlo'Iirbilidea tq:ot by third' i oarbas arising from. restdtinu from, or connected with the use of the requested oidtf to the, deuvery of Material& ibih her wo.clstrim orbits. 6*&-60 s'or agents and emblopes, and (b) the Purchatershalf apply only to the errtent offtt'h,.e moigence gPthe Au&hdersor_ita: anrd crtfp�ra ' i drtdemrtiiicatfCn aNiga3lort only, She PurchaSsr specifically a¢rttemewjr'iYaiD.aac� frtwtlitntlY + 9fsl llLy�taYJeshfrf RCW: This waiver does not permit a direct action by the Purchasers he Purgheser.. f #re i NiaBtiott n this _ 11 nit bd i limiW In any gray N any limitation on the amount or type of derpeges, compensation or benefits pay#% to orforany - _ party under worw4is am$, d[safSil bsne�tt:ects. or their employee benefit acts. This promise of indemnity specifieellyrapplies in the case ofinjuries:to the ugtlenOgnetf"sdtA entisVUVfts.'7�ttt gif8d'19dtrtyl Q defendl fnderiiN Auld hold Seller harmless shall incltrde, i�a t4 all oleirtts; demartde; fosses, and IistslHty,to which it applies, Selter'a rimed GgBt¢, v6ae4rri ' ta'l. ernaty's tees. court costs, and all outer claim related expenses, inoluding attorrreysSees and Dicier costs Incised try Seller to enforce ants establish 1W KOK utaGer Mi. Agrpennettt Upon Seller's tender of defense under this Agreement; the Purchaser owrees-to appoirn counsel of Seller's choice to defend against third party cprdrtW,�.S�K . r counsel win beat the sole expense of the Murchaaw, Seller is not responsible for means and mett". o1,piaceiront of ready mixed concrete orrtggrspattij fr tur7tta.op a,pmlem, 6. VWASH OUT AREX it will be thg Purchaser's responsibility to provide a suitable.ansAPox trucks to rirf And Clean befrue.tearviog licit10 Me. An additioned eharga W11 be made per toad if a wash out ar- I n provdtled. ; PUMP jfOLDS AND BLO Seller holds no rasponsdbilitjf or obligation of oorttmunit anon m Pldrenaser whrsn PtyrtEt Company holds or tmleesee �rdens : $myir�e Purcttt ,wil! be dine Lv Z;TooiQ"graabVy.:nDbng Purcatt�er may not receive original rate of pdur requested. It is the.respronaibitiiy cif Putiap CW*:iany to go*Purci ser L of wL✓ iAs'and' re Tnciir7gd ddidff$' Pump Ci r �jy rditdn pf�. ofbloWbaott; w1U'be btil .Qq the urob + �kr+ a t#�UB�_ cl8K di, will be _ to clean up pRefts, i , l 1 •, b . y, _ r _ PYdiNY OF ACC - _ -- c8pterk:@_1r;! st the tryck chyhe. Se11er_-m nbi wpt--portBitf�itty for_phyai L3liertyaR df.the.DO er!'b IOU delays, delivery $%. W[ nsest�rnd our Conlrol. _ r :, i -. ' READY MIX CO that already miLcloppods testing including' ob�iF�etaS3%hgthfeSfiftgfcsr acc®ptanbe, t3hanl]9 do accof$anr �ilith ABfMt f -05C anxtAOt and i opy of all test,re 4wit&thrae R workfno- of tine perilorn"mma ofsaid toga - � D" NOTWICATION R�SSiYE S1fi t Tic SU1.7t3 Pull agt io no4ity Seller in watt irfifh wertl�Nfoctf c7Lrs�erf defideRil i cgrtciltrts Cron)- _ n lest specimens. prr� -to giake thtifrt available to;Sqlterfurtheror fuer Inspection and teaUtr9 i s , At1DIT1oN OF I rAl_' If wa pip 40al is added to the c$iitireiie by or'at the request of the Purchaser, its ergo agents, contractors ar 31 lie concreWA§49&*red and waives all right to repict, revoke acceptance or assert an"laim fo►b each-61Fowwwmmy _ Seller is -not N a_ooncreraL�`"''�� h2, WARRANTY.: 'Saner wafranf# that th` ive sfi VIli' of ready mixed concrete test specimens tested: for,aooeptance i>t'3CcotaaitF'e'tait>�t ptn71 tnVO the design strgiogtlt'ic=t 'rFlitd99ign 9gld W40—tte4Ctmhact 60OW warrants the aggi�le n+sWial sold utt¢erthid_Contract Wrests the description add spec aationsfor"sameaet . forth r s thr8 GnnUa1A,No other warra{t;ies. express or Im*-ad. are made with (� t such c®nstruciion rhater�ials. whether tiny bB wairatttl�r+ aF or wearra>rtrea of t mercnartabtlty. Purchaser's exclusive_ remedy for breach:of this warrenty.shan be to t$' ellerlr'a!Selter9 option, to refund !ne purchase price, fo rep* -said rTasisriai, or provide Purchaser with d AL•em any log material&. * b IS t* i � F7 El3Y Ek+ARESSLY dTSCLA�1 gn Witty t p o forming rapt tfor non o�if1/trift1r bnsequehtial dattteges ata_�{necI V,PurG7fa9eYr&ffilt.Sellar any breach of thif. Agreement or txeaeh_af avar�nty fterein THE PRECi3 DtKQ W$Nlifrilj�r AIV� IRfl3"AL{ IMPL 1 �VVARHAWIEP'OF 90 A$IL`rTYAN MNESSF9R1 u�PX1ty'sJ?tJt E, y— - -- - r St _ UlilCtYlOt�i0AMj4QE8 Soler asSurmeS rgoresportsib,Flfy jg�ngsltelFx►al�be to, Rtlnad ffi9tiDn wait! _ tlhlts.Corla^att :fttrrding Without limiiaMon, ei4rcbi8"s tcfsrproa,s grfQd w(1 .endryr intup}t: to tiersprr ar proPertY Ww or t breach of warranty by Seller. g4_ CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims undo gnErset. nst�ilsrfxir arty mini ineiutid bream t:pt contract etc i_ breach of warranty, shalt be as follows: NgMce of claims sgatn&i Sepal W any,w4apn, InC1VdJJnB slily Ilf_it_ f� paWA of oon4WA e't�tnfsMrrtii.7htGa�bv#A do SeAat In writing within thted,('3) working [lays after dbeovery i660en dlscovbry sMuld have been made: The wnlien ocelot -slaty include the, reasonf a eitd r�flsnoWi �rq�d the dot arrltkaPt can reGet$061-it. FAILURE OF PURCHASER TO GIP& SUCH NOTICE Wi7J'ifN THRf��B} INfJRKff10�AY'S t3HALdT CONST{illTt; a WA { - OF, i�" R1GE6L TO LXrE 1 MAKE ANY SUCH CVd%t tf a dlspuledgiges andcannot be r ived, the peiti8s InVdtved �tttlN[p:l�dfCig �b!liallart�hrouglh n l - 1. t h TItLE AND HIS)( OF LOSS. Unless otherwise expressly stated-heredn. tkie to the materials sold herqiiinder a)l remain with Seller until Seller has received cull Arwttrforffie• . same. SittTc q; Joss of the materials sold under this Contract shed pass to the Purchaser upon deoRy of wit sam@s the place of d�VeW desigru led tlefIsih. fiA t, 14 addition to aSsulnirtg all risk of loss, Purnttasershall be responsible for compfianct} with all govemrrteniel regtri8lrorts with regard to, atiaage orpier, rartent of the " same and shall indemnify and hold Seller harmless against all claims for perso*l injuries, fncluding death, and prgpefity.da . niBlnp frCrit the storage, use or of ask matttriels a . .a -,, . t 16. CONCRETE WARNiNGS. Injurious to eyes- Causes skin loft jon'killduoid contact twi�i'�gd ekin..:Wresr vier f gloves a fully buttoned bng-aleeved, shirt[ 41engtf✓i trousers, and tight fitting eye protection when working with these materials. tf you ham. 5 id in Wet conciet&, use waterprobtrs thst'artt;twht at tops arfd(tlgft Brit Vthttt , _ keep concrete from flowing into them. if you are finishing concrete, dear kneepads to protect knees. FIRST AID. If Bust ieinhaled, remove to fresh air. Get m8dieyl attBMWn* irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from you skin with ftilish, clean water after, contact. indirect oontaot fhnS_60h to A1q cart, be as serious as 640 contact, so promptly rinse wet concrete, mortar, cement or semen otures trom elothi% Seek irnmsdlate�M4ka1 attention d you have persistent or severe dlscomfon. Avoid breathing dust from cutting or o nr grog hardened cone WhBtrZgDb5ed'to poneret#• dust above reeommediied Brits (see MS08), Wear salad NIOSH!MSHA-approved respirator. Jn case of eYe f ,ntrc ash with plenty of for Is#st $5 migwtes. Cortsun a physician irrxtadla KEER OUT OF CHILDREN, USE, AGRtES TO OONVEyTHIS GYAf1Fjfl: L PER CJN Vti lviiiF l bii_ tElAiit_?C(5iJ1ACi`Wrt� wt p�Iur tt t5 o MVHWI _ CEMENT OR CEMENT MIXTURES. --pp f • 1 [..s STONEWAY SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle DELIVERY TICKET TUKWILA (Plant #12) 17024 W. Valley Hwy., Tukwila CONCRETE RENTON (Plant #14) 915 Houser Way N., Renton SALES/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.) MAP ZONE F CASH = CHECK # []CHARGE CARD # EXP. / SPECIAL INSTRUCTIONS VISA ❑ MASTERCARD ❑ DISCOVER • • . DESCRIPTION UNIT PRICE TAX AMOUNT •D fill fill ? ( I II I-1 f 1 i: r ill i t l (! k ii-1 C It li'f t't JOB TOTAL SLUMP SPAQING - - - ORDERED BYSALES TAX TRUCK NO. DRIVER REMIT TO 9125 10th AVE. S. WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE, WA BALANCE FORWARD 98108 ❑ YES TERMS ON REVERSE TOTAL AMOUNT gals. to full load ❑YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ JOB NOT READY El LACK OF HELP ❑ADDING WATER -WHEEL BARROW JOB ❑ YES _N y ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN DRAW BRIDGE gals. t0 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). 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 1. CREDIT.Condition preoadent fo Seller's obligaUvra to perfot InanY ararl l credrf t i y-nent ou sal forth in This l ntract. Irz the dglfvdties tlndar this Contract'am "Collect On Delivery { © ). Purchaser a upon't.. _ t _ t = _ iSil Seleer SgClt'irtfermatlon as rm-Se1P�r to - .doteftrib'Purchaser's financial condition. SellWa, ob t=,, t=1 Ou fo the r orWitlon pracedent'dW (3Ar�ys front, receipt of the executed Contract from Purchaser sfl the�1e4=tlllt�il l 3. Dt7 8 >anY h OP 2r , TERMS OF PAYM MiT. -All invoices are due for payment by the 311tti dilly Wethedata i 3caettar+gsa'bf Ana and on®-qualeaia� pef%1AeiDrttiatt 4bia, payable on all past due invoices of thirty (3pl days or older. CREW CARDS ARE�ACCRTED ATTM O� PURGI+A$E QAIk.X IF PAYMENT IS MIAD'E BY BANKCluRb AFTER, -PURCHASE DATE, A ^ FEE WILL BE INCURRED. If aserviaer�saryeis.esse9sed: drnuet�`R"� tllt�eFtb Ut_Qpett atxloblrL heti II'Inaleaall6iltBatEe hereunder in lawful money of the United States aria io accordance with the temttt h9re7�ir�Vttheti� `F�iEsOfdo� Mtkh t rdgdrd to aP agrq rreent � r dtgv2:VPi4tr other parties. 'Should legal action be initiated to collect this invoice, the prevailing, Party ante JU Ltd rar utntu ( sortable A J arld 46 Tsaiili and' gust jUdttemem co le ! efforts. SToNQryAYL"Qi!�Ri'�fE ROENRi ELY fX1rRCl�Tlii 1tfi�tltgM FTOBEMtD f1AA�i1+4LMAAN"3 f�f18f�.QMI IILL.lQ951 = _ 3: TAX] . , All fad oral, state and locals , aegessmants, fees, duflas and charges IeVted by reason of OiW Proposal. a/s In addiyvn to prices " aflCd,stlall bs pall by Purchow SCHEDULi% E hanger of variations trer e{ oligina141iii ry request shall,be conveyed tltraugh' Sallie match olfice'atnd no other Seller's agent (1rA7lDding, bil#,'. liatite&lltlu r t, drivers. quat-y:as>uraneeper30rtne"Corsafr reoieeerr}aiives}. : `�' ?? `i 5, yD&1i1�:1f CONDITIONS. All concrete deovediaelwill be made lip gvriorete,transit mixertruchswiie>at4thenwi8e noted Signed Purchaser has requested Start iiie ►l`ioPt e l 5 blvision of Gary Merllno Conslruciio{i company, lac. (§eller) tb finke use of a peth for then defray of materials and access to the project requiring trucks to travel boundaries -of the nearest traveled public highway. Seller has + dthdt due to the size and weight of trucks, damage to the premises andlo► adjacent property... or iniuoccur Arid fiat/ occArid that Ch ecks may b6comik dam . -aged; di58b1etl k if Seller slakes ut£e of thspaM requested. SeUertlas ftatfteradvtseri that it is tt+el p1Aj�y tttiti t requiring $01$.r* trucks trevei.beyoncbths nesrest jifghvregr So obtain access to the job site are at the risk of the Purchaser and that Seller assumes, no 116W yl fort expenses, andlbr damane to Seder's trucWshauld he trucks become damaged. disabled or stuck ass atilt oFS�er making use ofthe path ieWoshed afor the d k or personal n� ur that may result_ Purchaser agrees to assume responsibility to Seller and third for damage. personal in _ rles. truck twM and wlnoiil _ � e1N4ib}j of materials and access to the project site, Purchaser also agrees to Indemnity, hold harmless; and defend Seler from any claims, demands, losses, and Ilabl!Uties to or by third J� ,part_"I afigil:19 J" asuitinq,hotn, orcoonnneec`ted with the use ott uesteedd Path for the dellverjr 4t �11 t8rlAfs�heth�suah Claims m$y arg4a tD t>a true or istl39, gdOutidf or _ egertts and employees. and (b) the PUrchrlser shall apply only,frs the elfh eer br Iles and Frtf ilNdtqurPaee ¢�Nie Paucl"Iiiiia � indemnification obligation only, the Purchaser SpeoRficaMy and a WatVea ttf l i u _ Y oukt, �i till e Vyashg1 01t IndWr anklet A Tlti ` RCW. This waiver does not parrT it a direct action by the Purctillows empto�eAs agal t t6 Pui3 . tlieW . it4catfott glitllsation �t7dsl ,ltiie Rgr !ltl ilt t HlI t otbei ` limited In any way any, limitation on the amount of type of dE�aegaelr rittlpprtsaliii�lDe Beare 1payp a fora for terry thifd party�Igd9t ItloTpLt's ftpe►�sat tpClai a bifitjs benefit acts, or i ha k employee benefit acts. This pfpmise of indemnity spaeificady applies in ttie cm of Injuries to the undemigned)l own employees. The �s duty to defend, Indemnity, and hold Seller harmless shall Mdlude, tie t1T ell Ctaln6, de!t�rtda. 'kysses; rind, If9bfiity to whlc4t R applies, Sailer s pereortnat rel cast$, ressonablq attorney's fees, edurt costs, and all other claim-rQlitted expenses, Including att8rtley's febS apd' QGlar costs incurred by Seller to enf9nce and tiistolejh its , uzldsr'thls Agreement. Upon Seller's tender of. defense und4r4hl9 Agree(gerit. the,Pure11A48r #green to appolpt isoitrwel of Sellers choice to defend against ftNrrt, pTV titan %gj: ,9uaf>b- counsel will beat the sole expense of the Purchaser. tiiellal-W riottoonsible for means slid methadsof placement of ready tttttied,cononi to or aggregata prtfoOCla dRll apirojeli B. WASH OUT AREA. it will be the Purchaser's rssp4nslblUty to prraida a suitaties all" for bucks to,rlrrse lthd clean before leaving the Obette An addttf¢�I dhHtga W1U ba3 Prtwdaz per load if a wash out area is not provided. 7. Pet1MP HOLDS AND BLOWSK. Seller tantdra rip responsibility or obNgatieWt of i3ammtlnicat1oft 16 Purchaser yrneri Purnp Company horde or releases pride 8, Sersdce PUrche er Will he done it the best of 3eller!.Vabllity, ndting Puret�eer mpy not recieW or�inaf rate of pourmquested. tf fs the msponsibikf of Purge GWitWyto rlE NV Port . }of ail holds awig bA isct{rte'by the PQFdMJIli Drliai GltiaTl� :t SeIItX"s. discretion. will be to clean up proses i I ik 8. _PAINT -OF tancrrta•at ihp in ak chutS r�gfler will not acrtpt iespo6sit>Ulty far ph>rs%a.t cteioigee rif the concr9lg catisetit^i1r_ eb delays, delivery j tances bayond our control. , 1. READY MIX CON s that all.ready .cpRcaa testing. including conaete stre4 te9tlitg for adeeptarice, strap be in aQwrd"wtih ASTMW , UBG`and ACf'.aN copy of al t r !t9 s(Yik1.U151Me8. j3) wvrkingldetys of the}ierforrnance of said testa ' 0. NOTiFiGA=ff O smESTRm�'rO TES�� tuvs. Purc"InilTees tid`notiy Seller in wrftQ Wthlrrit�ra�y ,kir 411i6urs ofdetlt ttii concrete com{sro a'� n test specimens, anck#a rrraicetlAarn available tb Se3lferfor further 3r6pection and testing. 11, ADDITIOd OF W RQ _ tAl . If %nreigit [modal is added I�'tha concrete by or the request of the Purchaser, Its etfrployafes, agents, . contractors or su concrete as deist/&red and WaWos all right tout, revoke acceptance or assert any chit for breach of nny warraMy81,141 SeUer.is not rasp or the concrete_ _ .. -• - _ , 2. WARRANTY. Seller warrants that Iltc`-aahbre�e, atiierigth of ready mixed concrete test s r testad for acct?rl7tance in etcordance whh ASTMrwirl meet the desig stioengflxtW the aria, design sotd underdhls'Contract._ Wier watraltits fire agar aterial son= this Contract Wrests the de8criptrah said a� for the same se� forth inlNe Porgraet. No other warranties. express or Implied, are i'rtsade,.vpttti raepec.t to such olknatrucHbn materi hell' lh* be 'of fitneas or warranties a t tnercha ntaMhty_ Purchaser's exclusive remedy for breach of this'warranty'shall bra fp require Setlai ak$ellers bpttr7rt hell' purchase price. to repair said material,-ort'i provide Purchaser uuitfr a'corrfatnr rig replacement for anynon-ceallormUtg matetils Nis conaecluantid dattlages "Claimer# Hy ptdatta�et ilst Eleilewln Conll�tfcsn`wfih i any breach of this, Agreement or breach of Warranty, harem_ 'TIDE PRECFEINt3iWARRANTY IS kN LIEU OF ,ANDSELLER HERD EXPRESSLY DISCLAIMS Ali aWARRi NTIE� OF M RCHAhiPWfI,.1iY, AND OF FkrNESS FOR d�lY PAFMCULAR PURPOSE. 1& , LIMUATION ON DAI0AQ4. Sellerwwumes no resporrsibiilty to; qnd shall not bwlll tS>r Purcbas-Were r oortseCtuential damages IhcurrO _by Ptirchaisi rYcoNlteCtlon this Contract_ Includiavg without11mlt8tion. Purchaser's foal Prr�fitilyRt+roiteger is gobd.tivill,amd aria { yto parson or property prosaimataty sli any breach orj breach of warranty by Seller. , , .-. ,: �., , - i r 14, CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for cornrnenclog claims'u ntr lct ag$irlst Seller for an reason, Iwhe trrew;:h vt mmitnic or breach of warranty. shall be as failows: Notice of claims against Sellerit rki itit>i�teae$}i.7rittl►ir U08 to, breaop of cantfact a►+ marl atttl>st bs, r t$ [ in writing within three (3) workingddys afterdiscovery or whorl discovery, SWUM have been The wAlanthe mas*r4i} td g tfatwrgWMAj th0 do4w amount or relief sotaght. FAILURE OF PURCHASER T(7 GIVE SUCH NOTICE WIT JMFq FJ3j MAKING -DAYS SI�fAL CONSTITUTEJI.WAIILER Y P-UEi�FI OF !T5 r RIGHT -TO LATER MAKE ANY SUCH CLAIM_ If adlsputearlse&Xad'cannCttle resolved, the parties fi wilvrstiagrea'tp binding atbiltrstion through nFiu l pgr�n 15, TITLE AND RiSK OF LOSS. Unless otherwise e-Apressly stated herein. title to the materils sold iter kgIder shall remain With Seller utrtil Seller has received full pWtTllgfgr same. Risk of loss of the materials sold under this Contract shalt pass to the Purchaser upon daliuery, of the same., 2t thoplace of delivery designated harn9in. ilieteaitAK�' I addition to assuming all risk of loss. Purchaser shall be responsible for aompllarita with all governrlTtfj( regutalions and tAftafiees with regard to sl4rage or placement Of Il 4 same and shall indemnify and hold Seller harmless against ail claims for personal injuries, including death and properly dantiage arlsing from the storage, use or handling ofsaldi e materials. 116. CONCRETE WARNINGS. injurious to eyes. Causes skin irritation Avoid coritect With eyes atbid sltlrt. Wear watorpibof gloves, a fully buttoned 1049-sieeVed stilt,' full-lerohl trousers, and tight fitting, eye protection when worx311g with the" materials. It you have.ta staved in wet concrete use waterproof boats" are tight at t6p9 and fibgh'e7Toughr keep concrete from flowing Inln them. If you are finishing concralibi Wkear kneapadslo.. prbtevt knees. FIRST AID: If dual is tri ted, lism >rtpto fresh air. i etMeOlcal�t rftWrt" irritation persists; Wash wet concrele, mortar, cement, or cement adttlixtums from your sktn with fresh. clean water immedrptely after collect. Indireat contact ti totilgh cloth can be as se6ousps direct contact, so promptly rinse wet concrete, mortar, cement of cement mixtures from clothing, Seen immediate medical atterffibn If you have pei`bTsidat or severe discomfort. Avoid breathing dust from cutting or grinding bardened cgs W4. SNhen exposed to concrete dust above recommaitded limits (see Ml3 BD wear. NIOSHiMSHA-approved ra4pirator. In case of eye contact, Rich with, ple,My of water for at least iSr Minutes. Consults physician Immediately. KEEP OUT OF,FIEACH o , CHILDREN, USER At34EEs Tp 6bi4 fkS WARNING TO A .PEi�SOtJ3TlaiHO MA5VIy §E OR;1301111E INTO COMALfi"Yii IN WET Jt)MARI%NEITTC0WRET"0M% CEMi=NT_OR CEMENT MIXTURES. r (� 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.) C CASH = CHECK # _ CHARGE MAP ZONE CARD it EXP. / SPECIAL INSTRUCTIONS i i — VISA ❑ MASTERCARD ❑ DISCOVER U.M. DESCRIPTION CODE --7i JOB TOTAL SLUMP SPACING ORDERED BY • TRUCK NO. DRIVER REMIT TO 9125 10th AVE. S. WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE, WA BALANCE FORWARD 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, RRITATION 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 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 J, 'T `j +'} -T ' i it : TERMS, dON �" c, r 3 CREDIT. Condiboo ptebedeittj&Zelter'.ili obUgauen to perform any cull all cfcdit t _ in this GorlitracE Pn !hN receldellv�t of tharchas4s under e 's Gorncig iroru tiom - llar'R iC c� q.j. r rtitl I gyc}r inferrgtffiiplt as l : to = r . ,tletereikie Purchaser's itnanclat,corlditlom. $sitar s 66��� 9eflalrAit E! tlf�'rCA p _ �� T Ams OF tililtYM #NT All invoices are -due )saY�rtent by th>#'mA Bel ,81hior" rests; aid dT �yy payable on all past due invoiCes'.of thirty. (30) days orolder, OPEDITCARDS ATE P E _ IF-�h1"MENTJS MAD AW%=%Z A 1EFf PURGHA9EtiATErPk,9�fi EWfLLS&INCURRED. tIaeerviceahergeisasseaeed,S' tl�e t4 _ _ � •� hereunder in lawful rht;n y of the United States and in accordance With the terms hit rv*XW _ _ p _ May htllte tl�iM1 , other parties. Should lagni aatipn be initleted to colec! this invoice, the pr+eraifling Putt' $etrli0lktA _ nd � R 6aftkruprttr►gs;erlrj pest_jogenwht cotter�lon"Ort , ST�!L'41�EGR�E Hf�lJ7�VL�S' TtiEtPt A1rSH�' 11�1�PIlMYRN'8�M 3.. TAXIES Ott iadarai state attd k1Gel,texas. assessrttgnts, faea. diut�s charges Itvieti 5y reasort oPtitle P1ttl>fostel tee hl'Bclditi0n ht Qrlo�,quoteditip > taell ki tijrl i Purchaser.