HomeMy WebLinkAboutKC-16-277 to KC-16-294 - Traffic Slabs - Sidewalk at Bus Shelter & Curb at Type B Ramp - Field Report 05-18-16iii ivr,,n,ac Avenuc NI., Isld I).
King County Itct,un,, wn 980-s64199Vcpartiiicut of I rausportadon0 11 -hone. (A 980-x6 419
IVl.deri�tln LaOvi.tivi y Ring County lax. (106) 296-0179
Concrelle Field Tess Repon
Project: City of Renton - Logan Ave R. Project Number: 1126896
Concrete Placed By Highmark Concrete Placement Inspector: _ _ Shawn_ Shire
Concrete Supplier: Miles Tests and Cylinders by: Casey Wagner
Plant Location: Sumner z0z IMADesign tout r .her: _ 0442A
Placement Location: Roadway Base Lift Slab @ South Bound Logan vein East Lane -1 of s
Concrete Use: Roadway Base Slab Strength Specification: 4uuup5i at 28 days
ASTM C1064
Standard Tesi Method for Temperature
of Freshly Mixed Portlanc Cement
Concrete
Temperature: ill F
Specitication: 55*17 - 90'F
Fet WSDOT Std S ec: -o-vc 3 w D
IIFIVV -t Addedr N;,
ASTM C23
Standard IM t o Air Content
of Fie h y M A to by Pressare
Exposeav
Air Content: 4.8%
5peciticatlan: 4.50/-7.5%
RefWSOOTStd. Specs 5-U2(')A
Concrete Conformance to Mix Design (WSDOT SO. Specs 6-0_2.3(5)C;, 15-02.s(5)F)
ASTM C143
est et od for Slarrip ul Hydraulic Cement
Concrete
slump:
4.5"
Type?
c
Placement:
vrlveway, Cure is uuner
Spec, ifluatlon:
5.5" maw.
Ref WS DOT Std Specs 6.02.3(4)C
ASTM C23
Standard IM t o Air Content
of Fie h y M A to by Pressare
Exposeav
Air Content: 4.8%
5peciticatlan: 4.50/-7.5%
RefWSOOTStd. Specs 5-U2(')A
Concrete Conformance to Mix Design (WSDOT SO. Specs 6-0_2.3(5)C;, 15-02.s(5)F)
Component Wet Mass Multilane m"s"
( I alerance) (Ib/yds) Content Water
lb/yd'
Dry Mass Hllowaole
(Ib/yd3) Range (Ib/yd)
Design Mass
(Ib/yd3)
C.A. 2% -2% 1834 u.3% 5
1829 3/ -3/
186U
F. A. z% -z% 1344 5.6% 71
1213 25 -25
12/u
Cern. 510 -1% 561 010% u
56/ 2b -b
564
Slay b% -b% U 0.0% 0
U 0 0
0
S102 103% -lu%
R`V 150 ---------- 150
---------- ----------
245
Wats, Ai]d8d tv I rocR Un Site 20 al. velame at Ganaete itt I rack
10 d,-`
Mass of Water adaea on Site (ID/ya3) 1 / Actual vvateri, 1CementTPo«)
0.43
`atal IVlabb at Water (16/y83) 2442 Design Water/(Cement+Pozz)
0.43
R'cmarfCs: Iffizieziffill lilzit1upuff0ft v tMe ioadway basepoui on5M8116. The
first loan onsite was testes and approved. I ne second load onsite •pas also tested,
t vaU0Ve
F1 lui ivZoltz VI ons v cs y. ct Me lir5L IWV a Willie
approved: the following three loads were visually checked. See continuation reports
Tat additional t'cst Intutmation.
X
Material
npp o ter - /�� V /6 t esrsa rw
Dlstrw [to a V t Submitted By: Cvv yrzo
ret6
Materials E a r Date inttai Date
AS I IVI 1,138: Unit Welgni, r Isla ana mir Dornern
or Conorelo
(A)Mass or
43.85lbs
IVIeaS.re-uoncrete
2.00 Flours
(6)IVla55 at IVleasars
/.881ns
(L,) volume or Measure
U.2490w
unit vveigrli or
144.5pcf
Gana ete [(A 6)/C)
Time Allowed for
Placement
Time Watar Addled to Cement
6:33
Specificamn
2.00 Flours
Ra 'd Dizi-,hargu Cum letun Time
8:33
Aotaal Time Discharge Cumplem
7:46
AS I PI 1131: Standard Practice for Making and Car nq
Concrete Test Specimens in the Feld
Date G linder5 Gast 5/18/15
Time C lingers Cast 1:41
Dumber of Cylinders Cast 6
Specimen Markings
Lab Numb r o y, nd s:
KC -16-2// to KC -16-25e
Test Ages of Cyllndurs•
/d, z zts'a,
Aggregate Source s
Coarse:
Fine:
batch I icket Dumber. I C';
Kier C—Uuuty ii; Munioe Avenue Nit., hide, i#.
