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HomeMy WebLinkAboutWWP273615 (3)RELEASE OF RETAINAGE BOND OF CONTRACTOR Bond No. 929548973 KNOW ALL MEN BY THESE PRESENTS: That we Shoreline Construction Co. (hereinafter called Principal), and Western Surety Company a corporation organized and doing business under and by virtue of the laws of the state of South Dakota , and duly licensed for the purpose of making, guaranteeing or becoming sole surety upon bonds or undertakings required and authorized by the State of Washington, (hereinafter called Surety), as Surety, are held firmly bound unto City of Renton (hereinafter called Obligee) in the just and full sum of THIRTY-FIVE THOUSAND SEVEN HUNDRED FORTY-TWO AND 635,742.22 ) plus 5% of any increases in the contract amount that have occurred or may occur, due to change orders, increases in the quantities or the addition of any new item of work THE CONDITIONS OF THIS OBLIGATION ARE SUCH THAT, Whereas, the said Principal on the 27tb day of June 5 2012 entered into a written contract with the said obligee for City of Renton, Earlington Sewer Replacement, Phase II which said contract is hereby referred to and made a part hereof by reference. WHEREAS, Pursuant to Chapter 60.28 RCW, the above named Principal has requested release of retained percentage earned or which may be earned under said contract, and, WHEREAS, the obligee is willing to release retained percentage in advance of contract terms relating to payment provided the principal shall file bond to indemnify the obligee for all loss, cost or damages which the obligee may sustain by reason of payment of retainage to the principal, which bond shall be subject to all claims and liens in the same manner and same priority as apply to the retainage percentage released, or to be released, NOW, THEREFORE, the condition of this obligation is such that if the principal shall indemnify the obligee for all loss, cost or damages which the obligee may sustain by reason of payment of retained percentage to the principal then this obligation shall be null and void unless otherwise to remain in full force and effect. IN WITNESS WHEREOF, said principal and said Surety have caused these presents to be duly signed and sealed this day of June 2012 . Western Surety Company By: �� �-�-- C a.'o. 1--..0 � i Anne E. Strieby Attorney -in -Fact Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All blen By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seat herein affixed hereby make, constitute and appoint Kellie Hogan, Peter J Comfort, Karen Swanson, Barbara A Johnson, Peggy A Firth, Brent E Heilesen, Anne E Strieby, Eric A Zimmerman, Kristine Lawrence, James B Binder, Jennifer L Snyder, Julie R Truitt, Phylis C Robison, Sandra Kulseth, Christopher Kinyon, Brady Moriarty, Jamie Diemer, Individually of Tacoma, WA, its true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Senior Vice President and its corporate seal to be hereto affixed on this 16th day of March, 2012. suaEr�, WESTERN SURETY COMPANY SSp`. .;- kµ Paul . Bruflat, Senior Vice President State of South Dakota I ss County of Minnehaha On this 16th day of March. 