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HomeMy WebLinkAboutWTR2703673_2DAILY INSPECTION DIARY REPORT 4� DAY: DATE: WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: Alta Co^ST Awes PvL"4b" 0- 2s'tS Ai U S4"` Pl los�� - C'.3--Neo item - e� CONTRACTOR SIGNATURE INSPECTOR SIGNATIRE DATE: DAILY INSPECTION DIARY REPORT 4� DAY: ^j �; DATE: .3 (�L WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: /iJ � S� Pt � �. c�rla•�•]�s GZ✓�5P/ �rr,,?�oyyc'��P�� 114 S l��Dj Lv i /�/��•-� �► - �a Sr"Ir .32- i ei -3 /Cos StCa-Z Sh G�-zS A -'7 //1C c .11�1!Ji� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: D DATE: _3 / S / % WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: irl C S'' e4 / EDM,0111 S (,l,4,407L :// 4 L ®i✓1 . -r . '0 4 S Lro &S % C.ws _/� t 1 /17 d e )c sr.* r `L, G Ckj-- I D / F'Prlij r'l0000- �,4 Tad e 5T4 3-?fY3 CONTI / tt,)e�u INSPECTOR SIGNATURE TE: DAILY INSPECTION DIARY DAY: lkV Y S DATE: 2 / G / 1 4 WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: CEO el..,�7 . REPORT C 1\n4l S lk*1q� - 1 S o/ fil�/YI rig i d C �� - 1 r� VI •.y t * ti/-� i Cl� °i !O 1G S TA V 8 F 2 7 fl!3 1 !n Ike x A("E CONTRACTOR SIGNATURE INSPECTOR 97IGNATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: DATE: / 7 / y WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: Alf- 5V 4 P/ .1 • -r Z&�� 41/✓� 6 le S 7.4 �!^f �� - Gc.,C// % � -,-v O� f7r�u-0-✓ 0(Jfi -�,�� f c to �.�/` X�:17 To '1-10 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY DAY: �,v�p�y,.,, DATE: 3 /1- /Ly WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: S7v REPORT V - w^^t "c- To i 'man 2 ' (Ao �' 1�.�. ��.��►i 1.� low G !—Cs t V1 S-T9. I it b R1 o e-A A "fk rG✓ c. /r) 72;�-151-1 �t/.Zza CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: Vy\ C, DATE: /) /c WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: i=` Y is 7iv� r t r.610Z tea» ifiC: S w. r�l 4-" 1> c� cat ?I— Soh a itD can f U SChP�u lam: 0 r..e�//e7cv. cf S hS �i'ur•-� T/ e1 .a�id bcta u it rti%G/ CeLjo» b 1 4-. i se s-/� v C K i s 7i •+y �C l oV-*l.T= tcs �-e 0" C - to 0 ` G ek 114k. �'�:,;r CONTRACTOR SIGNATURE _ �e . 4 yz e? � -_; P"- — INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: rR.DATE: WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: i C-0E1 rd Z YJ " 1:! >-r PVC) 4--F CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: ? //L / 'WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: d/ v 'sP ��•7G. �.OS (.�iLesle.. -' ri,t�rt� s-tss�y�c-�S J �- L 1la a t` li tnr.�L/•� I� — Ds DC �� 7��fi [_ty >�'1 -'L3 L �u 3c� 1.14 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: '-�,� DATE: WEATHER: TEMP. WORK ACCOMPLISHED TODAY: /it MAX OF WORK PERIOD: a.m./p.m. to a.m./p.m. MIN OF PRECIPITATION: Ale, Sr, p 1 % -1-6M)nat £1,,� - "e A 41 l_� .�-y ®vim /V G S`�" P I — C©•� �v` v � % � C x/%,a...�h C. .� ... �s:< VA-1 v L. 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MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: il- A1i.,4 ic.-rr c:.- i/%ST/�// Tip; u-i7 /eCt i�/S Tr1t `q :. lv��� T�Jc LUP Lk ZF:t�v fit►+ 8 f/OG.� P1 l'Se'ctio y� t /GY/ 17�Ie- A 40 hin,a %C�X !r 57.4 • k3,4 y 4- CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: 3 /iS /1 y WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: GO o %-T-4 y5'4tob t t-ewi -ij I � c 0 � CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: 7zt ys� DATE: 3 / c'G'/ j y WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: u C C �► wt ... Ti is — i r 5— r1 11 �•a� Va. s '?h i s CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY DAY: �—/LI DATE: 3 / 2///y WORK PERIOD: a.m./p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: v a.m./p.m. ol �,. ����— ®.', s, /oz,,— ��� r f e •� 0 C - / 3 / `/ as 3 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE REPORT # DATE: DAILY INSPECTION DIARY REPORT DAY: ;t;;S_, DATE: 3 /Zs71Y WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: PSG o17 -s ih,- T /!'cam ��L %4 Cesa /h am/cry 6iAie/ Z) 2 S2 S' ti c� `�` el in .Al,,4 �1 IA P Aj \bong PS >� L S,s ��/1/ G C$ PM�vt �frw °7.ji sr CA a- !3e f2f, i nsr,0-//,pD - Z 1116 i4 v Nam. �T 1 111 Se.,wc,c-s CONTRACTOR SIGNATURE INSPECTOR SIGNA M E DATE: DAILY INSPECTION DIARY REPORT DAY: 0 t t-, DATE: -3 /C /14 WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: /1�z3 4�� PI /c-av,Gv,Dz Lv- _ =," 0-rv�j C.v► 5 1 i�-- G'c�-a i w v i ► ? cJ �P>y,c.Vrs 3 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT 4� DAY: / ,,ram, DATE: 3/L7/ WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: ,-4 /i,u WN�T _ � x C' .�1-�..�-�✓ h � � � ?ems-.s�,a.�rs� ,/fir p ��y v CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY DAY: �,L R DATE: / 2, /� �/ WORK PERIOD WEATHER: TEMP. MAX OF MIN OF WORK ACCOMPLISHED TODAY: a.m./p.m. to PRECIPITATION: a.m./p.m. REPORT 4� ( .•+ ti -i'�'� V CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY DAY: �'1c.v.��.r, DATE: 3 t3i /IV WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: '� z �, i /fY � .� /.� [• �a e:ice_ l'JF��' Cc-t�� S — 11P•� soruic c.yr// de ;�a/c ,,AoCAJ CONTRACTOR SIGNATURE INSPECTOR SIGNATURE REPORT 4� DATE: DAILY INSPECTION DIARY DAY: DATE: 4/ // //5/ WORK PERIOD: a.m./p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: ,/y G 441 P/ C'�7p✓C ', LC� ��iOF ca iA (C) 4 s i, i REPORT a.m./p.m. MWIPW CQn.WA-& AS,JSc) : beb 1-r�—bor»c-sl.[ eryt V biy%c»Ds 1 T-01 S CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: L / Z // WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: �A I1 4 �r�.nJ 7 /hS>�ile4 I r 1 •1-C / A.aCIb.1 eiil -S., h P LI laY1 17 2!- G �Y L� /✓7G oc! I/���/%�� l r I CAI C'bvv% tan D �c.� 46 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT 4� DAY: j,�,��Z., DATE: y / //X WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: P i =or, A .4Ln�, W 44er CONTRACTOR SIGNATURE 77 � �w, / 4G �6- -6-1 �� INSPECTOR SIGNATUR DATE: DAILY INSPECTION DIARY REPORT DAY: uLt57J DATE: !t / 6' /1y WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: % ��"G 7N.j CG'OfHC�O✓1 A0:7 4 ..ems %v!4/r7 //ASS ("& )--rZJS 7;,"A a 4/1r7L dy PS L 'e m CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: CITY OF RENTON WATER DEPARVENT Pressure 'Pest & Purification Test Form PROJECT NO. 10 ,- Z 7- 3&73 NAME OF PROJECT �tj�s//&zv'-?v7"3.S PRESSURE TEST TAKEN BY j -7. Lyl,� ,,-y Lg&eN L%- Z -/ y AT A PRESSURE OF Z?f- PSI, FOR 17c L,,-S -&-MIN. TEST ACCEPTED ON z1 -� y PURIFICATION TEST TAKEN BY fi'l,tyt ;h'G�i%i3GZ ON 4/- 3'-1Y PURIFICATION TEST RESULTS, SAMPLE N1 (411 Gnnz,) SMIPLE H 2 SAMPLE 93 REMARKS:i'/GK / S i.C� Lf ` ' 8 �• AIVI'I AmTest Laboratories a ... o . , . , 13600 NE 126th PL STE C, Kirkland, WA 98034 425-885-1664 www.amtestlab.00m COLIFORM BACTERIA ANALYSIS Date Sample Collected Time Sample County: 04/03/2014 Collected ® AM Month Day Year 11:00 ❑ PM KING Type of Water System (check only one box) IZ Group A Public ❑ Private Household ❑ Group B Public ❑ Other. Group A and Group B Systems Provide from Water Facilities Inventory (WFI): IN 71850L system Name: CITY OF RENTON WATER UTILITY Contact Person: ABDOUL GAFOUR Day Phone: 425 430 7210 Cell Phone: Eve. Phone: FAX: Send results to: (Print full name, address and zip axle) CITY OF RENTON WATER UTILITY ABDOULGAFOUR 1055 S GRADY WAY RENTON, WA, 98057 SAMPLE INFORMATION Sample collected name): M. WETHERBEE Specific location where sample collected: FH CAMAS/EDMONDS SAMPLE 1 OF 4 Special Instructions or Comments: Type of Sample (must check only one box of #1 through #4 listed below) 1. ❑ Routine Distribution Sample 2. ❑ Repeat Sample (after unsat. routine) ❑ Distribution System Chlorinated: ❑ Yes ❑ No ❑ Source Groundwater Rule (GWR) Chlorine Residual: Total Free (Population of 1,000 or less) 3. Raw Water Source Sample ❑ E. soli - GWR source sample Unsatisfactory routine lab number: ❑ Fecal - Surface, GWI, some springs ❑ Other -------- Unsatisfactory routine collect date: Chlorinated: Yes No FubAc systems must provide source Number nom MrFO Chlorine Resid: Total Free 4. ❑ Sample Collected for Information Only ❑ Construction ❑ Repairs ❑ Private Residence ❑ Other LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY ❑ Unsatisfactory 0 Satisfactory Total Coliform Present and ❑ E. soli present ❑ E. coli absent ❑ Fecal coliform present ❑ Fecal colifonn absent Replacement Sample Required Sample not tested because ❑ Sample too old (>30 hours) ❑ Improper Container Test unsuitable because: ❑ TNTC ❑ Turbid Culture Bacterial Density Results: Plate Count 1 mi. E.coli /100 mi. Total Coliform < 1 /100 mi. Fecal Cdrfotm < 1 1100 mi. Method Code: Date Received: MICR- 2810 4/ 312014 Date Analyzed: 4/ 312014,16:00 Date Reported: 4/ 4/14 06602003 Lab Use Only: Sample Number (DOH nunber PkX fAe dpl4) I DOH Form # 331-319 (radioed RM) AmTest Laboratories �.. 13600 NE 126th PL STE C, Kirkland, WA 98034 425-885-1664 www.amtestlab.com COLIFORM BACTERIA ANALYSIS Date Sample Collected Time Sample County: 04/03/2014 Collected H AM Month Day Year 1030 ❑ PM KING Type of Water System (check only one box) ® Group A Public ❑ Private Household ❑ Group B Public ❑ Other. Group A and Group B Systems Provide from Water Facilities Inventory (WFI): IN 71850L System Name: CITY OF RENTON WATER UTILITY Contact Person: ABDOUL GAFOUR Day Phone: 425 430 7210 Cell Phone: Eve. Phone: FAX: Send results to: (Print full name, address and zip code) CITY OF RENTON WATER UTILITY ABDOULGAFOUR 1055 S GRADY WAY RENTON, WA, 98057 SAMPLE INFORMATION Sample collected (name): M. WETHERBEE Specific location where sample collected: FH OSTA 39+58 SAMPLE 2 OF 4 Special Instnutions or Comments: Type of Sample (must check only one box of #1 through #4 listed below) 1. ❑ Routine Distribution Sample 2. ❑ Repeat Sample (after unsat. routine) ❑ Distribution System Chlorinated: ❑ Yes ❑ No ❑ Source Groundwater Rule (GWR) Chlorine Residual: Total Free (Populatbn of 1,000 or less) 3. Raw Water Source Sample ❑ E. soli - GWR source sample Unsatisfactory routine lab number: ❑ Fecal - Surface, GWI, some springs ❑ Other Unsatisfactory routine collect date: I_S_I-11 Chlorinated: Yes No P'a`sy`w'°n"�prw�so„.caNumber r`°"'(wFq Chlorine Resid: Total Free 4. ❑ Sample Collected for Information Only ❑ Construction ❑ Repair; ❑ Private Residence ❑ Other LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY ❑ Unsatisfactory ® Satisfactory Total Coliform Present and ❑ E. coli present ❑ E. coli absent ❑ Fecal coliform present ❑ Fecal ooldorm absent ❑ Replacement Sample Required Sample not tested because Test unsuitable because: ❑ Sample too old (>30 hours) ❑ TNTC ❑ Improper Container ❑ Turbid Culture ❑ ❑ Bacterial Density Results: Plate Count 1 mi. E.coli /100 mi. Total Coliform < 1 1100 mi. Fecal Coliform < 1 /100 mi. Method Code: Date Received: MICR- 2810 4/ 3/2014 Date Analyzed: 4/ 3/2014,16:00 Date Reported: 4/ 4/14 M2f104 Lab Use Only: Semple Number (DOH number plus five dgb) DOH Form 0331 31 9 (revised 80) e� AmTest Laboratories L C�`13600 NE 126th PL STE C, Kirkland, WA 98034 425-885-1664 www.amtestlab.com COLIFORM BACTERIA ANALYSIS Date Sample Collected Time Sample County: 04/03/2014 Collected B AM Month Day Year 10:35 ❑ PM KING Type of Water System (check only one box) EZ Group A Public ❑ Private Household ❑ Group B Public ❑ Other. Group A and Group B Systems Provide from Water Facilities Inventory (WFI): IN 71850L System Name: CITY OF RENTON WATER UTILITY Contact Person: ABDOUL GAFOUR Day Phone: 425 430 7210 Cell Phone: Eve. Phone: FAX: Send results to: (Print full name, address and zip code) CITY OF RENTON WATER UTILITY ABDOULGAFOUR 1055 S GRADY WAY RENTON, WA, 98057 SAMPLE INFORMATION Sample collected b (name): M. WETHERBEE Specific location where sample collected: FH @STA 41+59 SAMPLE 3 OF 4 Special Instructions or Comments: Type of Sample (must check only one box of #1 through #4 listed below) 1. ❑ Routine Distribution Sample 2. ❑ Repeat Sample (after unsat. routine) ❑ Distribution System Chlorinated: ❑ Yes ❑ No ❑ Source Groundwater Rule (GWR) Chlorine Residual: Total Free (Population of 1,000 or less) 3. Raw Water Source Sample ❑ E. coli - GWR source sample Unsatisfactory routine lab number: ❑ Fecal - Surface, GWI, some springs ❑ Other — -- Unsatisfactory routine collect date: Chlorinated: Yes No Public Syslemsmust provide Source Number frorn(wFl) Chlorine Resid: Total Free 4. ❑ Sample Collected for Information Only ❑ Construction ❑ Repairs ❑ Private Residence ❑ Other LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY ❑ Unsatisfactory ® Satisfactory Total Coliform Present and ❑ E. soli present ❑ E. poll absent ❑ Fecal colifonn present ❑ Fecal ooliform absent ❑ Replacement Sample Required Sample not tested because Test unsuitable because: ❑ Sample too old (>30 hours) ❑ TNTC ❑ Improper Container ❑ Turbid Culture ❑ ❑ Bacterial Density Results: Plate Count I ml. E.coli 1100 mi. Total Coliform < 1 1100 ml. Fecal Coliform < 1 1100 ml. Method Code: Date Received: MICR- 2810 4/ 3/2014 Date Analyzed: 41312014,16:00 Date Reported: 4/ 4/14 06602005 Lab Use Only: Beryls Number (DOH number plus Ave 6pits) DON Form 1331319 (revised K5) AmTest Laboratories e � ' o . 