HomeMy WebLinkAboutKC-16-295 to KC-16-312 - Subgrade Slabs @ West Lanes - Field Report 05-19-16Kifig County 155 Monroe Avenue NL., Bldg 1)°
Ilenuni. WA 98656.417
DCI)at'InlCitl Of T�.ut.�1,0� Iali�ri'LN Phone �2itO �)6 770Materials Laboratory Ring County lax (206) 296.0179
Concrete Held Test Report
Project: City of Renton - Logan Ave N.
Concrete Places By: _RicI hmark Concrete
Concrete Supplier:
Plant Location:
Miles
Sumner - 202
Project Number: 1126BUB
Placement Inspector: Shawn Shirey
F ests and Cylinders by: Casey Wagner
Mix Design Number: 044zA
Placement Location: Roadway Base Lift Slab @ South Bound Logan Ave in West Lane -1 of 3
Concrete Use: Roadway Base Slab Strength Specification: 4000psi at 28 days
A5 I M G1064
Slandard Test Method for Temperature
of F rwsfliy Waxen Fonlana Cemeni
Concrete
I emperature:
7o F
Specification:
557 - 90'F
Ref W sDOi `,td
c'c. 02..4 D
HRWR Added? No
ASTM C231
Standard Test Meihod for Air Confeni
of Freshly Mixed Concrete by Pressure
Method
Exposed? Yes
Air content: 5.3°1
Specirication: 4.5'/0-i.5'/0
Rer. W5D0 t SIa. Specs 6.02 3(2)A
Concrete Conformance to Mi.& Dewyn (wSDU I Std. Specs 6-02.3(5)C, 6-02.3(5)F)
ASI M 0143
Tui! Method
for Slump of Hydraulic Cement
Concrele
Slump:
5
Type?
c
Placement:
Driveway, Curb & Gutter
Specification:
5.5" max.
Rai wsuc; t std specs 6.075(4)c
ASTM C231
Standard Test Meihod for Air Confeni
of Freshly Mixed Concrete by Pressure
Method
Exposed? Yes
Air content: 5.3°1
Specirication: 4.5'/0-i.5'/0
Rer. W5D0 t SIa. Specs 6.02 3(2)A
Concrete Conformance to Mi.& Dewyn (wSDU I Std. Specs 6-02.3(5)C, 6-02.3(5)F)
Component Wet Meaa Moisture
( I olerance) (lo/yds) Content
u,zu
Ib/ Water
Dry Masa Allowable Design Mass
tlb/yds) Flange tloiya-) (15/ya )
1850 0.3%
5
1845 37 -37 1860
F.A. 2,/0 -2% 132U 3.5%
45
1275 25 -25 1270
C;em. 5% -1% 569 0.0%
0
569 28 -6 564
Slag 5%o -5% U U.U%
0
U U U 0
Siu, 10% -10%
H`O 178 ----------
178
---------- ---------- 245
Water Added to Truck On Site 1 U ai. volume or concrete in I racR 1 d3
Mass of water added on Site (Ib/yd3) 8 Actual Water/(Cement+Pozz) 0.211
i otal (lass or water (115)ydj) 235 Desiyn wateri(CeiTient*ra«) 0.43
RemarRs- i is is Me first report or three for Me roadway lSaso poor on 5/1yf16. I He
first ci d so e as ested and approved. The second toad 011SILU was also-reste-&—
NN v ,, arid U*19d IV Caw uVritrutc cy ° a z)tr01-1yt5 verilivatiuji. See --above
informati n for results of onsite testing. After Me first two loads were testes and
approved- t e tvllvwiny tRree loads wer visually eheexed.. See eontiituatiort reports
for as • ional test information.
X meets
Mazurial
above specifications.
fails to meet
Approved for
DiVribution By
atenals cn iN to
t es,M an -a
sunmmm By: GW srzarz016
Initial Data
ASTM C138: Unit Weight, Yield and Air Content
of concrete
Time Water Added tD Cement
(A)Mass of
43.61150
Measure+Concrete
Re -d Discharge Completion Time
(6)mass or Pleasure
r 86155
(C)Volame of Measure
0 2490113
Unit Weight of
143.8pcf
Concrete [(A -8):'C):
Time Allovvea for
Placement
Time Water Added tD Cement
6:32
S ucification
2.00 Flours
Re -d Discharge Completion Time
8:32
Actual Tlmc DiachargE uvmplutc
/:45
ASTM C31: Standard Pract ce for Making and Carling
Concrete Test Specimens in ine FielO
Date Cylinders Gast 5ntoll b
I [rite Cylinders Cast 7:39
Mamf5er or G littders Cast 6
Specunun Marki„gs
Lab Net tber° of Cyl,nder5
RC -16-295 to RC -16-300
Test Hges oi Cylinders -
1 d, 4d; 7d, 2 28d, Hold
Aggregate Source(s):
Goarse: 8-329
Fine: 13-329
8atcll I iCRet Marriftr: l b2 16
Form Field Concrete Test Report RaVL4iM tv21,06
Kilig Comity 155 Monroe avenue NL•, lildg. 1).
Itatt.:n, WA )rsinC-41 J)
I�CI�aI'llu%nl OI Tiailil)Oi1:11011 1-11011L (z06).06 7709
Materials Laboratory Ring County I ax (206) 296 0179
Congreie FI®la Teri Report
Project: City of Renton - Loyan Ave N.
Concrete Placed By: HIRRmarR Concreie
Concrete Supplier:
Plant Location:
Miles
Pacific - 203
Project Number:
1126896
Placement Inspector: Shawn Shirey
Tests and Cylinders by: Casey Wagner
Plin Design Number: 9442A
Placement I-ocation: Roadway Base Lift Slab @ South Bound Logan Ave in West Lane - 2 of 3
Concrete Use: Roaavvay Base Sia6 5trungtli Specification: 4999psi at 25 days
A5 I M LA 064
Sldndard Test Method for Temperature
of FrestUy if iixec Ponlana Cemeni
Concrete
I emperatare:
1 65'F
Specification:
I55'F - 9ii F
Ref WSDCT Std S 017 6-42:4 D
HRWR Added.
No
AS I ICI C231
Standard Test Method for Air Conlenl
of Freshly Mixed Concrete by Pre55are
Method
Enposedv Ye`
Air Content: 5.4%
Specification: 4,5%,7,5'j
Flet vvSaar Sid Spec.-ii•vz.'-(�)n
Concrete Conformance to Mi. Dfsiyn (vvSDU I Std. Specs 6-U2.3(5)C, 6-02.3(5)F)
AS I ICI V 143
Te-Ti-M-eiTiod for
Slump o� Hydraulic Gemeni
Concrete,
Slump:
5"
1 ype'r
c
Placement:
Driveway: curb s Getter
Speaifiaation:
5.5" max.