- i1- SCHEOULIP0. 4h ttarjq�' a f�rtt ortgntat t+sRue=t Ithall be coRVeY 9h ma's ofka and no otter Seiler s sgeFtt dfi r i ,�.. ' drivers, gi�flfy assutance personn�or salsa iep�en�?, k y_ fi.._-,09LIVE.RYCONDITIONS. Pill concrete d!mi�l!elfes:jilt►smat��tt r�64,ttaat�n►racerhuckaurtiaeaother�sanoted-�hSeerhebragtt t�rBiyay�gtlo v Ulvtsion of dry M_whno Nnetruc-bon-Comparty, In . JSe11et1 to-►ri s Wier of a path ton the,dalIV"'of materials and comes 0 6epproject refiring trucks to bm� f`1560M e� b0undarlag4hhe nearest traveled public higjtws, teller has tti pad Wal due to the'aize and weight of trucks, damage to the PorniSes anWcw adjaCe t ptbPWt% Or peryonal . l �nju7tTFttisy of and tfiat frUck`s may become daWQKJW-dI or silt lt•1T Sailer Ma----------teS [tBe'at"Air mquaswi. Selfertmitufhar adMisBU rha+tit9aihei requitftsg j it(�r trucks travel beygnd.ttt_¢.nearest highV y to otltsin acts to the job site aresttfle rie(}�t the Ryrd 6�q ittat Sell sumeanR of pars" injury that may result. Purchaser agrebs to assume respon ility to Sel{et and thlCd p Wfpr.pr0 damage, per�gtral injuripa+�tr it.NAQ wlliC4dur� y ; expenses, andlor damage to Selllrr 5 trticlis shikoid fhe trtrcl become damaged, dil;nble�or stuck tteBWll� making use ofRile taut t'egttea dr for elitr c a t materials, and access to the project site- Purchaser alw agrees to indemnify, hold harlTtlest;, apdoomd3eller�any claims, demaruis, Posses, ataki blliiie to or by thirds i r i;aa—ici—f— r a.,Itinn feran nr rrmnenlad with the use of the rammuted oath for thedeilverV of'ttlaWals:Whethef such glsims rnW Pniv&tp 1i It'uB orfalser gfttw dlikej �r alprts and employe". and (b).Ure Purcp4per sh91}apply utlly tq tha r - ells iligatlolwillb rrw ut�pw a[e w um r, P'-ITT! a Trlile7. his war obi es n t par ht a n,t action�by thP�I� 's 14ft �91t1� 6ojk9 p �m ar for under A nth bid i€! _ InodttelEriat'4reu pll~lV. This waiver r3E)65 not P�rhn 8 C7YgR{ limited many way Dy,any Itntittttion o hs amount type of ag . compertaattcm icy' . wotirer`s oompenS ion acts, dibabilllty benefit acts, at thdir employee benelftacts. This promise of indemnity sppcfficajly mopiles In,dwcase.6f INLirfes to th iteltleopign®d's am ehtl eea, Tiloji tdersighed's d* } to defend, indemrtliy and hold Seller harmless shall in alude, as to all claims, T iniands, losses; Wtd�lbtrtllty to wMch it uilppftes. Seiiaeb perac. w rreatac! octets, !g atlarney's fees, court ewe. and all other cialm-related expenses, including altornay's fees and WW*Ws ineurpod by Seller to Wftr'ce cull its right urrdar Agreement Upon Seller's tender of defense under this Agreement, the Purchaser agresS to appoint counsel of Seller's choicee'to dafand ell{ainst afro party elalrtT(s) j counsel will beat the sole expense of the Purchaser. Seller is notresponsible toe means abd methot7a of PWcemsnt 0112IB }i Mixed oatjmdeI tar or ' products oe,P WASH OUT AREA., It will be the Purchasers respdnsibtlity to provide a suitable area f6etiucks to rRiaet90,gan tw(ap 1nftg the tAb Otte. Aft' _ fie vAl be tad a per load if a wash out area is not provided. PUMP HOLDS AND BLr9ry1W1t. Seller holds no responaiblllt}r At obligation of comintti*attoil to P1llipahasec-When Purtry..CorWany. hQ* cjr relamms.ordem, Sarwde i Purchaser will be done_ to the best of Seller's ability, noting Purchdw may not receive original rats isffpoltr regtiested. A tXle r OtlalEfllitY df'Pump Cofrorty to'ftvwp_amhase ':oi all holds an re i as nc9un_sd dorI Pumli_C MPdhy 4'lee(t-UM 9r'WV , �A ,Puro r { disoratiur.. will be _ to clean up process. _ �s = � i - 8� t+OINT OF ACC ccaptarl js,S$_tii@truck Ohutt, S�Ifer will IM,_arxxt#Rr.,pY}ydl�9t changes dfgr edtijr jbtt j delays, delivery s ' mstances beyrand our control, y ti, READY MIX CO that -sit r&dy cone tasting, incfudit l � ertgflT te#irl9 Tot ae 9i sfiell ba 1n aapordance*ft AiS4TM� - -- U[3C arttf ACl surd° copy of all _ t w}ICiin three i wrxkUlg' _txperftxrnenc epi said tester _ $ "hoursttfdeflCiertt 10. NOTIFIG/li7flN PtREStiiYE F . LTti P `I►pdfy Seller irr fNrfting ' - - - �. .� ' concrete corri� tact specvrtattg, ,argr� jp, ttmie,than, aval7sble to Sel[ef far ftir�tler atapeGt7on eras ter3tirtg- .. l -'' t .-ADVITIQN 4 W _ 1sIL If wsl i1 tOne�Di �116GCfle1 A: &.dtfetf to lfte o01 in by or At the request of -the Purchaser, its amplo s N, contractors or 9u Pure a concrete as delivered and wsfvea adl right to tt , revoke aCbapttance or assert awvlatrri forbreach gf-4nY 11Yez j Seller is not respa tsltRe the concrete.. 12 WARRANTY. Seller warrant tha4 tft`e' e p Ira str*ngth of ready mixed eonarete last spt1/1wd .tastiflj far ace toe tri:'rsp,4fdanCe vrl i AS'i'M ariii mHat'jlh8 +! `strangtf3ion file riot deslgn,egtd undal.thf Gcnttact„ Seller vlcarrante fhuf aggfeyei8;rria al sold trldar.this Contract Meats the ptlon and spaeilfotttitins for thle same: 1 forth Jn ttlltr.:Coilirdct. Nc slier watrar¢jes,.exptoss or implied str�lbade wlib p8 such coA.sZptiF ttihate►lais' WFlafllet ltriy, b9 Vtller►anti�off tars-t9t warrant�S rrimnantability. Purchasers exclusiveremedy for breach of Ihis Waq sham bQ Wrequire Setter a+i$M Wr s option, &iafiaed the purchase price, to rapake4d miritiF , Vr+l d pr4vrtic PurCfiaher VvRh oElfifotmirig t'epjdcsrraeM for any 4d6-corrf6Nlfirrrlatllrfajs= Ntrda[lsa181 �pgs, rtmay $aI[n Purohasl3r9trlsf 3eifarart ` atty.ku aodt:of :this Agrewwnt-or bisiWicif *arraAty �bert3ln.. THE MECEEF11Ni3 WARRkIff r' IS 114M A110 SE Egi Fi �BY EXPRESSLY DISCLAIMS AL JL IIIAPL ' 1TIAl RAN�IESi7F_fi NTRB11 lTY; vo O IZ$iE;i3 FORANY PF�,F�iICUl.fryFiiFl]FIBO> _ at"-� _I `' `+ 1 13, LIMITATIOAL ON BA AAtB,W Seller a*�ames no responalt tltY for: and shO note i►abla tPlVu r1ttx,nagtsequarttlal c>atnages incutred'by Ptu air rn o0 tlon AtitF y . -this Cpntratx, im ufing_without limitation. Purdh8jwV lo5tpM#f% pttl ttsaer a goodly l [d4 9� [ugeTtt gep9w W property proxfma6eiy rakulting froni:ahy ry Seller olr , breach of wWarrty by Seller. CLAIMS AND SACK CHARGES, Purchasers exclusive procedure Mr commencing cisims .SMI" berms Lech of ptanttBeaE 01 breeoh of warranty, shall be as"16ffows: Noticaofclaims aglsrlisiSeileei Ny,tedGE Irfl lr►g ,t0i c ar "9 1 rrYddn� within thi--e ($)'working_ftys after dfscovery or W7ten discovery shouk_J_have.bsan muxle Thp wrl the ufrdel4r tttia mtet(In XTe ilb� amount or retW =ought. FAILURE OF PURCHASER'TO GIVE SUCH NdTiCiz 4jlrfTk 1� f>it C30NS t9 WA@IER BY P it R' ITSR -RIGHT-TO LATEFI MAKE All ft SUCH CLAIM lta,l�pataartsas arrd rat twesol+ved;-he partlas �"M amwailon ttibtrgh non_-Ie�t�;let I 5. TITLE AND RISK Of LOSS. Unless otherwise eaagressfy stetted tweK title to ff+;a materials sold lxeral��r �t9p r¢niale vl�llt Seller tartlet SaN9r hasteoeivsd 7tW p�tc►� � =. same. Risk of toss ofthe materials sold under this6t Cantraet all pass to the.Putchasur upon el" of the same. * the placeel delivery deftnatied harsh. matter." [I '- addltion to assuming all flak of loss, Purchase( shall be fespw*ble for i;pmpllaime wjth all governmehWragutaftnow ardlhartaae with legw toBtoregaot plti 7eritalit dJ thl- i saarri_-- and shall indemnity and hold Seller harmless againstali Claims for'PeMOrreMUIiM Incluctire do*' pt q'dpttage arising from Uie.stdrage, use orbantlling:of solo t materials < . z r 16, CONCRETE WARNINGS, injurious to eyes. Causes skin irritation. Apoid contact w#A eyes and skin. Wearwe vas, alully fleQtbariad' long sitsarted sh71L trousers, and.tlght fitting aye protection when wo*ing with these matarWI It you ttwao stwid in wat.aoiicrele>: attl edpr aof hotias filet are tlgttfiat_ _ end hfgft aril L - keep concrete from figwing .lnto,them. If you aretinishing con0loW. Wearknelrgatls to protect knees:. FIRST AID dust IAJnhaled4reme" to faesh air 89f adJoel a Mltatll, irritation persists_ Wash Wet concrete, mortar, cement, or cen7entadmixturea fen yorr awn With fie* Olean _ y's18ar agrdact. Indlrl ref thnaIigh: _ can be as serious aS di.rnst 4ontnct, So promptly rinse wet oot6te, mDrW,, oementorcement mixtures tram ,Seek lm jrmeAm medical attefr16v5A i1 ycts;ttpiye or severe discomfort. Avakf breathing dust from cutting or gdWing hardened cbndto . When exposed to concrste1lus"bolare recommeroed.limits {See-I�i� tpe� SiJ NIOSH?MSHA-approved respirator, In case bteye contact, flush Wit pWty of viater for at twkW16 minutes. Consult a, 0Wsk4a0_knM0<fi9t* KIOF REACH OF, CHILDREN, USER AGREES TO CONVEY THIS tIIWRNINQ TOLL 1?E N1Wi�Y O$f t5l4'E.+3141ir 1A11� 4:SNi3AL°i%IHYFfl1NET(tJl4liil6Fif�hlET IWIGf�TR e CEMENT OR CEMENT MIXTURES. SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle Is STONEWAY DELIVERY TICKET TUKWILA (Plant #12) 17024 W. Valley Hwy., Tukwila CONCRETE RENTON (Plant #14) 915 Houser Way N., Renton SALES/PLANT & CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley ORDER DESK (425) 228- 9 0013 ACCOUNTING: 9125 TENTH AVENUE SOUTH FAX (425) 22-42424 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.) C CASH ❑ CHECK # ❑ CHARGE MAP ZONE CARD it EXP. SPECIAL INSTRUCTIONS ❑ VISA El MASTERCARD CI DISCOVER PRODUCT CODE DESCRIPTION 77, 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 C 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 r' �• r _4 n TERMS, CON , �?= x c s _ , �j f P-. IL I. in tf4 Cbribicit. in '`•„delivveene� brtdIt �ation to rk Gordfa.W are�CollectbOn De [very' (n� aF�urc earnd al dlf ,. -fie etltih iermdUalt to s,LdetprmIrwrPurohasar9 financlakoondition. SeIIkwa �4�fofQ} _YLl - idip]B an • _. �fti And -`rEt!erRt.afC'tRft817G'brltt'acl'1►rSmPurchas�`�0 mod_ ' Pt1RCle ore A S& l�WILL 9E'INCWRaE9 �69MvuieChBtgedsassee�A me � � I p ytli�tll � F� ;f. TERMS,OF'O&MENT:- Alf idttaices are';t�tie Ali ant this-3 fh doW *ar�1>Ip'da% - tit payable ortall deal due it+teoioes of thtKy (9n) days rtr older. CAEDfT-CARDS i+l OanW of . t3F PtfR(3FPl ,QNtY.AprM - hereunder in lawful ff rtey of the Unfted States and [n accordands with the termarharttofwttho pti T silt mar other art pad API action be fnitiaterl to (go ct #64 invotcs, the prevett�ftg pew shall be eat hmsonAbte and �R p peels. : - post-Itfdgerrtent taalltt RRftOlts - t`IQUi7NEL1' I:ItETHlf4 Ptk3WT i0 SENC11uU41 EA�IN"9'tdtTl'i[SS UIW - Tlt%ESp Alf fiyaral, Mate and Oc*,idr[as, aasesamerlffi fees: rlkrtiegand charges ie►rled t3y reason at Ibis Prs>posal am In addition to prices giioti Tn r �hafl tiff +4. SCNEDUL� Fn { rR 8 gl w1ary requ*A shall be Gxtvaye0lfhroagh Seiflet� r�ispWh office and no other Seffer s agent 0 nicti ,110 - i drivers, qu9illty, assnps ae r'so 4t5aI38 tapreBenlQtflves)• ' s '�_.i : t = 6. jpiE tast mixer NKxudeSigrted Pualftnser has d! OiviBlon of Gary: INe�+io Gonstrudion i;prttW9ny fix t9e11erJ toMae use" of a path for the dellvery,of mallehafs and tltceselto the prpjeO requfripg trilgiusid t boundaries Ot thepearest traveled public highway. Seller has pdvim , ghat due to the siz9 8ttd tntelghraf freaks, datnege to the premises and/or ad i a! Pars injuiymay occur -and -that trucles miry beGoftdemaQf, n�bW Of `si4k itSelfar`1tta 611131 ae of ft path raquestgd:BUR "as tortheradvised ttmt R irk Ytteicpt)liayf >fafhret - requfring Trucks Crevej• the ne�rost htghway to t jtairi gcvess.to the lob ails awat'the risk of the Puratlaw and that Seller assumes no ifriDii,�Jor prryperty-damaget ' r oc personal-frtjury that nth rsstllt. Purchaser agrees to assume fesponsfbiiity to Seller and third partles for p[opertjr damage, personal injuries. #uck towing ap4 winching expenses, and/or damage to Sekees 16-cksiViould the trucks become diRi gi 4s k&id�OC;trick as as result of Sitter mrlcing use cf the ptyf:R regi adar for the deVivery r5 maten ate and access to the fDiojest site. PulitWer also agrawto Indemnify. hold hi&mless, and' de*W Seller from arty claims, demands: losses. and ItabiUtles to Or by thirty' r nartiea arislric•from. resuliina from. or corm Mth.thie use ollthe Mewled petit for die dANvelY of t�!llleC lB whethet W-qh cleirrre;m�l prrnre to_!t¢tru _ falses.f3roundlesa w - It agents and emRlQ;f±; > (4)lhe+urchaer;�}talCF,n tTIeneglipe F1 ler, Eft awompo"Rarg-Tu Mro 4tra asers q ' indernnificatibn o igatioi+ and : the Purcha 9► yyattd v*6 t _ e f shi fAl hko- e , Title 51' t-- RCW. This waiver,does not pef+ A a direat,tssEhlnibri urZ+haaer e t dte Ptlydha iia>mWn +BrI tltas Apt itfent shall not he' limiter/ in:arry way -,by any Ifmitatlan on the errof tfarpgg , colnpens3tlon or benefits phis to or for any third party wid9r wdtker!Acor}lpetissGotl aCtt; disability henettt. ORair or thq wriployee benefit acts. df itrclttlFUt peCRlctrllT aRPI in the of Initules Yo tha'unda1 f4neA f4tMtt rFhppi�ffl6a The tmderslgned s duty to delerta, ind"ify and hold Seller harmless sW 1 jnt1Ude,,aa'in pll, Claims,demands m tliabittty to which it awfisi, ler'is�paisol�l iftteacosts, t Or+abie attorney's fees. c urt costs, and all other claim sated 9ltpehstis, including attorney '!# foe. losses, )rer costs incur►ed by Sprier to enictrce ante establish Its right under arid. Agreement. Upon Sellers tender of defense undi r this Agrewment• the, urchaser agues 10 appotrg;ociwasl of Seller's choice to dollond *pit* I thht4 RAY d9firn(s). Such counsel will beat tho ale expen6e of the Putchtt. Seller is net net)flGtiele for meafla and rttethods ufIaretrtettt: of ready mixed cbr:ar agj3rep� products oA� pre ' g WASH OUT AREA: It will be the Purchasers responsibility toprovw*"ble am fpr bwoks to ►triaWand o1w, befait least a thejpb efts. ,but ailditl_ W chaMe be madet Per load if a wash out a�sa is riot provided. PUMP HOWS A gLOWBACK Sailer holds no resporisiWitY qrllgation of communication tcipurchaser when Purrlp t;,omil any hold4.or released prders. 34nolda tC Purchaser will be Uona,to the best of Seller's ability otiiSg PuttlZ38er rtRt receive I ogle cif request9d, It 3s rite re�pculsibtffty gt Pttinp:GWi9rry Ratliff+�'utr+q¢e� of all holds and re 9A incurra6 ` Carripen it al hldwbAGk ,will' BB l�bl�t® by tffwl Ells ar art 8ddR4Clt1 8tge of discretion, wilt be to clean up pry ri •i tl i 1 - `r' r i 8 PDIAiLDF _ _ acpeptartce Is at the tntpk Chet&-_ftW WULFAK:tlbts_eRt fesQotf@ Y �i$hY l cholt9a; of the cgfmnete tat�sed_bY po delays,deity s omasf art. ourwc 3 ery _ b4Ya1 t r s=r fWADY MIX CO ees that all n testing,'fnctt diliff Cdciot&s n ttt3$ting r accejrtaf+ba slier/ beinsccordafk ewlth ASTM ' Ut3C and A+�f and L Py It : _ i j warldng de the f rterr F16e et sold tesl� {t0. NOi1Flt3Atl�tl d ESSIn. pN. tESULTs. P+,rcf 11116tb rtt�ifjf setter In wr;ltit ftiri"tw Ora t§ of deftr�rertt concrete ccrrtpr t speofinert6. arolpEsakethemt aVafjbtiret r elfenfor farthrfi inspeCUtm and tasting - tee - I, t - ACQMON OF W If Is added to,fhb at rMilefe by dr afft mqudsi bf the Purchase!: Itsrantpfdyeas, agenW contractors or su - concrete is delivered and walVes all right tpr bgett, revoke accq#lsolca oram orl any claim for brao-of anywvarrantiy an Seller is not Aw ;ice r f �I"[- WARRANTY. 'Seller wgrrants3fia+_ the'datt v%~of rWy mixed co cp* test spies Healed for acceptance rr{t�brtianCly wilftASfMixla_meetittte des strength,* Ittf mfx Oeslgn said under th�'t�rttraol; �ttiPs the arlaYsom � this Contract rnsats the, d- and ficatroris for M>•a sat�1 ' forth . rwin4�rct. No other wnrrar ids exotebs or ft-0.ledf-�te made wltkt to_pcl+ tl on mat�riale, whether ' e vvmttan�of fibteea a i►afftf c r marot ►h r. PtN dhaser's exclu5ivs breach al thievv)3irsmty: sloa�l bs to,i9qulte S�!TIR!( of Baflbr s option, tis refund Yale gtt►Chase loll To ►aPair Sgld di pt provider Purchase�witl7 x Wrifbrining ar any rielt*Ootiiiing fjWjrW5 Nff cntrdbqueptia��Re*May be tlai fTyhiFfbtcfieser a tSelter' ions itt� say. bt'each of-this,A�gmemant ar breno tit �r7arranty, hoMrj lafE P.RECEED110, •:�ffY 5 Jf1 A*U 00 ANb 80-LER fi M--Y EXPRESSUF D=J AjMS A, JIMPAFD l + = :f d k71 S F Aif$ERC - f1Y, AND O �. ANY PARTICUtJ *R'4Rt'0$E - `T - gQjj -L F IrJi NAP 3tl s rk LjMkW QVJMWQlMl �yellier PaWrttq�p reapgnslb fo;and sllerll not be to, Purq(�ef fp��atjrOtiit$egtientlal dmr rages Incuited by Furchi4ae►i<t ' �^ y r t! C e 1C1WtAng without Ilm molht lTpf ih4w) "t PmW k'+lrttttas±ar s s 4and an %+'�4tpsrsarrar pr><tperty prdxiaido6ly reset ng irdrtr afar .set brealih of war inty bySeliet. J. �i. CLA1k9-Af+tD BACK CMRGES. Purcitawp s gWusive procedure for commenci claims -a for arty reaaoM► dhola - - bre$C6 tanaaeh of yvarraniy, shall be as fidllowa No.Uce of ol8ints ageirlgt Salle/ ah4 t$sa0lt ttgU ited' io, blssck-of coroaet t�r"`vuarFz y pn Fo in wrilii iNhfiri ttir9e t3) worktrr�,di s gfter di'ecove'ry or;nihen disccvw—ffafiiouiri'have been ri1 The wrijlfabjtlaini shalil,00u0elthe re>as2t* art �Ot1_t5ft-il llta the dollif arnount or relief sowgttt. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WiTkl(►+f 7 if EEj`ij 1ilI ORIG § Sfr4glil CONS� TUTEr,., 1dlt R 19Y P RG t7E-, . _RIGHT To LATER: MAKE ANY SUCH CLAIM. If a>�rapute arirte> s and r76nrtai'be.rr the p nf�f iigfl�ttr bittstir>e arpl�thtn tllupugh ti- 15. TITLE AND RISK OF LOBS. Unless Otherwiseexpre" stated Orsini title t,athe malWiaisrtc , heraunderahall reftmkt rallth S until SeAttF�Ita r tdl m sae. Risk of toss of the marteIrials sold und& this Contract shall pass to the Pural)A ;kbiari daltVerY: of the sarlte, aY te. place of rieiivd l dealgrow him eafte�iO1 dddition to essumino all risk'of loss, Purchase* Shall be respons0yle for complianaq dAh all governmental retgutations and. dkwces*ith,regsrd to att]i k 0& filaroemiaAf aT tit 4 same and shall indemnify and hold Seller harmless again_ st all cidims for personat Idiot". in;6149 death, and property d4riage adiftfrom the sbored� I ift!hetFiWig 1 matonws 6. CONCRETE WARNINGS. injurious to eyes_ ,Causewski rt irdtation. Avoid coriteEt With "we.ffd Wilif Wear waterprgof gloves, a fi;dly buttoned long -storied shirt, full trousery, end tight fitting eye prvtsrttton oftn working with these materials. Ill you halve ts;stand in WeYConcfete. uiwwateormotboots that we tw.at lopi3 Arid higt!'4ough aq keep: concrete from flowing truly them, if you are rinwitno concrete, wear kneapad5[o jester t knees, Pllq*o^f A1D: K ys lnlWed 4A36M flash. air, Get rtrodical' attemon it. {rritvion per-Itat5. Wash Wei conarste, mortar, cement or cement admixtures from yike kin tfrith ttEsll. clears watalFsilrtiedfAtehi e r tJt aloo. Indirect contact tfuotlgtt aluthkig canqq als�ittues clirsci oottlact so}ainniptly, rlrlse w� aotrrate,.Rurrtar. ceAlet+S natures from clothAtg leek imArodipte ratCa# a4lert!'ron iT you have ; or severe awori+fart- Avoid bn atNng dustfrom cutting or grinding-hardaned concoft-Aftren exob-sed'to concrOb dUk a4" recommended Itmta (see Nk6ft *W 8U NIOSii/MSHA-approved' ^err u, tn,Cme of eYlit,contaoijush With pleW of•water ftor at leas11-t5 minutes, 'Comillk a_ elect ImMediate�. KEEP O!!T'OF RWA� K Off CkiILDi�EN, USER Ar,R TO CONVEY fail ARNIN6 T 'AEL PERSONS V NO If V9 R Nf-EINFZ? - ; ►� f) cR ' CEMENT OffCEMENT MIXTURES. DAILY INSPECTION DIARY REPORT DAY: 01,1 DATE: 10 /Q,j I05J WORK PERIOD: g;fk) Ojp.m. to 331J a.m. m WEATHER: L TEMP. MAX OF MIN OF PRECIPITATION: / V WORK ACCOMPLISHED TODAY: l a14-, 11 G i}� W, � .�,7 - 3r1 79 - - ,5�y,���/l C Xfayaf;N�y d- L.c�vs;h�� P�,o� r� f 15 S T a f SSA .207-10 'l9 l8"66 /O' 6,?3 /sovyl,�. s< < ; / i ✓Ig L; �t f w c %C •, 5 a c/� ��Cy i c R' /7� �Y9!i•L /-� al'i �/Q ( ,/fd KIa, SiiilrS Oillc� v� t'P%fLS ELOi a /erif) j 0 'fig l/, o.,-L '- 5 ,r / -7 'e,G'l tcy( f y eI/ l i 4/Kta -lG r Ort r�� ov/ � ��� � hY, o-� ,,�✓/� �r 0,, j0 �rf jnS CON sl-//vc,< � %%dY�"!f �V� �� q7 y / t� T 92:,A-& t!C/ CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: i D a 03 .e)S DAILY INSPECTION DIARY DAY: , DATE: O ` / 3U /u} WORK PERIOD: ; pc, REPORT �l � � �/P.m. to ,3;©u a.m./� WEATHER: Ci•C� TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: >d/16"f /J,Il Cl, /0 WZ 31 c�S M a 74111'Ifls 102,�; a✓► wti•',�rvar ,�c, r�wi S i S �`` 3 Y G t r ,` yry< <f 'c C /'OSS -- S f f u ,CT /lGtt�' %'tIt S SLJ✓� �' y ail/-c �O idt � ,OresSU�'L !J-� i�y•-�- -ck /� 07'" �f��, f Cave �r eke✓ di: n f m.,��.. Dy10✓ nA ;l�''e/a �/,'aLe r � H��.