13600 NE 126th PL STE C, Kirkland, WA 98034 425-885-1664 www.amtestlab.com COLIFORM BACTERIA ANALYSIS Date Sample Collected Time Semple County: 04/03/2014 Collected ®AM Month Day Year 10:40 ❑ PM KING Type of Water System (check only one box) ® Group A Public 0 Private Household ❑ Group B Public ❑ Other. Group A and Group B Systems Provide from Water Facilities Inventory (WAY IN 71850L System Name: CITY OF RENTON WATER UTILITY Contact Person: ABDOUL GAFOUR Day Phone: 425 430 7210 Cell Phone: Eve. Phone: FAX: Send resurts to: (Print full name, address and zip code) CITY OF RENTON WATER UTILITY ABDOULGAFOUR 1055 S GRADY WAY RENTON, WA, 98057 SAMPLE INFORMATION Sample collected b (name): M. WETHERBEE Specific location where sample collected: FH @STA 45+66 SAMPLE 4 OF 4 Special Instructions or Comments: Type of Sample (must check only one box of #1 through #4 listed below) 1. ❑ Routine Distribution Sample 2. ❑ Repeat Sample (after unsat. routine) ❑ Distribution System Chlorinated: ❑ Yes ❑ No ❑ Source Groundwater Rule (GWR) Chlorine Residual: Total Free (Population of 1,000 or less) 3. Raw Water Source Sample ❑ E. soli - GWR source sample Unsatisfactory routine lab number: ❑ Fecal - Surface, GWI, some springs ❑ Other -------- Unsatisfactory routine collect date: Chlorinated: Yes No Pubic Systems must provide Source Number from (WF4 Chlorine Resid: Total Free 4. ❑ Sample Collected for Information Only ❑ Construction ❑ Repairs ❑ Private Residence ❑ Other LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY ❑ Unsatisfactory ® Satisfactory Total Coliform Present and ❑ E. coli present ❑ E. soli absent ❑ Fecal colffonn present ❑ Fecal coliform absent ❑ Replacement Sample Required Semple not tested because Test unsuitable because: ❑ Sample too old (>30 hours) ❑ TNTC ❑ Improper Container ❑ Turbid Culture ❑ ❑ Bacterial Density Results: Plate Count I MI. E.coli /100 MI. Total Coliform < 1 1100 mi. Fecal Coliform < 1 1100 MI. Method Code: Date Received: MICR- 2810 4/ 3/2014 Date Analyzed: 4/ 312014,16:00 Date Reported: 414/14 06602006 Lab Use Only: San* Number (DOH number plus five digits) DOH Form #331-319 (revised 8105) DAILY INSPECTION DIARY REPORT DAY: DATE: 411101,1V WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: / T l 1 A' eLiN S7 . /C"T/mil 5y► �.i- �� n C .�4- t t� e i ri v �L `S 4— 1 ( Q.. �/!,�'YL✓L! ✓l(/1'u�n J G '.�'�'� S r 7i 44 - JS C %�k 4 CAP E x4:inr M•¢ 3 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY DAY: E �� DATE: / / WORK PERIOD: WEATHER: TEMP. MAX OF MIN WORK ACCOMPLISHED TODAY: • A l' ~ C/' ,, 0 ^ i'i a.m./p.m. to a.m./p.m. OF PRECIPITATION: REPORT k/ S i/-4 G �� Zr %-��.t� fC C"O. cm Q V O r F A.i,Srl � W -Ck 74-0 v e((�� n"10,n.e UrsS 7-;1 aivrri h r- aw�1 4J - 4- e-1L Q -Ld S44,&,* G v f 4� n;fr Ec_( ✓VN ) ve1 CLIO,— w j-- �5 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY DAY: DATE: WORK PERIOD: a.m./p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: CONTRACTOR SIGNATURE REPORT a.m./p.m. INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY DAY:DATE: / / / / Y WORK PERIOD: a.m./p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: a.m./p.m. Al t% S�' % 42kin cr► 03 4,4, / 14 Vc sr REPORT oA .seI S On sec4-ia"s cal CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: �L,�, DATE: y //S�/� WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: /A. CvN S 1 - o v Wit' �.rle s� Qr- /.� x Der � � i h i s �!� • +�" .9-H � C,e-syG-� � r•�c=: s — /�/�'t� _ n ✓� D S , nE �.c,�/,� mac° �'�`�.s �G� ,il��y/.�t.��.�� cz� ZE t, c,-s vv � CONTRACTOR SIGNATURE 70��661,0t-,L INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: UyPb DATE: Y // t//y WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: .cJe; S� PI / C--)�Mf, Has L4-x� T.0-- 1� CC;vv% y 1 1 VA 02:.r.r ...c — c-ti U /1�- -�a� vn "4. s ay- I ©C. A4-,:rD �T C Vl..w� /y7 �� ✓ u Emir r rcmvvees: -1C� e i e,c d n Py /C R�. J�-�,,,-.� ) /}'L V\fs („\ v %., * / d 7—C7b � yi-�%L 1 �'1�N� �+�L I S T r+�1G /—•1-ter•• 1 tJ C CJK L IV 4-6, a& "d. i, S PcA. . c v%s a yn v te- S }`^ 1 p 1 �'� �o c:.t -e CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 1 h Cyr<(,�/I y DAILY INSPECTION DIARY REPORT 4� DAY: t�DATE: / (o/ WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: Sr" P1 it 1nAs �o- 4 -lu 44 ►Ltf- 14,17 A-( � 7-i o —"r- ea Grye-- e13 -2y13 o w (- C. � . I,, tet P - n A0-w* Dc,f, 4,", CP 0 :'l C -IS rJi lLAles - .� c ev /yia+-, I.-, ec,,,121-L-f 1--1 r,3 zgi3 CONTRACTOR SIGNATURE 72 8 INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY _ REPORT DAY: �jhyrl•nol, DATE: y // /I �t WORK PERIOD: a.m./p.m, to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: Srn..I" A144/ ey-yn,v 1 1,4, Cci4 it Cn"-M� nyx S �. " — —7k.4 T'LF It �.. % i e7 CONTRACTOR SIGNATURE `2 ', :��e INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: —fV -Sjk� DATE: I/ /J_V /y WORK PERIOD: a.m./p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: a.m./p.m. �. /. CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: U-�'fl> WEATHER: DATE: I/ 1031V WORK PERIOD: a.m./p.m. to TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: a.m./p.m. re gE el oil- Lam_ L' - - - /•� $,IS r p cj i / S i /c d� i�lflLf hG l•% t► c.:l�i7i C rinoz, CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: 411Z-k/1!qr WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: _/l��i� � � �� �Lr��✓x' •yl.�s S �C iv /YI / L.t/.�- i ss�t_-�/�l�i"b LS's��Z/� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: WORK PERIOD: a.m./p.m. to a.m./p.m. r WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: //-- /� c 5�'" �=� � � .� D � v s� t� ; c.v/�L�'Yt. l s i un,rr� .� �► � Lli�Ot.C��'19 �sn.� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: nilil7 DATE: 5 / j / y WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: Ali,;- Cc, sr �tb,77t, 7 s S/a��m f h.x�� - — % z - \ y CONTRACTOR SIGNATURE or INSPECTOR SIGNATURE DATE: yet, , (, y NATIONAL CONCRETE CUTTING, INC. fQQ 7715 Pacific Hwy. E. o Milton, WA 98354 800.551.0511 206.762.2188 o Fax:253.735.6777 www. nations Iconcretecutting I nc. com "Making The Cut Since 1947" NATI0I*212KB Date WORK ORDER 4 DEL -MAR CONCRETE CUTTING & CORING 152 100th St. S. Tacoma, WA 98444 (253) 537_0 109 - Fax (253) 535-0507 IkIr 7=77� SIGNATURE OF THIS WORK ORDER WILL BE CONSIDERED YOUR NOTICE OF OUR INTENT TO LIEN THIS PROJECT, IF NECESSARY. INTEREST AT 1.50//0 PER MONTH WILL BE CHARGED ON ALL PAST DUE ACCOUNTS. 1. ` __.... 47 T"l I I I i p% SIGNATURE OF THIS WORK ORDER WILL BE CONSIDERED YOUR NOTICE OF OUR INTENT TO LIEN THIS PROJECT, IF NECESSARY. INTEREST AT 1.5% PER MONTH WILL BE CHARGED ON ALL. PAST DUE ACCOUNTS. P,FL-MAR CONCRETE Invoke CUTTING & CORING 35406 152 100th St. S. Tacoma, WA 98444 Ph # (253) 537-0109 FAX # (253) 535-0507 'APR' TO TERMS: NET 30 DAYS, UNLESS OTHERWISE NOTED. DATE f - J l JOB NO. CONTACT PERSON JOB LOCATION DATE DESCRIPTION AMOUNTC co A FINANCE CHARGE OF 1.5% ON THE UNPAID PREVIOUS BALANCE WILL BE COMPUTED AT THE END OF EACH MONTH. IF CUSTOMER DEFAULTS OR IF SUIT IS BROUGHT TO COLLECT ANY OF THE PRINCIPAL OR INTEREST DUE OR OMING UNDER THIS BILL, DEL -MAR MAY CHARGE CUSTOMER REASONABLE ATTORNEY FEES AND COLLECTION COSTS. PJ A 1 RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-0804 Date: Customer: Project Name/P.O. Number: Project Location (Street/City): Trucking Company: Cash Credit Card - Last 4# Ticket # 215960 Scaleperson: Account Truck# Time Material Gross Weight Tare Weight Net Tons[Yd3 Price nn to al'Shze TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will e assessedon a pas due accoun s at a rate of 1 1/2% per month. Total Material Annual Fnance charge of 18% NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customers property resutling from deliveries beyond the curb line. DRIVER SIGNATURE/PRINTED NAME: 5% Environmental Fee Sales Tax CC Processing Fee Total RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-0804 Date: Customer: Project Name/P.O. Number: Project Location (Street/City): Trucking Company: Cash 1-1 Credit Card - Last 4# Ticket # 215985 Scaleperson: Account Truck# Time Material Gross Weight Tare Weight et W Net Tons[Yd3 Pricize M teriI'Sht' TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will hp.q-,;,;Aq.qpd nn all nist dup arcoun s nt a rate of 1 112% ner month_ Total Material Annual finance charge of 18% NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customers property resutling from deliveries beyond the curb line. DRIVER SIGNATURE/PRINTED NAME: r�'N 5% Environmental Fee Sales Tax CC Processing Fee Total co 4 BILI'1'Y CO�� Date: Customer: RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-0804 Project Name/P.O. Number: Project Location (Street/City): Trucking Company: Cash Credit Card - Last 4# Ticket # 216003 Scaleperson: Account Truck# Time Material Gross Wei ht 9 Tare Wei ht g Net Weight Net TonslYd3 Price Material Size I (A. TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will e assessed on all oast due accounts at a rate of 1 112% Der month. Total Material Annual finance charge of 18"/0 5%Environmental Fee NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customers property Sales Tax resutling from deliveries beyond the curb line. A CC Processing Fee DRIVER SIGNATURE/PRINTED NAME: �'� "' I - Total RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-0804 Date: — Customer: Project Name/P.O. Number: Project Location (Street/City): Trucking Company: Cash 1-1 Credit Card - Last 4# Ticket # 216046 Scaleperson: Account Truck# Time Material Gross Weight Tare Weight we Net Tons/Yd3 Price Mate a TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will e assessed on all Dast due accounts at a rate of 1 1/2% oer month. Total Material Annual finance charge of 18% NOTICE: It is specifically a reed that this company shall not be in anyway responsible for damage to customers property resutling from deliveries beyond the curb line. DRIVER SIGNATURE/PRINTED NAME: 5% Environmental Fee Sales Tax CC Processing Fee Total RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-0804 Date: Customer: Project Name/P.O. Number: Project Location (Street/City): Trucking Company: Cash Credit Card - Last 4# Ticket # 216153 Scaleperson: Account Truck# Time Material Gross Weight Tare Weight 'Sh Net Tons/Yd3 Price MaterialNet a TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will e assessedon a pas due accoun s at a rate of 1 112% oer month. Total Material Annual tinance charge of 16%u 5% Environmental Fee NOTICE: It is specifically reed that this company