Mel' vv5av151aSpecs 0•V 3(a)4
AS I ICI C231
Standard Test Method for Air Conlenl
of Freshly Mixed Concrete by Pre55are
Method
Enposedv Ye`
Air Content: 5.4%
Specification: 4,5%,7,5'j
Flet vvSaar Sid Spec.-ii•vz.'-(�)n
Concrete Conformance to Mi. Dfsiyn (vvSDU I Std. Specs 6-U2.3(5)C, 6-02.3(5)F)
Component Wel Mass
l,I olerance) po/yap)
Moisture ass r Dry Mass
Commit Water 161 a I (Ib/yd3)
Allowable Design Mass
Range (Ib/yd 1) (Ib/yd')
C.A. ;e% -20/ 1852
l) 1852
3/ -3i 186U
F.A. Z% -Z/o 1338
5.2% tiff 12/2
25 -25 1L/U
Cem. 5% -190 1 562
U.0 u 562
28 -6 564
Slag 5% -5% U
O.U% 0 0
U U 0
S U� 10% -10°i
H2O 161
---------- 161 ----------
---------- 245
Water Added to Truck On Site 1u al. Volume of Concrete in Truck 1u d3
Mas of water added on Site (15tyd3) 8 ACtadl water/(Cement*Pa«) 0.42
I atal Plass or water (lu/yda) Z35 Design vvateri(Gement-FPozz) 0.43
Remarlts: i nis is the second report of Mree for the roadway ease pour on 5/1 a/ 16. The
sixth load onsite was tested; approved; and used to cast concrete cylinderb for Strenyth
verification. See a6ave infurrinatian for re50115 ar onsw testing. After Me s0al"I loan was
tested and approved, the following three loads were visually checked. See continuation
repuff for additional tzstiny irrforrinativ,,
Material
X meets
fails to meet
above specifications.
Approved forTested and
Diaribtlfion By. 51-2—,q& submitted By CW Snot201e
Ifflalenpid Ertgi eer Dail? Initial Dale
AS I PI C 135: Unit Weight. Yield and Air Content
of Coaorece
(A)Mlass of
43 61 lbs
R6;m3araTC;oncrete
z.uu Rom*
(6)Ma55 at meazare
r. stilus
(C)voiume or Pleasure
2490f
Unit vveigftt of
143.6pcf
uoncrete [(A-6)/C:J:
Time Allowed for
Placement
Time Water Added to Gement
8:14
Spec flcarion
z.uu Rom*
Rr 'd D!,,Oar u wm lii Time
1u:14
Actual Time Dibuhar a Complete
9:Uz
AS 111 C31: Standard Practice for Making and Curing
Concrete Test Specimens in ,he Field
DateCylinder-5 Gast 5/19/16
11me C Iinaers Cast wolf
Number of Cylinders Cast 6
Specimen Mark,ngs
Lab Numbers of uyiindery
KC -16-301 to KC -16-306
Twit Agu3 ut t;yl':nd r
Aggr gate Sourcelf
Coar e: B-329
Fine: B-329
SatcH I ck I omI5 e
Form: Flaid Concrete Test Report I; ell, c
King - Iii Monroe Avenae NV. Bldg, Dl
Kind, County t;
lienlrnt, WA 99056 4199
DCL,:tilinCitlt7( li:ut�l)t7ilallOuLN Plume. (106)x96-7709
Material,, Laboi ator King County
y lax: (206) 296-0179
Concrete Field Test nepon
Project: Cil of Renton - Logan Ave IT
Concrete Placed By: Highmark Concrete
Concrete Supplier:
Miles
Project Number: 1126896
Placement Inspector: 5Ravvn SRireey
Tests and Cylinders by: Casey Wagner
Plant Location: w Pacific - 203 MIM Desiyn Number: ! 0442A
Placement Location: i Roadway Base Lift Slab_ @ South Bound Logan Ave in West Lane - 3 of 3
Concrete Use: Roadway Base Slab Strength Specification: 4000psi at 28 days
A5 M 01064
Standard Tesi Method for Temperatore
of Freshly Mixed Penland Ce -a-1
Cvnrreie
I emperature:
71 F
,jpeciticatlon:
55"F- 90°F
ht•f WSDOT Std. ' ec- 6-023(4)0
HRWR Added M(
ASTM C231
Standard Test Method fu- Air Content
of Freshly Mixed Concrete by Pressure
Melhc;d
E,.pose'a r
Air Content: 5.1%
Specification: 4.5% 7.5%
Ref WSDOT Std. Specs 6--v2.3 ?)m
Concrete Conformance to Mix Design (WSDOT Sid. Specs 6-02.3(5)C;, 6-u2.3(5)F)
ASTM C143
Test Methud
for Slump of Hydrtck Gement
Ganerr,e,:.
Slump:
5
Type?
C
Placement:
Driveway, Curt!! a Guner
SpGCificertion:
5.5" mi a..
Ref WSDOT Std Specs 6-02.3(4)C
ASTM C231
Standard Test Method fu- Air Content
of Freshly Mixed Concrete by Pressure
Melhc;d
E,.pose'a r
Air Content: 5.1%
Specification: 4.5% 7.5%
Ref WSDOT Std. Specs 6--v2.3 ?)m
Concrete Conformance to Mix Design (WSDOT Sid. Specs 6-02.3(5)C;, 6-u2.3(5)F)
Component
I olerance
Wot Mass Moi.tore ass of
(lb/yd Contenl vv{t ter
Dry Mass
Ib/ d
AulowaCle
Ran (Ib/yd
Design Plass
(lb/yd—)
C.A. 2% -2%
186u u
1869
3/ -3/
1560
F.A. 2% -20i
1327 4.7% 60
1268
25 -25
12/0
Cem. 5% -1%
560 0.0% u
560
28 -e
564
Slag 50/ -5%
u U.U`/ u
0
0 0
0
510t 10% -IU'le
H2O
145 ---------- 145
----------
----------
245
Water Added to I rucR un site 15 al. volcime of Concrete in I ruck
11 d3
Mass of Water added on Site (Ib/yd3) 11 Actual vvaterr(CementTPo«)
0.39
I metal Mass of vvater (16/yd;,) 215 Desiyn Water/(Cement+Pozz)
0.43
RemarR*. 1 R;;s 'Sa -O 0 - a way base luour on 55-199,11 66. The
10th load onsite was tested, approved, and used to cast concrete cylinders wr Strt tgtH
vwHih,cifion. 5ee a5cive information lo, esults of unsite testing. After tile IOLH !VdU Wdb
tested and approved, ,,fie tolloWing three IoadS Were visoally cFiecRed. see previous
reporffb for additional testing information.
Material
X meets
fails Tv meet
above specifications.