-r1'Ot-L >-o �'v rSSU✓c � es �" # �r�nn lYtlV �r5 �Q(7` o,� ri%a< <3v��a,.C✓tuJ —z "W L,btt' Ale) Pg-eal CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: DATE: O7 WORK PERIOD: /p•m. to a.m./p.m. WEATHER: 0, C, TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: TOIk"-� N;ll 6� �' -; .z�- 3�9�� t c )�L .a �e •� f t v+r, a O I `l - Z- �aq./►,.a :yi Coyyt tef� �ti Gr0 - _-`yt,H`` 't n r Z- 2- -- L,LW44c✓ 111-t-- rn at �',,,.,'%%-c�vYS /�✓i Sd 'd %Gt[�< Gov ZX�S��Ha �-f `�T c4- ly i;5 O rT f PGrY� YY� 4r s . C iT� CYt� lid% S,�yyrr/ f V4rc S �y%0 �r;c S�vf C��1L r�s;y� / / T ooarv.//it 3D CYtw 1 /r.q��A t Vv L r�tKlpp t,'YG /l�rAf 6t4 59''Yk /N eavt MdI'ri5 r�/ lLl�"�"/�y� l�i� ih J,y� lz�-I- vy't" a�SYrc�,`rt� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: (�) q - 11-C DAILY INSPECTION DIARY J DAY: I'y, a DATE: 02/fi4 /O) WORK PERIOD: g,00<0. /p.m. to ia.m. WEATHER: ,y',(, TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: REPORT ef�-• /- / _ 7ZK/fl �G d0/S dr Si'�'� 7�yO7r�, �/O:.-,� C�r�or L/iD ��IG�v�iK� 7 in•S{�,h:� �Rc �C Il�h�, vnc� Gr dvr S/f S i it, ai«5 -t-4. 6i t/9t7n f--(4sner %-CU- Win f �v.c✓ w^c,/'�s �u/ �� � -�ti S n n O�i'Z`�'d f = jC�c1�, �e%i�-l� Yy✓huc ¢!�liin�it d- y 'r�9yH" � w; tti ,cl��, �.,�./ [Mti�..� i/.�l! CoN,�r�n ��c -,�c► �f;DOu�✓1 S1?uf ei-cai CONTRACTOR SIGNATURE R,:::, � /� r V INS CTOR S GNATURE DATE: a J 0-05 DAY: ! V WEATHER: C L - DAILY INSPECTION DIARY REPORT # DATE: Gil WORK PERIOD: /p.m. to a.m./p.m. 1 TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: c._E,10 5724 z1 a9 z o r!c" �✓I Si3 >ti ST f S/St�a- L4kG �iv�U Sdy7�n dnT1/ L//k kvt- So rno<2 %y ' a v0, d- rc �2 yr /oCG � 1 C O y7�rac.•f 0+' 7� � pe�i�y CB rcoi%�c�d YNA/lc /t/a ✓ �Pt/ GD.t�I�dOr J-� el Ova JAOH-e 5 r-t,y;Ci wly-e S T J4 T Cam' rtGYOr t/,,`� �brott C.,ki leo( (ic� aL.N� !PC,4 t1,.IL r-L,m S /N fr-<nz, Pe %- 4 f 5'70 -'Z 0 �- 36 _ CC n f r 41- i o✓ ' A94- l ra K-t 61,6 ehe j ..1 S� o, u t S TA 60n l-/`RcfO✓ o YdY►�+; vDoq S- f d Gl� i;'j/ G(7 ff v jlJ/r®y c NG�Ai:.yS Cc11c�rvf L�s � ew t,`-fz- JLi 3opia CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT 11 DAY: DATE: 61112 (, /dj WORK PERIOD: �j'',bCi /p.m. to 130 a.m. P-1 WEATHER: C L TEMP. MAX OF MIN OF PRECIPITATION: f(% WORK ACCOMPLISHED TODAY: julh�� 1-4:ll <Y10 31c1 e _ -17Coto/ $,0— Lk�1 i�J l�1 S-J+ e'cr A03/ �,n<i ►�i.0� O✓1 l ���51 of S.1';19 230 ou ! G, i— Ple v�e 4/1 k7 t cu/ it v �o 5119 ,ZZt35" Oc�f of �IL;vt�liati ooti.�'h� ve- CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 67 g -,,4 6 __c , — DAILY INSPECTION DIARY _ REPORT DAY: i—,�, DATE: 047 /,73 /Of WORK PERIOD: ;M(L;) /p.m. to a.m. WEATHER: , TEMP. MAX OF MIN OF PRECIPITATION: A,1 WORK ACCOMPLISHED TODAY: -- ) 71 /` r /` c t. X C iS. Vet h 4 r. d! ! ✓1 5 �A // .� L. Oil Iil J l l t 7 7- 5 T-A STd .2 3 -1 o / 7 CO",lt.1iDh L6-6 DRL Ufa A, C,y g/l� r d% r Gam, ,� %�►�_I 4_ ati lSAi`Jr'cs�.�/�fr'i,, C CONTRACTOR SIGNATURE INSPECTOR SIG ATURE DATE: 0 1 2,3-05-- SEP-20-2005 TUE 01(09 PM KING 00 R E C L,aucks Testing Laboratories, Inc, 940 S. Harney Seattle, WA 98108 SEP 2 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COINn0., If instructions are not followed, sample will be rejected. DATE COLLECTED TIME COLLECTED COUNTY NAME 'MONTH DAY YEAR C 0 Ct 16 0 5 ® AM ❑ PM Yt d1 TYPE OF SYSTEM IF PUBLIC SYSTEM, COMPLETE: �— PUBLIC ❑INDMDUAL LD. N0, CIRCLE (atmos oily 1 remannrel 4 L "� B NAME OF SYSTEM SPECIFIC LOCATION WHERE SAMPLE COLLECTED i ELEPHONE NO. 9/0 DAY(qas') k30- a2y U EVENING SAMPLE COLLECTED BY: (Name) SYSTEM OWNER/MGR.: (Name) 12 . M. "/%b W ." _ J2 _ c ) . ,./ SOURCE TYPE LJ GROUNDWATER UNDER SURFACE INFLUENCE [] SURFACE ®•WCI.L or ❑ SPRING ❑ PURCHASED or ❑ COMBINATION WELL FIELD INTERTIE or OTHER SEND REPORT TO: (Print Full Narre, Address and Zip Code) PE OF SAMPLE (Chock only one In this column) ❑ ROUTINE ❑ DRINKING WATER Chlorinated (Residual: ___Tots Q2F­:e; check treatment ❑ Filtered ❑ Untmated or Other ❑ REPEAT SAMPLE Previous collform presence Lab 11 Date ❑ RAW SOURCE WATER Source # F m ❑ Total Calif.. NEW CONSTRUCTION or REPAIRS ❑ Fecal Collform ❑ OTHER (Specify) REMARKS: W 7- (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTORY, Coliforms present SATISFACTORY, REPEAT ❑ E. Coli pnsont ❑ E. Cali absert Coliforms absent SAMPLES Focal resent REQUIRED P ❑ ❑ Fecal absent OTHER LABORATORY RESULTS TOTAL COLIFORM __ /100 ml E. COU _ /100 ML FECAL COLFORM —/100 ml PLATE COUNT __,,_ /ml ANOTHER SAMPLE REQUIRED SAMPLC NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: ❑ Sample too old ❑ Confluont growth ❑ Wrong containor ❑ TNTC ❑ Incomplete form ❑ Turbid culture ❑ [] Excess dearis SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAB NO, (7 DIGITS) DATE. TIME nECeivED RECEIVED 8Y 0810 2g03 DATE REPORTED La?Onn Rv 3 Ae'AARKS DOH IOG DO: IPF,V. 4iX) r1D PCniTro r•nov „����FAX N0, 2968431 P. 02 Laucks Testing Laboratories, Inc. 6 2005 940 S. Harney Seattle, WA 9e108 UU WATER BACTERIOLOGICAL ANALYSIS [SRE I COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY MS If instructions are not followed, sample will be rejected. L DATE COLLECTED TIME COLLECTED COUNTY NAME TH DAY YEAR ci 1(, 105- 2 AM ❑ PM l vt GJ TYPE OP SYSTEM IF PUBLIC SYSTEM, COMPLETE: &PUBLIC ❑ INDIVIDUAL (pavoa only 1 ro idsnco) NAME OF SYSTEM eee� CIRCLE GROUP 0 B SP[GrIC LOCAT ON WHERE SAMPLE CCUXCTED TELEPHONE NO DAY 42s 436 o STI6 . + O EVENING SAMPLE COLLECTED BY: (Name) SYSTEM OWNER/MGR.: (Name) SOURCE TYPE H GROUNDWATER UNDER SUR ACE INFLUENCE ❑ SURFACE X WELL or ❑ SPRING ❑ PURCI IASED or n COMBINATION WELL FIELD INTERTIE Cr OTFIER SEND REPORT TO: (Print Full Name, Address and Zip Code) R ; -k TYPE OF SAMPLE (check only one in this column) ROUTINE DRINKING WATER ❑ Chlorinated (Residual: _ To! ;I C2L4 Froo) check treatment ❑ Filtered ❑ Untreated or Other .._ ❑ REPEAT SAMPLE Previous collform pnacnco Lab # Date / J ❑ RAW SOURCE WATER Sourco # a m ❑ Total Collform rj NEW CONSTRUCTION or REPAIRS-- ❑ Fecal Coliforr- Lr�Jf-OTHER (Specffyj REMARKS: 7 Z - — 3 / 29 (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTORY, Coliforms present SATISFACTORY, Coli forms absent REPEAT ❑ E. Cali present ❑ E, Cos absent SAMPLES Fecal msent Fcca absent ❑ P ❑ REQUIRED F OTHER LABORATORY RESULTS TOTAL COLFORM _ 1100 ml E. COLI _, /100 ML FECAL COLIFORM ­ /100 nil PLATE COUNT _ /mI ANOTHER SAMPLE REQUIRED SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: ❑ Sample too old ❑ Confluent growth ❑ Wrong container ❑ TNTC ❑ incomplete form ❑ Turbid culture ❑ ❑ Excess debl115 SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS '-kg NO. O DIGITS; DATE, TIMC RECEIVED RF.0 :IVED BY 69 102 Q 10 S q r LATE REPORTE� LA80RAT H[MARKS tti�i�JJ L\ DCVJ 345 = (REV..&M SEP-20-2005 TUE 01:10 PM KING CO FAX NO, 2968431 P. 03 RECEIV ,� •. 'Laucks,Testing Laboratories, Inc. am Laucks Testing Laboratories, Inc. (, 940 S. Harney Seattle, WA 98108 % 940 S Harney Seattle, WA 98' 08 t WATER BACTERIOLOGICAL ANALYSIS S P 2 f'{WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY CI oMP_LE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY If instructions are not followed, sample will be rejected, "LNifIQitiuctions are not followed, sample will be rejected, LIT !_ITY SYSTEMS DATE COLLECTI_D TIME COLLECTED CO MONTH DAY YCAR 0 G 16 L S LAt AM ❑ PM TYPE OF SYSTEM IF PUBLIC SYSTEM, COMPLETE: ® PUBLIC ❑ INDIVIDUAL (wrvm eniy 1 reWence) NAME OF SYSTEM r SPECIFIC LOCATION WHERC 4PLE 0 4) e k-r (7 COLLECTED I TELEPHONE NO. CIRCC}� GROUP A B -770 SFA M - o 00 1 EVENING SAMPLE COLLECTED BY: (Name) SYSTEM OWNER/MGR.: (Name SOURCE TYPE H GROUND WATER UNDER SURFAG NFLUENCE ❑ SURFACE [4 WELL or FIELD ❑ SPRING ❑ IN RCF'IHATETIE ED or ❑ oCrOMBIIER�W SEND REPORT TO: (Print Full Name, Address and Zip Code) a �E OF SAMPLE (check only one in this column) ❑ ROUTINE ❑ Chlorinated (Residual: To Lai 4r7 Free) DRINKING WATER check treatment _ ❑ Fhered ❑ Untreated or Other ❑ REPEAT SAMPLE Previous colifomt prejencc Lab # _ Date ❑ RAW SOURCE WATER Source A m ❑ Total ColifCrm NEW CONSTRUCTION or REPAIRS ❑ Focal Coliform ❑ OTHER (Specify) — REMARKS: W 7-4..r2 7-.3) 9B - (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTORY, Coliforms present SAT(SFAC-OrtY, REPEAT [] E, Coll present ❑ E. Coli absent Gollforrrs )bsolt SAMPLES P Fecal abse REQUIRED ❑ Fecal resent rrt ❑ OTHER LABORATORY RESULTS TOTAL COLIFORM _ /100 ml E. COU _ /100 ML FECAL COLIFORM _ /100 ml PLATE COUNT — /ml ANOTHLB SAMPLE REQUIRED SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: ❑ Semple too old ❑ Confluent growth ❑ Wrong container ❑ TNTC ❑ Incomplete form ❑ Turbid culture ❑ ❑ Excess debris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAB NO. (7 DIGITS) DATE, TIME RECEIV60 RECEIVED OY DATE REPORTE LAso . q�� REMMKs OLW 30S 002 IRCV a/921 DATE COLLECTED TIME COLLECTEO COUNTY NAME MONTH DAY YEAR 1 : Q TYPE OF SYSTEM IF PUBLIC SYSTEM, COMPLETE: ® PUBLIC INDIVIDUAL ❑ 1711 (aenree Cny 1 meldorrnl 10� NAME OF SYSTEM C )- ' ' o si r� -e g to Lr SPECIFIC LOCATION WHERE SAM E COLLECTED TELEPHONE NO, 0/0 DAY 7 %.Z O t9 S 13- S T d "/L'I o7d^i$ EVENING f 1 SAMPLE COLLECTED 13Y: (Nzr-el SYSTEM OWNER/MCR.: (Name) r z d yJ %1? `! 4 SOURCE TYPE U GROUNDWATER UNDER SURF E INFLUENCE ❑SURFACE E&WELL or ❑ SPRING ❑ PURCHASED or ❑ COMBINATION WELL FIELD INTERTIE or OTHER SEND REPORT TO: (Prim Full Name, Address and Zip Coda) R. i C. /C YJ O ✓ ct i0 --- '?05 TYPE OF SAMPLE (check only one In this column) ❑ ROUTINE ❑ DRINKING WATER - Chlorinated (Residual:— Total o,21`ree) check treatment ❑ Filtered [] Untreated or OJtcr ❑ REPEAT SAMPLE Previous coliform presence Lab N _. Date 1 / ❑ RAW SOURCE WATER Source # ❑$ �❑ ❑ Total Coliform [� NEW CONSTRUCTION or REPAIRS ❑ Focal Coliform ❑ OTHER (Specify) RCMARKS: (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTORY, Coliforms present )�SATISFACTORY,lifonns absort REPEAT ❑ E. Coil present ❑ E. Coli abeent SAMPLES Fecal resent Fecal absent REQUIRED ❑ P ❑ OTHER LABORATORY RESULTS TOTAL COLIFORM _ /100 ml E. COLT _ /100 ML FECAL COLIFORM _ /100 ml PLATE COUNT _ /ml ANOTHER SAMPLE REQUIRED SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: ❑ SAmplc too old ❑ Confluent growth ❑ Wrong container ❑ TNTC ❑ Incomplete form [I Turbid culture ❑ ___,__ ❑ Excess debris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAB NO. (7 OIGIT% DATE, TIME RECEIVED RECEIVED BY 0810 Z� o r DATE nEPORI EO , LASOFAT . f 1Il 1 1 r OOH e05 00 (REV. 4A'-4 SEP-20-2005 TUE 01(10 PM KING CO R laucks Testing Laboratories, Inc. r� 940 S. Harney Seattle, WA 98108 SE WATER BACTERIOLOGICAL ANALYSIS IT SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY CUT If instructions are not followed, sample will be rejected. DATE COLLECTED TIME COLLECT;p COUNTY NAME MONTpH� DAY YEAR O � S Q ll 1 6 l0 [ZAM ❑FM i`1 Yt01 TYPE OF SYSTEM I IF PUBLIC SYSTEM, COMPLETE 1-91 PUBLIC ❑ INDIVIDUAL (sew= only 1 m*nnte) NAME OF SYSTEM I.D. No. CIRCLE GROUP .(!;, B G r 0 Yqy�-,- I �-o i'l SPECIFIC LOCA11ONWHEPESAMPLE COLLECTED TELEPHONE NO. ,ate DAY 'M S' i-3 _J EVENING(_j SAMPLE COLLECTED BY; (Name) SYSTEM OWNER/MGR.: (Name) )) SOURCE TYPE I GROUNDWATER UNDER SURFACE I FLUENCE ❑ SURFACE ® WELL or ❑ SPRING ❑ PURCHASED or []COMBINATION WELL FIELD INTERTIE or OTHER SEND REPORT TO: (Print Full Name, Address and Zip Code) R, i c-/4 I'4lmr-`µa �8es� 'E OF SAMPLE (check only one in this column) ❑ ROUTINF. p DRINKING WATER ❑ Chlorinated (Residual. _ _ Total �7Free) check troatmenl ❑ Filtered U UnWated or Other ❑ REPEAT SAMPLE Previous coliform presence Lab # Date ❑ RAW SOURCE WATER Source ft � m ga NEW CONSTRUCTION or REPAIRS ❑ OTHER (Specify) REMARKS: �-) 7 Cj Total Coliforrn Fecal Coliform (LAB USE ONLY) DRINKING WATER RESULTS [� UNSATISFACTORY, C011forms potent SATISFACTORY, REPEAT ❑ E. Coll present [] E. Cali absent oliforma absent SAMPLES Fecal rtnent Fecal absent REQUIRED ❑ P ❑ OTHER LABORATORY RESULTS TOTAL COUFOnM _MOD ml E. COLI _P100 MIL FECAL _COUFORM __ /100 nil PLATE COUNT— hnl ANOTHER SAMPLE REQUIHCD SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: ❑ Sample too old ❑ Confluent growth ❑ Wrong container ❑ TNTC ❑ Incomplete form ❑ Turbid culture ❑ ❑ Excess debris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LA8 NO. (7 DIGITS) DATE. 71ME RECEIVED RECEIVED BY 0810zg11 ' DATE REPORTEII LA80 Y nEMAnK' `�� oor� WS xa FEV. -1.121 FAX NO. 2968431 P. 04 CN_�1E�^D. Laucks Testing Laboratories, Inc. fegi�tiR 940 S. Harney Seattle, WA 98108� O U�W�'T'rATER BACTERIOLOGICAL ANALYSIS ffY%YS &CTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY I ructions are not followed, sample will be rejected. DATE COLLECTED MONTH DAY Y[AA I TIME COLLECTED CST : , r COUNTY NAME d l b 03- CgAM Wm k TYPE OF SYSTEM I IF PUBLIC SYSTEM, COMPLETE, g,PUBLIO 'lose 1 ❑ INDIVIDUALLD. N0. cIR[C/AI'r•�JG�RouP B I*�x�ob Only 1 ra�lCe i -n NAME OF SYSTEM SPECIFIC LOCATION WHERE I�nMPI OLLEGTED TELFPI;ONE NO, Lj S DAY t4 SE) Lj1,3O2 Z O 'r Sr�gSM f� S EVENING I SAMPLE COLLECTED BY: ;Name) SYSTEM OWNER/MGR_./(Name) A - R -c �7 SOURCE TYPE UCMUNDWATERUNDERSURFAtE INFLUENCE ❑ SURFACE F&WELL or ❑ SPRING ❑ PURCHASED or ❑ COMBINATION WELL FIELD INTERTIE or OTHER SEND REPORT TO: (Print Full NamC, Address and Zip Code) O ST Sru f k G,fta�i, u/Q R ,foP7 WAV41N610N Ole- 5' TYPE OF SAMPLE (check only one in this column) ❑ ROUTINE DRINKING WAT_P ❑ Chlodnatod (Residual: _„ Total 92-Frec) check treatment ❑ Filtered ❑ Untroatod or Other ❑ REPEAT SAMPLE Previous collform presence Lab A Data ❑ RAW SOURCE WATER Source it m ❑ Total Co'lform NEW CONSTRUCTION or REPAIRS ❑ Fecal Coliforrn OTHER (Specify) REMARKS.' (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTORY, Coliforms present SATISFACTORY, REPEAT ❑ E. Coll present ❑ E. Cali absent Coliforms absent SAMPLES REOUIR D ❑ Fecal prosont ❑ Fecal abserit OTHER LABORATORY RESULTS TOTAL COLIFORM _ /100 mi E. COLI _ /100 ML FECAL COLIFORM ` /100 nil PLATE COUNT _ /ml ANOTHER SAMPLE REOUIRED SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: ❑ Sample too old ❑ Confluont growth ❑ Wrong container ❑ TNTC ❑ incomplete form ❑ Turbid culture ❑ _ ❑ Excess debris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAB NO. V DIGITS) DATE. TIME RECEIVED HECE VED OV 05/02-9/3 9)&bz- DATEREPOnTEO LA30RAT (7/��►�.) nEM"K9 Der+ 30+ 002 PCV, 4/9?I SEP"20-2005 TUE 01)11 PM KING CO FAX NO. 2968431 P. 05 'Laucks Testing Laboratories, Inc. • 940 S. Harn©y Seattle, WA 98108 i. WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION: READ INSTRUCTIONS ON, BACK OF GOLDENROD COPY If Instructions are not Followed, sample will be rejected. LDATE COLLECTED TIME COLLECT COUNTY NAME DAY YFAR to :36 Q• j [;RAM ❑ PM i\ i h TYPE Or SYSTEM IF PUBLIC SYSTEM, COMPLETE: PUBLIC ❑ INDIVIDUAL (ewes only t f.-Jenee) NAME OF SYSTEM CIR�C GROUP l_J 6 _ C i �' Q -f o� - SPECIFIC LOCATION WHERE SAMPLE eOLLECTED TELEPHONE NO. Qr 14yaf DAY 113C -7 0a STA NiM 0 t - 6-2- EVENING SAMPLE COLLECTED BY: (Name) SYSTEM OWNEWMGR.: (Name) SOURCE TYPE "GROUND WATER UNDER SURFAtE INFLUENCE ❑ SURFACE ® WELL or [] SPRING ❑ PURCHASED or ❑ COMBINATION WCLLFIELD INTERTIE or OTHER SEND REPO9T TO: (Print Full Name, Address and Zip Code) .� J y,4o.FMNr~3N V O SJ TYPE OF SAMPLE (check only one In this column) ❑ ROUTINE DRINKING WATER ❑ Chlorinared (Residual: Total 0-) Free) check treatment ❑ Filtered ❑ Untreatod or Over ❑ REPEAT SAMPLE Previous conform presence Lab # Date ❑ RAW SOURCE WATER Source A Fs-1 m ❑ Total Coliiorc NEW CONSTRUCTION or REPAIRS ❑ fecal Cclifc,— ❑ OTHER (Specify)_,_,,,,,, REMARKS! w 7'ilC Z 7_ .319 8 (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTORY, Coliforma present — SATISFACTORY, oliforms absent REPEAT ❑ E. Coli presont ❑ E. Coll absent SAMPLES REQUIRED C3 Fecal present ❑ Fecal absent OTHER LABORATORY RESULTS TOTAL COLIFORM _ /100 ml E. COLI —/100 ML FECAL COLIFORM _ /100 ml PLATE COUNT _ lml ANOTHER SAMPLE REQUIREO SAMPLE NOTTESTEO BCCAUSE: TEST UNSUITABLE BECAUSE: ❑ Sample too old ❑ Ccnfluent growth ❑ Wrong container ❑ TNTC ❑ Incomplete form ❑ Turbid culture ❑ _._... _.... _..— ❑ Excese debris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAR NO. 7 DIGITS) DATE. TIME RECEIVED RECEIVED ay aB�rZ�1s r DATE REPORTFO tABORA r. IV REMARKS 00H :400 002 F N 142) ECEI VED �EP 2 0 2005 �ITY OF RENTON �TILITY SYSTEMS DAILY INSPECTION DIARY DAY: DATE: (jy/,�,Zlof WORK PERIOD: g,' a. ./p.m. to 31 -61 a.m. REPORT WEATHER: L TEMP. MAX °F MIN °F PRECIPITATION: // WORK ACCOMPLISHED TODAY: I olhrt lyr(l G j fl uI? .�7 129 � L'` r M a-fYdrals 4rr�-C. 3 Taw gem S4< rq,e k +a S 15- I-" STD 2,0'7 ca/5rtW /^L 27 S ,, ,Q bn(/ a 4 r v t. Ylilf •C.o r4 me C . '� ,S % s 5 •.' / SQ G Q ty e r K Cl s/�fef rvr,i/e vs G` S%�'"r atrrs �ar 09- 9 S �ti� �i^:: cow m a C7LO S71a I/ UUNTRACTOR SIGNATURE &_�� 1-tr D INSPECTOR SIGNATURE DATE: 0 1 --_-Z s �' DAILY INSPECTION DIARY REPORT DAY: W e � DATE: Of /,Z1 /0S- WORK PERIOD: �Od a. /p.m. to .j't� a.m.6) E —t WEATHER: 0, (, TEMP. MAX OF MIN OF PRECIPITATION: A/ WORK ACCOMPLISHED TODAY: 27-31 iP L DV,OL'Y1��7 Ltp�: 41itR �'t✓r,(.f or iw �e act L)LC rt V-1 tat & H,4 luf O( P'G O lil J S t h S% `�r'ON•t 5 T /�1- R f g d 10 2 1'78 9 �� 30+25 A bol i h s 4< i/-<Gl 3 dvrh Are- 11� a =�- � S 79 .�. f , f�-er ov na4;vc - +Za.pf' aL ��Cie C0/G✓r�,.,,� — �0t wai mor'c� _ro.yq S1i� W 0fL( cold 6VaS Ititifl4W ) u��h 0 9-t 9-0!ewgy,,( an 0`7-z-o -d5 a Hsi r�,'ntY.Neef/en Og-LG OS a 4- S T l9 2 j -0- $0 „ .e,` 944 th, / f G T � D V / fey fl, /+ �!•� -i- YNi�-c i0 CYoff C0��fva�c%,� /�tae� ��t.04 I�YQI✓� O/7 i ilret54icti n�lA( Cy.�jttdi d/�'s9 �v«k�lle/r rrcrfml"� rl/j �kd-/�to/YES Cyo-.��SI,f' CONTRACTOR SIGNATURE IN PECTOR SIGNATURE DATE: (D Cj -J)I- 6r DAILY INSPECTION DIARY REPORT �l DAY: DATE: Ogl20 10,:- WORK PERIOD: ,'dp�/p.m. to 3;?t,' a.m. _ WEATHER: Pi G TEMP. MAX OF MIN OF PRECIPITATION: Al WORK ACCOMPLISHED TODAY: Eav�On�►.c� � Z,a %c.r Ma ttv:�/S S ,..,N .L � st w► -L OCT � " .3 O Slgrfc� L�ccuya�r`,�n % �lic:�-,� ✓.®L O� S L1 �� 5�T 3�ic�Yt K ,tr nah�t��`�;e-6 Gcldm` �K HsD�e/�- nrtA Mir.✓ ;,�L Hc,r� 10 b-i, ;oi-lal {� e� 515�`si ti 5119 2qf7S_ 22h,& l 9.,/z wez,�- Z& - CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: c; CJ --.1 0 "�5� DAILY INSPECTION DIARY DAY: M DATE: Oc1 /19 /G5_ WORK PERIOD: ff:cr�/p,m. to 3,'�p a.REPORT m. WEATHER: �TEMP. MAX OF MIN °F PRECIPITATION: A/ WORK ACCOMPLISHED TODAY: 11 6. x• f it e0 I5 - Cf. %SGyi�p{ CertciG% toff 4r� Z- K ho.^ 4 S -yS.', ?.t��c0� !ate ��Pt ciH u✓i,•�-wd�tl. /fit/ Sa af � 5?I� Ly o+�ic� 74 O+O . jr d " 6y htAr//,.- A'QL rfcyit 474 2 `+q2 On S /S Q � d t as t -JO -? .s, 7l� Gt �- 06 QOrJr L!� 3 �� /.2 �J ✓v5 f �J�o�/�S st 4��t// / iR f 7 ✓G r� li / S G �� L� CONTRACTOR SIGNATURE I S EC WRI GNATURE DATE: p`?-i 2 -� - IsSTONEWAY SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle CONCRETE TUKWILA (Plant #12) 17024 W. Valley Hwy., Tukwila RENTON (Plant #14) 915 Houser Way N., Renton ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERUNO 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. 70B 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 JOB TOTAL SLUMP SPACING ORDERED BY SUB -TOTAL TRUCK NO. DRIVER REMIT TO SALES TAX 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 L WHEEL BARROW JOB [i 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 J 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 SURFACE rate. DISCOLORATION PRINT NAME DATE BATCH DATA: DELIVERY TICKET NO. REV 10/03 NBF CUSTOMER'S COPY TERMS, 0 1 W bs,TAW- F amilt r. - 1. CFIEVIT Condition'preec+t5gnftoBoller sobligati f.to perform. r and a114tedfE tOfIPay�?tt3rt sec InYtila c float: In tfi@ I .._ iialCderles dOder this Contraet.ars "Collect On Doove►y, fG.¢' unr,�sar rJpdrYreq _tiirnial5 _ Wotrraatiaaa ee. rj? r to 4@Wrmine filtnhaser's financis!'candition. Seib ot�tga le` ID on. ll+irly F -_fdp�tpa of tfi oocuted Contram from l Purl asg[ >tbb tbt e it _ �bviaw, _ _ eiyi CreClt 6 4a d In this Contract, $ TERMS OF NiFN ' All -Invoices are4U$ tttr p�rrtient by thti ► k e 's-IrNJoIOe: -- - o>lirgi ae and one- •�1 6 j'Per � payable on all past invoices at thirty (30) a#erys ertddeV..9Mrr CARM ARE'At3&EPTEQ AT OF P&f1* Sd ."Y. IF PAYfyimrilS mArDE`ITY�.BA1YfCCgRD�hdd� - - PURCHASEf1Mf , A 3% Ft E WILL BE WCt1R1i. If a; f *1srge is a 9tii rrlUst �e oq�m aceownt.-&r�hase� ski All hereunder IawffArkltihey of the United States sup m'acaordencerwi urns hereof, wrt t a hegard to GN.A*tii$rtt�ahae9ar - , other parH�- OmId legal action be initiated -fo collect this TWVk�, _ p Vaal ►rig party tt1'lajl 6ir ,,able atEorhay and . W Indtar7t batllyllAinglea, past; rtrent a3ojte, on a}form- J'r lElry � IRETfr•# WYNEW � THEtWRI%fl`-TO-6EP�IEt MATE.RfAt.lsAl NTT NCA1t�;E#�+I { TAi!IESz At i }erelL >atata ilriddpasl, tastes as samAnts, i¢ f cutlet ld charges.4vied by reasan.of this Proposal are in addition to prises quotas; t rain e i Shan egpaid li p, - it . SCt pal 6n g of►s ggat or A�al a ery'r®gueat shall be conveyed thiotagh Sella dl�atch gland no i that Seller s;a�e�it (htptlitiing b tltedtq drivar's, quaiityur rice�ers�nriel drsales reerrtative8) 4d 6. D _,LW Y CpNDI Uphlk-.Alt corisasta dell lit mad to transit mixer trucks unlelps 9visa not" -Signed Purcha_aer has requestt�dlStatl6w ,sole; bmsian -of GW Nr�'IGtT met!