2012, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Senior Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seat of said corporation; that the seal affixed to the said instrument is such corporate seal: that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires + s D. KRELL f November 30, 2012 f SEAL NOTARY PUBLIC S^Fs� s s SOUTH DAKOTA s +y5y5yyyssy555555555�,S5y CERTIFICATE AJ2.4 k-1-al D. Krell, No ry Public I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this day of WESTERN SURETY COMPANY L. Nelson, Assistant Secretary Form F4280-09-06 Authorizing By -Law ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders of the Company. Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by, such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. CITY OF RENTON- COUNCIL AGENDA BILL Al #: Submitting Data: Public Works For Agenda of: Dept/Div/Board.. Utility Systems Division/ January 7, 2013 Wastewater Utility Agenda Status Staff Contact...... John Hobson, x7279 Consent .............. X Public Hearing.. CnF�+c�d d;E� Subject: Final Pay Estimate CAG 12-078 Correspon DATE: _. Earlington Sewer Replacement Phase II Contractor: Shoreline Construction Co. Ordinance........... ME VITIAUDAIFE Resolution /Z 1/ `Z Old Busine s... .. i New Busin S ! Exhibits: Final Pay Estimate Study Sess Ir w!F Notice Of Completion of Public Works Contract Information......... 'Z Recommended Action: Approvals: Council Concur Legal Dept......... Finance Dept...... X Other ............... Fiscal Impact: Expenditure Required... $15,330 (Final Pay Est.) Transfer/Amendment....... Amount Budgeted....... $20,000 Revenue Generated......... Total Project Budget $750,000 City Share Total Project.. SUMMARY OF ACTION: The project was awarded on June 11, 2012. Construction began on July 16, 2012, and was completed on October 2, 2012. The original contract amount was $714,844.47 and the final amount is $554,815.21, a decrease of $160,029.26 or 22 percent. The cost decrease was the result of eliminating two bid items for Cured -In -Place Pipe rehabilitation of existing side sewer connections, which staff determined were not cost effective. The final cost was below the original engineer's estimate and within the amount budgeted for the project. The 2012 budget for the Earlington Sewer Replacement Phase II project is $750,000 (account 426.465405). The amount budgeted for this project is enough to cover the construction, engineering, and staff costs of this project. STAFF RECOMMENDATION: Accept the project, approve the final pay estimate, in the amount of $15,330, and release the retainage bond in the amount of $35,742.22 after 60 days, subject to the receipt of all required authorizations. H:\File Sys\WWP - WasteWater\WWP-27-3615 Earlington SS Repl Ph II\PAY ESTIMATES\Agenda Bill Final Pay Earlington Sewer Replacement Phase li.doc\JDHtp `SX FINANCE