Approved t,i - T.zTO and
OW riStIlron By: Sebmftted By Lw srt—se
aLF t nals nyr„aer Date Initial Date
A5 117 C; 138: onl. vvelglli. dela anti Air Content
of Concrete
(A)IDlass of
43.$/I15S
Measure*C ancrete
2.00 Hours
(B)Itrabb of Measore
7.86lbs
(G)vOlarrla at Pleasar
u.24au113
Unit vveiyMi of
144.6pcf
Concrete t(A-B)/Cj:
Time Allowed for
Placement
Time Weitor Added to Gement
y:LU
Specif radon
2.00 Hours
Re 'd Disuha a Cat t letio T me
11:20
Aoeaal Time Discharge Complete
10:54
A5 117 V31- Standard Practice for Making and Curing
Cancrete Teal SpKa mens in the Field
Date linderb Cast 5/19/16
I ime Gylinders Gast 10:19
Number of C linders Cast o
spec men IvlarRmgs
Lab Numbers of Gyl+nders:
Kc; -10-3u/ to Ru -16-312
Test Ayes of Gyfinders:
1d, 4d. /a. 2 28d_ R-vlo
Aggregate Source(s):
Coarse: B-329
Fine: 6-329
Batch Ticket Number: 168489
FormField Concrete test Reporl Revisor. aczlw
DEEIVERIr TICKET M I
SAND & GRAvEC COMPANY
400 VALCET AVE ME, PUTALCUP, VVA y83/2-2bl6
SALES/OFFICE www.M1I9uSandandGravel.cum
(253) 633-3705 CONCRETE ORDERS SAND s GRAvEC ORDERS
(253) 922 0327 (253) a33.3,00 jz53/ 536 9100 SHELTON OLYMPIA
Ian (2531833-3746 iziis nzz-a 1 16 i2531 A43••17R7 13An1 d2R-3 idd ,'AAM AOI -7777
uUSTuMER uOPY
DATE
C135I01PIER MO.
OADER MO
MODECIVERT 1ICREI MO
CUSTOMER PO. OR JOB NO PORPJOBI
,
4CT
ORDERED
CT DCVRO
LOAD NO.
SLUMP
Orhons of Woter
PLAest LILT I01� w`i
�OB.I11E IN
OReqUT
PLANT TIME IN
Lvt ll.l.
l IJ
1
1 /tj
Added By Customers
ht E} P01.1 ,-' M3 C'r11 i •�'
CO I OmEn MAIWE
5rECIAC IRb i RuC i IuRs
h i 61ltrtFsRY C:ONC RU I U tJR 1 I I' A� I 11
656 Ca I 1 -IC,
009 ADDRESS
101.."W1111 1T- VE 111 +& 1,1 %Rv S4 }Y;~ (`: I f 011
QTY UNITS
PROD. CODE
DESCRIP 1 i0M
UNIT PRICE
AMOUNT
i4 vc: Yd
0442A
011112A
LOW 7[T! it C :vl;/.a�•t
-
jQ usa i:Y
11000
Afft FFt11Tf;F;1l1il 1,11
Clrl14 IfI71• Is
10 04) Uy
ri;3011i
F1•1VIRDIAlf1110 UJIMpt >rsii:f t7,
Y It-tU
;alpl:ltr+"GE t�FAVY MIX
DRIVER Ru,
i ROCK R0.
14/5
.i ,
TERMS: NET 30 DAYS. IRTEREST m I RE RIr+AIMIOM ACCOVVA6CE RAI E wlt_C BE
SUB TOTAL
CHARGED ON PAST DUE ACCOUNTS IF COLLECTIOR RECOICIES RECEs-
SARY REASONABLE ATTORNEYS FEES WILL BE ASSESSED.
IAx CODE
-
R� Z
11
RELEASE - CUSTOMER RELEASES & AGREES TO HOLD HARMLESS THE MILES CO
FOR ART 13AMAGE TO RIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF
DRIVER.
RIAI ERIACS r151 ED ABOVE.
ttLfGF?E s , P3 T �l1�iF }
GACCONa OF VVAI ER ADOLD BY CUSTO ER S REQUEST
SIGNATURE i
GL Vv-)
SALES TAX
--
1C
I OTAL AMOUNT
A,
1,�j, FI i 1 •,--
,
�IJ+V, R�
r
i�: P C iltl .4117 1,
�
.5 1.
ht E} P01.1 ,-' M3 C'r11 i •�'
LOW 7[T! it C :vl;/.a�•t
:•x''I .e•?i rIe 'a
:i13rK 4Gf:"I r,• L:IIt?•'
Clrl14 IfI71• Is
A,
DELIVERY TICKET - m l
6
SAND & GRAVEL COMPA19Y
400 VALLEY AVE NE, PUYAMUP, WA au3iz-z�16
SALES/OFFICE .-wMIIosSa IdandGravuI.COm
(253) 8333705 CONCRETE ORDERS SAND & GRAVEL ORDERS
(253) 922.0327 (253) 833-3700 (253) 5a5-510000 zimELTOA O(!yMrlA
raA (253) 833.3746 (2531922-9 116 (za3) 9113. 1 ial i3601026-3340 13601491-77x7
CUSTOMER COPY
DAI a
C05 i OwiER ICO.
ORDER ICO.
CObi OILIER P.O. CH JOB R0, PLANT NO, DELIVERY TICKET NO
try/ 19/?U til
019U3()
:311:-!r)1
4 W, It.,_ E: I t;
Cr ORDERED
Cr 13L1mD
COAD NO SLUMP
Gallon$ el vva{er
PLANT TIME OUT
JOB TIME IN
OUR I IMIE 001
1917M i I IME IA
c1.)
A88oeB7Ce�lemers
Roquest
n'G 0`
fi "'S(i"' i
NdN.(d �Y.Y .IIf,� ;
+ ��
..
COb I OILIER 19AIVIE
SPECIAL INSTRUCTIOICS
H f 4.:HMARV CGHI:f'E- IE 4-0111 tiriE ' f_f 1
656 I.1 F`AV 11 41 i
JOa AuuREsb
I (.1LAI I AVE 11 h I.4 .411V E 1 REN fnl,1
OTY UNITS
PROD, CODE
DESCRIPTION CIMI I rRICE
AMOUNT
10 CA) vd
17102A
Wifi .A
ti`
(.i
flu"m
A f R E N IRA INNEt 1 fi
W l.li) C Y
i.-jr J1J
I PlV 1 tirJi°]I`it t ] FF3C L:LDP`]�'1 13;1•.L:E PI
..-PLS',
I 0i) 1 P,
5401
1`11F1 1 URL1161f CF.' READY M V
: i ii
unlvER ICO.
I ROCK NO.
io-%i EP'1 r0:1
25 IH
1�71r1 l
TERMS: NET 30 DAYS INTEREST AT THE MAXIMUM ALLOWABLE RATE WI« BE
SOB I01AC
CHARGED ON PAST DUE ACCOUNTS. IF COLLECTION BECOMES NECES-
SARY REASONABLE ATTORNEYS FEES WILL BE ASSESSED.
TAX CODE.