shall not a be in anyway responsible for damage to customers property Sales Tax resutling from deliveries beyond the curb line. a CC Processing Fee DRIVER SIGNATURE/PRINTED NAME: — �-� Total fir o�CYCL4o 41ABILTI'Y C Date: Customer: RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-0804 -,)-11-1 u Project Name/P.O. Number: Project Location (Street/City): Trucking Company: Cash Credit Card - Last 4# Ticket # 216103 Scaleperson: Account Truck# Time Material Gross Weight Tare Weight Net Tons/Yd' Price nn to ghze TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will e assessed on all oast due accoun s at a rate of 1 112% Der month. Total Material Annual finance charge of 18% 5%Environmental Fee NOTICE: It is specifically a reed that this company shall not be in anyway responsible for damage to customers property Sales Tax resutling from deliveries beyond the curb line. CC Processing Fee DRIVER SIGNATUREIPRINTED NAME: ' Total 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 ACCOUNTING FAX SALES & ORDER DESK (206) 762-2566 (206) 762-2358 (425) 226-1000 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 ❑ CASH ❑ CHECK # (C.O.D.) ❑ CHARGE MAP ZONE CARD # EXR SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER •• DESCRIPTION UNIT PRICE• •41i[f1�1 "'J. O :_:1 :;Nj1 , i ,:i000 1 00_7 1 ENV i R17NMEN I" I-4. SURCHARGE t -ODE FE 60 DEGREE CONCRETL t, JOB TOTAL SLUMP SPACING ORDERED BY TRUCK NO. DRIVER REMIT PAYMENT TO WATER ADDED ON -SITE CYLINDERS 9125 10th AVE. S. AUTHORIZED BY: SEATTLE, WA •- •� ❑ YES 98108 TERMS ON 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 ❑ 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 NOTRESPONSIBLE 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: laterial De criptien Design I@tj Required Batched % Par Moisture Adteal Rat' 5pec".Grav � COK a464 14 .b 44c4 Ib 4360 lb -1.4#� 3.50X P9 lEl gl 1.� r GR34 - a4i,4 I965 ib 5907 lb 5"® 1b 0. L12% 0.c",'M M 1 gI c.70 CEIy I -II= CERTttt4F1`,� 11 47R Ib 8410 1b �17a0 16 -1.4cti ;.15 WATER WATER 1 2% , b e54 1b c k ] b - l . e4X 30 g 1 1.00 WATER 2 `0 % 4 254 16 250 1h -1.E4w 30 gl 1.& F100 T WATf;F HOT WATER: 00 % # .00 lb .00 1b t,00 Actual ,; mug Batctits: 1 Load ToNI: 12170 lb Design W!C: 4.5K Water/Cereilt: 0.54E "s fe ,ign Water: 89.9 gl Act ! Wale;". i„ Tris 144ter:-25.0 Ibl CY TICKET TOTAL IFL 12/12 CUSTOMER COPY TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty (30) days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1.25%) per month will be payable on all past due invoices of thirty (30) days or older. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof, without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies, and post -judgement collection efforts. Venue and jurisdiction of any suit or legal action may be had in Seattle, King County, Washington at the sole option of Seller. This agreement shall be construed and enforced in accordance with the laws of the State of Washington. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal, state and local taxes, assessments, fees, duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (including, but not limited to, drivers, quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks, damage to the premises and/or adjacent property, or personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from, resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false, groundless or 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 Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts, disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up, or blowback, will be borne by the Purchaser. An additional charge, at Seller's discretion, will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays, delivery systems, placing equipment, or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing, including concrete strength testing for acceptance, shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a copy of all test results within three (3) working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four (24) hours of deficient concrete compressive strength test results, to retain test specimens, and to make them available to Seller for further inspection and testing. 11. ADDITION OF WATER AND/OR FOREIGN MATERIAL. If water and/or foreign material is added to the concrete by or at the request of the Purchaser, its employees, agents, contractors or subcontractors, Purchaser accepts the concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. 12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties, express or implied, are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price, to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, including without limitation, Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contractor warranty, must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage, use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable 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 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. [� STONEWAY S CONCRETE ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 SEATTLE (Plant #11) 3603 E. Marginal WyS., 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 ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (425) 226-1000 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR LEAVE JOB ARRIVE PLANT PM =1NISHR DATE CUSTOMER NO. ORDER NO. PROJECT PLANT # CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) ❑ CASH ❑ CHECK # ❑ CHARGE MAP ZONE CARD # EXP. SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER • PRODUCT • • JOB TOTAL SLUMP SPACING ORDERED BY • TRUCK NO. DRIVER REMIT PAYMENT TO SALES TAX WATER ADDED ON -SITE CYLINDERS 9125 10th AVE. S. AUTHORIZED BY SEATTLE,FORWARD WA BALANCE YES 0: TERMS ON REVERSE TOTAL AMOUNT 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 El WAITING FOR TRUCK TO UNLOAD [_1 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: Material Description Desi n Qt' P �b Required g5NA k3'tcheo x Var14oiyturi! ktua. 4. 50% M 32 CJNCX a464 142.3 l e :ram It 6.Oft 6R34 a464 1%5 Ib 7876 1t 7868 lb &IX4 B.M 4 c g; GEM 1-I1 CERTI21091--I1 4718 ]b I888 lb IEF,l'' lb -1.06= LITER WATER i 2.A I 318 lb 31 rj lb -0.95% 38 ql W-10 WATER 2 W % i 318 I b 32-0 1 b 0. 62% 38 91 Actual Nuw dutchFs: I Load Total: IEM 1b Desinu W.-'C: 8.5?. Water/cesent: ma r Deiigr' Wrier; 119.8 gl actual Water: 118.1 gt irir Water:-28.0 IV L"t TICKET TOTAL IFL 12/12 1 CUSTOMER COPY TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty (30) days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1.25%) per month will be payable on all past due invoices of thirty (30) days or older. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof, without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies, and post -judgement collection efforts. Venue and jurisdiction of any suit or legal action may be had in Seattle, King County, Washington at the sole option of Seller. This agreement shall be construed and enforced in accordance with the laws of the State of Washington. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal, state and local taxes, assessments, fees, duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (including, but not limited to, drivers, quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks, damage to the premises and/or adjacent property, or personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from, resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false, groundless or 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 injuryto persons or damage to property caused by or resulting from the concurrent negligence of (a) Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. or its agents and employees, and (b) the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts, disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up, or blowback, will be borne by the Purchaser. An additional charge, at Seller's discretion, will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays, delivery systems, placing equipment, or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing, including concrete strength testing for acceptance, shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a copy of all test results within three (3) working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four (24) hours of deficient concrete compressive strength test results, to retain test specimens, and to make them available to Seller for further inspection and testing. 11. ADDITION OF WATER AND/OR FOREIGN MATERIAL. If water and/or foreign material is added to the concrete by or at the request of the Purchaser, its employees, agents, contractors or subcontractors, Purchaser accepts the concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. 12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties, express or implied, are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price, to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, including without limitation, Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contract or warranty, must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage, use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable 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 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. DELIVERY TICKET STONEWAY SEATTLE (Plant 411) 3803 E. Marginal Wy S., Seattle TUKWILA (Plant #12) 17024 W. Valley Hwy., Tukwila Is 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. ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (425) 226-1000 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 ❑ CASH ❑ CHECK it (C.O.D.) ❑ CHARGE MAP ZONE CARD # EXP. SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER • 27 PRODUCT DESCRIPTION•� Enid r RONMENTIPil_. ?I.�t?r-+ -1-r FO DE:17F;E_E CC)NCRE-If, JOB TOTAL SLUMP SPACING ORDERED BY �LSUB-TOTAL TRUCK NO. DRIVER REMIT PAYMENT TO SALES TAX WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE, WA BALANCE • • ❑ YES 98108 TERMS ON gals. to full load ❑ YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ YES ❑ JOB NOT READY ❑ LACK OF HELP ❑ ADDING WATER ❑ WHEEL BA'AROW JOB f ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN = DRAW BRDGE 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 S�T1bNEWAY CONCRETE, STRENGTH. WATER ADDED AT IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANVY DAMAGE TO HIS REAL SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS UST V 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: Material Description De9�in at'1 Required Batched � ?� 11a1` Mutstltre, •=' ktU3l Wat � apec. Gray CONCSMD a464 4c.i 1 23 lb i 1456 1V 1400 1b -3.933 2.2N N 4 g1 1.I& GR34 a464 1%5 1b 1%9 lb",19W lb -0.45% 0.^21 % M gl 2.70 t! EI-1I ERT20-1i 478 Ib slb + 25,5 '.15� WATER WATER 1 WA lb 137 lb 145 lb 5.47% 17 gl 1.00 io WATER 2 % # lb lb 1.00 NOT WATER HOT WATER 25.00 % # 45.8 I 45.0 1b -1.BOY 5.39 91 1.80 Actual Nu Batches: 1 Load Total: 4140 lb Design W/C: 0.532 Water/Ceoent: 0.424 T Design Water: N.0 gl Actual Water: 27.8 gl To Add: e. Trio Water:-3N.0 lb/ CY "s TICKET TOTAL IFL 12112 CUSTOMER COPY TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty (30) days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1.25%) per month will be payable on ail past due invoices of thirty (30) days or older. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof, without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies, and post -judgement collection efforts. Venue and jurisdiction of any suit or legal action may be had in Seattle, King County, Washington at the sole option of Seller. This agreement shall be construed and enforced in accordance with the laws of the State of Washington. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal, state and local taxes, assessments, fees, duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (including, but not limited to, drivers, quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks, damage to the premises and/or adjacent property, or personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seiler making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from, resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false, groundless or 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 Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts, disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party ciaim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up, or blowback, will be borne by the Purchaser. An additional charge, at Seller's discretion, will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays, delivery systems, placing equipment, or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing, including concrete strength testing for acceptance, shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a copy of all test results within three (3) working days of the performance of said tests. 4A NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four (24) hours of deficient '--r,gncrete compressive strength test results, to retain test specimens, and to make them available to Seller for further inspection and testing. 11. AD TION 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, contra •tors 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 of 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�he 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 Cbr tract. No other warranties, express or implied, are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability.urchaser'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 Purchasers\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 Al reement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MEF�CHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAQES. 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 wfthout limitation, Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contract or warranty, must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage, use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. if you have to stand in wet concrete, use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable 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 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. DELIVERY TICKET bTUNF-WAY aLHI I Lt Irtani a i If oou3 C. Marginal vvy A., Jeaine ACCOUNTING (206) 762-2566 CONCRETE TUKWILA (Plant #12) 17024 W. Valley Hwy., TukwilaIt RENTON Houser 206 FAX ( ) 762-2358 ACCOUNTING: 9125 TENTH AVENUE SOUTH (Plant #14) 915 Way N., Renton CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley SALES & ORDER DESK (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.) ❑ CASH ❑ CHECK # ❑ CHARGE MAP ZONE CARD # EXP. SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER DESCRIPTION =,MCI JOB TOTAL SLUMP SPACING ORDERED BY TRUCK NO. DRIVER • r WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: • _ N • ❑ YES gals. to full load ❑YES REASON FOR DELAY TIME: gals. to 2/3 load ❑YES ❑JOB NOT READY El LACK OF HELP El ADDING WATER El WHEEL BARROW JOB ❑ 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, 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: Nateriai Description Des i gn Dt Regt�ired Batrtied tla, M015tar•i, Actuai Wat Spec. Gray � !/ CQNCSND a 6 24K l b ,. 71414 l b i44@ 111 d. 35% 2. @A- M 6 18 91 1.06 CEN i-II CERT#2111019 11 30 lb 90_1b. 6B lb-33.33% 3.15 FA GLACIER ENX C 30@ lb 900 1h : 9N I 0.;% 3.15 AIR, GWX AIR ENT 10.0 oz 30: R0 y 3k 00 'jz 0. rib, 1.10 WRTE R WATER, 1 3N lb 502 f b `Q ° I b -0. 32 65 91 •' I. N N20 WATER 2 t# lb I b Autual Nar: Batches: i Load Total: 8342 lb Design UK: 0.309 Water/Cement: 0.4?8 T 45iyn Winter: 1M.9 yl Actual Water: 82.5 gl To Acid: -- Trio Water:-70.0 IV CY TICKET TOTAL IFL 12;'12 CUSTOMER COPY - TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty (30) days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1.25%) per month will be payable on all past due invoices of thirty (30) days or older. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof, without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party sha(I,be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies,, and post -judgement collection efforts. Venue and jurisdiction of any suit or le*action may be had in Seattle, King County, Washington at the sole option of Seller. This agreement shall be construed and enforced in accordance with the laws of the StaiI4,0� Washingtq�`. 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 S91I patch office and no other Seller's agent (including, but not limited to, drivers, quality assurance personnel or sales representatives). r, -.• 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unI&Q t thewwse noted. S' ned Purchaser has requested Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. (Seller) to make use of a path for the delivery at Is and. ac tb the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and w t f trucks, damage . o the premises and/or adjacent property, or personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use ofth $th rec.* Soil hasfurther advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the jot'site are attie risk of the ert0Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from, resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false, groundless or 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 injuryto persons or damage to property caused by or resulting from the concurrent negligence of (a) Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. or its agents and employees, and (b) the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts, disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up, or blowback, will be borne by the Purchaser. An additional charge, at Seller's discretion, will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays, delivery systems, placing equipment, or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing, including concrete strength testing for acceptance, shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a copy of all test results within three (3) working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four (24) hours of deficient concrete compressive strength test results, to retain test specimens, and to make them available to Seller for further inspection and testing. 11. ADDITION OF WATER AND/OR FOREIGN MATERIAL. If water and/or foreign material is added to the concrete by or at the request of the Purchaser, its employees, agents, contractors or subcontractors, Purchaser accepts the concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. 12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties, express or implied, are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price, to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, including without limitation, Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contract or warranty, must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage, use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable 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 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. wA TEL CUSTOMER/OFFICE Concrete: Injurious to eyes.Causes skin irritabon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -titling eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing, Seek immediate medical attention if you have persistent or severe discomfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (Io g sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customers own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. El possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions I seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables. telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent rec`cwipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its _ Agent g g . Leave Plant Arrive Job Sit Start Dischar Finish Dischar a Leave Job Site Arrive Plant . _ NWGDELTKT09040 Drivers' Comments 4534293 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. - Driver Co. Proj, No. Customer Delivery Address Date 'tap Zone Delivery Instructions I i I 7 1 ,"TT; , F Scab Tirne: Load Qty Delivered Qty OrderQty ProductCode UOM Product Description Unit Price Amount Load Size Prod. No. Description Truck Gross Weight Tare Weight Trailer Trailer Slump Type Use Haul Check # Pit/Plant Sales Tax TOTAL DUE CUSTOMER/OFFICE Concrete: Injurious to eyes.Causes skin irritabon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mAres can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight-filtrg eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discomfort. In case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reads of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement mixIures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe burns. Wear protective safety gear (brig sleeves, pants and gloves). If brined, cod with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. E� possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal wr at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the �- taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions I seller and its employees for any damage and for all daims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received � (� appurtenances, at: b Y 7 Buyer's Agent receipt of pralWct and approval of any added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer may void any warranty any liability. expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Si nature of Owner or its A9 ent g Signature of Owner or its Agent GDELTKT0.90400 Leave Plant Arrive Job Sitl Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' — — - Comments Order No. Cust. No. Customer Delivery Instructions Load Qty Delivered Qty Company/ Customer Job Customer PO/ Phase Code TICKETNO. Delivery Address Order Qty Product Code UOM Product Description 4534494 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of dellvery.We do not assume responsibility for any damage beyond the curb line. NINIlIINIIIIIIINIIIUIIIIWIINIII��INN Driver Co. Proj. No. Date Map Zone Scale Time: Load Size Prod. No. Description Slump Type CC Use Haul Col. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # Amount CUSTOMER/OFFICE Concrete: Injurious to eyes.Causes skin imtaton.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact wit any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe dscornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete. mortar. cement or arnent nuxtures. Aggregates: Prolonged inhalators of dust from a gravel product may be hazardous to your health. Measures to control fugNve dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (Iog sleeves, pants and gloves). If burned, coal with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your sgnature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. El possthy cause damage to the premises or property. It is our wish to help you in everyway that we can. but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE In consideration of the performance of the taken seller of its contract with me. I the undersigned, hereby INDEMNIFY the Other additions _. -- seller and its employees for any damage and for all claims to the premises, s building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent receipt of pro uc and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent ........ _,______ ,., WGDELTKTO90408 Leave Plant Arrive Job Site Start Discharge�IF nish Discharge Leave Job Site Arrive Plant Drivers' I 1 Comments Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO Customer Delivery Address Delivery Instructions Load City Delivered City Order Qty ProductCode UOM Product Description 4534403 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. r Driver Co. Proj. No. Date 'tap Zone Scale Time: Unit Price Amount Load Size Prod. No. DescYiption Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # � � � � 11111111111111110 � � � � �a__— TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credikerms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty (30) days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1.25%) per month will be payable on all past due invoices of thirty (30) days or older. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof, without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies, and post-judgemen'i collection efforts. Venue and jurisdiction of any suit or legal action may be had in Seattle, King County, Washington at the sole option of Seller. This agreement shall be construed and enforced in accordance with the laws of the State of Washington. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal, state and local taxes, assessments, fees, duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (including, but not limited to, drivers, quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks, damage to the premises and/or adjacent property, or personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from, resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false, groundless or 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 resultinc fmm lf,e ^n-r i —,it - -= ion of Gary Merlino Construction Company, Inc. or its agents and employees, and (b) the Purchaser shall ap s and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specific: the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by tt nification obligation under this Agreement shall not be limited in any way by any limitation on the amount or t rd party under worker's compensation acts, disability benefit acts, or their employee benefit acts. This pron / / / dersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall i / / / applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -relate CCC���� 111 t y Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under tl- choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. S mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsil wing 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 re � iJj� unp Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, note F-4 ; responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges i er by the Purchaser. An additional charge, at Seller's discretion, will be added for returned concrete due to c 8. POINT OF ACCEPTANCE. The Buyer's point of acce or physical changes of the concrete caused by job delays, delivery systems, placing equipment, or circum 9. READY MIX CONCRETE TESTING. Purchaser agrees for acceptance, shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a col of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRE, er in writing within twenty-four (24) hours of deficient concrete compressive strength test results, to retain tes rtion and testing, 11. ADDITION OF 'INATER AND/OR FOREIGN MATERIAL ' jhe request of the Purchaser, its employees, agents, contractors or subcontractors, Purchaser accepts the c( _j� or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the 12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties, express or implied, are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price, to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, including without limitation, Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contract or warranty, must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage, use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable 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 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. 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 Hauser 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 ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (425) 226-1000 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT # CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) ❑ CASH ❑ CHECK # []CHARGE MAP ZONE CARD # EXP. SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER '•. DESCRIPTION ® • ® JOB TOTAL SLUMP SPACING ORDERED BY • TRUCK NO. DRIVER 1 WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: ❑ YES 1: 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 ❑ 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: Material Descriptiat, Deign Qty Required Bati-lied % Var Mai5ture Actual Nat Spec.Grav CM19ND a464 1423 1 b 1459 lb 1720 1 b 4.15% 2. 5ft M 5 g i 1. K. GR'14 a464 1?65 I J%9 1b 1%0 lb-0.45'% a.20% N g1 2.70 y CEM 1­1I CEN7t2004-11 470 Ib 470 1b n3N 1b + 34.04% 3.15 WATER WATER 1 2550 1b 150 1b 155 lb 3.6-1 19 yI 1.@@ ✓ K-10 WATER 2 lb lb 1..@0 Actual I4us Batches: 1 Load Totai: 4265 lb Design W/C: 0.532 Water/Cpsent: 0.397 T Design Water,: 30.0 gl kctual Water: 23.6 gl To Ttdd: Tris Water:-60.@ IV L'Y •, TICKET TOTAL IFL 12/12 CUSTOMER COPY SEATTLE (Plant #31}3603 E. Marginal Wy S., Seattle DELIVERY TICKET STONEWAY - ACCOUNTING (206) 762-2566 TUKWILA (Plat #12)A;�b24 W. Valley Hwy., Tukwila CONCRETE RENTON (Plant #141615 Houser Way N., Renton FAX (206) 762-2358 ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley SALES & SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. ORDER DESK (425) 226-1000 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 []CASH ❑ CHECK # (C.O.D.) ❑ CHARGE MAP ZONE CARD # EXP. / SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER • PRODUCT ••• 7 • 7 JOB TOTAL SLUMP SPACING ORDERED BY SUB -TO TAIL TRUCK NO. DRIVER • SALES TAX WATER ADDED ON -SITE CYLINDERS 1 AUTHORIZED BY: BALANCE FORWARD ❑ YES 1: TOTAL AMOUNT 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 ❑ WAITING FOR TRUCK TO UNLOAD El PUMP BLOW -BACK ❑ NONE ❑ WAITING ON PUMP ❑ WASH PUMP ❑ OTHER ADDITION OF WATER WILL REDUCE - WARNING - RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, IRRITATION To A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL STRENGTH. WATER ADDED AT SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BACK (5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE DISCOLORATION PRINT NAME DATE BATCH DATA: I44k, ia! Description it "U bell t i1+23 Mei)dlr:d bataleU x 9ar Noi5ture Actual Wat M 16 � OL.'_rdV g.06 - C010ND a464 b EW I 2%0 lb -0.67% 4.50% 91 GR34 A464 1 %5 I b 3 938 lb 3T28 ]b -0. 45% 9. 2@% N 1 q 1 2. 70 CEA 1-11 CERT#cM-11 470 lb 940 1b 910 lb -3.19% 3.15 WATER WATER 1 250 lb 26LI lb 2b8 lb -2.99% :1 ul 1.00 H&I WATER 2 %# 1 b l b HUT WATER HOT WATER .N % # 00 1b .00 lb 1..00 ktual Num Batches: 1 Load Total: 805kt lb DesWIC: 0.532 Water/Cement: 0.5% T Design Water: 59.9 gl Actual Water: 48.1 g1 To Add: 11. Trim Water:-45.0 lb/ CoY TICKET TOTAL IFL 12/12 CUSTOMER COPY TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonpbly necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty (30) days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1.25%) per month will be payable on all past due invoices of thirty (30) days or older. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof, without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies, and post-judgemerri collection efforts. Venue and jurisdiction of any suit or legal action may be had in Seattle, King County, Washington at the sole option of Seller. This agreement shall be construed and enforced in accordance with the laws of the State of Washington. 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 66lers dispatch office and no other Seller's agent (including, but not limited to, drivers, quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks, damage to the premises and/or adjacent property, or personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from, resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false, groundless or 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 Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts, disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up, or blowback, will be borne by the Purchaser. An additional charge, at Seller's discretion, will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays, delivery systems, placing equipment, or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing, including concrete strength testing for acceptance, shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a copy of all test results within three (3) working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four (24) hours of deficient concrete compressive strength test results, to retain test specimens, and to make them available to Seller for further inspection and testing. 11. ADDITION OF HATER AND/OR FOREIGN MATERIAL. If water and/or foreign material is added to the concrete by or at the request of the Purchaser, its employees, agents, contractors or subcontractors, Purchaser accepts the concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. 12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties, express or implied, are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price, to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, including without limitation, Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contract or warranty, must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BYPURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement offt same and shall indemnify and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage, use or handling of aid materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable 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 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. DELIVERY TICKET 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. ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (425) 226-1000 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 ❑ CASH ❑ CHECK # (C.O.D.) ❑ CHARGE MAP ZONE CARD # EXP. SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER • PRODUCT DESCRIPTION • DE JOB TOTAL SLUMP SPACING ORDERED BY TRUCK NO. DRIVER • WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: •• •• ❑ YES • 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 El 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, 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: Material Description Design �3ty C;IFECX1 a464 i423 b Rea+air-ed 1479 It Hatched %'dar No)5ture Actual Wat 1480 113 0.05% 3.80% N 7 ql Spee.6ray / 1.06 SR-34 a464 1965 lb 1969 lb 19W 1b -& 45% 6.2f►x M gl 2.70 CEM 1-II CERT#2909-11 470 lb 470 lb 480 lb 2.13% 3.15 / WATER WATER 1 250 lb 150 lb 155 ib 3.44% 19 ul 1.00 H2O WATER 2 % f lb Ib - 1.00 Actual Nuto Batches: 1 Load Total: 4075 lb Design W!C: 0.532 Water/Cesent: 0,521 T Design !dater: 30.0 91 Actual Water: 25.2 r_,1 To Add: 4.2: Trill Water:-40.0 lb! CY TICKET TOTAL IFL 12112 CUSTOMER COPY TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty (30) days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1.25%) per month will be payable on all past due invoices of thirty (30) days or older. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof, without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies, and post -judgement collection efforts. Venue and jurisdiction of any suit or legal action may be had in Seattle, King County, Washington at the sole option of Seller. This agreement shall be construed and enforced in accordance with the laws of the State of Washington. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal, state and local taxes, assessments, fees, duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (including, but not limited to, drivers, quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks, damage to the premises and/or adjacent property, or personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from, resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false, groundless or 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 Merino Construction Company, Inc. or its agents and employees, and (b) the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts, disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up, orblowback, 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. Seiler assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, including without limitation, Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seiler for any reason, including breach of Contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contractor warranty, must be given to Seiler in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage, use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. if you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable 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 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. �- l� .___ RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-0804 Date: Customer: Project Name/P.O. Number: Project Location (Street/City): Trucking Company: Cash Credit Card - Last 4# Ticket # 216308 Scaleperson: Account Truck# Time Material Gross Weight Tare Weight 114,1, Net Tons/Yd3 Price al'Shze MateriTERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will e assessed on all oast due accounts at a rate of 1 112% ner month. Total Material Annual finance charge of 18% NOTICE: It is specifically a reed that this company shall not be in anyway responsible for damage to customers property resutling from deliveries beyond the curb line. DRIVER SIGNATURE/PRINTED NAME: 5% Environmental Fee Sales Tax CC Processing Fee Total RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-0804 -1426141 l I Date: i 6 - 1 q Customer: Project Name/P.O. Number: Project Location (Street/City): Trucking Company: Cash Credit Card - Last 4# Ticket # 216199 Scaleperson: Account Truck# Time Material Gross Weight Tare Weight Net TonsNd3 Price nn to ales ze TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will e assessed on all Past due accoun s at a rate of 1 1/2% Der month. Total Material Annuai rinance cnarge or i s io NOTICE: It is specifically a reed that this company shall not be in anyway responsible for damage to customers property resutling from deliveries beyond the curb line. DRIVER SIGNATURE/PRINTED NAME: 5% Environmental Fee Sales Tax CC Processing Fee Total RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-0804 Date: Customer: Project Name/P.O. Number: Project Location (Street/City): Trucking Company: Cash Credit Card - Last 4# Ticket # 216415 Scaleperson: Account Truck# Time Material Gross Weight Tare Weight ,t l Net Tons/Yd3 Price M teriis h a TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will e assessedon a oastdue accoun s at a rate of 1 112% oer month. Total Material Annuai rinance charge or 1 s io NOTICE: It is specifically a reed that this company shall not be in anyway responsible for damage to customers property resutling from deliveries beyond the curb line. DRIVER SIGNATUREIPRINTED NAME: 5% Environmental Fee Sales Tax CC Processing Fee Total RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-0804 6/gg�61��t� Date: Customer: Project Name/P.O. Number: Project Location (Street/City): Trucking Company: Cash Credit Card - Last 4# Ticket # 216457 Scaleperson: Account Truck# Time Material Gross Weight Tare Weight h Net Tons/Yd3 Price Mat,ic a TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will e assessed on all nast due accounts at a rate of 1 112% ner month. Total Material Annual finance charge of 18% 5%Environmental Fee NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customers property Sales Tax resutling from deliveries beyond the curb line. CC Processing Fee DRIVER SIGNATURE/PRINTED NAME:` }� t Total RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-0804 414BILIT I C01 Date: Ticket # 216975 Customer: Project Name/P.O. Number: Project Location (Street/City): Trucking Company: Scaleperson: Cash Credit Card - Last 4# Account Truck# Time Material Gross Weight Tare Weight ic"t' Net Tons/Yd3 Price Material TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will e assessed on all past due accounts at a rate of 1 112% per month. Total Material Annual finance charge of 18% NOTICE: It is specifically a reed that this company shall not 5%Environmental Fee be in anyway responsible for damage to customers property Sales Tax resutling from deliveries beyond the curb line. I CC Processing Fee nnnrn ninu.Tinr mnuTrn .u..r- S T.. i..l rvaw � O � i Gt Ra.,,S C, Date DEL -MAR CONCRETE, CUTTING & CORING 152 100th St. S. Tacoma, WA 98444 (253) 537-0109 • Fax (253) 535-0507 WORK ORDER DATE DESCRIPTION SIGNATURE OF THIS WORK ORDER WILL BE CONSIDERED YOUR NOTICE OF OUR INTENT TO LIEN THIS PROJECT, IF NECESSARY. INTEREST AT 1.5°0 PER MONTH WILL BE CHARGED ON ALL PAST DUE ACCOUNTS. Date DEL -MAR CONCRETE CUTTING & CORING 152 100th St. S. Tacoma, WA 98444 (253) 537-0109 - Fax (253) 535-0507 WORK ORDER DATE DESCRIPTION SIGNATURE OF THIS WORK ORDER WILL BE CONSIDERED YOUR NOTICE OF OUR INTENT TO LIEN THIS PROJECT, IF NECESSARY. INTEREST AT 1.590 PER MONTH WILL BE CHARGED ON ALL PAST DUE ACCOUNTS. CUSTOMER{OFFICE Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtitres can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash of immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discornfort.ln rase of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immedately. 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. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product Hot Asphalt endts nuisance fumes. Avoid breathing homes. Also. Asphalt may cam severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer'sagentagreestoacceptresponsibilityforreducedstrength The operator of this piece of heavy equipment, in presenting this RE - due to water added abovedesign. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract wit you may Arrived at job with inch slump. El possibly cause damage to the premises or property. It is our wish to help you n everyway that we can. but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contact with me. I the undersigned, hereby INDEMIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X �- Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from 4534783 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is he re turn of thepurchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delrvery.We do not assume responsibility for any damage beyond the curb line. The addition of any extra products to our mixer may void any warranty any liability. i CCClhI 11F4TEF i expressed or implied by the seller. The seller accepts no liability for any 1 1 1 5 �,;;OLI f t t personal injury incurred by you while adding additional products to our mixer. Sinnnfiira of nwnPr nr its AnPnf ',EATTL-E. Vlf; '�!"• Signature of Owner or its Agent NWGDELTKTO90408 Leave Plant 1 Arrive Job Site Start Discharge Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. Customer Delivery Address Delivery Instructions I f Load Qty DeliveredQty OrderQty Product Code UOM Product Description T �k Not , c 9 Rat 1 _:7 4 f?t F-IJFI r't i!3 .:'06-767-2521 * 5 3 1 3 4 Driver Co. Proj. No. Date Map Zone Scab Time: Unit Price Amount Load Size Prod. No. Description t� Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # CUSTOMERIOFFIC'E Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete. mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt. full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discom fort.ln rase of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or arse into contact with wet (unhamiened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health Measures to control fugitive dust should be taken wren handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added abovedesign. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. ,>—Test cylinders that you sign this RELEASE. In consideration of the perfomnance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all daims to the premises, building, utility pipelines or cables, telephone lines. driveway or other Received appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer may void any warranty any liability. expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent WGDELTKI09040 of Owner or its Agent Signature � 9 Leave Plant Arrive Job Site Start DischargFinish Discharge Leave Job Site Arrive Plant . 9 _ Drivers' Comments _ Company/ Order No. Cust. No. Customer Job Customer Delivery Instructions Delivered C ty Order Qty Load Size Prod. No. Truck Gross Weight Customer PO/ Phase Code Delivery Address roductCode UOM ProductDescr Description Slump Type Tare Weight Trailer Trailer Taken by 4534757 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of deilvery.We do not assume responsibility for any damage beyond the curb line. d z�i TICKET NO. Driver Co. Proj. No. Date Map Zone Scale Time CC Use Haut Cd. Pit/Plant Sales Tax TOTAL DUE Check # 111111M_��1111111011 � � � � � � � � �ter_������ CUSTOMER/OFFICE Concrete: Injurious to eyes.Causes skin irritabon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin imtabon. severe chernical bums or serious eye damage. Avoid contact with eyes and skin Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulNength trousers and tight -fitting eye protection when waiting with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. Iffinishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical aftenton 0 you have persistent or severe discornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. /� 8 (� Aggregates:s Prolonged inhalaboof dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken `T 6J when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment in presenting this RE- Unloading & Standby Excess unloading will be due to water added abovedesign. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may time charged at posted truck time rates. Arrived at job with inch slump. possibly cause damage to the premises or property. It is ourwish to help you in everyway that we can. but in order to do this, the operator is asking Limited Warranty The only liability of the seller for Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, Other additions seller and its employees for any damage and for all dams to the premises, building, utility pipelines or cables, telephone lines, driveway or other incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be Received ,`` appurtenances, at: b y X ___ '� made within 24 hours of delivery.We do not assume �� responsibility for any damage beyond the curb line. Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer may void any warranty any liability. expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent Signature of Owner or, its Agent WGDELTKT090408 Leave Plant Arrive Job Sit Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Company/ CustomerPO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. Driver Co. Proj. No. Customer Delivery Address Date IMap Zone Delivery Instructions -' scalr- Time: Load Qty Delivered Oty OrderQty ProductCode UOM Product Description Unit Price Amount Loac[Size Prod. No. Description Slump Type CC Use Haul Col. Pit/Plant Sales Tax - TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # r r_����������r_11111111r_r_r_r.r_��r•r_r!!