AND INFORMATION SERVICES ti &R),,+ DEPARTMENT , M E M O R A N D U M DATE: November 7, 2012 TO: Casaundra Commodore, Finance & Information Services Department FROM: Teresa Phelan, Utility Systems Administrative Secretary SUBJECT: Re: INTERFUND TRANSFER REQUEST Instructions: Please note that failure to provide all digits will result in processing delays. All Signatures and correct documentation must be included. Please prepare the following inter -fund transfer: llennrtment C hnruerl- Account Numbery Project, function, task, sub -task Description Amount 426.465405.018.595.35.63.000 U45405J010.0000.0000 Street Overlay portion for Earlington Sewer Project $55,803.90 r Total $55,803.90 *Cllaraed Department Author z!1_1'0 l APPROVAL SIGNATURE: ;!,,: Printed Name Dave Christensen, Wastewater Utility. Supei visor Date Nov. 7, 2012 Account Number Project, function, task, sub -task Description ✓mount 426.465488.018,595.35.63.000 2011 Sanitai-/ Sewer Repairs a580390 i j J Total $55,803.90 Reason: Earlington Sewer Project Street Overlay by Transportation, charged to 2011 Sanitary Sewer Repairs - inconrcci gl account. Note: Documentation io Suppoi"l UiiS transjPer request 7nust be Cliuche G`n"I all' Sign---lul,es Cc!'c r'"c ilttii' t�. Cash Transfer Foie /Financelbh Revised 01 %09 TO: FINANCE DIRECTOR FROM: TRANSPORTATION SYSTEMS DIRECTOR CONTRACTOR: Lakeside Industries Inc. CONTRACT NO. CAG 12-081 ESTIMATE NO. 2 PROJECT: 2012 STREET PATCH AND OVERLAY WTTH CURB RAMPS 1. CONTRACTOR EARNINGS THIS ESTIMATE S375,770.56 / 2. SALES TAXQa 9.50% SI1?85.76 / 3. TOTAL CONTRACT AMOUNT THIS ESTIMATE $387,056.32 4. EARNINGS PREVIOUSLY PAID CONTRACTOR 5. EARNINGS DUE CONTRACTOR THIS ESTIMATE 6. SUBTOTAL -CONTRACTOR PAYMENTS 7. RETAINAGE ON PREVIOUS EARNINGS 8. " RETAINAGE ON EARNINGS THIS ESTIMATE 9. SUBTOTAL - RETA NAGE 10. SALES TAX PREVIOUSLY PAID 11. SALES TAX DUE THIS ESTIMATE S646,288.60 S375,770.56 ,S 1,022,C N/A N/A N/A S857.47 $11,285.76 12. SUBTOTAL - SALES TAX S12,14323 " (RETAINAGE: S%) GRAND TOTAL: $1,034,202-38 FINANCE DEPARTMENT ACTION: PAYMENT TO CONTRACTOR (Lines 5 and 1 I): Transportation -Street Overlay ACCOUN-.T12108.tD09.0018.0002 S74,279.-/ 92 3 17.122 108.016.595.30.63.001 Transportation -Arterial Rehabilitation / ACCOUN" T12186.f009.0018.0002 S256,973.04 k2 / 3 ! 7.122I 86.0I6.595.30.63.001 Wastewater Eneinecrine-201 I Sanitary Sewer Repair / ACCOUN' 426.465488.018.595.35,63.000 S55,803.9j� RETAINED AMOUNT (Line BJ---- Transportation -Street Overlay ACCOUN TI2108.t009.0015.0002 NNE, m_ n Ttansoonation :Arterial Rehabilitation ACCOUN-Ti2186.ID09.00I8.b0G- N/A m_ Wastewater Enoirteerine-2011 Sanitary Sewer Repair ` ACCOUN" 426.4654.S.018.595.35.63.000 N/A R2 SIGNATURES: Contractor: Project, Manaoer: Approved By Approved By: RECEIVED ocT 0 3 RECT On Aunt Rpayable 5387,056.32 44- ZTOTAL THIS ESTIMATE: 5387,066.32 {{{NNN V CHARTER 116. LAWS OF 1965- CITY OF RENTON CERTIFICATION 1. THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF PERJURY, TYAT THE N(ATERLALS K VE BEEN FURNISHED, THE SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED HERELV, AND THAT THE CLAIM IS A JUST, DUE AND UR IP A.ID OBLIG.ATiON AGAPSST THE. CITY OF RENTON, .AND THAT I AN1 AUTHORIZED TO AU=—NTICATE AND CERTIFY TO SAID CLAIM SIGNED: The Contractor (Lakeside Industries) has a retainage bond on file with the City /11 eI"'1.