1+A'�r Y.IATi_:t: I.it, r �uf. rf_6
4 {�,
Ih
RELEASE - CUSTOMER RELEASES & AGREES TO HOLD HARMLESS THE MILES CO
Ir
FOR AICs 13ARIAGE i0 Fib REAL OR PERSOICAL PROPER r CAUSED BY DELIVERY OF
ICIAI ERIACS Cls I ED ABOVE
AcuA
Cr11v�R.
1
CAFPY .1091f
OACCOnD OF YVAIER ADDED 8r COz,IOMEWb REUUEsl
SACE5 IAA
.K ❑,) -j-
SIGNATURE
:hi,K' 4001;1 -del
III I[c-'s
iln'e• ;I I Isct
tett
JC
TOTAL AMOUNT
1 '=; I ltt kr
NdN.(d �Y.Y .IIf,� ;
. •�]!�'1 Vt7
k••'iC1)f^�t
,At&-. I. 2 Si - ,IL iii '
i:i0 Ir
i31H ':
rl:?m5 ,tai:,,
.:,, I.
15�
.c•.;
`St;lu
r4' i�lt nU1 T 1 .
ti`
IR
!:Jtyu I(
al e•1
iRnnc lli^C:I
�'•�
-zu -.
..-PLS',
Rib FOLi 7o'e mE r UL'. 1
: i ii
ir'% • i
�Y
io-%i EP'1 r0:1
_Ar It.
,=1a ir:
17" IF,
1+A'�r Y.IATi_:t: I.it, r �uf. rf_6
4 {�,
Ih
Ir
AcuA
frd fI HAi-rm%
1
L. -w.1
.K ❑,) -j-
:hi,K' 4001;1 -del
III I[c-'s
iln'e• ;I I Isct
tett
T' D h
�1
v15.6�
C�-
DELIVERY TICKET MjL
-
SAIaD & GRAVEL COMPANY
400- VALET AVE 19E, POYALCOP, vvA 98372-2516
SALES/OFFICE www.MilobSeni3anl3Gravel.com
(253) 833-3705 CONCRETE ORDERS SHAD & GRAVEL ORDERS
(253) 922-0327 (z5a) aaa- 1100 (253) 536.9100 SHELTON OLYMPIA
lax (253) a33-af M5 iznm azz-91 16 1953, Ada -17A7 Lunt d9A.99dd twtra not _7777
CUSTOMER uoPY
DAI E
COs i UmER IAO.
ORDER NO.
CUSTOMER PO:. OR JOB NO.
19C41A1 IAO
DEri—,,m 1ICKET AO
Wn 11011 171 F,
1•,�� li
mi
1 -AD G
iiF5i9 .t?
1 ,
Cr ORDERED
Cr DLVRD
LOAD NO
SLUMP -
Gallons of Water
PLF�jJ E Ou r
JOB TIME OUT
PLANT TIME IIA
LU(,) 171
3.1.
;3
l�1
Addod By Customers
Rsqueal
MOP71EN
t R_ll W,47 Gcs h1!14 ..Ar -;A,
y, a
1
COs 1 UMEH MARIE
5PECIAC IAS I ROC 1 IOIAs
H I GHMAPY C:ONCRE-i t: C01--iTl-MC i Li t'
1'1,1153
dOB ADDRESS
LrlC.Fjr•I 7;v17 pI E i R[S �:v 1
OTY UNITS
PROD. cousl
DESORIP I IOIG
UNIT PRICE
AMOUNT
1.1 011 y d
a..`' Eli f--' d
114 4 2A
-
11 CN) C y
>•;ilJt rr)
A IR 1- NTRA %!•11'14 N1
l 1 +317 Y
S 31:�r�
ENV IPIF)NN l: ?Fit l.ulff'I I.Fir•IrJ F1
(f1
"ITTO I
FUEL SORE -31A IE REAVY rill'?
DRIvrR rvu.
I ROCK Fu.
1 r 1�l 1
t'1136
TERMS: NET 30 DAYS. iMTERL'S 1 AI i RE MIMAIMI15M ArLOWA617E RAi E vvICC BE
SUB TOTAL
CHARGED ON PAST DUE ACCOUrvTS. IF CO2CEC i IOM BECOIDIEzi Mri Es-
SARY REASONABLE ATTORNEYS FEES WILL BE ASSESSED.
iAx CODE.
fit
RELEASE – CUSTOMER RELEASES & AGREES TO HOLD HARMLESS 1 ill 41!z CO
FOR AMT DARIHGE to RIS REAL OR PERSONAL PROPERTY CAUSED BYt�lELIJERY OF
Mmi ERIAE5 CIS I ED ABOvE E`
DRIVER.
GAI_CUM5 OF rlvAi ER AUDEu BY CUSTOMER'S REQUEST _
SIGNATURE
SALES TAX
1L
I O IAL AMOUNT
`jti i1 '=: f1I
14 1 �
4 1 L is
2L� - I6L2%.
I;am+f i]. ;r iFil^n
De.,)rtvt
e*lre"
a[eir:
BxtLIsla3Ari3G!;z%:
12Ti1I''
I;M,•' it
1•,�� li
mi
1 -AD G
iiF5i9 .t?
,ii ,'cr, iv
' f r`P' pl' ZaT9�t
.c•1 1V
Pzi1.1 Ii
.-.G sot.' t7 I11C
Tu# , - .^ s1.r- t
it
t R_ll W,47 Gcs h1!14 ..Ar -;A,
y, a
A :f cv 1 kr r FI Y'-rf--. I
w>u 423:' IL Crsllla i'.Ic. e a .0 1•+d ,„f rr.r_rtl G 41;3 ;
L�,IL iIC' 3Cil ili , 451 in T�,r_k D 1 it Trrry0-itt'
_u
b�
r]
DELIVERY TICKET CUSTOMER COPY
SAM13 & GRAVEL COMPANY
400 vACCEY AvE ICE, PUYACCUP, VVA V53/Z-'1516
SALES/OFFICE www.MiletiSandant]Griivtll.com
(253) 833.3705 CONCRETE ORDERS SAND is GIMvE[ ORDERS
'Ob tOAIERICAl01E SPECK IAs1R�C11vvs
1 C ctil'!l1i-:1<' Cf 11 cllt• I I l.(1NTRA(. I I I..0 6511 L- I VIAV II It
1013 ADDRESS
L.00!'N AVI— 1,1 & l-1 :3PID Q,1
QTY UNITS PROD, CODE DESCRIPTION
.vi U0 YLI C.7rC�t?A rt44r: A -
Itr (111 I.Y 53f,, FNVLRONME.h1TAI C.0MV1 f.FcLtiCF Iii
.1 [Jil I L' 511i 1 i 1 1.471 til.ltil:tl+!lila►' 1FS TiUY r! I X
DRIVER ICO.
(253) 922.0327
(253) a33 of 00
tz53) 536-9100 SHELTON
OLYMPIA
�'(=
lax (253) 03a-3rt;6
(z5a) Uzz-ti 1 16
t253) 843-1787 (360) 426-3344
(360) 491.7777
IAI E
C051 OMER ICO,
.:.ill` (S
ORDER NO
CUSTOMER P0. OR JOB NO.