>�on Eolnpa y kt, UOO to Maft Vhe of a path for the dallveryAmaierials anda� to the proact requiting trucks to tfiatie � 041io - bound the nearest traveled pubk 1141way. Satter has; at due to the size dr4 weig 0 trucks, damage,to-the promises and/or adjacent property. cr,pffwp aB Ing"'and> beurtndthatMlCRsmaYIDWOM �Qd:O ic�MSaltermala9sysenithe rtsquested; 9aM9RhssfurtheradvisEdthatitistli�Dic dpN r requint� ligrls trucica travell4 tjle�in t3 hw r 10 o4aia siestas to the job site are at the risk of the Purchaser was Itud Seflar�i umas no,11,10ttt�l or p Ael injury that may result. agfft89 to asses rat ,orWbility !a Sailer and thud parties far property damage petsorrei inJorlaa.ivuck tows" sill! virlttsihing ' exp4risas, and/or dairnage to Se WW n.�ks�fiouldThe ucl4s @tkun`e 2fwmag , disabled & studs ii Msult of Satter mWhq rise bf fe path ef"ted orlor thrdel" of materials and ecdas td the projectsite, . Purohaser ales agnm to ndemnify,,hdid harmless, and defend Seller from arty Balms, demands, lq_Wes, and Babilttitta to or by third' y oartiesarishm from. msuftind famm, owconnacted with thause offt mauested Patth for the delivery of materials whether such claims aleypnpve to tietrlre or fat kgroundless or a r agenda eruct Etnj�IoyrBes, artU (n� 7Kp +WrG t snot, apply r q afgpece aar VW'l_ursariaeer varew ° w1u' ti'sr ffrr ar�wi �r r�uvKwyrn.a {u-` indemnaleatianobiipationarity,lhePiuiclhtl>IlKi�lly. wtthnl3' irnlntutitY'tltdtmdaYtit6°'4Yssitf�ff 5tat4'Ih - rTitla6tf,- �' t3CdW. trviitvardoes notpeopdt a,rlirieot action by the ituief+as.i•'tr >regs�le Purchaear� Fttrth�tIItf�a Gtaaa�ririNita9ftoiG�Obl�ig�Tdn under tnls,A t�t+ei t,et ,, limited in snY wisyjby ally urnitt a �n the amount br type of dtitrlag gsmggrlsatlorr:ol benefits dNr ipt ary tlaj(r1 Ryrsp�ilsq tlltir leer's rmmpen i act/ disaabil, a 2 bes¢fit acts,: qr thAar anaployea tlens#t sets_ Thte promise u# indbmra �pecificatly alppjies in ttte b s to the (etsigne¢s vwn ettlployaes. 7heert;i ned'a du to defend, irtdemlilfy and hold Seller htumleas staali jradudr� as io r� ctairne, dsmande. lotf�, arr� Nebitily to IeltiCh k appllee. Seiler'fs Qeusoanraarl tetaled ctif� ,aessoneb� attorneys tam. coon costs, am8 all other clairrNr¢iated etipenses� iilokidif1g attomdy's feed ar1+9 3br coals: �. by,5etleF bti enforce and e>:tabjlsh j4e itOM uneler itd, 1 Agreement. Upon 59uer s taencleraf defense utrdt3rthis Agrrielitf#it sloe Purhaaner agrees, to axrunadl cst'6alipr'sfrice to drtitlntl agai»fit ttUt.party,clahlt(aa) a ounsel will be at the sale �xpenee st the Purchaser. Sahel Is iiotn tinsibte for attearta and 4f +tut taB1�f fatiised concratdnr a Pdepra rya a pry 6., . WASH QVT AREA It -Will be tI4 Purchaser's rosporaiwity t0�a10artde a airitablia t ea for trti�p5.� _ o/ cleat! dBfole f6aVi�g the job. An chWQ6WIIlAwnJhd61 l Par I' Wit a vAsh out arlia IS not tpovlvfdd.� �.: � ;� r i - ; 7 _ P~:tot.aS atituo 136f?�VeA sewer htt�ds �p asmoliiUity o ;or. �!"' path, ` - r o` a71 ho. tt d*ft fslmA- R p t - by 'Rum" ohea e d�sa "Dirl, WO be up process. �,, ; •-r; . t - - _ #t? ' r r. a F41KT QF lRt4G arm is at the truck 0liutrsEa_SaRler'Wiq_r - re atsibi forty i sltia W"s- tlf the otDltCre _odtla9d ' delays, delivery _ q _ y tance¢'b"rid our control_ .a r b g. AEADY IAIX co N _ thata_ll is Inc1 str Jn %tstting far a�ganca, shall by 6tabaol�lmoae�akh 1 4 y . MCanc+ACtand' copyoiaG'I�re l�j l�` Ofea�dies� 1t7. NOTtFIt.AT{QtIO AS TIL P t�r,acgr."Ierinw tCeif99i correrete compres n test tftl9trraveil6dle iorfurthir llfpri atk�Testilt6: 11. AimfT10N OF W WL if watw andts�_tareiggigaaleriel is adtl f Ilwc ttC#ete by or at the n? #NW of the Punatfa>Ifar, its amplopyees.. chraractors or su a ie epncrate WcIp WW and, all ri0 -tot, revoke accel{taraae orasgamt telairrl fonhre Oh at+y Mjaltietliyxr� Seueris not rasp She oont.'[iW�, {1 12. WAFIRAAtfC'Y. $alter tVarrant plat tlfel ca�vipniq ive'si 'oF -fruited forUCpate teGt 9perd tuna tested for acceptance in rda�ger vdil�►11�53fir�rordF ihee*ills ' y jstrength#or OW mix'design soWd uroult this Contraoj.. $else, aar(sEWS�Mtyoju tt lot sold er this Contract meets the �1 ton and epiepllicatittnd'for~I stlti aIoAhhSn cn Ct.' o other wan-a rained x to is ori�• _to sueb'r 8tntcdor"fhaterialk, whsthiraw%4 xbl fftaess car?uMarrerftieg y l� i11�„are 8e16kpat Sellerae optiort to refund dta putt;lo" price. toAepairaw - airWt or i { provide Fumbaaer with a conforming repuk*ment for any rloll-aa 1ofVttg mdCsrW1Mkf UoAftqUefitial dagW,a e may 1; e4,6}almed :Partcltaser agtl�iAt9slterin ipn w. any-CMAM of this Adrtlepwit or bregailn:pf warranty I,rs►atin.';T1t1 PFf€C t1 i RRAt ' tS 1 U£U OF'AND SELLER 1 iERI;BY [)CP�iES81Y p1S.Ci AIMS,At U 11VIB41El L_i - ll i!' W 14$fth10 qF PIlMt>;4!$ Ft�IFC i�kfl91'a35E ` ._ r lM4ti111 r aeauaraear►o teslSCKlsis� ROi faeliel3lf}to6.F tfu$oY fttentlal � Ufoi fill erin t7ot7feuttbn SVftti Y,1hia Gpt 10 � lflotrt Jimlt4tiom P_,t�i0 ,6gstpe6t l Ri e► 9ood `aWd any i u�y to Person or pop" pro 4*ffiW of # nt &iiy braic kby S_atler or . breach Rf dainty by Salter. �4. CLAIMS A ZAiGWCHARGES. Rwttia&er s.a3tfcttfeia� prdce�,f>e Via. .cairns undit tit Conirept adfat slier forAWj,�ifp�eding bteaafs tioi ctal writ W i�yrb w dW. . watilih three (3j working days slits, disewnry or'wttelr�liecoV have t>esrt � 71te - Ewa � P 'to;l• in { brekh of war,", shall be-astoilows NOt1ce W clBt+tts agairid{ 9sp b1sorb ofCfitttraat ` _ itlwe�4►9 tI _ ar�t�UTd 3tA0tftt1@ the reespr�,[�OtOi. = _ $ale . �l arnount or r4atsought. FAILURE OF PURGi•VKIPITO GIVESUCOOTICE �%* MIK)PlLlN&DAY� SNAL"L CONSTI r RIC i TID LATER MAKE AW SUCH -CLAW, }f a dfsptde t I�te e a I1RID16bd o. li1 `a�i �15. TITLE AND RISK OF LOWUnless, Otherwise expressty'at*d herein, title ta„l is said wndb! lihallrtiaii"q wWtSMier uritll Setkwlh s nfeditall tt<is 40 1 same. Risk of loss; of the materials sold under this contract shallpass to thi - _er upon very of the s4ptfb. Wt•ih@ ply of dt�NCtery dent ed 61eCbin lei edd4ion to assuming WHIsk of loss, Pfuchaser shall betesponabipiorcomptlardWIft ail governmental mguliididns and onlinaincea wdtr regard tr storage or plaavCptmaM�bf - F same and allot/ indemnity and hold Seller harmless agpIrM all elafpOltfot petsotita7 ; inCluding ci68ftt; grid Proptt t ditmag8 arLaitfg Lgstf the &totage, a" of ' 1 matefials. ti 1& CONgRLTE WARHtHQS iallurious to ayes. Cea�s®s shin i on, Avoid s limp eyes nndsttin: 1fYearWaj�prctp} girivea, a tally bu4ivned to>ig sleeved shill. i tmLtsms, and tight cuing eye protection whaLn wo*ina Bluth matenats. IFytu+ hVft stand in wet conclow .f 0*01lerproof boots that am tight gt tops WW high efiotigjt , 1 keiip=ncrete from 4bwing Into theni, If you are finishing rs» $,, wear kneepads ,prmect .stress. T A is tntlatsd,mBmOve tq thtraxrair Get Rt>jdksl attenN�w _ atrit8tfon ersists Wash Wet concrate mortar. c>gmerit, s+rPeati>er>>I ar�rrijfttyr8sftfsfn in wed I fresh, clAgn water Wlmadlately SW contact. in0edi co�st'thrp[tghlol ea ,bus ooritact. so_pnuarptty Arise wet ccrtcmte, mfsrter, oetileat or�earierM.>»trfturs>t tom abMatrig Seek fiatmwf�iate medal tdtention fu harl3 Persist _ 4 4t i Dr seams drecomfort, Avtsirlbtsatltingdvst trop�cultingbr�j g hatdpried , WhOn conphet0 t1Q>df ati�ve,®commended Ro?" fseomsm. weer r N'1051�IM5tiA-approved__rsepfr8trx Is, of eye Gontaet;� with pllllttttdw ff tOr at laa�tl utay q pltysieian immediately, KEG tf1 OF R O d4lL. IlEN„ R lit F�a i7 <SNV9MI W741�NN G 7 i 9E"t7 ['� D if7lt7>3Tk�. rGnia rt ORCEMENT MIXTd RES t DAY: r Y I WEATHER: G DAILY INSPECTION DIARY REPORT 4� DATE: 0 `1 / l b / DS WORK PERIOD: $;Q4�� /p .m. to 2:3a a .m. TEMP. MAX OF MIN OF PRECIPITATION: Y WORK ACCOMPLISHED TODAY: %a I bat t); T g - 31 q6 C�ev:�r��r,�i La lar /vim izv;�%S S u m c- 8 ` co 4 rn V c-1 f i�o C i T`f (,(/4 �Ld G!✓GG (/ Wto:KS ea .s.�,.'r/�=ems on o/✓vrs -��([l,allf �o✓ /b✓ S -/ook O.r.���r�ia� S•ewrO�i-S d"Gt,c-l;v.erco[ / � Lald i' %� � �uQ !.C/!?S 1 N S 1&he i1'(/-t 5"!7u!ik SO Oyu Od 6J Jd✓'e- �.;{ _:�+ �O ✓t-Gw /y-/y— �✓-c �/� o%<.� � for �Gt -�hC,✓u.ti, S. ti 5769 t3a IV O r t n s Y9 Xl�IZ Z� ;�I- Z,-�L CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 0 DAILY INSPECTION DIARY REPORT DAY: T�y DATE: 0cl/I3- /05 WORK PERIOD:8,'OU(/P.m. to z0a.m.(�.mJ, WEATHER: (�, L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: G TP wrR a.7-31 cl9 L d v,lJWIKn 7 La �is� /v!e/�Ie•/� 2 cofffrac,1.0 S�e�- va s c�JbK,na�.`oh /"_ o r�rJ f /'—' /&y�5 tti�e- A,1`'1 coa zrefe-Zov ;'I"" yy�.rf{rya/S — Alti CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTI(NV DIARY REPORT DAY: W t d DATE: C) J/ lit /ps WORK PERIOD: 6'ad a. /p.m. to 3;©v a.m, p.m [-I WEATHER: P, (--- TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: .� R ✓1a -G S.1 oil- 015 2 GiJz, � [nvi L 2 7Jc(<oiS z 519 Lr FZ 6Kd of i5Z19 J`l*10-i'�+s�atItG� $' ,=c -V-Ivti in = j T i4 2 I-Yo ✓L[�f 10C0 AV:f Yt /t/ ` �- d- prOX�- (/n loco �Y o� D%S+s v � � � � t- Y S T 14 ^z %/' ='' .^t�k •✓'rc� /�r /-c� c p`/�L (iNd%t✓' l� � CJ"1 P Sz'o,;m f'Kz 57-19 2 7�oc+ % OiJ 5 Iovm Yif T oP new 9 12-T i- /a e �rc wj L con Jr0 l - Si a u s CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DELIVERY TICKET it AC OT° C� P.O. Box 1850 Sumner, WA 98390-0400 ary ''Mc 253-863-4556 • 253-850-1775 rE SJfev CITYTI*999PH DATE TIME NOT RESPONSIBLE FOR DAMAGE CAUSED BY DELIVERY INSIDE CURB LINE. CUSTOMER ID JOB NO. CUSTOMER ORDER NO. TAG NUMBER SOLD TO: DELIVERED TO: PRODUCT NO. HAULER NO. CTI TRUCK NO. PLANT NAME SCALE NO. RECEIVED BY PRODUCT DESCRIPTION HAULER DESCRIPTION CUSTOMER TRUCK NO. I LOADS TODAY I TONS TODAY PLANT NO. DRIVER ON OFF WEIGHTS • DELIVERY TICKET �S aACTO9@ 4 C� P.O. Box 1850 Sumner, WA 98390-0400 253-863-4556 • 253-850-1775 r. 5VQ CITYTI*999PH DATE TIME NOT RESPONSIBLE FOR DAMAGE CAUSED BY DELIVERY INSIDE CURB LINE. CUSTOMER ID JOB NO. CUSTOMER ORDER NO. TAG NUMBER SOLD TO: DELIVERED TO: G PRODUCT NO. PRODUCT DESCRIPTION HAULER NO. HAULER DESCRIPTION CTI TRUCK NO. CUSTOMER TRUCK NO. LOADS TODAY TONS TODAY PLANT NAME SCALE NO. DRIVER ON OFF WEIGHTS RECEIVED BY DELIVERY TICKET dtSACr0 "m P.O. Box 1850 C� Sumner, WA 98390-0400 , Q 253-863-4556 • 253-850-1775 CITYTI*999PH DATE NOT RESPONSIBLE FOR DAMAGE CAUSED BY DELIVERY INSIDE CURB LINE. TIME CUSTOMER ID JOB NO. CUSTOMER ORDER NO. TAG NUMBER SOLD TO: DELIVERED TO: PRODUCT NO. PRODUCT DESCRIPTION HAULER NO. HAULER DESCRIPTION CTI TRUCK NO. CUSTOMER TRUCK NO. LOADS TODAY TONS TODAY PLANT NAME PLANT NO. WEIGHTS SCALE NO. DRIVER ON OFF RECEIVED BY [?STONEWAY CONCRETE ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 SEATTLE (Plant #11) 3B03 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 # Y,; ) CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) ❑ CASH = CHECK # Ci CHARGE MAP ZONE CARD # EXP. / SPECIAL INSTRUCTIONS — ❑ VISA ❑ MASTERCARD ❑ DISCOVER DESCRIPTION � I 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 ❑ YES ❑ JOB NOT READY ❑ LACK OF HELP ❑ ADDING WATER ❑ WHEEL BARROW JOB ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN ❑ DRAW BRIDGE gals. to 1 /3 load [I 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 lk F:>�c Jk�'` , TERMS, CONCATI A -W i r 1. CREDFr. Conditlah precedenirto Seller's obligation to perform any and all'credit tar d bp�t t��t� _ In this Contract. In _ t� 111allvifies under this Corteraat Its "Collect On Delivery" (C.O.D,j. Purchaser 7 f(rhttstt such &Ifdrtnatioh gas moq)WW of the executed ColnVaolmnkknlan. Seller'ss6 that 5etllai+s•p�ftod0ft , _ ` ra _ PUYo r _ _ 2. TERMSOFrPAYMgMT Aft Invoices are &erackwinentbythe 3(ttrdaPAertba 'd°lavo[db'. 6lhljrsnd'arts-cu r t r) MaRth-iitiAUf5isi payable on all past due invoices of thirty (3ll) days of older- CREDIT CARDS ARE 'E4T-M t3F f�F�i1A81s gA1LY IF PAYMENT l8 Mb4i(�i '. . PURCHASE DATE. A A fEE WILL SE INCt 99ED. R a service change is assessed, gfnm b pakLin or ea ,arainf t ­t Pub pfYFne ha►eutider lift lawful hioney of the United States and In accoldanCe with the P� terms hse�?, wo titf{f it e�srd 1+g 11 t nay haV . other paraders. Should leq� � bel$Gtiattedd to Ca this knroiCo��he pre ; l`R ng paELY be IiHEIR acep I' T Afwm § *,W r t ��e' _�9ce0rer masmaile banklapfcares<.and ptsst*(I 9 t then NIAW. ND�Ai4TEf31AlfiAflfJf4�rPr1�T Ohl' $, TA)M& All fegam, state and,iQcal titinres. assessments; i 4$uOos lind charges levied by mason of Uft Proposal are In addition to iprica4intfedj't irdlt�dl�1 > i AY. A: SCHEDULiNI � iljheog"gr,vanati, n71Mr"r aj.df*very request shall be conveyeq through Sitltai'ts_di8prttr:h office atrcl no oT(1er'�uell }r agent (ia IWdingr btti fro 11ntSt ¢o, �._ * a _ drivers; qualify assitranC6 j 'Adnnel or iafes 604isehl9tives}. q S. ; ,.:DEi l CONDITIONS. All concrete deli<>tirejfes wili beimade, in cpncrets, transit foliew trucks u wise nrstats,' S t ear as+sequestScf 5toaeui±sy r�, Divislo Gary Martino ConsUUChan Corrtpariy< rnc. ISelieri to make use of a path for the dWv&* ottflraterfals and access to tha projet1requif rig trucks trJ t"qgeyefl tilt -- 1 bcundadeagf the nearest traveled public highway. Seller has advised that due to the size and weight of trucks damage to the premises and/o djaoerlt property of i fnjury mete obcur and thattrucks;may become damaged, disabledl&sttiak,lf SetlenT ekes use? of the pattitaaquested.- Seller has further advlsed that It I*�te rpWjcy,tft$TCert_8* requidrigseft's trni:ks travgI beyotwi the ne t tughwaly ty obtain access to the job site are atthe risk of the PurCne9¢l and that Soler asistxrr�s no fiaSri(fty for pmv&ty 0�iftgt� or.personai injury,that may result_ PurchaW agrees. to assume responsibility to Seller and third parties for property damage. personal Infiuies, truck tow" ,and winching exrdnd!or damage ID Seller-Vtiueki%should ttte frucksbeco - damaged; :disabled or stuck ass rasuit of Seller making use of the path requested ori'br th6tteiivery trij materials and access to the project site.. Purchaser also agrees to indemnify, hold harmless, and defend Seiler from any claims, demands, losses, and Iiabilthes to of by thttd parties arr>tina from, resgltinq from, or cohnWtcl with the use of" requested path for the delivery of materials whether such claims may prove to W true or false. grgundless.or. i agents andempla(rees, .and (bV jPurclttliaper shall apply onIA110. "e*0M 0�"'t"9404ca o t, WAS sworn and OM , f� Eurppsa of the , indemndiOAtion obllgafivn only„ a Purctta�ar spec9jlaaffy and axpreselg feralvQs £malty that granted it era the Weshin 8Vtetf _ 1 In fitfe 61 + RCW. This walveriddes not ifift a di lict faction by the Purchaser's arKf�lbyees agabl� the P. tltttter, tlie'Qwinlrlftatiortb6b turtdal this AoWrieM if not t limited in ar+y way'by any limit lion on the amount or type at damages, -compensation or benefits.patVable, to or -for any third, party under WONW16 compensayon ailk-disoollltyr benefit $nts or their arrp{ayrae b aeiit acts This promise of,indemriitir Specifically applies in the case of injurles to the undersigned's own ernpWyeim The underargtted's.dUty -to defend, indernriffy and hdid'$eiler harmless shall include, as to an claims, demands. tosses, and:'llabli ty to which it applles. S61W's Moira, noatedl costs. ;�II� V attorrley's fees• court costs, and all other claim-ralated expenses, Including aftrvey's is" and other costs incurred by S" ller to anfame and sstahllsh,jts rtoWundar th• i Agreemant- Upon Seller's tander of defense under this Agreements the Purchaser agreee'to appoint counsel of Seller's choice to.disfend agalhal fluid tt4tty d%W*W t. f rclunsr:l will be at the sole expense of the Pwchaaef'_ Seller is not responsible for means Sndmethods of placement of ready mixed concrete oraggragaEe produeh "in a project 6; WASH OUT AREA !twill be nre,Purcltasetsresponsibility to provfde a suitable area for trucksto HnseaAtf clsarw ta6dclr9 iriaVing the)ob sAe An adiyi�tatat charg, Will be trtad� per toad if a wash out Siva is notprovidnd 7. PUMP HOLDS AND BLOWB"K. Sellerholds no risponslh►ffty or, gktttg llr . 0 0"mtmicatioti R# Purchaser. .when Pump Comparlp itillda or r+?1+ orriera. Seevi&e Purchaser vrili be done to the best of Seller'aability, oing Purchase) may not t1e4eive ordgl)at rate of poW requested- It is the responsibility of PUM CgdtptuWto nr�Plr - of all holds and reams zfuringPump Ctii1ripany cleanup, t w 156iPback, wiltb�bwVby thi fiunotrew An addwonlA ileft discretion, will be _ witolean up process, S. POI?4T OF ACC rice Is at the truck chute. Seller will not sospt responsiti ty for physical changes of the concrete Gaueed y'iofx . delays, delivery s _ unrAmilces beyond our control. -+ 9- READY MIX CON f@es that all ready nrl x canyrete tasting, lnoludind ` ' to stiength testing for aeceptam�, shall be in aocordanc iiil6llh ASTM, ' UBC and AGI and copy of all teatF lrih ttlraa (3) workingr of the p6tlorrtlanGe of e8id tam - _ _ _ i o_ NOTIFICATION VE S1>�'T#�Si�LTS Puriagiti&si rteSttleUer in writg`vrlThlmiulrentjr four (g4jenEs offert� concrete comp .. test speom". alto paake them avaMDW to Sbl!W for further 1tikpaction and testing, t t. ADDITION OF W IAL H vu®�;(gfer�Rtttitttfrlta146 added io ttte tfitcrete by Or the reque t of the PurchaSet Its elmptolr9ps ogante; 1 0ontrsotors or su he concrete a$ daliuered and waives all right -to reject, revoke acceptance or assert any, claim for•breboh of anywtrananlyand Seiler iu not res or bf the concrao. . 12, WARRANTY Seller watrark0b � the oomprew*s?�fi V*ft of ready mixed concrete test specimen to" foraeceptance ill acdotdahoe wrttr ifiSTM >xAl meelf the design st pVtufor the mutdesfgn,-4* undw this Contract;i Wgralttfs the aggraget$.11ltR�rlialedd uttdit'AFite 0 ntraM meets the descrl(;dlptt and spa iwlRibrrefgr"toe serrate set forth ); )Ihis Contract. No other warranties, express or lmpliscl,,sre made with to. h cartstruat[gn thhWalg. whether t* b6iiva4antig.'at, fkness-Or w{amulbas of rniirchantat3iiity.' Purchaser's exclusive remedy for breach of tW vlaMMty'Sf4m be tb'ie ors sllert at-Soiler's option. M refund the puectwae'pric i, tq Mpetr i material, or to provide Purchaser wittt$ r3otifdnning reptaceme4t for any nertrwPorrt+ltty rnsteiiais. WbdMSquen1Wd ages may be claimed by�ek.agakt on wtF� any breach of this Agreement orbreafi>a of warranty,heraln.,4k*' PRECEEDIN.GFVVAFAMTY IS ltil LLfbF AND SELLER HEREBY EXPRESW $RI 0LA MI•Lt� I _ -. WARRAI�W&CF 9AEY; MANTAPILIT.Y AND OF FITNESS FORP P tGULAR; PUAPpSE.i " -- - — — - — I 13, . 1WTATI$N,ON DAMAGE$ Sailer assumes no resportisibl4A arld notch ixrt be IjahlR to. Fgrmchaser fir apy:oor"quentlat deritages iheurpad'by F-UMI'11111116 Atibaeeation With this Contract: including without limitation, Purchaser's lost prolits,:Purehasers. good will, and arly IhJury to person or proparty proidnwately rasuff tag from mogiowby seller or broach of warranty, by Seiler. 