Depat-i hent of Transporuttion LV Rentrm, WA 980i6-4199
(hone: (t06).96.7709
Materials Laboratory Ring County lax. (206) 296-0179
concreie Flell TCSt nep01't
Project:
City of Renton - Logan Ave N.
Project Number:
1126896
Concrete Placed By:
_ _ _ Highmark Concrete
Placement Inspector:
Shawn Shim
Concrete Supplier:
Miles
Tests and Cylinders by:
Casey Wagner
Plant location:
_ _ _ raGilic - zu3 _
Mix Design Dumber-
0442A
Placement Location:
Roadway Base Lift Slab @ South Bound Logan Ave in East Lane & Bus Pad_ - z of 3
Concrete uoe:
Roa0way Base SiA & 131x5 Pa8
5trengtM 5pealrCation: 4000poi
at z8 days
AS I L CIUb4
Sta„dard Teot Method fir Temperature
of F reshly Mined Portland Cement
C„ncrum
I emNeratare: tz F
Specification: I55'F - 90'F
Pal WSDat `..1i1- Sp ecz t; -e?. ',(4)D
HRWR Added?
No
AS 111 C,z31
Standard Test Method for Air Content
of Freshly Mixed Concrete by Pressure
Method
E,tposea'r
Air Content: 5.2%
Specification: 4.50/c-7.5%
Pei vvSDvi Stu, specs6.0z.32),,
CvnC,ate LvnTU,manC@ To Lin DeSiyn (W51)U 15ta. 5peC5 b-U2.3(5JU, 6-u2.3(5)F)
AS In C14s
Te—b—tge—tnod
for Slump of Hydraulic Cement
C-ncry 1p
Slump:
4.5'
lype%
C
Placement:
U. roow-,, Caro a UQUar
Specification:
5.5" max.
Rei vvSDUT Stu Specs 8.04.a(v)C.
AS 111 C,z31
Standard Test Method for Air Content
of Freshly Mixed Concrete by Pressure
Method
E,tposea'r
Air Content: 5.2%
Specification: 4.50/c-7.5%
Pei vvSDvi Stu, specs6.0z.32),,
CvnC,ate LvnTU,manC@ To Lin DeSiyn (W51)U 15ta. 5peC5 b-U2.3(5JU, 6-u2.3(5)F)
Component vvet Mass
(Tolerance) (lb/yde)
Mloisture t" ° Dry Mass Allowable
Content Wt ter (Ib/yd3) Range (Ib/yd)
ICi 0'
Design Mass
(Ib/yd )
G.A. 2% -2' 1855
U 1855 3t -3/
1860
F.A. 2% -2 1335
6.2% // 125/ 25 -25
lz/U
Gem. 5°0 -1 0 563
U.U°J U 5w L5 -6
564
Slag 5% -500 0
0.0°0 0 0 u U
0
SIVA 1 10% -10
R`O 1 144
---------- 144 ---------- ----------
245
Water Added to Truck On Site zu al. Volume of Concrete in Truck
11aj
Mass ut Water aaaea on Site (ID/ya3) 15 ACtaal Wated(Cement*re«)
0.42
I oral Lass of Water (lo/y53) 236 Design vvaier/(Cemem:FPozz)
0.43
Remarks: This is the second report of three for the roadway base pour on 5/18/16. The
bixin load onsite ryas tested: apptovea. and area to cast canCtete cyiinaets to, strength
.erkication. See a5o.e Information ror results or onsite testing. After me soarl load r.as
tested and approved, the following three loads were visually checked. See continuation
report ror additional testing information.
x
Material
Ap owed for 5/ / {� I Tested and
D on By, / V ( Submitted By GW Ste2o1e
?�v
MatenaXEnginear Dale Initial Date
A5 I L 0138: Unit Welght, Ylelo and Air Content
of Con.r.t.