R;* i I l t I.
NO
DELIVERY TICKET NO
Cit11,i*r:Y
rOR AMT DAICIAGE 10 n15 RERE OR PERSOICAE vROPER I Y CAUSED BY DELIVERY OF
MATERIALS EIS 1 ED AovvE
DRIVER.
ii m:11�
;PLANT
GALC0IC5 VF YYAICR ADUCD BT COS101v1EFi'S REQOESI
SIGNATURE
SMrI!S IMA
OD
CRDEREr DLvRD
rt
LOAD NO.
SLUMP
G..110mv of vv..t.,
Adana B, Custo ,era
I;"B It
rff!IW,IME0 I
a
IIOIE iI .a013
I IME 001
PORM I I IME ID
�lJ t®I
,,..,- rr.
;SIO
T: FE tli+
i 9/6}
Roquest
m
�:, 1c•
ice_ .
e� � c � �. x i
'Ob tOAIERICAl01E SPECK IAs1R�C11vvs
1 C ctil'!l1i-:1<' Cf 11 cllt• I I l.(1NTRA(. I I I..0 6511 L- I VIAV II It
1013 ADDRESS
L.00!'N AVI— 1,1 & l-1 :3PID Q,1
QTY UNITS PROD, CODE DESCRIPTION
.vi U0 YLI C.7rC�t?A rt44r: A -
Itr (111 I.Y 53f,, FNVLRONME.h1TAI C.0MV1 f.FcLtiCF Iii
.1 [Jil I L' 511i 1 i 1 1.471 til.ltil:tl+!lila►' 1FS TiUY r! I X
DRIVER ICO.
I ROCK ICO
C
P335
�'(=
TERMS: NET 30 DAYS INTEREST AT THE MAX UMI AI'_r_OWAI3�E RAI E vv1« BE
sub 101AC
CHARGED ON PAST DUE ACCOUNTS IF COLLECTION BECOMES NECES-
SARY REASOICABLE ATTORNEYS FEES WILL BE ASSESSED.
TAX CODE.
.:.ill` (S
I.., I-
-I'..
R;* i I l t I.
nEEEASE - CUS 1 OILIER RELEASES & AGREES TO HOLD HARMLESS THE MILES CO
rOR AMT DAICIAGE 10 n15 RERE OR PERSOICAE vROPER I Y CAUSED BY DELIVERY OF
MATERIALS EIS 1 ED AovvE
DRIVER.
ii m:11�
(� lt{r .
5il.f! is ll=r�
GALC0IC5 VF YYAICR ADUCD BT COS101v1EFi'S REQOESI
SIGNATURE
SMrI!S IMA
F+c wlllc I
E!�•:t" ;
_p1'40Cl"
7C
TOTAL AMOUNT
T! I I - k . i
71 •v
L t
.:.ill` (S
I.., I-
-I'..
R;* i I l t I.
ii m:11�
Ck'_s_rl�ll.:t
C,e::ipl Qf
F+c wlllc I
E!�•:t" ;
_p1'40Cl"
dA1T,CAAL
I;"B It
i-1 1 II:•
1?Wil in
Ir:u IF
,,..,- rr.
;SIO
T: FE tli+
m
�:, 1c•
ice_ .
e� � c � �. x i
� • �i
: is �
. u t
MB r ;7: I '..
{. E; i 01
1,+1iEF 1
. - I=r-
4" (E1
r -F
Jt it
it
F IL11 vaa tFG —;r -r.
r•
b. Ir
it^t�=n
tr^1r..F1
rY.r
a S'
p
b•.arae
iax+t Barth; 1
Lv31
30,'ti i;
:y,{F' t C u 4:`
—jwitiruiSF7'S
+lw'v
7 O in
6+.7t..,if,
Titl:h
11 r) Iri Ti I,i
- Ami .14u I C.
/6v
DM11 PRICE I AMOUNT
DELIVERY TICKET
I
SAND & GwRAVEL COMPANY
400 VALLEY AVE NE, PUYALLUP, WA a83tz-z5it)
SALES/OFFICE
ww...Mii ;sSandandGraval.cum
(253) 633-afU5
COIGCRETE ORDERS SAND & GRAVEL ORDERS
(253)5cc-0ocr
j253)833-3700 (253)536-9100 Smer-lo4 OLYMPIA
fax (c5a) soo-306
(253) 922-9116 (253) 643-1767 jo60) z126-3344 t360)491-7777
)ATE
COS I DIOIER NO,
ORDER NO
CDs OIGIEIi P.D- OR JOB AO.
PLANT IqO
lv' ?I'a� lulu
01901A)
..r �R' — DERED
Cr DEVRu
LOAD NO,
Gallons of vvawr P ME OU o0E I II E a06 i
(I�.Ol
Cpl
6
JSEuml'
nE1000 By Customers -
�.W Roquos 'd� .,.
�'Us i ul01ER IaAFIE
SPECIAL INS, rt= i Mas
rotapgf-T
I I z_ X5+3
)OI3..eeRE55
AL ,T __
KLNI(Pati
CITY
UNITS PROD. CODE DESCRIPTION
YCI
0 4eiF.A
044r2A
10 c11,
(7Y
:Ij"1310
14iR ��) YfF+rril�z t3F
].`i I .+"I
17,y
5 3'L.fv
Et -.1V I RMMENTAL f u,-#- E: i FIfU(;E til
DRIVER NO RDCR lav
TERMS: NET s0 rJMT) Ila I ERE5I Al I HE MAXIMUM ALLOWABLE RATE WILL BE SUB TOTM[
CHARGED Ola rAS i DOE mMaDO a i 5. IF COLLECTION BECOMES NECES•
Trot C,OU. SARY REASONABLE ATTORNUS FEE) vvICE 13E A5oEsSED.
RELEASE - CUSTOMER RELEASES & AGREES TOO RV[D RMRI01[E)S i HE MILES CO
FOR MIaY DAMAGE TO HIS REAL OR PERSONAL PROPER i T CMDSED 6T DECIvERY OF
DRIvEn ICIMI ERIr[5 [Is i ED ABOVE
GMCLORS OF WATER ADDED BY CUSTOMER'S rREOO 51 SHCEs IMA
SIGNATURE
A - (--ti TOTM2 MIGIOuiC I
�o
70
CUSTOMIEm CuPY
EENE ITT I,CKETIaO
I
TROA—f TIME IN
UNIT PRICE ! AMOUNT
=== : vTvrL-r 1 %a% -sr i
DELIVERY TICKE i
SAND & GRAVEL COMPANY
400 VALLEY AVE NE, PUYALLUP, WA 98372-2516
SALES/OFFICE www.Mll'oa5ui dandla a.al.; om
(253) 833-3705 COMCRETE ORDERS SAND & GRAVEL ORDERS
(253) 922 0327 X253) 833-3700 (253) 538-9100 SHELTON OLYMPIA
}A- l2F3T R3'1-'A7Ar i253t 922-91 16 (253) 843-1787 (360) 426-3344 (360) 491-7777
Hie
CUSTOMER NO
ORDmR no,
C05I'UIGIER P.O. DPI aD9 ICO
POtIC i IGD, DEGvERT i ICRET IGu ~
D5119,1!}m
01
:r oROtRED Cr DLvRD
eOHD ICv. SLUMP
Gallon oT water
r17R i i IIGIE OUT
jOB TIME IA JOB TIME OUT
PLANT TIME IN
100.0 + U1
4.M0
AaEoD B, Customers
---
- t?t)
'+.-> _
:US LAMER nAMM
-
SPECiA[ lix
I R0C I IOIGS
C'!-gOAF'
f 0jfPF
IE rClNMAC. t L I (
.,'Ai tl • PAVING
_tf
025 HDDRESS
OTY
UNITS
PROD. CODE
DESCRIPTION
UNIT PRICE.