14, CLAIMS AND BACK CHARGES. Purchasers exclusive procedure for commencing claims undue fiontrapt against Seiler for any, mew, ift nelubr+eggittrf-con#" t breach of warranty, shall be as follows- Notice of claims against Sellar_Wany reason, IrrC,udinp butr>�itpd to, breach of aohtria�rirtyvant�ty must�rg�antti3�ler in writing} within three (3) worrking drays anal discovery or when discovery should have been made, The written Ql irkr shall include the reasonffi) tend u_ fi tllie the dotlp> t amount or relief Fought. FAILURE OF PURCHASER TO GIVE 8UCH NOTICE WITHIN THREE $j 411ORipNG (JAYS SW OONSTITUTE A IVEfl BV P I FL OF i76 ! - RIGHT TO LATER MAKEANY'3UGH CLAIM. If a dispute arises. and Cannot be reaolVed, the parties lrtyf4f Yes agree ttT g artittration tldrotlg�i non -ICI r 15, TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hemaildar shag remain with Seller unfit Seller has rscelv®d Hilt ptt0nt.fp{; same.. Flick of io!m of the materials sold under this Contract, shall pass to the Purchaserupon dekVsry M the same, at the place of delivery designsfisd hiarelm Tllpre et, lit addition to assuming all risk of toss. PVrchaser shall be responsible for compliance with all tgovernmerttal."ulations and ordinances with regard to storage or plaaerritetrt nfthq same and shall indemnify and hold Seller harmless against all claims for personal injuries, including death: and property damage arising from the storatte, use or'hanttNag of .. materials_ r ti. CONCRETE WARNINGS. =, ,f auo to eyes. Causes skin irritation. Avoid contact with eyes and Wdn, Weal waterproof gloves, a fully buttoned Iong+sWeved shirt-, full-lengthf ? trousers, and tight fitting eye i • •±ection when working with these materials. if yoG Have to stand In wet concrete, U90-*terproof boots that are tight at imps and high enough to _ J keep concrete from 116wing into them. it you are finishing concrete, year kneepads to protect knees_ FIRST AID: 414W in inhalecl, remove to fresh air, ©et meefical attention it Irritation persists, Wash wet cor wrete, mortar, cement, or cement admixtures florin your skin with fresh, c"MwaterTIM tedtetely alter contact. Indirect Contact through clothing dan be as sorious As OiMct contact, so promptly rinse Suet concrete, mortar, cement or cement modums-from cliciftho,'Vask Immediate medical attention if you have persistent or severc4scomfort. Avoid breathiilt# dust from cutting at grinding hardened Concrete. When axposedto core spat above recommenced limits (sae MSDSj, wear suitable NIOSHIMSHA-approved rrbApirator. r,, case of eye contact, hush with pl ty of water for at least ifs Minutes. Consult a physician immediately. KEEP OUT OP REACH OFl CHILDREN,'USER AGAtFS'Tb CONVEY THfS WARNrN>a TCf'ItCL�pmsMs WIiamAyuSF2xR•mC)R7fjmmGCwAcT'V ram yVrrW"nAADENEQj CoNcsm.46ww CEMENT OR CEMENT MIXTURES. [J STONEWAY SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle TUKWILA (Plant #12) 17024 W. Valley Hwy., Tukwila CONCRETE RENTON (Plant #14) 915 Houser Way N., Renton ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E.. Maple Valley SEATTLE, WA 98108 • (206) 762-2566 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 PO. JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) C CASH = CHECK # C CHARGE MAP ZONE CARD # EXP. / SPECIAL INSTRUCTIONS = VISA -,MASTERCARD 71 DISCOVER DESCRIPTION JOB TOTAL SLUMP SPACING ORDERED BY SUB -TOTAL TRUCK NO, DRIVER SALES TAX REMIT TO 9125 10th AVE. S. WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE, WA BALANCE FORWARD 98108 YES TERMS ON REVERSE TOTAL AMOUNT gals. to full load EYES 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 NEE CUSTOMER'S COPY M G TERMS, CONP11101W AND,lAllWh�ll��fisS 1 CREDIT. CcndItlo7 *abed6nt fo Seller's obligation to perform arty:and'a�l;credfr teriffS Oct p' aytnet)41[fl4hs[ veset %r11; in the Contract_ (tt the s f deliveries under tfttii Contract are "Collect On DeliG Q-D,). Purchaser' loi u6M,tQ frunish _ 4uth Wormatidn as : �6 "for Midi to Delivery" ( , . � �: - S¢1l� tjotvmine Purchaser's financial condition. Sellers obfigatr 7n p 0firn. din r tttl$ lint ,is tit tti6 isoitdMiort f rNtel(i s 13%da" Wn ? redelat of M0.eltecuteii Comm5t from PurghBs€r�l6lthat Berl c ditdepett rttii en+ a�dtd Ctedli IDS _ ^m it e�»flits Corititeot:. aim+ 2.' TERMS O��ai►�WIIEAM Ainvoices are due fdr ptlyrment by the ate wdoyM irftm � 1irviceaha�s ; an�prrrr qtr r811164t M per.-tn0tatti;�trl ,' 6 payable on all past due Invoices of thirty (30) days or older. CREDIT CARDS ARE Ao offED' 14T''['RWE OF PUi GMA�E lIV IF �A. iS Ml> �KCAF0 ' " PURGHASE'I7AT r R' �5E E WILL 6E U4GLIRRE 1=. ffe eerWce ufiaagele asstrssrfdi, ifs itt f3oar+alrt �ibhYes sd5a1l irrakia,aU pral"ents- hereunaeKIn tawlul mina of the United States and in accordance with the tertins. ttaraof, v+l n anO e�grdt4 Neva !!t other partr6s. Should legal action be initiated to collect this inviilm tfte. pravafljrtg %ift wow to recover reason aigb ndiu(g a afs. + tlanWlrt)Tc�as end pDsf4rdgemerR collection efforts, S7QtiEWWq�'COI�CREfdOtJTtFIEL�! ftiE1R Rtt3ffi T{TSA�O'81A•- 3. TAxES..41 federal, state and local , 4s8esamertts, fees. duo" and charges levied by reason of this Proposal are In addition to pr7ces quoted hgWJkant siiatlitbo 0' by' . 4. SCHEDUL10a Chem" of 4arialiorta fir rat o(*al delivery request shall,be conveyed thnaugh- dispatch offtwAnd no other Sellwls agent jinni tiding 1lf�tit�Io: ' drivers, quality assurance per>ronnei or saiye representatives).' + } t _ DEUY♦gR11` CONDITIONS. All concrete deliveries wilWa made in concr3ate transit mlkerArtlem voleaei-mbW- vilk toted_ Ptlrohaser has "Use". a<` Division a7 C3ary lvterllrroConstruction Company int {Belled to ritaks tree oaf a path far Cite delivery al Reis and accebid the pta)ectrequiring trWct�s to tti9U u bounder" of the- nearest traveled pub(-ic highwsar_ Seiler has advised (flat due to the sib and wetglnt lillQts darimQe to the premiseya wor adjacent prpperty; air personal' i injury"may+ occur and tnttrucks ntayb6cOfneilVVgW dis>?bI6dOfs4ucklfSe111e1'rrrakes.use0f'thePBW_bagt:Se3ted;Gellerttasfurther800itDBtlthatfttaV deliYptllt� requirrr Setter's trucks travel beyond fife rtsare4t highway W obtain access to the job Site sire at Me fink 61 the Purchaser and that Saner assumes no.IidbIlay 01 damagJ or personal injury that may result. Purchaser agrees to assume respartbibility to Seiler and third ps I;d for Wdierly ;damage, pmonal Injuries, truck towing aced wfnctigtyi _ expenses, and/or damage to Sellers truclo should the 94cks become d9niaged, di§ f(dd or stU7 d. result of SellW.riidcing use Of ft path requested &LI& the delivery al, - - materials and access to the project site_ Purchaser also agrees to Indemnify, hold ftarmless, and dellmd.SellerIF= afiyclaims, demands„ losses, and Ilabi11105toi* by Tfii;4 par[yE" arising irom, rasuilin from; or connected with the siBe of the reythlsted_Patt1 for tyre deljYery of ft3nf±Eials wtretJteU Such clet me may prove t+o!be 4ruga• falsa, groundless agetots and employees,A6d Purchaser shelf apply onJy, t tttq' ,t of t Qr#P erupt , for f fte poi es of 1�e�trton ' frvlertrnficalitm olxgatlt only Pur ctti3ser specfifralry rintl ltltttlwtl$y ails shiftg��QQ^^ $isle IrrdNsial tnsruance Ttde:5lt , t 1' i ipCW. This wafyerdm rib, pe+rdtit &direct action by the Pwciulswr employees dylainatthe Pu �3ri�mRMostion oblirootion under tinsAgrrfement %hell not ba <' limited in any way:�g erlfjldmiti ion on the amount or type of damages;. 5amt tW bent (dolipaya>sfle f. or tar any #&d partydr porker's conipanaaitlon aptih disabiAty t benefft sots, or :flair employers benefit acts. This promise of indemnity speci#ir ally applies in the rye of Aunes to the undeieigned's amo employees. The undersigned's duty, t to defend, irlda 1ty and Wd Seller harmless shall include, as to all ciaims, demands, losses, :and liability to which it applies, Seiides pemostnel related.costis.,Tea9onabla . attorneys fees. c rt costh, and all other claim -related expenses, including attomey's, fees and a6br costs Incurred by S*Ier to wthme and, establish its right under thi9 Agreement. UDod Setter's tendpr of defense under this Agreement. the Purchaser agrees to appolrtt counsel of Seller's choice toy dfs ow against third perty claim($). Sutab 1 counsel will beat the sale eripefiae of the Purchaser. Seller is not responsible for means and methods of placement of heady mixed concrete oraggregate products on a prolpiti $. WASH OUT AREA. I t will be ilia Purchaser's responsibility to provide 8 suitable area for trucks to rasa and Clean beta leaving the j0bglite. An addi�krnal charge will be Made? per load ff a wash out area s not PMVldof. _ r PUMP .HOLDS AND BLOW BAI R. Seller holds no resbonsfbllfty or obligailorr of communication to Purchaser when Pump Company holds or relessAs orders.: Servide .toy -_� - Purchaser will be done to the crest of:5alter's ability' 'ng Purditaser maynot receive original rate of ppr1loquested. R N the responsjbfUl3r is f Pump. Come"- nyto notIN Purciteset, -_r of all holds'and rel hicurred during Ptn*p Carrtpsrtge a gyp, 1aQt0lmdc. ili beflttrtte byi Pttrbdtasgx Agri adl�trt tchargaw at9elWs I �!)trcEirtIr ut11 be = co tb clean up process I _ - POWT OF ACC 4ept4nce i$ al, Fteirueir r huts _iter ! It o reW-Mi17'Ny fog [_ v cal chang@s-g/ the concrete caused by jCb Y cry. 1KIt�L 't 1 delays, rtetiv r'i�tances beyond our co 91 RADY Mix CON that all ready mint2514"Mum s testing, irtalualirtp cgtlGiete s�fettg6t ixstingtfar 9cdeptfu+�e, mlrall be fn at oiledmtt2a 4vrth �187M. + Ulm -and ACI and copy of all is sit.sla 13) wp iron the perforutfai+ce of saktteata.= - 10: NOTtF1CAl t011 1fE fpTRTHP td n silty Sonar in writrn®_ir►apectlon and Testing, t concrete, campus test rrrrerra, n 'lo�rake there available to Seller for ftwthet 1_ ADD1710N OF W L..If its sped to the c ",rete by or at the request of the Purchailier, Its emobyeas,,�llitS; pernt[aetog or su be concrete as de4vemd and waives ali r►gMte oeck revoke acceptafloe or assert wit claim Wpomic h of any-WafraTily'arld Salle[ 1S not ream f the cortctate: �1.2. WAtARANTI! •Seller' vranants ltiat ttirctairrfsivb t:ttttfigtit• of ready mixed caROn3pe seat, spe�re!fle te§Odd for- acceptance frr'corda}ie� tiiitid >AdN rnetiheI stnaatltizipf #w.mlx design sty d under &4s Contrail_ e1W w anti, the ag pti4n ertd fiCatfrtttsipr bte 8a $ err gr r le:reaf,trlet , this tdantract Meets Ute dew ,i forth Im 1ld Gor�ct No other WWT4;alies, etipress or impligd"are made with ra$PevtYng*Q lafa, uthelh.PJ* bo of f+tiyase-orivorras = merchan lllfy uraliaser's exclusive remedy fro breach of this + himnty shall 9:00kgtr offer s option. lA refund the pumbase r#.'to repair aw match A dr provide Purchaser with a oomolrtting rifiiacement for aiiy non-conf#srcAng lioeferla _ tie claimed 'id+j agi3l�tS in cerr + any brear>xt of this Agreement, or brew ll-of warranty btWrL TW PRFC9WIft�4lf Yftff Its LIEU op`' SEL! ER IiERI=$1r DULY DiSaL�111iP� fl[l IMPU!?l� < _ iH IDS CIF atl Purchaser's lost rase I sr propertylprox€ y ' rese74� X _ i RtLT NIERi I ILtTY.gNQ OF FITN�, FQR.. PARTICULAIR f r I Q& =LMf 7M1 1tDt,9N PAMA Sailer assume$ no rastxtns p :and:ahslt }t'beliebtk'ti l tri (braftlC.cortgequenifal dathages'1nCurti�cl'by. Ptr�Chasetfi'146 + n tty4ottttiiet,�Tleitidlitg V�Rrlout,linut rift er 540Q d tt f 44 R rrtatd[y4i nB 11:l btfJ Seller u3 } ! Istaachcilwarranty by Seiler. .4vi '!4. Ct.AIMS AND BACK CHARGES. Purchasers exclusive procedure for commencing claims und* .t7rtrtttact Sailer for my"reasm inialu lirl�-b b O�eottll" o� } breach of warranty, shall' be as follows; Notice o1 claims against SeilartoralAy:rR�ItNrilgbli� n� Ilfl'iPfed Ili bre�dl [ii riDtttrar��:tntj$tiu3ag�GSb' UI vu�ttg j whin three (3) Working day§ attar discovery or when discovery should have bin made The rarntten bm shah Imcluds the fip%°, d theAbillat _ t amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCHH NOTICE V iv" N WR - "WOAKTMG oAY6 CON tfdAIVER --UAa- ON: tT8 r - _Rid T-TOtXER MAKEANY SUCIJ-0t,A)M, J} a dispute anses mod mnotbareeoltir the pa iFtfQh�ed'agrW'to=ng orr_dilfatl0 ntSY. ' tatfel _ + �I5, TITLE AND RISK OF TOSS. Unless otherwise expressly stated heroin, title to the materials sold hereunder shall remain with SdiFsr tunfltSelferf� tettoiudd#tdf. _ le same. Risk of loss of the materials sold under this Contract shall pass to the Put6bAaer upon delivery of tide same,, at"pla�e of doWery deslgoafed irt. , , 41, addition to assuming all risk of toss; Purchaser. shall be responsible for compliaot:ewith-ati gm-enrunantal ntgulations rand ordinances Wltfl regard to mar-pI8Wnlen1Af tfia' r same and shall indemnify and hold Seiler harmless against aU clatma for personal irijurtes. including death. and prtapaltW darnage arising fiarrnthe storage, ftse or handling of said materials. _ �16, CONCRE.iE WARNING&. Injurious to eyes- Causes skin irritatim Avoid contact with eyes and skip. gloves, a fully buttoned Wild. fulf4engttr trousers and tight fitting eye protection when vasnrking with these materials: Kyou flitVe to stand in tN4tI9trtei l)$lPtpt 6pO tlDota iltai are tight aEto7.and high elaOUgh to keep concrete from flowing into then(. if you are finishing concrete, weer kneepads to protect knees. 11itST IUD yMidul€t t¢,Itlttaled, remove m fresh air Get med(aal etterition cif irritation persists. Wash wet concrete;; rnartar, cement, of cement a mixtures frgrt your skin wlttrile6h, cleat( watsyilleumediately after contact 'Indirect contact through clothing_ sail' b® as selnvrls A$dire contest. so prompfly rinse wet concrete, mortar. car qt-o► cement mixtures from efotiib% Seek imovdia a medical ationtbn If you have p&aistent or sev4de dlscorfitort..Avoid bmathing dust from cutting or grinding harden Woron te. When expandtrrboncrete dtisl abdve recommended fimfts (sere MSOS), wear sultabld . Nlb$3 E1�A-appiroved respirator. In case of eye contact flush viifth plenty of water for at lewt 15 minute€, Coneuk A physicien irnnoed�tely, KEEP QUT OF REACH 'OI� III DR!_ . L)SI'zA AGFIEES Tp' Ci�1Vr_Y THIS WAFfNINO� T6 A(lL PC�##b73f�f5llliW RAY UW0F1 CCSME Thlit3 CDhiTAC T �VITFiI?</ETj47K1F715FiDE1�EiJa'E,bfVCRETE; rr11QRTAR� . F0&�EW C+R CEMENT MIMgES. . DAILY INSPECTION DIARY REPORT DAY: L/-t- DATE: Crcl//; /OS WORK PERIOD:8,'CC� p.m. to/ — WEATHER: C L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: ialhgt d;11 6,-7, P uliA�7-3198 d is i .0.� -c ✓� �' �. a ,� o / Yyt cc t" s �, a lS SfH/fzdi ��Guvti�.vcti +ST►A 17 t9 S v 1-2 T 4d-2 %y ST (ytc✓Iz570 2G 72- 'c .dl x s r0 2 G f82 I jj �I A&I fi 8/ P/aKS U f s 1 �t� d'SZa/A/cic Lr(�L SO TO ""C/ude aGt�G�• �t;ovt/'y I f07 �.1 fcv;u/S ci60 a wi1aT ww;/ NT d ,ft1+ Gf f/ �� (J'I -f i ,� Y ✓ Yl4 B n i �✓ W 4 f Y c p' !l i "-L -%y/ pit rl a A a ,rQj q f S i 5 tti B- 54, l v-/< Au f� i �.'ao - /,c0 yk" ks %kr 5Jou-.1=:�.� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT 4� DAY: Moo DATE: o�112- /0_5 WORK PERIOD:Q',3D6)/p.m. to ,1-0 a.m. WEATHER: 0, L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: T41,b., C Zi° uv j l� 2 2 -, 313 9 d4 tt - I $a 'L. i�t 4` p 1 C-V GXcaCIA C-V �t44All;nG, � ti �-c G� a °f" S S T �i S � •i-1 D c ,,� i 1, a t�y c lG %� ✓ S I I-o��,C con f✓'�r — So � -� 44lnl<O( m7 Ft- %�. A � ,S%1`� S � 7''S'� pa�� GS � �i✓ Pc✓ ��ye� /�'IOi�.n O ihSfti//�G� 'XyY FL jt L 1,ol 41.7xFL Gi/ To' � `t •ih c+�' ZN artrv� S � R � � $ % l�% .s Z.�'j O + ork + Cala(M;)( ti0 ,0ac/<<0/( Av/ r o� J �bC i �' ✓i �' CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: rc/- 12 - 6 DAILY INSPECTION DIARY REPORT �k DAY: Frr DATE: Q /mc /dS WORK PERIOD: �:�d ./p.m. to T co a.m./ l� WEATHER: 0 G TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: ^albbdil w 19 ;R7- 3l 98 S fayI-e C LityA j,�, 0L In S a� �e-eG%�-Gl/( �� '+cc-� '�vi �B✓ ��6� ., a � � Sc�,� rD�' tv �v�''t' �`"C -/� C 64" i iV CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: Oa-DL7-'Ll5— DAILY INSPECTION DIARY REPORT DAY: T 1}C% DATE: 0�110 8105- WORK PERIOD: �`� �/P.m. to 3 8 a.m..- WEATHER: C L TEMP. MAX °F MIN OF PRECIPITATION: Al WORK ACCOMPLISHED TODAY: T a blf -f- t4 ' 1 L r" J`.p w T x A 7— 31 4& .9 oa 8 - 6 s" n-E � a 1 3 - 1 � � � � � ✓L f�4�1 1Qrs STgI' 1-e C. 7(C, UGH•. 1/1 �i H H G N !/� i-v se $ J � 7A��r�r H � � ��'_.! i- ^ � �U)C�I� .4 -i i7J T d � +10 I / / low S ° •* ;yam /'iI'itcYy� ����Z��•�o r S�-4- r/ C O✓ r et t i d N t of f rn (%L S a CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 0 ° - 09•- 0 S DAILY INSPECTION DIARY REPORT DAY:yVe-0L DATE: 0 R / 4% /O5 WORK PERIOD: �; �. /p.m. to 3,13le a.m p.m _ WEATHER: C L_ TEMP. MAX OF MIN OF PRECIPITATION: /V WORK ACCOMPLISHED TODAY: Ta/he, r N.11 eTio 607e 2 7- 31 11 zJvc-A' d- /d IiGS� G�Circ 1T .r,/C /40/4171) 014 4.I6, c2 TOeel* h `/" vr-u CONTRACTOR SIGNATURE INSPIECTOK SIGNATURE DATE: 0 q 07 01� DAILY INSPECTION DIARY � REPORT DAY: (/.(� DATE: Q°t/ ©6/05! WORK PERIOD: 8 3a�/p.m. to �d a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: iu%b®f q,-11 �U,/T1� 7`7-31'?f k�_p�th fi LU bs� �.►.� � .���-� is E karor TV`A !`Y' � o �r�J � '� 1�'r✓ L�IGh _. , �i'�,H S �'-'- Ge'ir1 r-S -*r- `� yhyok� CIA 110Cg r,/I PSL 4161s sA v,« W L 4-t ,,-,i . ge SD b< CONTRACTOR SIGNATURE INSPEC OR IGNATURE DATE: ©c%^DG`US� DAILY INSPECTION DIARY REPORT DAY: DATE: (9 1 /el, /o5 WORK PERIOD: h,Wn Olp.m. to z.;oa a.m. r WEATHER: 0, C, TEMP. MAX WORK ACCOMPLISHED TODAY: OF MIN OF PRECIPITATION: A/ CDN 4(�T a✓ t er / -c-L 5; 4- W4l e;0 1 �f//1 i� Q r . �i✓�G%�t P CN: t�V Nl1HL � __ �/h iL ct ri ra4 44L Ire,- 44 t ka- T C41 cv:ti u-liohS :fia4� NK ct/OUIt� �'�C-� Tu i0uf rf�17 tiH�W.sI,� Ar. ��,-ir/l'ti�. LYtOrc t9bser6, survcs GY{-64/ oh J.i� Jc�iK� N«trkt✓S _atiiv v: ice, CONTRACTOR SIGNATURE INSPECTOR SI ATURE DATE: 0 -�f - 04". -OSJ DAILY INSPECTION DIARY DAY: f �� DATE: 0l/01 /OS WORK PERIOD:6',,0 to WEATHER: L L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: REPORT # a.m./p.m. J / TyIbo �- a,// GtILF w `X .27-31`'t& c. ,bz iia �sr.ulS s�3v�tZ S�m�L �Od� — j Gi a L�r/t,�;- t�1'y,o� t{ �C 17 Li w, t .s - 1 � � /e 0-2 f.,k-4'5 s r& -1-va 45 d LJ u �-/C -�' �� ,'1 �[ �; ✓-t (s o� JS � v�,Br/ vt L� / ��.� � `' `G/� a� cc?trlGY�� �YcSSuvs �.c-f find/ tit 1 �(.� IM c�- n � � t,✓� J-%d�'d � l�'1or✓. S �y l��S� ►�©0t 'Is" Zkel Z 8-2Ccrt%%�rcy���' /ai NiO'rt� a� ZSO�S �5 itc I'tLL.icv� ,OY1' ✓-G t4/ d/ CONTRACTOR SIGNATURE ^� ZZ- INSPECTOR SIGNATURE DATE: QUALITY .FkW,+. r:,RQDi-.if-T INC. 311773 Shipping Location: Renton Efate: 8/3,1/2005 Time: 03g17 PM Customer #: 8815.. Cust Name= VJM CONSTRUCTION Job Name: Job Add: Job Add: PHASE 2 City: RENTON PO/Job# PO/Job: Quote#: 8688 Prod. 1 1 /4" CRUSHED PICKED -UP Carr. PICKED UP Map Page: Tr,k# PWHITET Cross Wt; 74040 Tare Wt: 31920 Met Wt : 42120 Met Tans: 21-06 Metric Tons: 19.1053 ' Day --Tons: 44.55' Metrir Toni:. 40. 4151 lob 'Ions: .44." Mletric Tarr: 410. 4151 STANDBY TIME INITIALS Notes: Material Check No. Tax �Vis$/MC Appr Code total XISTOMER Our drivers will make every effort to place material where customer designates. but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs. including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/s% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. W� 311741 ul JA) ACTY Nc. 9hipping LacAtiont Penton .cxte: 9132112005 Time; 11s25 AM _W_ Cust Name: VJM CONSTRUCTION Job Name: Job Add: Job Add: PHASE 2 City: RENTON PU,'Job# PO/,Tob.- guote#: 8688 Prod. 1 1/4" CRUSHED P1f.-.KF_T)--QP Carr. PICKED UP 'P aga *A Trk# PWHT'TET Gross Wt: 78900 Tare Wtt 319LIO Net Wt: 46980 Net Tons: 23.-49 Metric Tons: 21.3098 bay ''fon's: 23. 4-9 Metric T Gr, iR . 1.30-98 Jab Tons.- '23.49 Met r j c-.- Tons: 81_.�098 STANDBY TIME INITIALP— Mot.es 3 Material Check No. Tax Visa,/MC Appr Code Total -_UST0MER____( Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11./2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. ' DELIVERY TICKET µ d aACTO "► �!r P.O. Box 1850 Sumner, WA 98390-0400 253-863-4556 • 253-850-1775 TE $Oftv CITYTI*999PH DATE NOT RESPONSIBLE FOR DAMAGE CAUSED BY DELIVERY INSIDE CURB LINE. TIME CUSTOMER ID JOB NO. CUSTOMER ORDER NO. TAG NUMBER SOLD TO: DELIVERED TO: PRODUCT NO. PRODUCT DESCRIPTION HAULER NO. HAULER DESCRIPTION CTI TRUCK NO. CUSTOMER TRUCK NO. LOADS TODAY TONS TODAY PLANT NAME SCALE NO. PLANT NO. DRIVER ON OFF WEIGHTS RECEIVED BY DELIVERY TICKET �Z vtAc rO "0 P.O. Box 1850 Sumner, WA 98390-0400 253-863-4556 • 253-850-1775 O,TE s%l CITYTI'999PH DATE NOT RESPONSIBLE FOR DAMAGE CAUSED BY DELIVERY INSIDE CURB LINE. CUSTOMER ID JOB NO. I CUSTOMER ORDER NO. rIME FAG NUMBER SOLD TO: DELIVERED TO: PRODUCT NO. PRODUCT DESCRIPTION HAULER NO. HAULER DESCRIPTION CTI TRUCK NO. CUSTOMER TRUCK NO. LOADS TODAY TONS T PLANT NAME PLANT NO. WEIGH SCALE NO. DRIVER ON OFF RECEIVED BY STON EWAY SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle DELIVERY TICKET TUKWIs CONCRETE RENTO A (Plant 14) 17024 H us Valley Hwy., Tukwila SALES/PLANT & RENTON (Plant #14) 915 Houser Way N., Renton ORDER DESK (425) 226-1000 ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant 420) 21010 Cedar Grove Rd. S.E.. Maple Valley FAX (425) 226-1000 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.) I-i CASH - CHECK # []CHARGE MAP ZONE CARD # EXR / SPECIAL INSTRUCTIONS VISA ❑ MASTERCARD [I DISCOVER • DESCRIPTION 1• • JOB TOTAL SLUMP SPACING ORDERED BY SUB -TOTAL SALES TAX TRUCK NO. DRIVER REMIT TO 9125 10th AVE. S. WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE, WA BALANCE FORWARD 98108 ❑ YES TERMS ON REVERSE gals. to full load C 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 Lj 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 STONEWAY SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle DELIVERY TICKET c� TUKWILA (Plant #I2) 17024 W. Valley Hwy., Tukwila `J CONCRETE RENTON (Plant #14) 915 Houser Way N.. Renton SALES/PLANT & CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E.. Maple Valle ORDER DESK (425) 226-1000 ACCOUNTING: 9125 TENTH AVENUE SOUTH y 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 7 MASTERCARD ❑ DISCOVER PRODUCT • ® • . .