(A)La55 UT
43.68lbs
PlEct5are:Fi;onorete
2.00 FlGais
(6)l9la55 of Leasure
1.86150
(C)volume oT Leasure
0.2490ft'
Unit weigfii of
143.9pcf
Oona ete [(A-B)/C):
Time Allowed for
Placement
Tine Water AddFd t,, uomem
SAU
Spectficaoon
2.00 FlGais
RC 'd Disuhar o Gum let on Timr
10:10
Autoal Time Dlticharge Complete
9:04
A5 I L C31 : Standard Practice for Making and Cur ng
Cuncrute Twat S enrmmis in ih;; Field
Date c Iinaetb east 5/18/15
I =me C lingers Last y:vU
Number of Cylinders Cast
Specimen MarKings
Lab Numbers of Cyimrers:
KC -In -253 to KC -16.256
Tes, Agaa uf Cylglde's-
ta, z z8a, Ruld
AQqre ate Source(s):
Coarse: I B-329
Fine: 191-32a
Batch ricket Number: 168414
Form, Fled Concr to T t —,,,,n Revised. 8/21108
King Counry 155 Monroe A% •nt I . I s
Department of TransportatiOO L9 Renton. W1%,
I -hone: (=( r t
Matii iSla LAM arr3r y Ring County I ax. (z06 t
Concrete Field Test Beipor1
Project: City of Renton - Logan Ave Ia. Prujeat no, ,her: 1126896
Concrete Placed By: HiShmark Concrete _ Placement Inspector: Shawn Shirey
Concrete Supplier: Miles Tests and Cylinders by: Casey Wagner
Plant Location: _ Pacific - 203 _ Mix Design Number: _ _ U44ZA
Placement Location: Roadway Base Lift Slab @ South Bound Logan Ave in East Lane - 3 of 3
Concrete Use: Roadway Base Slab Strength Specification: 4000psi at 25 days
ASTM C1064
atanraro r e t IGletn o
of re hly M ><a P
temperature
i d Cement
t
Temperature:
rs F
speclticativrt:
55-F - 90 F
Pei vv:+170, `i Id,
a
-Oz." 0015
RRWrt AdaeaY
M
ASTM C231
stanra r t Piet Air Convent
f r y M wed t Pressure
Ilet
ExposeEi r res
Air Content: 4.7%
Specification: 4,50/ t,5'/e
Ref. WSDOT S'd. Specr, 6.02.3(7)A
Concrete Conformance to Mix Design (WSDOT Std. Specs 6-02.3(5)C, 6-u2.3(5)F)
ASTM C143
et Method for
Slump of Hydraulic Cwment
Concrete
slump:
4.5"
Type?
c
Placement:
Driveway, curt) a Gutter
specif ration:
5.5" maw.
Ref WS DOT Std Specs E -02,3(4)C
ASTM C231
stanra r t Piet Air Convent
f r y M wed t Pressure
Ilet
ExposeEi r res
Air Content: 4.7%
Specification: 4,50/ t,5'/e
Ref. WSDOT S'd. Specr, 6.02.3(7)A
Concrete Conformance to Mix Design (WSDOT Std. Specs 6-02.3(5)C, 6-u2.3(5)F)
Component Wet Maas
I alerance (Ib/yd3)
( )((lb/
Mo stare
Content
&" of Dry Mass Allowable
Water (lb/yd') Range (Ib/rd')
d
Design Mass
(lbird 1)
C.A. 2% -2% 186u
(6)lVlass or f7lea3ere
u i 86 3r -31
186U
F.A. 20/. -2% 1362
6.8%
86 1276 25 -25
1270
C;em. 51/0 -1% 566
u.0%
u 5uu 28 -0
564
Slay 5% -5% 0
0.0°%
0 u 0 0
0
SIO, 1 V% -1 U110
Fl -'O 1 30
----------1
1'b ---------- ---- -----
245
water Added tri I, OCR un Site
15 al.
valame at Gana ete in I r acK
10 d
Blass of water aoaea on Site tl5TyEP) 13
Actual vvated(C;emenimwozz)
u.41
Total Mass of water (Ib/yds)
234
Design Water/(Cement+Pozz)
0.43
RemarRs: I hie is the third epart at three for the ruaaway base pout on 5/18/16. The
10tf1 load onsite was tested, approved, and used to cast concrete cylinders Tor strengin
verification. See above information for results of onsite testing. After the 10th load was
testea and apprvveea, the fallvwirlg three luat7s were visually cHecRea. See previvas
reports for additional testing information.