AMOUNT
� I.I; E':d 1I�AitJPlFftf'�
FlvV LRONMFITIAL LOMPL IANCE RI
ru-f-1 urcfiTlk6E...tlFf4vY RSA
DFiIvtFI IGD
IRUCK no
TERMS: NET 30 DAYS. INTEREST AT THE MAXIMUM ALLOWABLE RATE WILL BE
SUB TOTAL
CRARGtD Ola PA5 i O0e AiCOOIG i 5. IF CO[[eC i MG BEt OIGIES IGECES-
SATtT RER515MMMLE Ai IDRICE75 FEES VVICE 8E A55E35ED.
iAA CODE
1 t
RE[EA5E - Cab i OMER RE[EA5E5 s mGMEEs 10 Rv[D RARICI[E55 i RE MI[Es CO.
FOR HILT DAMAGE 10 MIS REAE OR 19ERSOMAE rROPER i T CAUSED BY DECIvERT OP
MATERIALS LISTED ABOVE.
DRIVER
GALLONS OF WATER ADDED BY CUSTOMER'S REQUEST
51GMATURE
SALES TAX
-
X
TOTAL AMOUNT
DELWERY i iCr�.ET
�CUSTOMER
mi S�
COPY
III L `1 F�
-
.i J :-r .t
SAID& GRAVEL COMPANY
400- VACCEY AVE IE, PUYACCUP, VVA 98372-2516
SALES/OFFICE
www.MIIe5SandandGravel.com
NLLAi2H
G'fSLiiff)�e
(253) 833.3705 CONCRETE URDERs aAAD is GRAvEL ORDERS
(253) 922.0327
(2o0) a13-3700 vol) ods -U100 SHELTON VITRIPIA
fax (253) 833-3746
(25s) 922-9116 (z5o) 843-1787 (360) 426-3344 w50) 491-7777
Scd it
.JAI E
�:°* len l
CUSTOMER NO
14rr0'4' 'StBfiJ�,
ORDER NO.
CUSTOMER P.O OR JOB RO
PLANT NO. I DECIVER -TICKET ND.
19�'d
1VhTER _
YP.ATER ?
_
1 ;v Y
PID r v'Y i'r HOTb�A .`,*
1- (s- r
Cy ORDERED
CY DLVRD
LOAD NO. SLUMP
G-11 ns of w—wr
P IMC vCIT JOB IW IN
�+,'
ov6
,11111E Du r PLAR, 1 IIC1E IR
Aaacd By Canto a
COs IDIMEH RAME
sPECIAC INSTRUCTIONS
;I IM
qtr �-i-- - - C:) f RA(:. i :
i C 1 MAN
UZ313 AUDRE5S
QTY
UNITS
PROD. CODE
DESCRIPTIONUNIT
PRICE
Amt5UNT
31 cx)
y'ti
04-42A
FJzpr2ri
ll vtr
CY
4vv1r
AIR EKTRAINNENT
.LTL 1j1
CY
5300
R1
7, 00
Lu
54071
FUEL SUR :HARUE-Kt-A ;Y MIX
DRIvrR RO, TRUCK NO
TERMS: RET ;jO DAYS. INTEREST AT THE MAXIMUM mE:MvvA6CE1RAr E vvlF-L BE SUB TOTAL
CR„RUED vR PAS r DUE ACCOUNTS.IF COLLECTION EGQRIEs RECEs-
IAA CODE, SARY RER5'vRA6CE Ar I ORAEYS FEES WILL BE ASSE ED.1
v 1 111, K, RELEASE - CUSTOMER RECEAaEs a AGREES TO HOLD HARMLES THE RACCO.
DRIVER. FOR ANY DAMAGE TO HIS REAL On PERsuRAL PROPERTY CAUSED Y DELIVERY
LIVERY OF
MAI ERIACS LISTED ABOVE 11
)1 "�,kN N i } AVIL? GACCG19S OF WATER ADDED BY COui VMtR°A REQUEST � SALES TAX
SIGNATURE \
A TOTAL AMOUNT
Lna-i 4:S 05 1`� a -.-u, Fty � DA35 r r.sr t•.n'viR
t
III L `1 F�
-
.i J :-r .t
r ti
NLLAi2H
G'fSLiiff)�e
i,��`,
Ty FE: r,„,
3315- 15
Scd it
•�C 'cn i
�:°* len l
14rr0'4' 'StBfiJ�,
590
me-E9U
1VhTER _
YP.ATER ?
_
1 ;v Y
PID r v'Y i'r HOTb�A .`,*
1- (s- r
Lna-i 4:S 05 1`� a -.-u, Fty � DA35 r r.sr t•.n'viR
t
DELIVERY TICKET MIL ts
-
SAND & GRAVEL COMPANY
400VALLEY AVE NE, PUYALLUP, WA 98372-2516
SALES/vFFICE www.MilesaandandGr a..aizorm
ic5a) 511-3705 CONCRETE ORDERS SAND & GRAVEL ORDERS
(253) 922-0327 1253) 833.3700 (253) 5369100 SHELTON OLYMPIA
tax i253) 833-3746 1253)922-9116 (2531843.1787 1117101 A913-1344 mAn1agl-7...
UUJ I UIVIt:h UUr Y
)ATE
CUSTOMER NO.
ORDER NO
CCS t OIOIEA PC; UR av6 ICU
PDSIC I ICO
MENEM ICRET ICO.
` ORVEREv
CY DEvRD
EURZ; mu.
SEul01P
Gallons o1 Water
PIrA I E DDT
SOB TII61 IIC
JOB TIME OUT
PLANT TIME IN
1i7C117
r'oa ;1%.7C5:
Added By Customers
'. t1K Ib
1-55U �V
T, FE. ., 20111-
;i.
a�TF.r�:' FA ;cr t
4A)
Request
145:
MEI
:U5TOMER NAME
bFECIAC INS i ROC i IONS
tgiI. _ ticrow pr rci
JOB ADDRESS
LQ4 a44 AVL
OTY UNITS
PROD. CODE
DEaCRIP i ION UNIT PRICE
AMOUNT
yyo 0 J�-�y
u •�t -z
♦�
111. 00 dry
1ef 01,
AIR ENTnA a nHE"',; )
lit f10 Ce'
5ail)o
EWTf'.OWNFOIA1 CC1NPL.TANCE " R;
00 i,
574-c 1.
t JEiL 5L4"r6FSV40ir PWALIV Pil r.