•• 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 L] 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 s== - 7­t. _ TERMS, CON'QIMNS AMP lima i. CREDIT. Con9tidn pa'ehadent 110•5911ees obligation to perform asy and alf credit tarn e I set M ht aria Cafr react, in the 4" ,ail deiivailes under tftt - lbontract Are -CoUs t Cln.Aetiv Df�,, . Purchaser a w ll .1'0 such irda'matfon as i ry IN td = aryl" (C.Q.� , deterniMO PUrChaSeeS financW condition. Sellees obit ati _JP arm aB _ �uetS i l tlstig tr►irar_ receipt of the gxecumd Contract'frose tn Purcharso'ftSRl1 ri d' ' . ireuEe an�ap tem�eafpe ► nt s I>ti#Rti 2- TERMS OF PAYMENT. 'All invoices are due for payment by V4111111M Moo date 5if I payable on all past due Invoices of thirty (30) days or older. CREDIT CARd ACCCEPTW AT T311 11E OF PURCKOSE Ot&Y. iF PAYMENT *'Mk* AY—ANNOAR&A�1E►� - PURCHASE OATS A 36A FEE WILL 13E INCIAREB. tf asar ;wohW."iS tAustJT@paicilil t 1�fna anf►�+ar►{Icootutt. Y trier 3a�ke dam} hereunder in lawful money of the► United States and in accordance wtflt the terms haket, without'86rsll of Ala& bet Nerd to ` X teepr raW,heve et a ressransbla anob ay and' , IfiEtrrd a bankruptcies, cies,, aric! post -judgement locale fie tier of this I DET "E L ti f d� -TD SEND MAITE€l1A(1:�]ylAhf'1's N0Tf= 4rV A 4 banlouptcies, anG post judgement collectintroficets• STpA�Afrt1'rt1Gt3EfE Rflt7iiNfL ProposalTAXE All are 6 addition to pne� quota herein and. tttta(I �iaTr�l�r A Purchaser: t r' --- sip - - --- � -� -� _�- � �_ ...� _.�._ -� 4. SCHEDULING. Changes-W yarfationsfnom-auiginet delivery request shall be ca�yred through !$heels dispatch office And qo otherSeller's.�enl 0601 ldiFtg. b oo - drivers, rituality assurance personnel or sales representatives). _ _I I it �_ ;ion r , , + f . ' -' 6. DELIVERY CONDITIONS. All concrete deliveries will be made in concrets transit ttlf 0 trucks unfew ottterWise nd1W.-signed Purchaser has � 6� - L Division of Gary Medina, Consfruction,Competry. Inc. (Setter) to make use of a path for the delivery of materials and fineness to the project ragufring WuNs to'ft' boundaries -of the nearest traveled public highway. Seiler has advisothAtDue todhe sizbandweight liiif tiuGbs, wirliaqe to the premim and(w eitkapa* _ Injury may Ggcurand that trucks may become darrraged.-disabled nr 6tttck,H•3etfe*rnatc9s use of thepath.aquagted. 114118rhm furthistvdvised BmHt t�c requlri%Seller's trucks travel beygnd the nearest highAM fp obtain accewto the Job site are atthe M* Of the Purcshaaerand that $Wler litaWmes no ligbt'jQylfor or personal injury that may result Purchaser agrees to assume responsibiligAo Setter and third perfjes for prop-ty dernage, prfisthriiU' iiajiitiie§; t►ti$ft t and ICE enpeftses andtnr damage to Sefier`s trucks shoidd the trucks become damaged, 41ailibrW or#Wlt at #'result of Se(iWr making (Ate bf'tM tnV ► uest9d,or f1cr Offil1 materials and access to the project site. Purchaser also agrees to indemnify, hold ha lmless, and defend Seller from any claims, .deimands, losses: and ifebifftlies to or by third[ r garri� arisin from, resuh from or connected with the use at file Ca9uest@y7 path 1'or tits dative of materials wheth_ e_r such alarms en : prove to he true or false, groundless_ or W_ IT •aril ant 1 +aril• )the PUrChasar shalt a onl' ' p �_ _ _ y _ � _ agents �R � �� yto the eittentAf _ - ,tt11R y� gr its e�tfta e . etFlt, . : pa g _ _ -_ I • irr�emnifiioarlon obllgetian only, theRuro)teser ap®olficlalky and'eatpnesely'>w�ra> tl�ma�'begrarrtd8 if uiffiarlhatflff�rt � Jndtleti!�I lrfaitRBnvei�lst:"�d i RCW. This waiver does not Paraiba direct action by the Purctlasar's ehtp es ►Mir t41et PtlrtNaeit 'FYrtftler, Iho±tr ear►gittr{stlon obi( iojti unllerlhisAgreemer van no, ' IimRed in any way tay any Ilrnitatlon on the amount or type of damages, corttyaertsatign ar banefaeg payebte to or €or arty thing padY under; fNiN'k81"R c:orn7piet�BGot1 titdt4, U • _ benefit ants, or their employee en it acts. This pros Nse of Ind®aridly speofll¢a11y a�ITilles f„ the ctatre of injuries to the undetgigned§ own emp�o ees The pndersigned'a d ' I to defend, indemnify and hold Seiler harmless shall include, as to all alaimsa damtanf 'ttrsie8, Arid Ifablllty to wtdatr tt a8 ties 3elielr4 ptarsorlfl related costs reasonebl ' attorney's fees, court coasts, and all other claim -related expenses,, attAt9 y's fees and otter costs ineurrad by Sailer. raldRae send e¢tattilish ifs right,under thii# ' Agreement. Upon Seller's tender of defense under this Agreement, the Purohaaer��4�' tD appohtt CGunael Of Sefl43'9 (SflpiCe to defy ci apeiJlat it",, paarty oletm(4 such counsel will be at the soie expense of the Purchaser. Seller is not responsible for trt26ilsrd mvttuxts oficentent of randy r>ljxed r otxnate tariagp ucts *a pitatect. 8. WASH OUT AREA. it will be the Purchaser's responsibility W pWwWde d suitably erefatior tprFks ao riptrgend�ceean befo> 4 teavirtg the jobslte ,4n gsYAI be made t per load if a wash out arcs is not provided_ 1 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of .Communication toPurcha ter wh" Pump Company bows dr relt ale Odofe.�s�iGB tq ' Purchaser will be done to the beat of Seller's ability, noting Purchaser maynot reoafat7oifgfft9f r4 of pCWO'requestaci, It is (be responsibility of Ptbxip.C=jpt V $D- ngtNy Ptmehat of 0 h01dc; and re 9 incuu�c3duAng Pump Gampatljir art up, as,flioAa+beck,tiviti be bonne "a Parctt er �Std ilPdlfst ryle .a- - df8cration, will be +ir�ded �a - to clean up jme i - . POINT OF ACCE¢TA7 eceptanca_ dTa t the truck cue __Bailer will ottlt rio�pt responsibility for pi1vsical charttlss of [IftenCeancreRa a tA+ed by delays, delivery sy1ft-W, urnstanaesbeyond our control, a '-r =.>'''`-r READY MIX CONE tit — a that all ydedy N,XcQncv toonq, including ocomte strength testing for atxaptancei shall baln accordanCewith AST W URC and ACI and — a copy of at test yF irFihree (3) working days of,the partbrumce of said lariats 1l - - a r . -110s NOTIFICATION O IiE3Sq/E 8T�tE IftE$�lLTS Purzha e s W'rtatiCy .Seller in wMfp+ t t vast �bt tad. cfot{gikyl concrete comprr_st few _ f +i n tpst speolmena, aR� make thane available to Seller for funber hispaction and 105flog. r ��+ = f r• 11, ADDITION OF W _ IAL tf waL {or fare ifpat�fal is addo to the CM4ne AY qr at ther dues[ of" Puror"a c its amp(oy+sm :agal-ees , r cantractors or su a concrete as de"red and"weiifes all right to1*1110, revoke accaa7 nce orassed any claim for breawftor-sny w irm"I'V Stiller is not respo or the-000orete: - . '�.y fl2. WARRANTY. Seller warrants ttfaf ttiedoi6prire sIre�Agtlti� of ready mixed concrete test specrrsr tasted foracoeptance in�ccord;frce w�5 �11STM�rldFlnv�ha dsito( . } mgti t fur the rely,+yissign %Qirl+l+fader thie,Mtract. armlet warrants the agar +>raketj 3i_scrld under this ContrW ifneelA the dasGHptlon and speaifiCat[gn5' for lice selftta t;af forth -in this '_Gontr t. No oLherhararTpnt�s. expects or implied, are made with t� to sucil_aemetructron materWIJ6 whether ttiey bdvVa"si'Me1-ot MnW6 oHiR+Armbas di rnEnchantabil)ty. F#tirGraBser s 4>aclusive remedy far breach -of this warranty 9 aji bfto require SOW, at Seller's option, tariefund the purat0se price, to repaairsaid Material, Cr to pcovide-Purcriasm with a con►eating replacement for any non,00nforrning m8terisld] No oonsegaehtial cfarpages may "x daimedi�r PuraPl Aar against Separ Ineannec6 with; any_l reach of hers Aqr mini or breach'of cgarranty,herein. THE IaRECEEff G WARRANTY ILS IN U!U OF'AND SELLER HEREBY EXPFISS Y Dl&EIAM3 ALL IMPUEP VVARR*TIP tsfEft WT(i$IUTy,?kNQQF'FITNESS FOR MY eARPCUTAR PUftpQ E - -_ '�3: UMI1�j tgrl DAi&%q Sv t* Vfrae�urr>err o eat rreibilAY for, and,shell nol:baJi441>a Ro,;Piuchaeer ioiany cwpsequentlial darfisgas inct ad'byPtu itati f►¢oi t�vftf� this+Ewttiegl. Kctigt i t fro iimitaganl �rAhitw s.lost profits, Purch=W, a goocivif, and'any iniuw W person or pepparry prokimatwy7a ing m attYbtBfitxt�r fii>flier breach of warranty by Seller. 14, CLAIMS AND BACK CkARGES. Purchaser's exclusive procedure far commencing c tens uttd@r s Contract against Seller for _ indudiriq breach ofwarTanty, shall be as foibwwNotice of Galena against Seller fo¢,anfy ti:ittcltrpfig but firm to, brfref'cbniractdPvloa ttiin�tle sn amounihaererela+et sprugl days FAILURE Od F PrU Ck►A&ER TO GIVE SUCH NOC�� been ode. The wFlllert Shrill IntetKi@ Ule DN:;r ,or p discovery should have 171141ty 1w RORKING DAYS SMALL f)O A' WAIVER t3' — RIGHT TO IATER AiAkE ANY -SUCH CLAIM. If a dispute arises and cfmftot'"kne1* � th@pe btto"o 4"VNVft arbi (OjhroipghitrQLklr, Wet, } _ i5. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the hrstariats sold hereunder shall rein_ with Seller tmtihSetter has received M _ same. Risk of lass of this materials sold under this Contract shall pass 10 the' PLICOPW upofi d4fiM Of the same, at tha.piece tit d�fv_efy deefgtt8t9d bw**In: addition to assuming all risk of Iola, Puretiasershall be responsible fur compilanos wllh all governmianteliiegutatiotls9t5t1ardinanoehsrilttt,IBga►t�,tdstorageor4ftoemeat same and shall indemnify and hold Seiler harmless against all clairne for personal 11#W; lactudin.9 dttatttl�and propel'tJ &&age aftlitg front t3tB stOfsge, Me LfrhBrtti�'of t amaterials- - ' - 116. CONCRETE WARNINGS. lnurlous to eyes. Ca;tses skln irritation. Avoid contact tnailt eyes and akin. riser waletpreaf gloves, a fatly buttoned long-sleevedshirt, tuft -tar 1 keep concrete tight o w'Ing Into them. it you ou cretin m these materials. tt you E18ve to stBtiU hi Meet Concrete, a�s•Nreterproof boG� tfldt'Afe tight et t)bps d hfE1f 8170ttgh " 9 9 ey pr�ati ishing doncrete, weer kneepads 10 protect tones, FIRST AID: ff 4ustis inhaled; remove to fresh ah:.6et medical attention irritation persists. ,Wash We concrete, mortar, cement, or cement.6dmfxturesfrofnjaw sf�fl withftissK dean water frrimedtetely of it rcortflict. Il1)tiitict corltststNtrthlgFi tkifhi can be area Sus i% 31►acttontact, so promptly rinse wet concrete, morttir, cement or cemarit moftres from clothing. Seek immediate medical attention fl' you have persfsten or severe dissanrtorh Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust strove recommended limitslaw-MSDS), Wear suttabte NK)SH1MSHA-approved respitatoc In Case of eye contact, flush with plenty of water for at (eutat.15 minutes. Consult a physician immediately. KEEP OUT OF REACH Olt CHILDREN, USER AGREES To QStgVEY THIS WARNING TO AL[ PE MONS Wt"il VAY OSE OA`'C ME INTO CONTACi'YUiTf+V*T(dMiRR0ENM ��+it3f4140.R. CEMENif OR CEMENT MIXTURES, . J 1• 'STONEWAY SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle icy nwy., 01 CONCRETE �,'I,a "#N'�, "�'H s RENTON SALES/PLANT & ry (Plant 14) 915 Houser Way N., Renton ton ORDER DESK (425) 226-1000FAX ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley (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# EXR / SPECIAL INSTRUCTIONS VISA ❑ MASTERCARD ❑ DISCOVER JOB TOTAL I SLUMP I SPACING TRUCK NO. DRIVER WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: YES ORDERED BY REMIT TO 9125 10th AVE. S. SEATTLE, WA 98108 TERMS ON REVERSE gals. to full load ! YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ JOB NOT READY ❑ LACK OF HELP E ADDING WATER ❑ WHEEL BARROW JOB ❑ YES ❑ ARRIVED JOB EARLY ❑ TRAFFIC `i 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, STRENGTH. WATER ADDED AT IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL 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 3ATCH DATA: DELIVERY TICKET NO. REV 10/03 NBF CUSTOMER'S COPY TERMS, CONDITIQI A,RQ,.WI,A1'yN tt . CREDFL Condivon precedent to Seller's obligation to perform any and all Creditis 1011r6f payin"tt anti , w_ forth Inthis Contract. -(el, the 4#mptiolilfdlf try t rats, ;ail tiefiveries under this Contract are "Collect On Delivery" (C.O.DJ. Purchaser agrees upon regybst to furnish_ Seger such informetioa as is iwiso-hibly Sitllfef to: detertnh?e F'Ur@haser's financial conditlpn. S911erh obligation to perfcTrn under this nt►acl'is slibjkidt'tlb ►he cotlgitlign precadefdAiiialt SedeitsFMlfffave thirty Wdsp#atsm We" of the executed Comract from Purchaser so that Sell gledk digparfrrtf3lit rr�y}�vietro a�►d art ordfr�pprove aria credit6,Kszf pAyrnertt i3pr 6146d in this CBrlfxaict, 2. TERMB OF fMfIYMENT. All invoices are due for payreentby thb 8121% day after.the dot i fe1? cer$$Ovi-r;e *aVe&uIrone and cite g t Br petCeFtt (1.20%) per 11161M swot bed',' payable on all past due Invoices of thirty (30) days & older. CREDIT CARDS ARE ACCEPM34TWIt bF PWCHASE' ONLY. IF PA1ffviENT IS MAD5 SY 0ANKCARD AFTER PUR014ASEDATE, A3%FEE WILL Bt INCURRED. .Ifa-serviaeohargels4ssessed:,JtpriWbepeid{p.brw�l�is►�Ualipainopen accourd PuirchwOrshish matteellpa �dara; . hereunder in lawful money of the United Stag and in accordance W#h the lernia henrof, withgriranyytenftiort and wpfir3td regard tae%y edme►nem I urch er havi ttgleb 'Y other parties. Should legal action be initiated to collect this invoice, the prevafl[rfp Ry stlttll b0,ei�dttad b+racnlrpr'feaSomabis ai r ferrs.end tbl 3hetud Qppeeata1 bankruplsftt)a. snd post -judgement rollectulirafforts. STONEWAY CONCRET iJELY EXETICIMM'THEIRRIISKTO SENT) MATERIALMAN'S NMCES ON AL,�_JQ,",, 3- TAXES. All federal. state and local taxes, assessments, fees, duties and charges levied by reason olf this Proposal are In addition to prices quoted hwein and: shs(i be pgid'by PurdAser. I i 4. SCHEDULINPi.. Qhanq" dlliv d iliorig from, "Very request shad be conveyed through. $glees dispatch office and no other"6 sagent (indluding, bltit:A0 Ilnliwft.tm . - drivers, quality assurance personne er sales representafives). 5- . DELIVERY CONDITIONS. All concrete deliyertes Will be made in cofcrete transit frixertrucks unl�isotherwise noted: Skylild!-Purirstaw t"FRquested Stoneway,Gt roite,-a. Divieton of Gary Merlino Construction Company. Inc. (Seller) to irtske use of a patti for the delivery of tmalarlala and Occess to the project requiring tnJcltsta travel"1 "ond the: . boundaries of the nearest traveled public highway. Seller has adviued that due W this size and weight of trucks, damage to the pr'lamisest.001or Adjacgnt properly.,* personal injury may cccur and that trucks mlay becomeeamaged, disabled W stuck ff Segerfnakes Use of tlya pe frrequested. Sollerhas further advised that It fs ipalicy ttt�r¢)�ivetfes requiring Seller's trucks travel beyondfftgnearest highway #o te obtain access to the job site aat the risk Of the Purchaser and that Seiler assumes no Iftt�for Oro- P6 y delmoge or personal injury that may result. Purchaser agrees to assume responsibility to Salter and third parkWs for property damage, personae, injuries, trupk towing ano wlncihing expenses, and/or damage to Seller's trucks should the Ducks become damaged, disabled or stuck is a result of Seller malting use of this petit requesle yr rot tfl& l WQCy'of materials and access to the project site. Purchaser also agrees to indemnity, hold harmless, and defend Seiler from any claims, demands, losses, and liabilities to or by tt11Yd pat arrsingirom resultingrf`om, or Connectted with the use of the requested tl1 for the delivery bt mateetels whether such claims tray prove to be true or false. woundless or '' ha.futl Purchaser b astir a, ice., if)u Sdi� and emplo r .'arth�fs porpos a urohaseYd �} 1 Pi 1 all %�f �e bop �r'9 - , agents and emp o) ees. and (b) the rch shall apply only to that extern Of ihikiiWigerrce of the Purtshaser.or Its �j en P } indemnification obligation only, the Purchaser specifically tine expre6sly wakrrl's afiy-frnrnurtity tt latrri- tie granWd if tend iarthhe Wastfiriglom Side industrial Inst WCOAct. Me 51; HGW. This waiver does not permita direct action by the Purchaser's erriployeas g,4sktst the Purctrp9eL further, the ind6ntnification obiRMUon underthispgteehtpnt shall not;be limited in any way by any limitation on the amount or type of damages, compensation or benefits p�rabte to or for any thud party under worker s oomlpeneation acre, disab111 benefit acts, or their employee benefit acts_ This promiss of indemnity specifically applies in the cue of Injuries to the undersigned's own employees. The ungersignsiWs dubA In defend. indemnity 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 attorneys fees and Gdher costs Incurred -ay seller to enforce and establish It$ 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 claims}. Such counsel will be at the sole expense of the Purchaser. Seiler is not responsible for means and methods of placement of ready mixed concrete oraggriegate products on a projem, 6. WASH OUT AREA. It well be the Purchaser's responsibility to provide a suitable area for trucks to rinse: and Wean before leaving the job slfe. An adici flonaf charge win be madel per load if a wash out area is not provided. 1 . 7. PUMP HOLDS AND BLOW19ACK. Seller holds no responsibility or obligation of Communication to Purchaser when Pump Company trolds or releases orders, Service list Purchaser will be done to the best Of Seller's ability, noting Purchaser may not receive original rate &pourrequested. It is the respreislblptyof Pump Companylanoltly Purcflaaer os all holds and rel,e,,�,ya&lh _Cftftes Incurmedduring PUMP CdrtSP�iy Sip. op, or'I�bwlY�it. wittbe; rile ,by the PwcttaW An addt6trsl dharge, of sep¢r's. discrEtion, will be siki r �Itu d c e e to.cleian up practises. y, 1 6. _POINT OF ACGE Pa%�cGeDt?nGe (sat the lrrrck eitutg. Setter will acsa�f responsibility for physical changes of the concrete C+ausiad by0111 delays, delivery sy'rrttB, imW 4plrcumstances beyond our control = S. READY MIX CO _ r ees that: all ready mix can��sit1e testktg. including CDf tits Stteligth terftigg for aic4teptaite`8, Shell be in actor ldSOM A�iTIf ' UBC and AGI and copy of all test resutts,wl` qh t)jf8s (3) working dine Of the perfarmance oi.said tests; . 1.0, NOTIFICATION Of 7 C C1'a6Pfl€SStVE STRENGTH TEST SrIlITS, Puroilai gi ras to noNiy Seller 6n writing;ritfi'itt twenty -it r lj efda4eri � concrete eomprovss ; to gain test specimens, and to make them availabtetb Seller for furthermspeow and testing. 11, ADDITION OF W IAL. If water and/or foreignrt11s1Wlal is added to the c6ticrete by or at the request of the Purchaser, its errQflerm, agents; ggnfmclors or su QI to concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of anywan'anty and -Aaar is not the concrete. -, ___ r 12 WARRANTY. Seller warrants that the camprassive stiangih of .ready mixed concrete test specimens tamed for apcaptance In ef�1srict with ASTMI will, meet the dealgri edrertgrit for the mix design void under IM Contract Seiler Waraints the aggregat@Mlitl rlai sold under this Contract masts the descriptign and, specifications for the same set , forth in this CorArpct. No other warranties. express or imphed,_arp made with I -succh construction nlat9rials, whether they be wie rantifrs of fftnim or Warrar h� merchantability. Purchaser's exclusive remedy for breach of this1, Warranty shall I aLW, at Seller's option, to refund the purchase prise, to repair said material, gr tot provide Purchaser with a Conforming replacement for any iron-c&fermmg mate4s. No contegiietttfal damages may be Claimed t Purcfiesei a f t Seller In connection wJttl� _ .any.breadb of this Agreement or breach of warranty harekti iME-PRECEEDIN�r'.WARRANTY IS Rid UEU' OF AND SELLER HEREBY EXPRESSLY DiSCLANS ALL 11 i� WAR{ AM71ES CIF MERCHANTABILITY AND OF FITNESS FOR ANY'PARTICUi AR.PURPOSE, 7 a_ LIMITATIONiOM QANKOtS, Seller assurnes no resporisibilitq for, jnd shall not be liable to. Purchaser for $ny cenaegtitantial damages fnwrred: by lvla ch r`u Cgfiti@ flan i this Contract. Including without limitation. Purchaser's lost profits, Purchaser's good will, and any igjury,to person.Qd property proktm�P g fi in�C►m any,bteach*y Seller breach of warranty by. Seller. 14: CLAIMS AND 13ACK CHARGES. Purchaser's exclusive procedure for commencing claims undeatfris Contract ttga►rist Seller for arty re art inotrxfktg brew* of Eontraet en breach of warranty, shall be as follows: Notice of claims against Selier#orany teas Will aluttlrig blutoot Ilntlied to: 6 Oioh of contract orMarranit . ifeast'tie. en WS$IksrInwriti within three (3) workirto days after discovery or when discovery Should have been made. The written claim shall ivmlude the reasori(s).andVroug0 for:the daim,"d the daps j amount or reliet•$ought. FAILURE OF PURChIASEP, TO GIVE SUCH NOTICE WITIipN-.'[):iHF.E (3) dNORKPtuEt •f31AY'S SHALL CONSTiTIJ'�AroYNANERYP17KF1;49�`R QF IT$ tiiGH7 TO LATF_R MACE ANY SUCH CLAltv1. If a dispute arises -and cannot be-rr�jwad the partiesinvoWcd• gore to binding arbitratlan ugh iron-lag;al Mi roar , 5. 