X
Material
Approves Tor5 �� �/7 / 951 and
DMIROurion 6y ,o 5 M by CW srar2o;e
LV Mat., -"a[3 FAineer Date tni tal
ASTM C138: n I W g t Y.eld ind A r nt t
r n rare
(x)IVlass of
43 901v
Measure,Concrete
Z.UU Fluurs
(6)lVlass or f7lea3ere
/ 861DE
(C)Volume of Measure
Q,2490ft
Unit Weight of
144.7pcf
Uvncrete [(A -6)/C;);
I it r to Allowed Tor
Placement
Time Water Added to Cement
9:26
Specification
Z.UU Fluurs
Rz'd D;3�har u uum lethvn Time
11:26
Autaal Time Dischar o Gvmplete
10:Z1
ASTM C31' Standard Practce for Making and Curing
Concrete `est a ecimens to the Hc 10
Date V llnda,z C.a3t 5/15116
Time Cylinders Cast 10:17
19amDer at i✓ linaers Gaat 6
Specimen Markings
cat; Numbers of C I na r
KC -16-289 to KC -16294
Test Ages of Cy and rs:
16, z zua, Rola
Aqqreqate Source(s):
uuarse: 8-3zg
Fine: 8-329
Batch I zRet I9am6er: 16tt4zz
Form Fieir concrete i est Report Revised: 8/2t/08
)SLIVERY TICKE 1 I
SAND & GRAVEE COMPANY
400 VALLEY AVE NE, PUYALLUP, WA 98372-2516
vv vv,,.MIIesSanoandGravBI.001 E I
SALES/OFFICE
(253) 833-3705 CUMCAETE ORDERS SAND & GRAVEL ORDEAs
(253) 922-0327 fzoa) aaa-x700 (253) 536-9100 SHELTON
fax (253)_833-3746 lzoa) azz-y 1 16 (253) 843-1787 to00) 426-3344 (3
rE CUSTOMER NO ORDER M0 CUSTOMER PO OR JOB ICO
ORDERED CT OLVRD [OAD Mo. SLUMP Gallons of Water PLANT TIME OU 1 JOB, i)MF IR
Via) l ` 1.11 1 r Ul Roque i Customers
CUSTOMER COPY
OLYMPIA
60)491-7777
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JOB TIME OUT IPEAMI I INIE IM
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FOR AICT DAICIA'GE TO HIS REAL OR PERSONAL PROPER T CAUSED 6T DECIVERY OF
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SIGNATURE
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SAND & GRAVEL COMPANY
PLANT NO
400 VALLEY AVE NE, PUYALLUP, WA 98372-2516
SACE."/IJFFICE
www.Mlle3SundandGra�rl.com
12531 a3j-ar'uo
COACAETE ORDERS SAND & GRAVEL ORDERS
j2531 azz.03zr
kzoal ujj-a1'u0 (253) 536-9100 SHELTON OLYMPIA
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UNIT PRICE
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400 VALLEY AVE NE, PUYACCUP. VVA 983/"L -L516
w vv W.MiluoSandanduravel.com
SALES/OrFICE
(253) 833-3705 CONCRETE ORDERS SAND & GRAVEL ORDERS
(253) 922-0327 fzoa) ojj-j700 (253) 536-9100 SHELTOM
fax f253) 833-3746 teo3) acc-y 116 (253) 843-1787 (360) 426-3344 ja
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CUSTOMER NO
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SPECIAL INSTRUCTIONS
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SAND & GRAVEL COMPANY
400 VACL.tY AVE NE, PUYALLUP, WA 98372-2516
SALES/OFFICE www.MllasSandandGrevel.com
(253) 633-3705 CONCRETE ORDEFib aAAD is GRAVEL ORDERS
(253) 922-0327 (253) 633-3700 ktaa) oa6-9100 SHELTON OLYMPIA
rn-. 1Jra, aaa-'Asea 19ss, 499-Q11F iznm arra-11151 (3601426-3344 (360) 491-7777
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COS 1 OILIER NO
ORDER NO.
Cos I DRIER PD OR JUS no
PLANT NO DELIVERY TICKET no
IR/2Q16
SCE �RTia
ORDERED
CY DLVRD
LOAD Av-
503171s
Gallons of Water
PLANT TIME OUT
j0B i ImE IN
ao8 11111E Ou 1
PLANT TIME IN
W) t
:7rtIG7
i[
wslafl�?r;
Added By Customers
J _
i
-
—.
-:. Fn•
Reques,
r
u.una
Y RE ill;
.G1si�
STOMER NAME
SPECIAL IRR I RDC 1 IOR5
I f CHMAHr
B ADDRESS
0'ry UNITS
PROD. CODE 13='CRIPTi0I4
UNIT PRICE
AMOUNT
xs
t 00 Cy
r100 o Alk F la iRA 1 NMF laT
tAIEF.1
1 6ri f -Y
93Vt) k:ld5! EI tfiS J17t i a f,[ T..UFjF L [ A!'J(-E F'J
(1T VIA IE_R "PT 1'4
it.01 111F1 C018tei< IARCF - RIF A Y M i tt
In
:IVER NO
1RUCR RV..
..
_
jJiit=s1
dsRt"s
SUBTOTAL
X CODE
331 c.+ iu I•.ez1+aE, 64li
? --
NAMV IL 0; Ind
1141 Ff A
op
nECEASE - CUSTOMER RELEASES & AGREES TO HOLD RAHRICEss I RE RIR!Es CD
tin it iflln.'J:
FOR ANY DAMAGE TO HIS REAL OR PERSOMAC FROPERI r CAlobED Or DECIVERT OF
MATERIALS LISTED ABOVE.
ilvtR.
sIGMAI DME
1
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V-5fu
X
r,
:7rtIG7
i�S'.r:�tii�Al
wslafl�?r;
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-
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-:. Fn•
T ;,a
:.FJ I t IG.