DRIVER AO
TRUCK NO
TERMS: r4ET a0 DAT S. IMIEREsI Al 1HE MAAIMUAI ALLOWABLE RATE WILL BE
SUBTOTAL
CHARGED OR PA5 t DDE ACCUUM i s. IF C;UUCCEC I JDM SECOMEJ ICECE z -
SARY REASONABLE ATTORNEYS FEES nriI-E eE A5sE3sED.
TAX CODE
rk
RELEASE - CUSTOMER RELEASES & AGREES TO HOLD HARRIEESS 1191! MI[Es CO.
FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY CAUSED BY DELIVERY OF
MAi ERIALS LISTED ABOVE.
DRIveR
;i u F=
GALLONS OF WATER ADDED BY CUSTOMER'S REQUEST
.SIGMmi DRE
SALES TAX
-
X
TOTAL AMOUNT
!.l
M11��!-tal w-rl�l_T
�y,G';
•.•,y.cr?�-„
e�'ne:`
Br.ill-)k Bi. .Its ^TO'.7-tt:"-r
1i7C117
r'oa ;1%.7C5:
106U In
'. t1K Ib
1-55U �V
T, FE. ., 20111-
;i.
a�TF.r�:' FA ;cr t
:5u :5
5'r a.
145:
MEI
14P.•.5Si: 1sE.FEr1
1 .Z
7i: -
,u ❑
Ab z
,C— s-TE.Ft-+07TwrTG==
u •�t -z
,jn'v
I-:°i1V iT
Sltan� a # ri!,t
' aIv 230
'17
!.l
DELIVERY TIcKET - lvl I
SAND & GRAVEL COMPANY
400 VALLEY AVE NE, PUYALLUP, WA a8j[z-z5l6
SALES/OFFICE www.MIIasSandandGraval.cam
(253) 83a-3705 CONCRETE ORDERS SAND & GRAVEL ORDERS
jzoa) azc-unci jzoa) aaa-a10u jzaa) oao-a10u SrlEMOM OCTR1191M
Fax iznm 13,1.1-11118 izoaI nzz-a I Is iznm sue- I /131 ieoul uzo-eeuu ie601 ua I-1111
ATE
COs I OICIEn ICO
ORDER ICO
Cub OFIER P.O OR jOB MO
PCAICT NO.
OECIVERT I ICRET R0
{
Y ORDERED
CY DLVRD
LOAD NO
SLUMP
U-16ma el vv-l.r
Aaaoa B1 CONI.Mora
PLAN`T, IMEOUT ljDB TIA IN JOB TIME OUT
PLANT TIME IN
l
Request
USTOMER NAME
SPECIAL INSTRUCTIONS
-
OB ADDRESS
L.� )G:iAN NfE, N T
OTY
UNITS
PROD. CODE
DESCRIPTION
UNIT PRICE
AMOUNT
10 05
yd
7�3�trPA,
4 �[+[Fc�.r-,
Joi UC
C, Y
7004 j
A f R r 1' TFOI f NNE NT
I Q (to
(:Y
530+:
ElW iRONIPIEN AL EX&IFL. IANCE R
.1 0,10
ET!
5101
FL`E _ SURCHARGE- READY M 1 X
)RIVER NO.
TRUCK NO.
TERMS: NET 30 DAYS. INTEREST AT THE MAXIMUM ALLOWABLE RATE WILL BE
SUB TOTAL
A j '-,
CHARGED ON PAST DUE ACCOUNTS. IF COLLECTION BECOMES NECES-
SARY REASONABLE ATTORNEYS FEES WILL BE ASSESSED.
noc wuE-
RELEASE - CUS I OMER RELEASES & AGREES TO HOLD HARMLESS THE MILES CO.
FOR AMT DAMAGE 10 RIS REAL OR PERSOMAL PROPER T CAUSED BY DELIVERY OF
MAI ERIAE5 115I EO ABOVE
DRIvER.
GACCOrab Or vvAlEn ADDED ST COSiOmERt REOOESr _ --_
SALES TAX
---
-
SIGNATURE
A ITOTAL
AMOUNT
II1,6;
DELIVERY TICKE i
• t uo I UWICn l.vr r
jK jL h
SAND & GRAVEL COMPANY
guu VACCEY AVE NE; PUYALLUP, WA V53/Y-Zblb
SALES/OFFICE
www.Mlle�SandanduravaLcom
(253) 833.3705
COACRETE ORDERS SAND & GRAVEL ORDERS
(253) 922-0327
(eoj) saj-3700 (253) 536 9100 sRELTON OLYMPIA
fay (253) 833-3746
jeo3) 922-_9116 (253) 843-17sr (360) 426-3344 (360) 491-7777
WE
CDs I OMER mc;
� ORDER NO CDs I OmER PO OR JOB NO FERMI no DELIVERY 1 ICKET NO
:Y ORDERED Cr DEV L, CDADIGO
SLUMP -W-1.1--- -
Gnllons o1 ova 71101E IA JOB TIME OUT PLAIOT IICIE IA
Addoe By Cus,omors
Roquam
:USTOMER NARK
4PLANTOUT
SPI!l.U1C IM5I REIC.I lamb
IOBADDRESS - --
-� - - --�
QTY
UnITS PROD. CODE DESCRIPTION UNIT PRICE AMOuR I
'WA
�iZvi-x'73
vii.Fi ENviFi ONVEllt
DNIVER NO TRUCK MC;
TERMS: NET 30 Dress. InIERESI AI IRE MAXIMUM ALLOWABLE RATE VVICL or 5015 TOTAL
CHARGED ON PnS i Due mCCOOM 10. IF COLLECTION BECOMES NECES
TAX CODE SARY REASONABLE ATTORNEYS PEES MEM BE ASSESSED.
RECEAbE - CUSTOMER RELEASES & AGREES I V ROED RHRMLESS THE MILES CO.
FOR AMT DHWIAGE TO HIS REAL OR PERSONAL PROPER I T CAUSED BY DELIVERY OF
DRIvER. MATERIml!5 Cls I ED ABOVE.