71tLE AND RiSK OF LOSS, Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller bi s resolved fuh mrrt,f" same. Risk of loss of the materials sold under this Contract shall peas to the Plis►chaser upon delivery of the saute, at the place of delivery designated hersinereafter. iq 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 d* earns and shall indemnify and hold Seller harmless against all claims for personal lnjurles, ineipolvig death. and,propedty damage anslrtg ffoom the.stofag9, use or handling of said mat9rfals. 16. CONCRETE WARNINGS. Ihjurtous to eyes. Causes skin irritation., Avoid contact With eyes and skin. Wear waterproof gloves, as fully buttoned long-sleeved shirt, full -ten" trousers, and tight fitting ey,e protection when working with these materials. Ifyou have to stand in wet concrete, use waterproof boots that ere tight at tops and high enough 11 keep concrete from flowing into them. It you are finishing concrete. wear kneepads to protect knee. FIRST AiD: If dust is Inhaled, remove to fresh air. Get medical attention4 irritation persists, Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water Irmnediately after contact. Indfrect contact through clothing' can be as serious as direct contact, so promptly rinse vain 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 giinciffig hardetied rtoncrete. When exposed to concrete dust above recommentied limits fain MSM, wear suitaE NIOSHrMSHA-apprgved respirator. In case of eye contact, flush with plenty of water for at.'least 15 minutes. Consult a physician immediately. KEEP OUT OF REACH Q CHILDREN, USER AGREES Ti? CONVFY THI ARNINGTO i4I PERSONS WHO MAY USEOR-COME INTO COWACT WITH WET (UNHARDENEDTCCNCRETE, BAR, CEMENT OR CEMENT MIXTURES. µ DAILY INSPECTION DIARY �� REPORT DAB': wec,( DATE: Q�j/�( /85V WORK PERIOD: ,°e'd(� 'p.m. to q'edd a.m. t� WEATHER: 0,.6- TEMP. MAX OF MIN OF PRECIPITATION: ft/ WORK ACCOMPLISHED TODAY: .19 i'hsr�all 140m►J► ief cic ' l l� of w , .1 I ` Hu ' v., CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 09` 3 /-05, DAILY INSPECTION DIARY DAY: j V DATE : 0� / �O /d y" WORK PERIOD : REPORT r & /P •m. to LI;OL) a.m.& _ i' l WEATHER: ©, L TEMP. MAX OF MIN OF PRECIPITATION: /V WORK ACCOMPLISHED TODAY: s Aaasa.,. - 006 - 90-- �- cs r` � c � La ... " k �, � � ►yz � S � �i I'yl �- � C� t_ !z_�� �`" S T � G�1 O tY�� rpl e ✓, % c< e'J s A6 Z2 �a4 °tyr�vsy�� Ao'a/sv ,occ�rccl/o�/CS-2 i ll� L � �� tr©/ ✓may d la �-. - S � �,�. S d � vn < S � � J51 � � fO -F �l C� co.� f r 4� �a✓ l� ; � qE- 13.�+! � � �y�//4.'r r. e/% �.. vt t✓ vt c f_sr " r CONTRACTOR SIGNATURE / L!! INS CTOR S GNATURE DATE: 0 9 - 30 - o S c I f a xgl= = DAILY INSPECTION DIARY REPORT DAY: 0 N DATE: d blAq /05J WORK PERIOD: 0;0o CO. /p.m. to • ; 3 a.m. /�, WEATHER: TRIP. MAX °F MIN °F PRECIPITATION: Y WORK ACCOMPLISHED TODAY: ?o w T 7- 3/ �18 F;r5 f Xee, c e4 K Oti`'fer ca, ✓ter �aa� -took OTT - .Z 3 - 0 f % 0 M 7,410 1 5144 Mt t 1-3-6 O H 1�'to." ;-s er d � Sd ��te,C Ae'; 'f (1 c- li L�,'yl G -L YV7 `tee /f 1 off t �/1 %�yycS f r rz e-, a �-i t-rti � L� >0�-f�► s r`o %n ,h. 1 O✓vV je LAm tAg t in-r, 0t41cd ut 1.t/, f 1-1 9.;- c, M Xuk✓ G t,, O CONTRACTOR SIGNATURE 92:i�l 4-11, I PECTOR S GNATURE DATE: 09--•.2 `j —0S [? STONEWAY S CONCRETE ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle TUKWILA (Plant 012) 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 I 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.) MAP ZONE = CASH _ CHECK # ❑ CHARGE CARD # EXP. / SPECIAL INSTRUCTIONS = VISA ❑ MASTERCARD ❑DISCOVER DESCRIPTION JOB TOTAL SLUMP SPACING ORDERED BY SUB -TOTAL TRUCK NO. DRIVER SALES REMIT TO 9125 loth AVE. S. TAX WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE, VVA BALANCE FORW• 98108 YES TERMS ON REVERSE TOTAL AMOUNT gals. to full load ❑ YES REASON FOR DELAY TIME: gals. to 2/3 load El JOB NOT READY ❑ LACK OF HELP `I ADDING WATER El WHEEL BARROW JOB ❑YES ❑ ARRIVED JOB EARLY ❑ TRAFFIC - TRAIN ❑ DRAW BRIDGE gals. to 1/3 load El 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, STRENGTH. WATER ADDED AT IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL 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 • - - - -1 ' is ' '. � a �"- _ fEMS. G�IttTOiV Q ,,r_ 1_a- t. CREDIT. Corxstfon o0gationto perform any and gjl.oredas (orth in this Contract. In the D ` deliveries' uraer Wr Gkin ate "Gtallect On Delivery' (C O Q.j. Purehad�er request Seller sw% lafortnstion as µ - deiertninarP[ii> triers flttatnc!@i t3carfEliis+n SelrtRr s otiRp$tibati b 0*(M aqt is 'tit jte'corn�l - ederat 6 fr it l? - =Y rc cr=ll3c e�tpcut9d ser raft*'pf_wrhasa,O'thf�saire�arsrrt i AiM er afea;�lr� t��ttis df R _ W �iri 2.. TERMS OR #IYINE11 Ili( -invoices arsldtte fr i6fayrnent' by Iaa4M80dt tisy, 4ertitp Usof irtaiafEae Mhmr�a.atixgae d heft and one er WI.par - payable on all pant due invoices of .thirty (30)-days or older' '' DrT CARf7S ARE AG' �WTEO A7"Ci61r�e 4F PURCHASEt?rllY. IF pq ll,� tea � $A PURCHASE DAT�� g� FEE" LSE INCURRED. if to serYl ohs: l!>as5essaEl: it:;rust toe pq�4' io mak+tei- opwt kacappsr ti dtt -' hereunder in lawful 1nohE� of lire United Slates and in awCgrdancewtth the tenrts-ASOW. wrtttdtlt tAfiatagoq anti' __ t0 fish �{l }jtls t gl other part(L--' Should legal action be initiated to collect this invoke, the ptovalfrn i party shall bwallphdl 6D Mir reason0le, a �t - $. aandpo2tu�IuNWY tion efforts. SW Y d levied Allfederal,Mate tflctaxes.� sanayreason of this Proposal are in 8ddlth><t tdr Ees Arta 9tlaa r _ b, SCHEDULING CI rsng� o« :y�rl4tinns firorrl etigin>aj �eljvery regae�t ShaJll be aoit�9j q' ittrough 5Qiler's idispatCh Wfice and tto other ggi!>7� (tti 1p� drivers. qull3ify assurance personnel or sales repregeiafafives), t y, i ' • ; R 't d ivPRY CONDITIONS. All concrete deliveriakwill be made in rxostcrete i►$rrsititlnt testis unias�o herwtSe oFad Slatted l�urohaaerit reAtt sir' Division of nary Martino Construc`Son Company, Fitt- (Seller} to make use of a path for.fhe delivery of rlaterials and' access to the project retlukM1ng - tParaP boundaries of the nearest traveled public highway. Setter has sdvised..that due to the 41ZO and vwe(Qhi of trucks, dome" to the pierniaee-WWor �tr4oet�$ _"lhltlry me�r isccur and that trucks may becomffdamaged. disabled`ar_iltn k WSWer•mataes usq-of t tfrls4srestect. i tlerhastardt9l aft I requiring tlelfpr s trucks, travelttteyortdth> nqarest hiflhv V to obtain eccesls to lhejob she are eL Qhe riots of the Purahatull and Ehat SeO�r ass"IflalR rig t tea _a - pr personal ir)jtlry that may t� It. Purchaser agrees to assume reAponSibility to Sailbr and third part les for persortstrin Wli ifiing icpenses, an$Cor damage�U sailer s tr_rcRs shouild alit trucks become damagetT cfGsebled Dr atrlck�s a rdmult a ng use or: tljr} tt plwv. of materials and access, to the project. sit`. Purchaser alsoegroes tb Indemnify, h� hanaloss, ard`defend Seller from arty claims, demo* frssses . Y I�ibi of by third owies orisim from. resulting from, orconnected with, the use of tfte gilasted (lath (9fffite dalitlery of materials whethersuph claims mapyro pip l �reatndTeas ( a is and emptoyeauL,and (b) the Purchaser shalli apply - r! of the - Crop rirld-am Fd W ;- ir n-mcatiano altlbn'3rdy ItslFurclnaser icalh+artt! ' reef le wrlltlt ► - . erittit rect, haWls em�p1,?1A1�8i W the Pum ar. '_ ; _rtha � ROW. This waiver draw not p a� dl action by Purc _ IirflKed in any waylby any Itlnita} pit cn the amount or type ofdattra es rn !tort pr'bene pay Air for hkd.pariq - I6nsfit ate. or their employee efat acts, This promise of in spied i Wrwa (rt`thet�e _qI' � = . to defend, inclernflify and hold Sailer harm4as sh li include, as to all claiftt . deff"da tosses !lode to tWtT�I_"pASiiltlr's atkwnsy`3lees,: hurt =,% anp all other clalm,rel61 d',expOMM, in"ing Attorneyis: few end gt Seller_iD enirirrM r rtl'ifiwx •- 4 Agreement- Upon Salterla tender of defense under this Agreement. the Purahaser.egr"s to eppoW pp.►rilael'of ohotcr3 to doF-JK-- ?¢I. _ poetitsli wllf be at,OWsela eXPWm bf the Purchaser. Seller jepot responsible for m s and met hgdeof plecemerrt of readyy fixed taar►r �e a praj WASH OUT AREA. It Will be the Purchaser's rearignsibillty to pnsttdfi a suitable area,for trucks to ritr-aar3r! dean bdbm h*ring the? . � � , �edq per load: 4 a Wash am Is nqt provuted. = ��`a � _ -1 PUMP HOLDS AND BLONtBA Y_ Sefter holds e4 ►ssponsd'Ntky or obligation of bordrnunication 16 Purchaser when Pomp CoalpaRgfjii W Purchaser will -be done to" best of Seller's abiltty; tlofiaag Purchasarmay not receive original rate ofip-mimquested, Jkli; theresporlsa ft_Ii of all holds s�0 re incurred tlurfiFtrmp Ctrmpanq ciaan:up-dYi(C. _ - _- �� dl" Lion, Will be _ to oVAn to pfpce5s PcitfNL�F t P�tn� at'the crude Cltw , i ems+ e. rNfll not aCcs�t �sQotSst�jlhy hard4 b mstan - y �` • �+� � • Ipa� k delays, delivery _ beyond our cantrol. -:7 READY MtXCOM that al0pridy.rpbta? . tbitifag. inolutfirtg ok-FIrstelistm.h testing..fbrPa"Pla T lBC e aMd �A«I and copy of all to s �a the perEamalrc6 ref tale lsl , - . *' ` - - tx s�471 D, NOTMCATION 0 y R! 3"VE'�����1�"' ^ 8017 ►w�����'t� r y ReW in wrfaat*— - - W } cwctete --. a�a tow apecimwoL and tv.malt titlm availai le to Setfe� forturtttpr9 otion artcr . ,- , 1. ADOMOIN OF t IAL If water timttl©s fWaaigp {dial is adde<f to lice �ndtete t!y r(t8t the rag Mt df thtt-' - _ contractorsor- he concrete as delivered and wa(tres all right to Irejact; r8Vr3t(e acRepiance or assert arryrc i-rr _ _ t �t r~ Selleaisttot thaconcrete. _ _ s+- 2, WARRANTY. Boller warrgnt~ 00 ISgtttpreisive striiA90i of ready mixed concrete test speclmend tear for acceptance Writ Vie Vie"04 , _#rangih for the rrlycdesignzobd,urtder (hip arftrar t I'sBHrsr, wF>t79nts the a98cegE_ Or%b }solo tfnder'ihls roratr8ct meets the cased 8n11 1 10 a »rr+e foRltJn this fit: No other wcrt3ritios express or ittipgQd, era made with to stich.efenstruc�ip fiateriai}t, wfteitter+r,islttiCiTo4 dhantabilk;. urchasers exclusive remedy for txeach of th6 wrWranty shall lS'e'to roquim Seflk et,Wer's option, to refundfhe p eftet. vide Purchaser wlih a ouitf6rm*g replacen'tent for an non o c Wis .may lie claimed biy' e�111W ip V=,cornting r,nateri¢6s- N aiseR i+ti� �alnialf9� _ ^arttt' f5teaeli this Agraemrtrtt of br cA of warrart� trnreln. lF € >�RECEt f)YVCriiIil4RRANj�' (9aP1.4 1J ELF AND *-LLER HEREBY WRESS . I d111 -.Q(flElig09QiB)UTY AND OF Ff fMSFOAM! Y PARTICVLAR Pt�D$ir -;I`gl�t>tfil'41wN 13A11Ar1►r Selt�rassutfre5 no rgspogqulity, and shell not k>e fn,rP!il % cpsegt►ential daniall ttreamci'tf}y Pureltatrthi l` �ifnis CI>fltnggpoing without limitation. l5ryhaser's foal profit$ Pgrchssst s gpgd will, and ftrty Irijuryiia persara_gf property rtty pro�a�tiiaE#ritrttfitt� � fey, f�eiltlr '� breach ofraby Seiler. Flu T t f A, CLAIA4-$ AND t3ACK CHARGES. Purchmerl$ exclusiveprocedure'for.cwnmencing claims undol tlliafiF3ontract-�inst seller f " tt�I brotiohat contrw = tiloochbtWatranty,shallboasfollow!: NoticeofclaimsagainstSellertola�y ;1t jlydipg�Qte �+y'n+%di breast ofsantrautoe { 1�Ygs1Drhtvltl i 'amount o srtVght. FAILURE OF PURCHASER TO GAVE SUCH NOTICE-VIM114•T"APE RkLtilQni3AVS SHALL CQ q �N `� dal WAhinth �tvarking-days after discovery- df'wNn disco er�aMMO have boon Mode. The tl tdalmi4hell include the nests f thn AWt _-WGW,11D tATE1111 AKE-ANY SUCH CLAIM. If a dispute -arises and Cannotbe7WPpived. the Plut gaJooi t4 binding d>�9h, non -tell �ersg�rte� O� 11b. TiyL Afib RISK OF LOSS. Unless otherwise expressty stated herein, Lille toL�*;weifais said hereunder shelf mmain'wifh Seller unill Seller has r acelved full soma. RIW of loss of the materials sold under this Contract sf tea pass to 1!118, .mehwer upon delivery of the some, at the place of dellveW detti8atetLaed herein. , heel. ig i addlflort to assutning all risk of loss. Purchaser shall be respont ibte!for compiienc8 With all govenunental vaguRrttorls and ordinances'With regard W aloroge Or plooenterrl of thq t same and Shall indtlmn'fry and hold Seller harmless against all clairhe for personatlmtjuries, including death. endproNkpdir &;;,-arising front theAciraage, use of hand tge mid l materiels. ' CONCRiM WARNWQS. Injurious to eyes. Gauss skin irrltallon. Avoid contact with eyes andskin- Wash WaWrproof gloves, a fully butioned long-sleeved shilrf, fuji�engtt j i trousers, and light flitting eye protection when working with these materials. If you have to stand in wat concret% use waterproof loots that Are tight at tops and high enough 14 keep Concrete from flowing into there. If you See finishing concrete, wear krieepaCf W protege jwe04,' FIRST AID: If dust is inhaled, rerholle: to fresh a(r. ,(3" mecliaa3l attention 3 iRltalion paraie3ts. Wash wet concrete, Mortar, cerrmt, or carnenl admadures fromtrour skin with fresh, clean water immediately after contact. Indirect ooniaot thmughoothl"4 ' can be pee bus air-clrct contact, 66 pttit� p(ly rinse wet concrete, morter csmgnt'or cement mbdi Fes hint:( clothing Seek immediate medical attentl4n it you eve persiste"A or serrare discomfort Avoid bmath(rg duet from caning or grinding hardened conrarste. When + to concrete dust above recommended finks (gee A45FS), vnt5ar sUftaibte NIOSHNSHA-approved resuirslor. Un.case of 9ya coptaot, fli t w tr plenty of water for at ieatttt FS rrtinutes. Consult a physician immediately. KEEP, Ol1T f]f REACH Oq CHILOf N, USER AGREES TO CONVVIHIS RNING "lam LrPERSONS WiM MAY USF_OR 0011011= INTO CON_TAZTWITfiWET WNHARDE'NEDTCONCyfiM. RA99R, CEMENT OR GEAt4ENT MIKPURES. i DAILY INSPECTION DIARY REPORT �4 DAY: %Au DATE: 0,4l�i`IPS� WORK PERIOD: 0:yy 0/p.m. to 3.'30 a.m. WEATHER: G TEMP. MAX OF MIN OF PRECIPITATION: N WORK ACCOMPLISHED TODAY: G� a � vv,-,�,, t L,� �s ✓ ir�l �: � Lam, �- lS S�rnti Sorw.c. �C'0� i3S~ ,Lh>�f �``17� O AA, t om' G t/ �r'�rk• f{v✓' ti i s� ' �� /i L X VAF 4e .-4 7�r�.► fit' � � � n /.� 1 ' f a •y► L _ S 7�ar t�� I<►�, �,� �" P.� Qn /�'!<r! Sg✓ �" so / ✓f7/4 1- 3 /- �CS� T rl 17f/19114-, n Rf /�ha�� /i!i't�t'+� �T S DI c ��' /1/wJ��✓Y� �s<.c �`i, l� 34-Qe) d /o,,,are C elne i t lall�t�(j�f1`�/C Mo✓o .l�/s�sY jkc/G B!! clefs 1Od G�v+o�n� �kvi5i CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 0g"Z� _Q�� DAILY INSPECTION DIARY DAY: W-e DATE: p�/WORK PERIOD: 6 REPORT �•/p.m. to le, cam a.m. 2 —f—I WEATHER: TEMP. MAX °F MIN °F PRECIPITATION: _� WORK ACCOMPLISHED TODAY: r 11� (O !'4.c rs l'I 8 ', Sv <; f S 4 Sf S, / �- a— k O v.c GfAf �G o f i A— r h CONTRACTOR —SIGNATURE RE INSPECTOR IGNATURE DATE:S— le DAILY INSPECTION DIARY REPORT DAY: % V-L DATE: d �+/� 3 hS WORK PERIOD: wf�— .m. to 336 a.m./p.m. � t WEATHER: L- TEMP. MAX °F MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: To keA -2 7- 31 Lo 01 fzv,� is �hC i dt 3 "' t r;ram 9, kGj d d 8 Pfl t Nal r e✓ x: S i �, y �� .i S l ti 0-M dYr . S JJ � l McV,f i&'{)N; K L��t L -i -3 eo ST4r7'iK O c�,cf o�//� BJY��/a s ,OJ��I f c� rc�� v s r �' Tcw�.�o 1, d �x f /�'�� ►�l�ti a`, �l `' cGIC r y Gam/ i G C O t1 -f-a Q I� S �f YVl t� lleL-, -0( 12iPe 'S 4 !lc,fTA M S t3!7 CONTRACTOR SIGNATURE ka,4xr ht INSPECTOR SIGNATURE DATE: 05- QUAL/TV ROCK PRO CTS 10201 LITTLE ROCK RD. SW OLYMPIA, WA 98512 SHIPPING LOCATION: DATE: CUST. NAME JOB # PROD. CARR. TRK.# DEUPU GROSS WT. TARE WT. NET WT. / a NET TONS ( 3 p DELIVERY INSTRUCTIONS STANDBY TIME DRIVER CUSTOMER _ TICKET # P.O. # CITY: TIME 24501 -^ J MATRL. AMT. SALES TAX TOTAL AMT. NO - METRIC TONS DAILY TOTALS LOADS TONS T.G. MAP INITIALS Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1 t,20". PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 11/2% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. ��f � ��� U� . ��l��� �|h4|ITv Rr)�' ^ / Shii n g Date.- Cu-=t Name: VJM (�ON�TkU[ll'H Name: Jmb Add� Jnt Add: TA!-BOl RE, City� PO.ch# CRUSHED c`/C}�F�{||' Map Trk# PV]M1 . GWt46240 Ta.e Wt80 Net Wt: 24060 Net rons: I t,:-,.W3 Met, Dai Tun-: 1r*.(03 Metric 7~nsl�4 Job Tnn�: 59.94 Mptric Tow.: "4.�7�.� Notos: Mate,-ialCheck No. Appr [ude_________ iot�I CU_7Y7OMERL�-�Lf.q Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1112% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. DELIVERY TICKET tit QACr P.O. Box 1850 Sumner, WA 98390-0400 253-863-4556 • 253-850-1775 O,rE S CITYTI*999PH DATE TIME NOT RESPONSIBLE FOR DAMAGE CAUSED BY DELIVERY INSIDE CURB LINE. CUSTOMER ID JOB NO. CUSTOMER ORDER NO. TAG NUMBER SOLD TO: DELIVERED TO: t'.=rT!-1 : ;3MITHE.RS REIA 1 i= h M.P. 6 :, 4 'F PRODUCT NO, PRODUCT DESCRIPTION HAULER NO. HAULER DESCRIPTION CTI TRUCK NO. CUSTOMER TRUCK NO. LOADS TODAY TONS TODAY PLANT NAME PLANT No. WEIGHTS SCALE NO. DRIVER ON OFF RECEIVED BY DAY: Pi 0Vi DAILY INSPECTION DIARY REPORT DATE: /OS� WORK PERIOD: /P,m. to 3 3o a.m./( i•-/ WEATHER: )V, C, TEMP. MAX WORK ACCOMPLISHED TODAY: OF MIN OF PRECIPITATION: Tulh*-I- /):ll 6. W W,7,X ,27- 3717,f 2 -[ e75- fc l 3 `t tt f! Ta.,s� �r _. -�' �? �' / lil •/ Ti jiV/ ar ',•, QriJ .�i t�Nl. T /� !.+'C �•' ✓•+ ��/� �/r � <!7� � `'! ///Jr e rb SIC ; I a t: ti - %vim s,c k•r35, z l C G ian c� ,ot,/ 4' elt st- co%(„"u � 0-& 02, f b� `✓ rYl z �-t ✓ /4CFd'/--/,1a'.'02, Wr/ 1 /.., ,y _, 4, , .%. CONTRACTOR SIGNATURE 1 INSPECTOR SIGNATURE DATE: 0 e — % Z -&S DELIVERY TICKET �SRA CIO 0 P.O. Box 1850 Sumner, WA 98390-0400 FO, 253-863-4556 • 253-850-1775 TE SVQ CITYTI*999PH DATE TIME NOT RESPONSIBLE FOR DAMAGE CAUSED BY DELIVERY INSIDE CURB LINE. CUSTOMER ID JOB NO. CUSTOMER ORDER NO. TAG NUMBER SOLD TO DELIVERED TO: -. PRODUCT NO. PRODUCT DESCRIPTION HAULER NO. HAULER DESCRIPTION CTI TRUCK NO. CUSTOMER TRUCK NO. LOADS TODAY TONS TODAY PLANT NAME PLANT NO. WEIGHTS 513061.7), SCALE NO. DRIVER ON OFF TARE ; NET: RECEIVED BY N e t T .., _. _ DELIVERY TICKET faS R A P.O. Box 1850 Sumner, WA 98390-0400 0 ®tom 253-863-4556 • 253-850-1775 TE 5Jt CITYTI*999PH DATE TIME NOT RESPONSIBLE FOR DAMAGE CAUSED BY DELIVERY INSIDE CURB LINE. CUSTOMER ID JOB NO, CUSTOMER ORDER NO. TAG NUMBER SOLD TO: DELIVERED TO: PRODUCT NO. PRODUCT DESCRIPTION HAULER NO. HAULER DESCRIPTION CTI TRUCK NO. CUSTOMER TRUCK NO. LOADS TODAY TONS TODAY PLANT NAME PLANT NO. " WEIGHTS SCALE NO. DR:FI ON OFF rife RECEIVED BY c, STONEWAY .J 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 # tdCl'1fZ'?L�4 j1 1/4r)9�7 014 CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. V.10D 0JIL T -)ME PI-; f'l i I ; l c 999995 552,298 JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) Y I I I i sJt4S 1 RUC T 1014 - RWDY M I X P "U n I ❑ CASH = CHECK # ❑ CHARGE MAP ZONE ll D5 � CARD # EXP. SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER '•�• DESCRIPTION • s `1131 0 77 `_o. 0 SI S14D 7 'e 3000 PSI C A i 1 90. `} 300I5 EtJ�1 I RUNMEt47 f-1LLlRCNARGE 3. 7 ti0080 PEADY MIX FUEL 5URUJARGE 0. 7. a A JOB TOTAL SLUMP SPACING ORDERED BY 1 . 00 4. 00 i tD • qS, r+ . TRUCK NO. DRIVER .) S I I- VE Rr4" I L. . SALES TAX REMIT TO 9125 loth AVE. S. WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE, WA BALANCE FORWARD 98108 ❑ YES TERMS ON REVERSE TOTAL AMOUNT gals. to full load EYES REASON FOR DELAY TIME: gals. to 2/3 load ❑ JOB NOT READY ❑ LACK OF HELP G 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 TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be sel 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 130) days fiorn receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit tei ris of payment specified cn 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 nneke all payments due hereunder, in lawful money of the United States and in accordance ,vith 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 iecovei 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 iInCluding, but not limited to. drivers. duality 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 andior 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. held 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 fraudulent, 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 Purchaseor 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 workers 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 attorneys 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 cleanup, 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 Seiler. 