u.una
Y RE ill;
.G1si�
5t.a
�:1FI IG
u314b
8 FQ1'i 357
M FOL:, -5:
3 =_
xs
tAIEF.1
0•IEr=
i
(1T VIA IE_R "PT 1'4
In
to rEE• I
.;At t'r--;z6 A
..
tttal
rOrr.I
dsRt"s
oa*7
331 c.+ iu I•.ez1+aE, 64li
? --
NAMV IL 0; Ind
1141 Ff A
hsT!A
Gln Eh 6.2mc, in71+
tin it iflln.'J:
V-5fu
)ELiVERY TICKET
- 1vJL 1 ; -
SAND Ft GRAVEL COMPANY
400 VAEF-tr AVE 1qE, PUYALLUP, WA 98372-2516
W www i iesSandHndCirar'ol zum
aACES/OFFICE
jzoj) 8j3-3705
CONCRETE ORDERS am= s GRAVEL ORDERS
jz5a) wee—O27
(253) 833-3700 jz5a1 0j6-9100 SHELTON OLYmF'lm
fax f25a1 aaa-atz;'o
(253) 922-9116 j2531 aaa- i isi (360) 426-3344 (360)491-1711
7! COsiOIviERR0
ORDER NO Cua1010IERPO ORjOQRO PDSRi RO 13ECIVERT ,ICRETRO
5. 93 ."rOtiG
OnDEREu C, DEVRD LOAD NO.
a[ulvIr Gallons of Ovate: PQSR i i IE IN JOB TIME OU i rrxm i i ME Iry
=jj0-15I
Addod By Customers
-q 0o Royues,
5, 0171.111 M MIE
aPECiA[ Ma, nUCTIONS
f J-li )AFF + -CNC HF-: f F COW t A+_' )
5 nD—ESS
OTY UNITS PROD. CODEDESCRIPTION UNff PRICE AMOUNT
lJ. fJV C,V 1+i i1i ,
AIR E,
C1 C1 f=Y 1.534, 0
Rn1-.,ME10 a'Al- COWL WL I ANL E F'
CU t- f'. ;mu
Fj3F-E SUPCHARGF-REI'XY WX
IVER NO. I ROCK N0,
SSB TOTAL
ski?: I 14�t1:-61
x CODE.
RELEASE - CUSTOMER RELEASES & AGHEEa 10 ROW FimmMICE55 , RE MILES CO
FOR ANY DAMAGE 10 RIS RERE OR PEftOi'vAL PRrjPEn l , CAUSED BY DELIVERY OF
IVER, MATEtilAEa Ela i ED A6OvE
( f -l41 N(f WA?g
--] SIGNATURE
X
DELIVERY TICKET
H ,Z5 �
SAND & GRAVEL COMPANY
400 VALLEY AVE NE; PUYALLUP. VVA a83/z-2516
W w—MIIea5andandGravel.com
SALES/OFFICE
(253) 833-3705
COMCRc ii E ORDERS SAND & GRAVEL ORDERS
(253) 922-0327
(253) 833-ai00 (253) 536-9100 SHELTON OLYMPIA
fax (253) 833-3746
(253) 922-91 16 (253) 843-1787 (360) 426-3344 taa'u) vy 1-r r r r
I E
C13STOMER NO
ORDER 140
COs i DMER PO OR JOB NO PE7R i RO
DCEI VER, i,CRET NO
ORDERED
CY DLvRD LOAD 140
SE'vmi- G-11.ns of water rCRl4 i i iR1E 00 JOB TIME IN i PDDR i Ilmeh
]JOIS00
� Aaaoa B, Customers
t� `n' Reyae�r
STOMER NAME
SPECIAL INSTRUCTIONS
i, i avl ti4
`.i - PAVING
B ADDRESS
N ) t, i
_
QTY
UNITS PROu. CODE DESCRIPTION UNIT PRICE mMIOGMT
A)
a
0442A
40
A7117 F.intlP\AiN1 F -NF
:14; PQ
ENVIRONMENTAL COMPLIANCE - PI
c.f6
L ; "k)1
i-Lif i. SLIIICHARFIE. P� AUY rf i Y
IIvtR no 1 ROCK w0.
SUB TOTAL
O CODE
RELEASE - CUSTOMEM REEEAbEs s AGREES i v ROED HARMLES1 T14E MILES CO.
FOR An DAMAGE 10 RIs REPS On PERSONAL PROPERTY CAUSED B DELIVERY OF
iNER MW i ERIA[s Cls i ED ABOVE.