-4 Date: ��— mat= Date: % .9 .W Measured Patches for Pay Estimate #1 Plan Patches Sheet Number Length Width Sq Ft Description 5 1 6 9 54 MH #4/CO abandon/Pipe Burst 14 11 154 Pull Pit ("L" shaped patch) 5 2 13.5 8.5 114.75 Side Sewer 5 3 12 8.5 102 Side Sewer 5 4 15 9.5 142.5 Side Sewer 5 5 15.5 7.5 116.25 Side Sewer/CO abandon 5 6 23 6 138 Pipe Burst Pull & Insertion Pit 10 8 80 ("L" shaped patch) 5 7 14 7 98 Side Sewer 5 8 12 7.5 90 Side Sewer 5 9 15 8 120 Side Sewer 5 10 21 7 147 Insertion Pit/Connect to Ex MH 9 11 3 3 9 CO abandon 9 12 25 9 225 MH #6/Pipe Burst Pull Pit/Side Sewer 10 4 40 (Irregular shaped patch) 9 3.5 31.5 9 13 15 7 105 Side Sewer 9 14 14 6.5 91 Side Sewer 9 15 16 7.5 120 Side Sewer 9 16 13 7 91 Side Sewer 9 17 7.5 6 45 Pipe Burst Insertion Pit/Outside Drop 14.5 9 130.5 Abandon (Irregular shaped patch) 9 18 9 5 45 CO installation 9 19 14 6.5 91 Outside Drop Abandon EWO #4 Total Pay 001 2380.5 Sq ft 264.50 Sq yds .......... ... .... ... 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"SE R 4 EL.:19 NO BASEMEN I 522 279 99 HIS' eA ENt. + 514 H FLSGGR EL 2 I SSM" 9 I I NG eA yENt r DD35 V4SEN, BA ENt. I Wl / I E 8aN1 lieA uEN / yB 95 F. 179.a9' N I 4 I HSE a2a EL.�1929 .REPLACE HST F,L f:20, 6 St 9 0� ENT i EXIST/NG BROKEN I Wl 0A5EMEN wl I SIDE SEWER TEE WITH NEW ' 221 }4 c.- d ems` �� 1r•A7 _ Sl- PVC TEE (APPROX. 10' KE T F MH #7)�� P i ow - "um 1 \ tAK ce RIO i6a 6+ 2 r d�"E f a�wur 1E 127 C� E 162.1 I"o M Ls9S p9 • r f E fi- CC N (PWGGED) 285. Go' y MH #7 In ' i 1 S (Q L / carcrEa c c r ac o ma .yr.ur SD K R1u-214,e 7L 0068 I w� rM1 J I e E S. SW LANGSTON P RECONNECTALLEXIS77NG = �° ° fE 6 210 S a) E 6 HSE �� 1ST TL 0060 L LIVE SIDE SEWERS. I ,nr zz9 (Ca r 2 M� WL��SEMENT I i SEE SEWER CONNECTION - RE/NSTATEALL EXISTING o NOTES ON SHEET 10 I LIVE S/QE SEWERS AND INSTALL a EWE � wwr �,,. aEw i I / (TYP.) I I Rw 185 a• C/PPS R MAIN TO LATERAL I � y REHABI ITAT/ON AT EACH. 4$p%4e r aL I FL TL 0056 TL 0055 502 8 SEE SEWER ES.22p5 Nt _ I tSENo1 EL.179_ NOTES IN SHEET 1DCTlON I ASE (7 \ r WJ0 I H9E 5N� EL .19B`so I VISE EL..1964 a I rfn-I *rr �\r44 I , BASEVE W/ OASErEHT 31 s lJ+l Oi R04Dw yt c9 RIM 2(,661 25.6'l//��������/��////��������/������ ` �95r,rD r 1E VE 4°`�DN 5 2016 nl CIOr1J ,�E RIM SWNw�" 7L . 29 W 4 ?Z0 0g\f' \ 8 6 GON y I v1 �-L tE 1 �Cot4 5 1� 2 I 7L 1E 12 "SE 1 510 EL .166 5 7 R1u 1Bg.78 I 15t iLEMt RD U (— C.O.. \ "wnsc Aft I E 6 C� v / t RIM 161 58 \ r",7 *j \ \ $ r c 6 C�2E 169 G I Q EAt4 RPT sE 177 6 C9 R1U E 160.1 HSE / 420 EL..173 } L I �L! 1E 11 26C W 159 B I 1�511 B�SEuENt i y� s \ 59� R r r 1347 .y SD1jH M w, 22U7 7 _ a r ti r I E 12• E..2ol 7 ce ?' N ?ai a \ SEE SHEET 4 ` cow R yy 1.E 6 1p C — — br MT! i%i•"'??! �7 I 6 'f 'C BRA55 \ g I r sn a S7p 57'S3`[ 169. r +sn�.ur 09 1st E.1296219.92 c 51 r 15.6c.