•r_r_r_r_r_r_iiiiiiiir_660r_r•r•r•r• r•r•r• I CUSTOMER/OFFICE Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cernent or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulHength trousers and tight -fang eye protection when working with these materials. If you have to stand in wet concrete.. use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials. wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discomfort.ln rase of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cerrlent or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health, Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (IoN sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customers own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contrail with you may Arrived at job with inch slump. a possibly cause damage to the premises or property. It is our wish to help you In everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned. hereby INDEMNIFY the Other additions _ -- seller and its employees for any damage and for all claims to the premses, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent NWGDELTKTO90408 Leave Plant Arrive. Job Site Start Discharge Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO Customer Delivery Address Delivery Instructions Load Qty Delivered Qty Order Qty Product Code UOM Product Description 45353 330 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of dellvery.We do not assume responsibility for any damage beyond the curb line. Driver Co. Proj. No. Date Map Zone Scale Time: Unit Price Amount l r- ' f.f ; - Load Size Prod. No. Description Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # CUSTOMER/OFFICE Concrete: Injurious to eyes.Causes skin imtabon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, anent or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight-fitling eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep ocraete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact wit any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe i iscon#ort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or came into contact with wet (unhardened) concrete, mortar, cement or cement mbd ores. 4538365 Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce Bs strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE- Unloading & Standby Excess unloading will be due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may time charged at posted truck time rates. Arrived at job with inch slump. El possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Limited Warranty The only liability of the seller for defect is the the In Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersgned, hereby INDEMNIFY the product return of purchase price. no event shall the seller be liable for any direct, indirect, seller and its eesfor and a and for all claims to the remises, Other additions y °y y p incidental or consequential damages resulting from the use of the products or arising out of breach of an i building, utility pipelines a cables, telephone lines, driveway or other Received appurtenances, at: warrant All claims for dama es orshorta es must be within not by X made 24 hours of deli ery.We do assume responsibility for any damage beyond the curb line. Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer may void any warranty any liability. expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent of Owner or its Agent WGDELTKTO90408 _Signature Leave Plant Arrive Job Sit Start Discharg _ Finish Discharge - Leave Job Site Arrive Plant 1 1 i n Drivers' Comments Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKETNO. Driver Co. Proj. No. Customer Delivery Address Date Map Zone Delivery Instructions scale Time: Load Qty Delivered Qty OrderQty Product Code UOM Product Description Unit Price Amou Load Size Prod. No. Description Slump Type CC Use Haul Co. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # CUSTOMER/OFFICE Concrete: Injurious to eyes.Causes skin iritaton.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through cothing is as dangerous so promptly rinse these materials from cothing. Seek immediate medical attention if you have persistent or severe discornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar. cement or cernent mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emit nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, coal with water and see a physician. Water added at customers own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned. hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the prerrses, building, utility pipelines or cables, telephone lines, driveway or other Received i appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent NWGDELTKTO.90408 . Leave Plant Arrive Job Sitil Discharge Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKETNO Customer Delivery Address Delivery Instructions Load City Delivered City OrderQty hroductl UOM Product Description Load Size Prod. No. Description Truck Gross Weight Tare Weight Trailer Slump Type CC Use Haul Cd Trailer Taken by Check # 45IW8574 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for productdefectis ereturnofthe purchase price. Inno event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. Driver Co. Proj. No. Date 'map Zone Scale Time: Unit Price Amount Pit/Plant Sales Tax TOTAL DUE ����__r•a_r_r_r_r_r• ��� r.n� ' ~ / ` / k \ /~`r� (`----�-� / �`^-/ � \ / CUSTOMER/'OFFICE Concrete: Injurious to eyes.Causes skin imtatlon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin imitation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulNength trousers and tight -fitting eye protection when waking with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing furores. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to wateradded above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. possibly cause damage to the premises or property. It is ourwish to help you in everyway that we can. but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me. I the undersigned, hereby INDENYdIFY the Other additions seller and rts employees for any damage and for all daims to the premises, building, utility pipelines or cables, telephone lines, driveway or other by ReceivedX �. , appurtenances, at: Buyer's Agent receipt of prodita-md approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent NWGDELTKT090408 Leave PlantArrive Job Sftj Start Discharg Finfsh Discharge Leave Job Site Arrive Plant Drivers' Comments Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code Customer Delivery Address Delivery Instructions TICKETNO Load Qty Delivered Qty Order Qty Product Code UOM Product Description 4534374 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of dellvery.We do not assume responsibility for any damage beyond the curb line. Driver Co. Proj. No. Date Map Zone Scale Time: Unit Price Amount Load Size Prod, No. Description Slump Type CC Use Haul Co. Pit/Plant Sales Tax TOTALDUE Truck Gross Weight Tare Weight Trailer Trailer Check # CUSTOMER/OFFICE Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention 9 you have persistent or severe disconrfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physican immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar. cement or cement mixtures. /� /� 8 Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust shoud be taken `T "t when handling this product Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE- Unloading & Standby Excess unloading will be due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may time charged at posted truck time rates. Arrived at job with inch slump. El possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Limited Warranty The only liability of the seller for Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, seller of its contract with me. I the undersigned, hereby INDEMNIFY the Other additions seller and As employees for any damage and for all dams to the premses, incidental or consequential damages resulting from building,utility pipelines a cables. telephone lines, drive re pp p way or omen the use of the products or arising out of breach of any warrant All claims for dama es orshortagesmustbe Received appurtenances, at: b y X`^ made within 24 hours of deli ery.We do ot assume �— responsibility for any damage beyond the curb line. Buyer's Agent receipt of pr and approval of any added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer may void any warranty any liability. expressed or implied by the seller. The seller accepts no liability for arty personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent Signature of Owner or its Agent __ - WGDELTKTO90408 Leave Plant I Arrive Job Sitj Start Discharge, Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Company/ Order No. Cust. No. Customer Job Customer Delivery Instructions Delivered Qty Order Qty Product Gr r: . . T:ar-:.. Nd_-t _ -- 74' T• t r Load Size Prod. No. Description s Weight Tare Weight Customer PO/ Phase Code Delivery Address TICKETNO. Driver Co. Proj. No. Date Map Zone Scale Time: 1 ; Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Trailer Trailer Taken by Check # CUSTOMER/OFFICE Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, molar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof glades, a fully -buttoned, long -sleeve shirt, full-length trousers and tight-fiffing eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are fight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to prated knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention I you have persistent or severe discornfort.in case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or came into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also. Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. a possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building. utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any Warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent _ Signature of Owner or its Agent g� g . Leave Plant t Arrive Job Site Start Dischar Finish Discharge Leave Job Site Arrive Plant . g �WGDELTKTQ90408 Drivers' Comments Order No. Cust. No. Customer Delivery Instructions Load City Delivered Qty Company/ Customer PO/ Customer Job Phase Code Delivery Address Order Qty ProductCode 4531662 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. TICKETNO. Driver Co. Pro. No. Date k'tap Zone Scale Time: Unit Price Load Size Prod. No. Description Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # CUSTviL9ER/OFFICE Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulNength trousers and tight -fining eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing Seek immediate medical attention if you have persistent or severe discarrfort.In case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar. cerment or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (kxtg sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customers own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. F-1 possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all dams to the premises, building, utility pipelines or cables. telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent _ Leave Plant Arrive Job Sit Start Discharg Finish Drivers' Comments Company/ Order No. Cust. No. Customer Job Customer Delivery Instructions and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent NWGDELTKTO90408 Discharge Leave Job Site Arrive Plant Customer PO/ Phase Code Delivery Address 453j06 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of dellvery.We do not assume responsibility for any damage beyond the curb line. TICKETNO. Driver Co. Proj. No. Date Map Zone Scale Time: Delivered(lty UrderQty i roauctt:ooe UUM rroauctUescrlpnon unitt ince Amount Load Size Prod. No. Description Slump Type CC Use Haul Col. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-2278 Date: Customer: Project Name/P.O. Number: Project Location (City, Street): Trucking Company: ❑ Cash Ticket # 217556 Scaleperson: Account Truck# Time Material Gross Weight Tare Weight Weight- Net Tons/Yd3 Price M Material ize TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will --I .. _,_ _. _. oe assessetr on all past Me accounts at a rate or i uLw per montn. Annual finance charge of 18% NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customers property resutling from deliveries beyond the curb line. I VLQI IVIQlG1101 5% Environmental Fee Sales Tax Total DRIVER SIGNATUREIPRINTED NAME: ri v n1 Al- 6( 6 v Jy ca GIABILIT'f C0� Date: Customer: RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-2278 Project Name/P.O. Number: Project Location (City, Street): Trucking Company: ❑ Cash Ticket # 217558 Scaleperson: Account Truck# Time Material Gross Weight Tare WeightN,t Net TonslYd3 Price terial1Size TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will De assessed on all past due accounts at a rate of 1 1/2% per month. Annual finance charge of 18% NOTICE: It is specifically a reed that this company shall not be in anyway responsible for damage to customers property resutling from deliveries beyond the curb line. iotai iviateriai 5% Environmental Fee Sales Tax Total DRIVER SIGNATURE/PRINTED NAME: RENTON CONCRETE RECYCLERS cc rn YCLE�y �Z*b41ABILI'["1 GO�Q Date: Customer: 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-2278 Project Name/P.O. Number: Project Location (Street/City): Trucking Company: Cash Credit Card - Last 4# Ticket # 217603 Scaleperson: Account Truck# Time Material Gross Weight Tare Weight Net Tons/Yd3 Price M to al,Shze TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will e assessed on all past due accoun s at a rate of 1 112% oer month. Total Material Annual tnance charge of 18% NOTICE: It is specificallyy a reed that this company shall not be in anyway responsible for damage to customers property resutling from deliveries beyond the curb line. DRIVER SIGNATURE/PRINTED NAME: 5% Environmental Fee Sales Tax CC Processing Fee Total RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-2278 414VCI'YCO�� Date: Customer: Project Name/P.O. Number: Project Location (City, Street): Trucking Company: ❑ Cash Ticket # 217310 Scaleperson: ❑ Account Truck# Time Material Gross Weight Tare Weight Material` ate al"etwe'q`- Net Tons/Yd3 Price TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will e assessed on all past due accounts at a rate of 1 1/2% per month. Total Material Annual finance charge of 18% NOTICE: It is specifically ag reed that this company shall not 5%Environmental Fee be in anyway responsible for damage to customers property Sales Tax resutling from deliveries beyond the curb line. Total DRIVER SIGNATURE/PRINTED NAME: RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-2278 Customer: Project Name/P.O. Number: Project Location (City, Street): Trucking Company: ❑ Cash Ticket # 217305 Scaleperson: ❑ Account Truck# Time Material Gross Weight Tare Weight N",t l iish - Net TonsNd3 Price TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will e assessed on all past due accounts at a rate of 1 112% per month. Total Material Annual finance charge of 18% NOTICE: It is specifically a reed that this company shall not 5%Environmental Fee be in anyway responsible for damage to customers property Sales Tax resutling from deliveries beyond the curb line. Total DRIVER SIGNATURE/PRINTED NAME: DELIVERY TICKET IsSTONEWAY SEATTLE (Plant #11) 3803 E. Marginal Wy., 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. ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (425) 226-1000 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT # CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) ❑ CASH ❑ CHECK # ❑ CHARGE MAP ZONE CARD # EXP. SPECIAL INSTRUCTIONS VISA ❑ MASTERCARD El DISCOVER U.M. �••QUANTITY DESCRIPTION UNIT PRICE TAX AMOUNT JOBTO L SLUMP SPACING ORDERED BY • TRUCKAQ. DRIVER WATER ADDED ON -SITE CYLINDERS � A AUTHORIZED BY: • • ❑ YES gals. to full load ❑ YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ JOB NOT READY El LACK OF HELP El ADDING WATER ❑ WHEEL BARROW JOB ❑ YES ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN ❑ DRAW BRIDGE gals. to 1 /3 load `L 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: ` TICKET TOTAL IFL 12/12 CUSTOMER COPY TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty (30) days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1,25%) per month will be payable on all past due invoices of thirty (30) days or older. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof. without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice. the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies, and post -judgement collection efforts. Venue and jurisdiction of any suit or legal action may be had in Seattle, King County, Washington at the sole option of Seller. This agreement shall be construed and enforced in accordance with the laws of the State of Washington. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal, state and local taxes, assessments, fees, duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (including, but not limited to, drivers, quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merino 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 andror 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 thot it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged. disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from, resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false -1ro.,ndless 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 i t,uu,ly injury to persons or damage to property caused by or resulting frorn the concurrent negligence of (a) Stoneway Concrete, a Division of Gary Merlino Construction Cc r,pany. I,ic. or its agents and employees. and (b) the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser'3 indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts, disability benefit acts. or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreemenl. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Sellers choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up. or blowback, will be borne by the Purchaser. An additional charge, at Seller's discretion. will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays. delivery systems. placing equipment, or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing, including concrete strength testing for acceptance, shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a copy of all test results within three (3) working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four (24) hours of deficient concrete compressive strength test results, to retain test specimens, and to make them available to Seller for further inspection and testing. 11. ADDITION OF WATER AND/OR FOREIGN MATERIAL. If water and/or foreign material is added to the concrete by or at the request of the Purchaser, its employees, agents, contractors or subcontractors, Purchaser accepts the concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. 12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties, express or implied, are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price. to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, including without limitation. Purchaser's lost profits. Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contract or warranty, must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnity and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage. use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves. a fully buttoned long-sleeved shirt. full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact. so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable 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 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. (� 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 ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (425) 226-1000 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT # CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) ❑ CASH ❑ CHECK # ❑ CHARGE MAP ZONE CARD # EXP. / SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER • PRODUCT•• • • JOBi'OTAL SLUMP SPACING ORDERED BY • TRUCK NO. DRIVER REMIT PAYMENT TO WATER ADDED ON -SITE CYLINDERS 9125 10th AVE. S. AUTHORIZED BY: SEATTLE, WA • • YES El YES � TERMS N 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: TICKET TOTAL IFL 12PI2 CUSTOMER COPY TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty (30) days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2.1 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. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof, without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals. bankruptcies, and post -judgement collection efforts. Venue and jurisdiction of any suit or legal action may be had in Seattle, King County, Washington at the sole option of Seller. This agreement shall be construed and enforced in accordance with the laws of the State of Washington. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal, state and local taxes, assessments, fees. duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (including, but not limited to, drivers, quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merlino Construction Company. Inc. (,Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks, damage to the prernises and/or adjacent property, or personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from, resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false, groundless or 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 Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further. the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts, disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include. as to all claims. demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up, or blowback. will be borne by the Purchaser. An additional charge, at Seller's discretion, will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays. delivery systems. placing equipment, or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing. including concrete strength testing for acceptance, shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a copy of all test results within three (3) working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four (24) hours of deficient concrete compressive strength test results, to retain test specimens, and to make them available to Seller for further inspection and testing. 11. ADDITION OF WATER AND/OR FOREIGN MATERIAL. If water and/or foreign material is added to the concrete by or at the request of the Purchaser, its employees, agents, contractors or subcontractors, Purchaser accepts the concrete as delivered and waives all right to reject. revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. 12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties. express or implied, are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price, to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13, LIMITATION ON DAMAGES. Seller assumes no responsibility for, and shall not be liable to. Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, including without limitation. Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contract or warranty, must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss. Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage, use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete. use waterproof boots that are tight at tops and high enough to keep concrete frorn flowing into them. If you are finishing concrete. wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh. clean water Immediately after contact. Indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar. cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recornmended limits (see MSDS), wear suitable 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 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.