SALES TAX
SIGNATURE
A TOTAL AMOUNT
DELIVERY TICKS i — Iv.1 1. 5—
SAND & GRAvEC COMPANY
400 VALLEY AVE Nt, POYALCUP, vvA tMt2-2516
SALES/OFFICE www.milebsandand(3ravel.com
(253) 833-3705 CONCRETE ORDERS SHIGD s GR7vEE ORDERS
(253) 922-0327 (253) 833-3700 X253) 5,A -ti 1000 SHELTON OLYMPIA
., t— o -- ocat oon_011c or'A, Adz -1 .A7 a.R-n.,u4 inset 491-7777
TE
C051 umium No
ORDER NO
CUS 1 CRIER PO OR dOte NO
PGrty I vO DEMVERY TICKET NO
�a' � t�• ice' i i�
8 POi
CY DLVRD
LOAD AO
SCU;(X,
of Water
PLANT TIME OUT
JOB TIME IN
dOte TIME Ou 1
PC4IG I 11ME Iry
�2dd
y Customers4�
SPECIAL INSTRUC 1 IORS
�EpS�S
Jpi
UNITSt
PROD. LADE
DESCRIPTION
UNIT PRICE
AMOUNT
It} fat) �Tj
t. : .,_
Lo i)o G
r,64Y)
ALR ESTI) kA Y I-IMEHIT
lit. ,:►:i C:Y
5_f
f 'NVTR0hN?-.WTA1- GUMI" _ tA)-)f4E €ii
LP
►its.`.i
,FLIES_ nu :E:FiAhGE-rEAUY MT;_:
IVEH NO
I RUCK AO.
SUB TOTAL
X CODE
�' 1 '
RELEASE - CUSTOMER RELEASES & AGREES TO HOLD RAHICILEaa 1 RE RIIEEs CO-
FOR ANY DAMAGE TO HIS REAL OR PERSOAHC PROPER Y CHOsEO 6T DECIVERT UF
MATERIALS LISTED ABOvE
ilvER.
3A€ .6-6 P111 W
-- - —
a1G19H1 Ofit
X
na+i
� i X11
fv PI
8 POi
na+i
� i X11
)ELIvERY TICKET z IV. L, L ;s
5AIqD & GRAVEL COMPANY
400 v/AL[!EY AVE NE, PUYALLUP, WA 953(2-251b
SALES/OFFICE www.Mile3sanaamauravul.com
(253) 833-3705 CONCRETE 0FqE)F=RS SAND & GRAVEL ORDERS
(253) 922-0327 (253) 83j-.3iUD (253) 536-9100 SHELTON OLYMPIA
— — -- 7— — n . — I -gZ-% ..q-1 7Q7 mnm MAM 4Q1-7777
CUSTOMER NO
ORDER W
COs, Umlem PC; Um oc;m mc;
PLANT NO
DElIvERY i CKET NO
OHOER03
CY DLVRD
U
LOAD N SLUMP
UR7—
G -lions of water
P=i IRIS 00,
JOB TIME OUT
PLANT I IME IM
�tnl
Addad By Cniamers
_jzl0I5,Iml!IM
Arr.1C."
51" r, CILP .4
f, "i
4L
4
Recio.st
S t OMER IqAME
aPECIAE INTIlliff—Ci iUMS
(A f PALE I L
i FE Vi
3 AWCIRESa
QTY UNIja
PROD. CODE
DESCRIPTION
UNIT PRICE
AMOUNT
Y
rl
1;41 -A
9 F OL
7 Vtj Ful.'
�j. O�i cy
mr, F'OTRAINHENT
ED'.E39
'!SA0otl
J.:sou
ENVIRONMENTAL COMFLIANCE V��
Jr) f-f:l
5rof:. J.
FLIER_ SLIRCHARUE-RFADY Ptl'.x
L
lvr:m MID.
00,,R mO
U
G V
SUB TOTAL
X CODE
F Er
I pm-
4 Liu In u Tr),,i
')
RELEASE - CUSTOMER RECEAbEb a mrm!!Es t 0 FlOrD FImMMEftz i ME MIIL.S CO.
FOR AIq T DAMAGE 10 R15 mil!= OR PERSUmml- PROPERTY CAUSED BY DELIVERY OF
Mmi EmImE5 C15 i ED mMrjvE
—
NVER
z)mrF=S iAX
kn=vni
S
SIGNATURE
7
A
TOTAL AMOUNT
4
Arr.1C."
51" r, CILP .4
i FE Vi
'�TEX. ,
- " icF.