�t EL..20222 I \ Y Q E%. SSMH' CONCRETE) SW LANGSTON PL E 1296450.76 EX. ROAD A VE SEWER RIM= 196;29 . tE8"S=179.49 MH #6 — IE 8 E = 179.59 ......... /E 8' W- 189.83 WITH 210 N 178705.25 .. . . INSIDE DROP /E 8' = 179.59 E 1296117.82 REPLACE EX/STING BROKEN REMOVE EX/STING CO AND REMOVFEXe,WITH NEW PVC CL,yySE RANO� (MANHOLE TO 4 OB .MODI1R TEE(APPROX.fOSIDE SEWER EWESTOFMH#7) 200 REPLACE WITH NEW 54"MH . IE/8'SE=214.92 PLACEW/TH339[Fp�e LO ATEANOREMOVE 8' UR/ED C. . 0740 EX.: ROAD A80VE SEWER .... .. ....... .. .... 190 .:.. BAGLEY PL SW _ EX SSMH. :.. ... 180 :.... INSTALL 144 LF OF 8' CIPP EX. 8" CLAY SAN SEWER N 178477,47 E 1296413;76 RIM = 186..76 ........... .:. EX RDA ABO _ ....: IE 8" SE = 17s2 PR/OR TO CIPP INSTALLATION, _ IE 8" NW _ n6 3 . _ . INSTALL ANADDl770NAL.8.LF.OF........ . IF S" N 176 2' VE sEivER 8' PVC Q MATCH EX. SLOPE MH #7 N 178595.60 t NOTE. SIDE SEINER LOC477ONSARE BASE ON BEST INFORMATION AVAILABLE. E 1296591.96 t .... ...... 54 MH THE CONTRACTOR SHALL BE RESPONSIBLE TO RECONNECT/RE/NSTATE 'INSTALL NEW " 160 EACH LIVE SIDE SEWER THAT /S CONNECTED TO THE SEWER MAIN LINE. INSTALL 151:LF OF8' C/PP THE CONTRACTOR SHOULD ASSUME THA TALL ADJACENT PROPERTIES IEI B' W =MATCH EXIST/NG ARE CONNECTED TO THE SEWER MAINS UNLESS OTHERWISE VERIFIED. PACE An CITY OF APR 2012 �--7K RENTON EARLINGTON SEWER REPLACEMENT OATUM �`S-9 ptC Planning/Building/Public Works Dept. Phase II REVISION BY DATE APPR "-"a'�10" LH 9 p 10 2 _ I SEE SHEET 9 a� r co CO raw- xss.x � l I I I� EL �!!S I Yl/////////////� I / `• M •�7 1z- r / n �gN�.r19 • _ �t L ° Eh / 7.L. 0068 I SW LAN( TL 0060 co IL A N I _ i � � y_. r a C I R 1 0.11'172t9 5 1 r ` 1 _ !" 0' 1.E. d 71``� I � , � Wl �.>••�`sOyEN` E �" �1f1 \ 5 5 II, A I u 1 1`"6 Ey2's I L a ' s ai 1 �f� A �gH19° I I a I `� mow+N1s "E`'L:i111"! 1 gPSE / t I WAi• » ..d ,l i'I • " 1 TL 0375 I W,�. I I �KC_ I p �p `r - " g m N r TL 0370 I RECONNECTALLEXISTINGpo9N1� I �T''°6N:i1}1 I S%N RD- ro 1 LIVE SIDE SEWERS. 1 1 rsE21 `s 1 W 1 SEE SEWER CONNECTION fI 1 " - A ,fx� _ " '° m j NOTES ON SHEET 10 1 TL 0365 I (TYP.) I 7L 0355 9,r r �E• 11 yE. ° � N ` � I A I NOTE: SIDE SEWER LOCATIONS ARE BASE ON BEST INFORMATION AVAILABLE. THE CONTRACTOR SHALL BE RESPONSIBLE TO RECONNECTIREINSTATE EACH LIVE SIDE SEWER THAT IS CONNECTED TO THE SEWER MAINLINE. THE CONTRACTOR SHOULD ASSUME THAT ALL ADJACENT PROPERTIES ARE CONNECTED TO THE SEWER MAINS UNLESS OTHERWISE VERIFIED. 240 "-37 N 1788 E 1295767.56 230 RIM : 224.28 220 , 210 ABANDON PIPE WITH CONCRETE 2cO pLUG 190 '80 230 in EX. ROAD ABOvE SEv,,R °W c 220 T :. o 210 V / * 1 8 N 178796.57 REM VE EX SSCO REMOVE EXISTING 6"SEWER AND REPALCE WITH E 1295775.88 E 1295904 44 506 [F OF 8"PVC o Q 3.0� R 1 INSTALL NEW 54"MH RIM 219:78 200 RIM=224.25 IE 8' NW a SE 210.75 IE 8" SE = 214.83 Ex ssu I s31a-131 coNCRE E N 1 1, E 1296217.48 RIM = 209.1 190 LE 8SE - 199.55. IE8"5-199.55 lE 