HomeMy WebLinkAboutKC-16-206 to KC-16-209 - SG Foundations - Field Report 04-07-16s hod or Te
I ortland n
Concre e
s : S S'.d. S ecs 6. 2.3
s
AS a hob or Sump
Co cr
P,
7
m n
I ica Ion:
Rer VVSDO i a a s ss ..
a
is NI . I It h 1).
8056 4199
_1i1:-77(),
96l 179
elg e
Ta! o V, o conc e
a I a j f
V
S
} u i
auv SI . S s s •i 3 2.
as.
e I S S1 PP , an S
a r s I
si a sf
�f
s a 9 uti Ti a
S n I e
is or Making and Caring
a e Tea S an me a in Iha Field
S
S S
e s
e s:
st :e I
41
mpprove i 'rested an
Dismo d noy. S b Ide S' wo evta %/
a e SE neer Da e 1 11 a
-P
Form. FWd Concrem Test Report
Revzed: 8121106
DELIVERY TICKET
c
4
)At t: s O.
i1,tL'0I� 00710 5
:Y ORDERED I I" . - -- -- -
10.01 1 10 11
:USTOMER RAME
WAYA FLECMC
IOB ADuRESS
LDGAN AVE N & N 4THST
WTY UNrM f �.
;10. 00 Yd
id . 00 CV
1.00 ED
,Rlven RO. RI5CR MO
.j, �= -
iAr 000E.
04.J n
DRIVER.
AMI?IIEW1. KEVI
�1V11LriM�
20�01 Em
nz of Ater
8:
Yed B Customers • �� 11 i ues
77r, DESCRIPTION
ENV 1ROI MENTA CG' L O;NF. Al
FUEL.- SUR HARGE.-KEAuv' H I X
I CRM*: RET 30 DAYS. IR i FRES i At THE MAXIMUM ALLOWABLE RATE WILL BE SUB TOTAL
i,RARuEu Dery rA5 i DOE A=00m 15. IF CUE= t ION BECORIES NECES-
SARY REASONmBCE ATTORRErS FEES'WiC[ BE m5SE55ED.
RELEASE - CUSTOMER RELEASES & AGREES TO I'IOED nARRIE=SS t ME ICIICES CO.
FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF
MATERIALS LISTED ABOVE.
GALLONS OF WATER ADDED BY CUSTOMER'S REQUEST ___—...._._. SALES TAX
5IGMAt VRE
X TOTAL AMOUNT
UNIT PRICE I AMOUNT
Truck Driver
U3er:
Li3p Tic-ket Num
T1cke-r, 1D
Time Date
M066 1996
Lx:3tr
166629
520411
12:51 40/16
Load Size Mix trod?
Rerfurned
Qty
Mix
Age
5eq
Load ID
110.00 cy ^44341 F
w
53285
wa kom ckv?l 111x7Qtf
Igmweo
eal
%v r %A11olmsE
Ar_tO VAM
ONilCtC R 2 iAa131JL k*%2
�(b
1w-13 it
146M to
azil%
;FOi%A
i7A 0
PE.A *a PEA. S9
1Ts to
IMn (0
1P'm Yb
-430%
EL79%m
is; T
TYPE 04 • IIMS- Ifs
10 ib
Sam th
Wit! ib
-a-w%
FLYAS-H FtYAy6H fffiNXW
1i>i'd Ib
lam ib
117114 w }
1.9%
WATER t w' AT'QR 1
2X1]1b
Psi14 t.
159so ID
-11M
IN 3 ,al
%49 POL-a l9' PAR poli 9111
Z I ID Q
Z= *
Z17t -Vc ai
DI%
Lis CIEWO eye CIELIJO
dcLcxf =
4t8IM at
-IMM w
C aft
YMTEA I WATE31
a %
# A Ib
.D Ib
HOT WAEiR I-OTIVAIVR
0%
0 a t0
.D Lb
A0120 rAml padves 4
LWO 1:' tt) Dg44stkwcf 8023 w` atfKrAtTff* (1417 A 0tw9n 1v S 14
i-PILMV 5.517 In i, Trttnivint'r: •15.0 ID : -
j, 14., 0
tl 7 D
s_ 3 •� c. I � 4l
ACU91 3251 pt ToAld 719 at