: U 0
Ws 13r.
rl
9 F OL
7 Vtj Ful.'
ur ;z
ED'.E39
'!SA0otl
ATER 2
r4ATEP 2
L
OT �; -17F F; --0 1*
U
G V
wit
I pm-
4 Liu In u Tr),,i
-,-Il -1-.0
lb
7
10,
)SLIVERY TICKE i AZI
lvJL I
b�
SAMD & GRAVEL COMPANY
4UU VACCEY AVE ISE, PUYALLUP, WA 98372-2516
SALES/OFFICE www.MilebSandandura.el.,om
(253) 833-3705 CONCRETE ORDERS -3mIgE) is GRAVEL ORDERS
(253) 922-0327 (253) 833-3700 (z5a) 536-9100 SHELTON OLYMPIH
Sax (z5a) 833-3746 (253) 922-9116 1203) ez;3-1 /S/ (360) 426-3344 (360) 491-7777
E COs i C; m!n M0 ORDER NO Cub i OMER Pv UR ave MU PLANT NO. DtCIVERY i iCRET Rv
UnDERED CY DLVRD LOAD IVO SCUMIP Gallons o[ w [a� ! PCdR i t IME Cu r aas Lime IO ave TIME OUT PLAN i [ lmE IA
Added Br Customere . < (d
Re -rues, `e t d
3 i 0[mER NAME bPECIAC Irvs i RUC i IVIES
- N j .:
OTY UNITS PROD.
DESCRIPTION
044PA
FOR- EN TRA t NME-1-i"T
ENlJ Emla: lt:r7l Fit YANC;E.
FDFL SURCHARGE READY Mly
VER NO i riDCR ISO
SUB TOTAL
suvD!
RELEASE - CUSTOMER RELEASES s AGREEb 10 ROr-D FimMMLESS THE N4ILES CO.
FOR ANY DAMAGE r0 HIS RERC On PER50mml! PROPERTY CAUSED BY DELIVERY OF
WER MATERIALS LIS i ED ASOvE. . -
w
blGFgml unr
X
N,. u
5�7v
Cu'0
UNIT PRICE 1 AMOUNT
I
E R
5HICD & GRAVEL COMPANY
4uU vHCi:EY HvE NE, PUYALLUP, WA 98372-2516
SALES/OFFICE www MlleSSandandGravel.aam
(253) 833-3705 CONCRETE vnuERa sAlaD s GRRvE[ ORDERS
(253)922-0327 (253) 833.3/DO 1zo3) oats -a 1130 SHELTON OLYMPIA
f..- i9r,% All -174A i2A3[ 922-9T 1133 izEim 8ue-1 181 i3I50) 426-3344 1360) 491-7777
TE
CUSTOMER NO
OHOER 140 C05 [ 13MER Pu. 103R,0e MO.
'putt i ICO
DEEWERT i ICmET MC;
ORDERED
C, u[vRD
[vrcD ICU SLUMP
PLAN[i IMEOW [
duff [ IME [ICdoff
r.MIE uu i
PDd4 [ i AAE tKd
j5 i UICIER ICAI17t
SPEC[AE 1145 [ HOC i IONb
O (�P1- Ef C.. 'tJI LA; i _ 1 i
O [ T UNITS
PROD. CODE
DESCRIPTIOlq UNIT PRICE
AMOUNT
442A
A I R E NTRAIFIPtD P
ENvit-cuNMi;nTRE COMPL LANCE: R'
,A4 0
a E. r SURCHARGE READY MIX
iI.ER MO
TRUCK NO.
SUB TOTAL
u CODE
RELEASE - CUSTOMER RELEASES s AGREES [ O r[OED RARICICE55 [ RE MICE5 Cv.
FOR ANY DAIGIAGE [O RIs RER[ On PER501VAI• PnOrERI T CAUSED 6T DECivERT vF
ICIAi ERIA[5 Dls[ ED A9vvE.
— - - -
t1WER
SALES TAX
SIGNATURE
x
TOTAL AMOUNT
PSLIVERY TICKET IV]. 1. L �
5AN13 & GRAVEL COMPANY
4U0 VACCEY HvE ISE, ruYALLUP, WA 98372-2516
SALES/OFFICE www•MilesSandandGravel.cum
(253) 833-3705 CONCRETE ORDERS sAlaO is GRRvE[ ORDERS
(253)922 0327 (253) 833-3700 (c53) 536-a 100 SHELTON OLYMPIA
f— 199;nf Ann_17AA i9531 A99 -A115 19531 a43- I rlir i315'u) uc6-3344 (360) 491-7777
E
CVSTOICIER NO
ORDER NO CUSIOraER P.0 OF jOB MO,
PDxIv1 ICU
OEEIvERr I ICntR ICU
JRpERED
CV DNRU
LOAD ICO
s[OMF f
Gallons of wato,
UT
',)
dOFi I IIGIE I)v
uOH I IICIEU01
PORT I IIQIE {N
AT•_R
,1ttr-
rYa
IPIITTYEOI
Added Customers
! I
0
�%j , /r� /
4SWI; it. E. : x, , r
j
,
Re4ues,
(r
/ j Y
,TOMER NAME 4
SPECiA[IICsINIJ IION,
RA; .` tt i
^AUD)RESS
.1IGAN ANNIE N Pi rid JhL -
OTY UNITS
PROD. CODE
DESCRIPTION UNI I PRICE AMOUNT
1 00�1.. Lr
lrff..0
AIR EI': ! �Rf. ij��pjj:. •; f
i_.P
5!t{ .t
F'tit=[ SURCHARGiF READY MIX
VER IVO
I ROCK MO.