UpkECOns Or WATER ADDED BY CUSTOMER'S REvDEs I _ SALES TAX
SIGNATURE
x I OTAL AMOUNT
DELIVERY TICKET - I.V.L.Lk*5 Z
CUSTOMER VUPY
SAND & GRHvEL COMPANY
400 VALLEY AVE NE, PuYHCLUP. wA 98372-251x,
SALES/OFFICE--mMllasSandandGravel.com
(253) 833-3705 CONCRETE ORDERS SAND & GRAvE[ ORDERS
(253) 922-03c, (253) 833-3700 (coS) oa6-9100 SHELTON O[TMPIA
tilA (253) 8a3-3ou8 _ (253_)_922-91_16 _ jzoo) 843-1787 (360) 426-3auu jo60) 491-7777 _
)A1 E COS i OPIER NO URDEN ICO CUSTOMER PO OR 3v15 ICO
JPLANTND.DE[IvERr i ICnEr 100
'Y ORDERED CT 0 -RD LOAD N0. S['v171P u -01 ene .. .IgIE
tons o, vvaler
:.I, , J %;1 1 JJ3 AaGeC By Cemtvmo,a
nequest
wUSTOMER 1C..ICIE
'" l :i lrrtiL:rcr I I- ! .01 JT RAC: -I' Li i,
JOB ADDRESS
CITY UNITS PROD. CODE
DESCRIPTION
O JOB TIME IN
.. a J6 1 d01r 00 i PLANT TIME Ila
SPECIAL INSTRUCTIONS
'Av 1111 f
rU f
Lt r:'c/ `li:3t�f a )v iR0ldP91 9+J2 AI t..[JMFF i Ar:t`,I•_ i;l
DRIVER NO. i MUCK MCI,
IAA BODE,
NAR 1 11 Wni t o` E �, k
TERMS: MET 0 DAYS. INTEREST AT THE MAXIICMM ACC0vvAFJLE RATE WILL BE SUB TO IA[
CRARGrD OIC PAS I DUE ACCOUNTS. IF COL[EC I IOM SECORIES MECES-
SARY REASOICA8[E AI I ORNEYS FEES WILL BE ASSESSED.
RELEASE - CUSTOMER RE[EASES s AGREES 10 HOLD HARMLESS I RE MACES CO.
FOR ANY DAMAGE TO HIS REA[ OR PERSOMAC PROPERTY CAUSED BY DECIvERT OF
ICIAI ERIACS LIS 1 ED ABOVE,
UACLONS OF WATER ADDED By C;U* P U v1ER'S REQUEST SALES TAA
SIGNATURE
TOTAL AMOUNT
TLij.-k (II ) -
t
L,�,
1.zgg lt9i �,c:cn�0t•!I
c�lgfa4r
1•c1Ur••j f31 -1:1r_
SAIII71CI3: LAjILpi IA :.'
i1fII !tl
1.ais G 1 lYd`.:
1�. 4:51 .'��J•
I:r 11 Iv
t.;, =� ir6
Pi FE 1111-
IIiQriC1 1'i fJ"^�.1
�;.
l
..,s t ER T -A rf-
.F. t
It.
4RTr LiA7 1Jr.l
1dm
rin" ntb, r'_
road ,x y. ,fl i •-',K, It
v
k -rA. 0 40£ 7S
SIIIrtp 4M If.'.Vcr In
I rII"
ii 0 it a ri• •
It
t5kj
7 �
0
UNIT PRICE I AMOUR,
f,�Ci r CR ■ �l.11t i �� uUSTUMER DOPY
Da I b m
5AND & GRAVEC COMPANY
400 VACCEY AVE NE, PUYHLCUP, VVA 98372-2516
DFINEn AD 1 ROCK NO
1AA CODE.
DRIVER.
tAF'f '1 I
T t �j .
t
.YPEIl:r
HrcAE it
leta Y= Ci1.1 ®�
r1fiF1
TERMS: NET 30 DMT 5. 11GiERES1 AT THE MAXIMUM MCEUwABCE RATE WILL BE SUB IOIAL
CHARGED ON PM51 DOE ACCOUN i S IF COLLECTIOM BrCOME5 NECES
SARY REASONABLE ATTVRIQETS FEES WILL BE ASSESSED.
FIEEEA5E - CUSTOMER RELEASES s AGREES 10 HOLD HARMLESS TRE RIICES CO
FOR AMT OmMIAGE 10 HIS REAL OR PERSOIQAC PROPERTY CAUSED BY DECIvERT OF
MATERIALS E151 ED ABOVE
GALCUR5 vF vvA1ER ADDED BY CUSiORIER's REQUEST _ SMEEa 1AX
51GAA1 URE
X TOTAF- mMIOUNT
A chmt
I;rr 1r�. s»
I L&l - .L
SALES/OFFICE
www.MlIu3SandandGraysl.cum
(253) sa3.0705
CONCRETE ORDEIIS SAND & GRAVEL ORDERS
(zo3) gee -0327
fax jz53) 833.3746
(253) sa3vTD0 (253) 536.91UU SHELTON OLYMPIA
(253) 9zz-91 16
)ATE
CUSTOMER NO
(253) 8 3- 1 Tsr (360) 426.33z;u (360)491-7777
ORDER NO.
CDs i OMER PO. OR JOB I40 PLANT RD 13ECIVERY TICKET NO
:yl -114101 RED
FCYLVRD
+_�
LOAD AO
t
T,-bLu4)mfp)--
Callon. of Worer
Added By CusiomereRequosr
PGIR IIOIE DD 1
JOB TIME IN aElB i IImE OUT
PERIL 1 1 IIOIE IN
3.U.I!RIQNIGYE
:!i!
ir:lIF' r t d.01 1 T Ri"if` i � u �
SPECIAL INSTRUC IC;M5
F'�;1P
JOB neDREss
f ii AIll
,if,l3 Fid
01T
UNITS
19mOD. CODE
DESCRIPTION
D1/ T�4,+
y!Y
`PC�i
�1�itfCFl
UNIT PRICE
AMOUNT
111 pig
t:y
A,-1.�
��sr1 d hlIf"AiN't-it 1r!
1.0
Ah)
k't'�vff<llnirif_t�li�Fit_ rbriz,t� rel
I CIO
i t
to
d tit t {.�I1Fr`tirrltii�k R AVY MIX
DFINEn AD 1 ROCK NO
1AA CODE.
DRIVER.
tAF'f '1 I
T t �j .
t
.YPEIl:r
HrcAE it
leta Y= Ci1.1 ®�
r1fiF1
TERMS: NET 30 DMT 5. 11GiERES1 AT THE MAXIMUM MCEUwABCE RATE WILL BE SUB IOIAL
CHARGED ON PM51 DOE ACCOUN i S IF COLLECTIOM BrCOME5 NECES
SARY REASONABLE ATTVRIQETS FEES WILL BE ASSESSED.
FIEEEA5E - CUSTOMER RELEASES s AGREES 10 HOLD HARMLESS TRE RIICES CO
FOR AMT OmMIAGE 10 HIS REAL OR PERSOIQAC PROPERTY CAUSED BY DECIvERT OF
MATERIALS E151 ED ABOVE
GALCUR5 vF vvA1ER ADDED BY CUSiORIER's REQUEST _ SMEEa 1AX
51GAA1 URE
X TOTAF- mMIOUNT
A chmt
I;rr 1r�. s»
I L&l - .L