14, CLAIMS AND BACK CHARGES. Purchasers exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract of - 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 reasons) 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, tiller 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 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 Clauris 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 eves and skin. Wear waterproof gloves, a fully brittoned long-sleeved shirt. Ball -length trousers, and tight fitting eye protection when working vvith 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 attentcort if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin t; ith fresh, clean water inmediately after contact. Indirect contact throcigh clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediate medical attention !f VOL! have persistent or severe discomfort. Avoid breathing dust from cutting Or grinding hardened concrete. When exposed to concrete dust above recommended hrnits (see MSDS). wear suitable NIOSHr'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 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 DAY: N // DATE: 4 11 / z�5 WORK PERIOD: ?a•m • to WEATHER: TEMP. MAX OF MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: REPORT 41 a.m./p.m. t--1 �C4 V"� 2 z s- t 4� � ��1 - 's I iur z ^ y � 0 rem o u� � � k � /C � � � ; ✓'� ; vz s si-/fit.- ell, �o hae &A& CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 09 -1 _05` 311233 Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH. A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A "PERIODIC RATE" OF 1 Yz% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. i i DAILY INSPECTION DIARY REPORT DAY: DATE: D lI �' l05 WORK PERIOD: $;30&/p.m. to C;Od a.m. p.m i_-/ WEATHER: C L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: iRihef- i- iI L 1,e wl f- r2-7-315A - n�••. o Ti j< B a - �,� �, z 1 n �`ILiH LG,tgt` 1 !Jr vtY i F rr2 l �c, i{ S �d Casti T�, i -6" G 3j" tr, , #K"".+. kgi.vl 04" k4A l l'I cap fix n.' i1 v (/Y letnc✓ e;F4, sus A#I Se Uiere�;na S!r�A Serf _ kl y',i,- f /i* � L/.n t :-.�.� C s W� L si /C oil S 4 L" �N iAl�i.a�� Q%!�l G[Ut �G �/illi/ �g��t %1A7%✓{ /hQ�P/O Ca►,-, ep ��/ % rancy� .��. hoc O�tcIC D Aevrtd �isc,/C� on �06� N•,v�� fJ�� Tic S lyi�`�' �rY,"�4�,�s �57'l� �M ti+40 740C STm 5'-r9S i3S g YJ� 14cs�ole}a.t �.'Ot✓c/tN 3hat/���►� aCCI�I'h;�r /'sc� � �%,YySf UlOC� CONTRACTOR SIGNATURE G4�L t/, lv e� 7w- INSPECTOR SIGNATURE DATE: Q d ^ I g -o Laucks Testing Laboratories, Inc. 940 S. Harney Seattle. WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY If instructions are not followed, sample wijKie rejected. I DATE COLLECTED I TnOCOLLECTED �eY�AR M: /-tfkArl0/ TYPE OF SYSTEM ❑ PUBLIC ❑ INDIVIDUAL (serves only 1 residence) NAME OF SYSTEM IF PUBLIC SYSTEM, COMPLf��rO2- I.D. No. MINNIE SPECIFIC LOCATION WHERE SAMPLE COLLECTED TELEPHONE NO. DAY ( 1 SAMPLE COLLECTED BY: (Name) 19RCLE GROUP .�s� B EVENING ( ) SYSTEM OWNER/MGR.: (Name) SOURCE TYPE ❑ GROUND WATER UNDER SURFACE INFLUENCE ❑ SURFACE 0 WELL or ❑ SPRING ❑ PURCHASED or ❑ COMBINATION WELL FIELD INTERTIE or OTHER SEND REPORT TO: (Print Full Name, Address and Zip Eode) r TYPE OF SAMPLE(check only one in this column) ❑ ROUTINE ❑ Chlorinated (Residual: Total Free) DRINKING WATER check treatment ❑Filtered ❑ Untreated or Other ❑ REPEAT SAMPLE Previous coliform presence Lab # Date ❑ RAW SOURCE WATER Source # Fs7 m ❑ Total Coliform ❑ NEW CONSTRUCTION or REPAIRS ❑ Fecal Coliform ❑ OTHER (Specify) -- — -�5D 1 Wit: i Q = P D-7-- `t 13R (LAB USE ONLY) DRINKING WATER RESULTS SPECIFIC LOCATION WHERE SAMPLE COLLECTED TELEPHONE NO. DAY ( 1 SAMPLE COLLECTED BY: (Name) 19RCLE GROUP .�s� B EVENING ( ) SYSTEM OWNER/MGR.: (Name) SOURCE TYPE ❑ GROUND WATER UNDER SURFACE INFLUENCE ❑ SURFACE 0 WELL or ❑ SPRING ❑ PURCHASED or ❑ COMBINATION WELL FIELD INTERTIE or OTHER SEND REPORT TO: (Print Full Name, Address and Zip Eode) r TYPE OF SAMPLE(check only one in this column) ❑ ROUTINE ❑ Chlorinated (Residual: Total Free) DRINKING WATER check treatment ❑Filtered ❑ Untreated or Other ❑ REPEAT SAMPLE Previous coliform presence Lab # Date ❑ RAW SOURCE WATER Source # Fs7 m ❑ Total Coliform ❑ NEW CONSTRUCTION or REPAIRS ❑ Fecal Coliform ❑ OTHER (Specify) -- — -�5D 1 Wit: i Q = P D-7-- `t 13R (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTORY, Coliforms present ❑ SATISFACTORY, Coliforms absent REPEAT ❑ E. Col) present ❑ E. Coli absent SAMPLES Fecal present ❑ Fecal absent REQUIRED OTHER LABORATORY RESULTS TOTAL COLIFORM A 00 ml E. COLI /100 ML FECAL COLIFORM /100 ml PLATE COUNT /ml ANOTHER SAMPLE REQUIRED SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: ❑ Sample too old ❑ Confluent growth ❑ Wrong container ❑ TNTC ❑ Incomplete form ❑ Turbid culture ❑ ❑ Excess debris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAB NO. (7 DIGITS) DATE, TIME RECEIVED RECEIVED BY DATE REPORTED LABORATORY: REMARKS DOH 305 002 (REV. 4/92) WATER SUPPLIER COPY INTERPRETATION OF RESULTS FOR DRINKING WATER The analysis performed on this drinking water sample is an examina- tion for the presence of coliform organisms in the water and indicates the bacteriological quality of the sample. The presence of coliform organisms is used by health organizations worldwide as an indicator for the possible presence of other disease causing organisms. REPORTING OF RESULTS: Group A Public Water Systems must report the results of Drinking Water Analysis to the State as specified in WAC 246-290-480. SATISFACTORY RESULTS: The absence of coliforms from any sample is satisfactory. Proper system maintenance and bacteriological monitoring should be con- tinued routinely to insure the safety of the water supply. UNSATISFACTORY RESULTS: Any coliform presence is unsatisfactory. The presence of coliforms indicates the system is not properly protected against contamination and may be unsafe for human con- sumption. Unsatisfactory samples should be investigated IMMEDI- ATELY and repeat samples submitted. Contact your local health department or DOH Regional Office for assistance in determining the source of contamination and corrective procedures. When fecal coliforms or E.coli are reported present in a sample, the IMMEDIATE ACTION REQUIRED by a Public System is: 1. Investigate to determine the cause and correct the situation. Your local health department or DOH Regional Office can assist you. 2. Submit repeat samples as specified in WAC 246-290-480. 3. Publicly notify the users of the public water systems as specified in WAC 246-290-480. 4. Contact your local health department or DOH Regional Office as specified in WAC 246-290-480. TEST UNSUITABLE: Resample Immediately "Confluent Growth" means bacteria have grown into a continuous mass which makes counting impossible. "TNTC" means bacteria are too numerous to count. "Excess Debris" means that particulates in the water interfere with the interpretation of test results. "Turbid Culture" means an overgrowth of other bacteria can interfere with coliform analysis. If any box indicating an unsuitable test is checked, the presence of coliform bacteria could not be determined and a new sample must be obtained for testing. RESAMPLE: Sample too old. (Sample to be tested must be received within 30 hours). Not in proper container. (Bottle to be used for testing must be purchased from a certified lab within 6 months.) Insufficient volume. (Sample must be at least 100 ml) If not tested, a new sample must be submitted for analysis. FOR ADDITIONAL INFORMATION: Contact your local health department OR the laboratory where this sample was tested OR the Department of Health, Drinking Water Program Regional Office. Laucks Testing Laboratories, Inc. 940 S. Harney Seattle, WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY If instructions are not followed, sample will be rejected. DATE COLLECTED TIME COLLECTED COUNTY MONTH DAY YEAR AM ❑ PMO V� TYPE OF SYSTEM IF PUBLIC SYSTEM. COMPLETI�/ ❑ PUBLIC '•��> F CGROUP ❑ INDIVIDUAL (serves only 1 residence) NAME OF SYSTEM � SPECIFIC LOCATION WHERE SAMPLE COLLECTED TELEPHONE NO. DAY( ) EVENING ( ) SAMPLE COLLECTED BY: (Name) SYSTEM OWNER/MGR.: (Name) SOURCE TYPE ❑ GROUNDWATER UNDER SURFACE INFLUENCE ❑ SURFACE ❑ WELL or ❑ SPRING ❑ PURCHASED or ❑ COMBINATION WELL FIELD INTERTIE or OTHER SEND REPORT TO: (Print Full Name, Address ancl_ i bode) TYPE OF SAMPLE(check only one in this column) ❑ ROUTINE ❑ Chlorinated (Residual: Total Free) DRINKING WATER check treatment ❑ Filtered ❑ Untreated or Other ❑ REPEAT SAMPLE Previous coliform presence Lab # Date ❑ RAW SOURCE WATER Source # ❑ m ❑ Total Coliform _NEW CONSTRUCTION or REPAIRS ❑ Fecal Coliform ❑ OTHER (Specify) REMARKS' (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTORY, Coliforms present ❑ SATISFACTORY, Coliforms absent REPEAT ❑ E. Coli present ❑ E. Coli absent SAMPLES l ecaresent Fecal absent F ❑ p ❑ REQUIRED OTHER LABORATORY RESULTS TOTAL COLIFORM /100 ml E. COLI /100 ML FECAL COLIFORM /100 ml PLATE COUNT /ml ANOTHER SAMPLE REQUIRED SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: ❑ Sample too old ❑ Confluent growth ❑ Wrong container ❑ TNTC ❑ Incomplete form ❑ Turbid culture ❑ ❑ Excess debris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAB NO. (7 DIGITS) DATE, TIME RECEIVED RECEIVED BY DATE REPORTED LABORATORY: REMARKS DOH 305 002 (REV. 4/92I WATER SUPPLIER COPY INTERPRETATION OF RESULTS FOR DRINKING WATER The analysis performed on this drinking water sample is an examina- tion for the presence of coliform organisms in the water and indicates the bacteriological quality of the sample. The presence of coliform organisms is used by health organizations worldwide as an indicator for the possible presence of other disease causing organisms. REPORTING OF RESULTS: Group A Public Water Systems must report the results of Drinking Water Analysis to the State as specified in WAC 246-290-480. SATISFACTORY RESULTS: The absence of coliforms from any sample is satisfactory. Proper system maintenance and bacteriological monitoring should be con- tinued routinely to insure the safety of the water supply. UNSATISFACTORY RESULTS: Any coliform presence is unsatisfactory. The presence of coliforms indicates the system is not properly protected against contamination and may be unsafe for human con- sumption. Unsatisfactory samples should be investigated IMMEDI- ATELY and repeat samples submitted. Contact your local health department or DOH Regional Office for assistance in determining the source of contamination and corrective procedures. When fecal coliforms or E.coli are reported present in a sample, the IMMEDIATE ACTION REQUIRED by a Public System is: 1. Investigate to determine the cause and correct the situation. Your local health department or DOH Regional Office can assist you. 2. Submit repeat samples as specified in WAC 246-290-480. 3. Publicly notify the users of the public water systems as specified in WAC 246-290-480. 4. Contact your local health department or DOH Regional Office as specified in WAC 246-290-480. TEST UNSUITABLE: Resample Immediately "Confluent Growth" means bacteria have grown into a continuous mass which makes counting impossible. "TNTC" means bacteria are too numerous to count. "Excess Debris" means that particulates in the water interfere with the interpretation of test results. "Turbid Culture" means an overgrowth of other bacteria can interfere with coliform analysis. If any box indicating an unsuitable test is checked, the presence of coliform bacteria could not be determined and a new sample must be obtained for testing. RESAMPLE: Sample too old. (Sample to be tested must be received within 30 hours). Not in proper container. (Bottle to be used for testing must be purchased from a certified lab within 6 months.) Insufficient volume. (Sample must be at least 100 ml) If not tested, a new sample must be submitted for analysis. FOR ADDITIONAL INFORMATION: Contact your local health department OR the laboratory where this sample was tested OR the Department of Health, Drinking Water Program Regional Office. Laucks Testing Laboratories, Inc. 940 S. Harney Seattle, WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION: READ INSTRUCTIONS ON BACq DENROD COPY If instructions are not followed, sample w r RCI._ DATE COLLECTED TIME COLLECTED COUfLY�Iv�1 E -� MONTH DAY YEAR 4 � ZO '.;—_t_ CT 05 AM ❑ PM U Q TYPE OF SYSTEM IF PUBLIC SYSTEM, COMPLETE: PUBLIC �'tifS . INDIVIDUAL _ )il"L�GROUP ❑ (serves only 1 residence) A." B NAME OF SYSTEM SPECIFIC LOCATION WHERE SAMPLE COLLECTED I TELEPHONE NO. SAMPLE COLLECTED BY: (Name) - DAY( EVENING ( ) SYSTEM OWNER/MGR.: (Name) SOURCE TYPE U GROUND WATER UNDER SURFACE INFLUENCE ❑ SURFACE ❑ WELL or ❑ SPRING ❑ PURCHASED or ❑ COMBINATION WELL FIELD INTERTIE or OTHER SEI &. REPORT TO: (Print Full Name, Address a9d Zip Code) PE OF SAMPLE(check only one in this column) ❑ ROUTINE ❑ Chlorinated (Residual: Total _Free) DRINKING WATER check treatment ❑ Filtered ❑ Untreated or Other ❑ REPEAT SAMPLE Previous coliform presence Lab # Date / ❑ RAW SOURCE WATER Source # Fs] m ❑ Total Coliform Q NEW CONSTRUCTION or REPAIRS ❑ Fecal Coliform ❑ OTHER (Specify) REMARKS: (LAB USE ONLY) DRINKING WATER RESULTS UNSATISFACTORY, Coliforms present SATISFACTORY, Coliforms absent REPEAT ❑ E. Coli present ❑ E. Coll absent SAMPLES ❑ Fecal present Fecal absent REQUIRED OTHER LABORATORY RESULTS TOTAL COLIFORM /100 ml E. COLI /100 ML FECAL COLIFORM /100 ml PLATE COUNT /ml ANOTHER SAMPLE REQUIRED SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: ❑ Sample too old ❑ Confluent growth ❑ Wrong container ❑ TNTC ❑ Incomplete form ❑ Turbid culture ❑ ❑ Excess debris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAB NO. (7 DIGITS) DATE, TIME RECEIVED RECEIVED BY DATE REPORTED LABORATORY: REMARKS DOH 305 002 (REV. 4/92) WATER SUPPLIER COPY INTERPRETATION OF RESULTS FOR DRINKING WATER The analysis performed on this drinking water sample is an examina- tion for the presence of coliform organisms in the water and indicates the bacteriological quality of the sample. The presence of coliform organisms is used by health organizations worldwide as an indicator for the possible presence of other disease causing organisms. REPORTING OF RESULTS: Group A Public Water Systems must report the results of Drinking Water Analysis to the State as specified in WAC 246-290-480. SATISFACTORY RESULTS: The absence of coliforms from any sample is satisfactory. Proper system maintenance and bacteriological monitoring should be con- tinued routinely to insure the safety of the water supply. UNSATISFACTORY RESULTS: Any coliform presence is unsatisfactory. The presence of coliforms indicates the system is not properly protected against contamination and may be unsafe for hurnan con- sumption. Unsatisfactory samples should be investigated IMMEDI- ATELY and repeat samples submitted. Contact your local health department or DOH Regional Office for assistance in determining the source of contarination and corrective procedures. When fecal coliforms or E.coli are reported present in a sample, the IMMEDIATE ACTION REQUIRED by a Public System is: 1. Investigate to determine the cause and correct the situation. Your local health department or DOH Regional Office can assist you. 2. Submit repeat samples as specified in WAC 246-290-480. 3. Publicly notify the users of the public water systems as specified in WAC 246-290-480. 4. Contact your local health department or DOH Regional Office as specified in WAC 246-290-480. TEST UNSUITABLE: Resample Immediately "Confluent Growth" means bacteria have grown into a continuous mass which makes counting impossible. "TNTC" means bacteria are too numerous to count. "Excess Debris" means that particulates in the water interfere with the interpretation of test results. "Turbid Culture" means an overgrowth of other bacteria can interfere with coliform analysis. If any box indicating an unsuitable test is checked, the presence of coliform bacteria could not be determined and a new sample must be obtained for testing. RESAMPLE: Sample too old. (Sample to be tested must be received within 30 hours). Not in proper container. (Bottle to be used for testing must be purchased from a certified lab within 6 months.) Insufficient volume. (Sample must be at least 100 ml) If not tested, a new sample must be submitted for analysis. FOR ADDITIONAL INFORMATION: Contact your local health department OR the laboratory where this sample was tested OR the Department of Health, Drinking Water Program Regional Office. Laucks Testing Laboratories, Inc. 940 S. Harney Seattle, WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK Of OLDENROD COPY If instructions are not followed, sample wilMMftcted. DATE COLLECTED TIME COLLECTED COU ME �,� MONTH DAY YEAR y ❑ AM ❑ PM TYPE OF SYSTEM IF PUBLIC SYSTEM, COMPLETE: L 9 ❑ PUBLIC GROUP ❑ INDIVIDUAL LD. No. (serves only 1 residence) NAME OF SYSTEM SPECIFIC LOCH N WHERE SAMPLE COLLECTED TELEPHONE NO. SAMPLE COLLECTED BY: (Name) SYSTEM OWNER/MGR.: SOURCE TYPE II GROUND WATER UNDER SURFACE INFLUENCE ❑ SURFACE DWELL or ❑ SPRING ❑ PURCHASED or ❑ COMBINATION WELL FIELD INTERTIE or OTHER SEND REPORT TO: (Print Full Name, Address and Zip Code) TYPE OF SAMPLE(check only one in this column) ❑ ROUTINE ❑ Chlorinated (Residual: Total Free) DRINKING WATER check treatment ❑ Filtered ❑ Untreated or Other ❑ REPEAT SAMPLE Previous coliform presence Lab # Date ❑ RAW SOURCE WATER Source # I m ❑ Total Coliform ❑� NEW CONSTRUCTION or REPAIRS ❑ Fecal Coliform ❑ OTHER (Specify) (LAB USE ONLY) DRINKING WATER RESULTS ❑ UNSATISFACTORY, Coliforms present ❑ SATISFACTORY, Coliforms absent REPEAT ❑ E. Coll present ❑ E. Coli absent SAMPLES resent Fecal Fecal absent REQUIRED ❑ p ❑ OTHER LABORATORY RESULTS TOTAL COLIFORM /100 ml E. COLT /100 ML FECAL COLIFORM /100 ml PLATE COUNT /ml ANOTHER SAMPLE REQUIRED SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: ❑ Sample too old ❑ Confluent growth ❑ Wrong container ❑ TNTC ❑ Incomplete form ❑ Turbid culture ❑ ❑ Excess debris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAB NO. (7 DIGITS) DATE. TIME RECEIVED RECEIVED BY DATE REPORTED LABORATORY: REMARKS DOH 305 002 (REV 4,92) WATER SUPPI IFR COPY INTERPRETATION OF RESULTS FOR DRINKING WATER The analysis performed on this drinking water sample is an examina- tion for the presence of coliform organisms in the water and indicates the bacteriological quality of the sample. The presence of coliform organisms is used by health organizations worldwide as an indicator for the possible presence of other disease causing organisms. REPORTING OF RESULTS: Group A Public Water Systems must report the results of Drinking Water Analysis to the State as specified in WAC 246-290-480. SATISFACTORY RESULTS: The absence of coliforms from any sample is satisfactory. Proper system maintenance and bacteriological monitoring should be con- tinued routinely to insure the safety of the water supply. UNSATISFACTORY RESULTS: Any coliform presence is unsatisfactory. The presence of coliforms indicates the system is not properly protected against contamination and may be unsafe for human con- sumption. Unsatisfactory samples should be investigated IMMEDI- ATELY and repeat samples submitted. Contact your local health department or DOH Regional Office for assistance in determining the source of contarination and corrective procedures. When fecal coliforms or E.coli are reported present in a sample, the IMMEDIATE ACTION REQUIRED by a Public System is: 1. Investigate to determine the cause and correct the situation. Your local health department or DOH Regional Office can assist you. 2. Submit repeat samples as specified in WAC 246-290-480. 3. Publicly notify the users of the public water systems as specified in WAC 246-290-480. 4. Contact your local health department or DOH Regional Office as specified in WAC 246-290-480. TEST UNSUITABLE: Resample Immediately "Confluent Growth" means bacteria have grown into a continuous mass which makes counting impossible. "TNTC" means bacteria are too numerous to count. "Excess Debris" means that particulates in the water interfere with the interpretation of test results. "Turbid Culture" means an overgrowth of other bacteria can interfere with coliform analysis. If any box indicating an unsuitable test is checked, the presence of coliform bacteria could not be determined and a new sample must be obtained for testing. RESAMPLE: Sample too old. (Sample to be tested must be received within 30 hours). Not in proper container. (Bottle to be used for testing must be purchased from a certified lab within 6 months.) Insufficient volume. (Sample must be at least 100 ml) If not tested, a new sample must be submitted for analysis. FOR ADDITIONAL INFORMATION: Contact your local health department OR the laboratory where this sample was tested OR the Department of Health, Drinking Water Program Regional Office.