I A 0 8
SUB 10IA[
EC
(CODE
RELEASE - CUSTOMER RELEASES 8 AGREES 10 n0[D FiARNIEEsq I IlE Mllr-Es CO.
FOR ANY DAMAGE TO HIS REAL OR PERb0Mmr- PROPER I r CAOsED r.3Y DELIVERY OF
MAI ERIAES [Is I ED Av0vE
-
VER
SALES IAA
R i`rikNN '-t4 iLriiir ik
5IuICA1 unE
X
I O IAC AMIOOIC I
'tvizl cic'-f y '•1
I,"t.CAL 2 '9W GL•
•r I �: S
v *h': Fn I
Ear.r=)I:
{sv't-.
AT•_R
,1ttr-
rYa
4SWI; it. E. : x, , r
U a:;
�r"v.
4 (67 1=-i X T. ItT vt-
' S 11 ..
Q I R AZI Ivi 1 5�
SAND & GRAVEL COMPANY
400 VALLEY AVE Iv E, PUYALLUP, WA 98372-2516
5A�c5rvFriCc www.MllubSa, dandGravalzu...
(z5a) 633 .31 135 CONCRETE ORDERS SAND & GRAVEL ORDERzi
jz53) Uzz•0azi (z5a) 33a -3i00 (253) 536-9100 SHELTON OLYMPIA
la. j253) 833-3746 j253) 922-a 1 16 (z5a) 1543- 1 737 (360) 426-3344 (360) 491-7777
RIE
COS TOMER NO
ORDER NO
CUSTOMER P.0 OR JOB NO
PLAN I NO DEDvERT I ICRET MO
T ORDERED
Cr DCVMJ
[vRD nv. 5zdmP
Gallons of Water
g
comm i i i101E Ov 1i
a0o � r= IA
a03 1IIME OV I
PQOC I I ImE IA
AddadBy Customers
Royues,
USTOMER NnME
SPECIAL INSTRUCTIONS
I DI I - v,1 I v f !Nit 01. 11- f F,: M,I"Af t i l l
)B ADDRESS
01 T ufvl I S
PRUD. COVE
oESCn1P I ION
UNIT PRICE
AMOUNT
.✓
'�14tmc !��
EN'FP-.A INME.! T
531;tit
541: {
i:OF L 1jn,cHAR IE-- REMU Y 11 X*
;I—M Mo.
AUCR MO
SUB TOTAL
Ax CODE.
() f
ltd ;C
RELEASE - CUSTOMER RELEASES & AGREES TO HOLD HARMLESS THE MILES CO
FOR ANY DAMAGE 10 HIS REAL OR PERSONAi- PROPEFUT CAUSED By DECIvEnT OF
MAI ERIA[s CIS I ED ABOVE.
RIVER.
7F�4i 3a=)
—
SIGNWURE
---i
X
)ELIVERY TICKET — ivi 1, —
SAND & GRAVEL COMPANY
400 vACCEY AVE ISE, HUYACCUN, vvA 98372-2516
5MCEolt7FrIC;E www.MilesSandandGravel.colrl
(c53) 833-3705 CONCRETE ORDERS SAND & GRAVEL ORDERS
i253)922-0327 (253) 833-3700 (253) 536-9100 SHELTON OLYMPIA
Tax (253) 833-3746 (253) 922-9116 (253) 843-1787 (360) 426-3344 (360) 491-7777
L— - 0
CUSTOMER NO
ORDER NO
CUSTOMER PO UR wM IEv rERMT Av
OECIvERT i iCKET NO
ORDEnEe
C, f7CvRC
Evrw IEv
.romp
Gallons of Wager
PEA—Ni i IME 00T
YOB i WE IM
YOB I [ME OlL
PLANT TIME IN
Added By Cus,omers
o.i
Flequesl
STOMER NmIME
sPECIAr IAb i HOC 110%
'fit '• a � K f�hif`: I- F" C:91NJ I i7AI .T I r
3 ADDRESS
OTY UNITS
PROu. CODE
DESCRIPTION
UNIT PRICE
AMOUNT
'1t41`a t��i
r;i I [I f=WTF r, i NM K
EIS V IL ONNENI AL CION L I ANCE:
�>ri i. IJtiL,F9Fi tir=- r r F�L'Y M I.X
,VER NO
TRUCK NO.
SUB TO IAC
A COue
RELEASE - CUSTOMER RELEASES & AGREES TO HOLD HARMLESS THE MILES CO.
FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF
MATERIALS LISTED ABOVE.
VER
aMLEa IMA
siuAMlunE
X
TOTAL AMOUNT
L— - 0