8" NW = 199.85 (8"KOR-N-SEAL BOOT ALREADY IN PLACE) A� ti n Uk,y " 9te9 q YR. c.c """ t'>:20' e CITY OF APR 2D,2 L -� 7K RENTON EARLINGTON SEWER REPLACEMENT OutI Plenning/BuiBhg/Public Woke Dept. Phase II NO. REVISION BY DATE AP-R % — — t 1n LO C? r- N m N (d L d C U E N U (ti Q U cr Q� c 0 rn C ca W C o per � NSE 1 E1.225. Na 0 gMEN7 `fin' V ' At% 0035 rill. 1221.34� 3(3 o9 1ST FL IS bcW1 I.E. 12 E:a Og ^' S.2o7 E 6 l9u � fNO MH #6 N 178705.25 E 1296117.82 REMOVE EXISTING COAND REPLACE WITH NEW 54' MH ....: . RIM= 221.34 IE 8'SE = 214.92 I" UU%i ................. I SW LANGSTON PL REMOVE EX 8CLq Y ........... SEW RAND REP[gCE I"rH339LFOF8"PVC 6740% Tl. 201 C9 RIO ,6512' IE 6 CON Nw 161.1 r 1E 6 CON 5 1 2 E ,x ISE FLSO ELI=,6. / W/ BASENEI+ VASE 1 4L- EL.- 19J.- 1 15, No FL B �EN' REPLACE EXISTING BROKEN SIDE SEWER TEE WITH NE��V PVC TEE (APPROX. 10, WEST FMH#7) IP�®-,..I,- 9 r --- tot,'M 1-12 r,vcrt9tI1 1IATION AT EACH. NSE 502 EL.�jjg_6 SEES ER CONNECTION BA �1 j NOTES ON SHEET 10 1L � 71. 59 6 1ER " 77,6 WA V� 4' PyL ce R1W 16160.1 I VASE 1 42O EL 1E IE, f 'c" Scoo W t59.6 W/ BA�E" ....... z20. 7129645D.76 RIM= 196; 29 IE 8" S = 179.49 - - IE 8" E 179.59 : : w /E 8' W = 189.83 WITH 270. ............................. INSIDE DROP /E 8' = 179.59 (STD. PLAN 402.2) REPLACE EXISTING BROKEN MANHOLE TO BEMODIFIED SIDE SEWER TEE WITH NEW PVC PER. QETA/L.ON SHEET 10. ... TEE (AP PROX 10' WEST OF. MH #7) 2.00 .... ........ LOCATEAND REMOVE ABOVE SE190 WER :.........:........: BAGLEY PL SW INSTALL 144:LF OF 8' C/PP EX. 8 ..... ......... .....EXSSMH: .... . N 178477.47 E 1296413;75 RIM = 186:76 IE 8" SE = 1762 PRIOR TO C/PP INSTALLATION, - ------- ....... IE 8" NW = 176.3 INSTALL AN ADDITIONAL 8 LF OF . - .. EX.. ROAD ABOVE SEWER ......... . ' -IE 8 'N'a:176.2.... 8"PVC MATCH EX SLOPE CLAY SAN. SEWER 1.80 N 178595.60 .t MOTE' SIDE SEWER LOCATIONS ARE BASE ON BEST INFORMATION AVAILABLE. E 1296591.96 t THE CONTRACTOR SHALL BE RESPONSIBLE TO RECONNECT/REINSTATE INSTALL NEW 54"MH EACH L1VE SIDE SEWER THAT /S CONNECTED TO THE SEWER MAINLINE. RIM= 185.10 INSTALL 151 LF OF 8" C/Pp THE CONTRACTOR SHOULD ASSUME THAT ALL ADJACENT PROPERTIES IE 8' W = MATCH EXISTING ARE CONNECTED TO THE SEWER MAINS UNLESS OTHERWISE VERIFIED. ,�PAis E 1 =zo �= "^- CITY OF APR 2012 .... RENTON EARLINGTON SEWER REPLACEMENT ,� �� DATUM oPhase II s-9uc Planning/Building/Public Works Dept. REVISION BY DATE APPR LN 9 10 IS) SEE -SHEET 9 CO %W- 224.28 / N>N �,. I?► �i G � N .r „'27-12 •c H o+K l SW LAN( TL 0060 co e aIC 2 5` , U /� 1 f 61 JE :1,s� ,' m"` •vr Fl ' •�F,ur I (i3 I I / �H5E12z2 �sw!` A i V' \py��4-2.v?g II m `_ �m 52?6 y �4' DNS F�7� I , 6• G� 3 I IS1 cn i TL 0375 CO r TL 0370 I I 5.2�w LgNG� l a rn RECONNECT ALLEXISTING nog3st I "T�% �a�%.x2�i I SrDN %7Q b `� LIVE SIDE SEWERS.h�,. W I SEE SEWER CONNECTION I \ wcxt °" _ " • '° m NOTES ON SHEET 10 I TL 0365 rn a2 I (TyP) ! TL 0355 HYr�tyu Nt I {N046 92 -'lI I$ NL C o 240 ABANDON Ex ssco E 1295767.56 2to - RIM 224.28 �s i� 220 210 ABANDON MH #4 PIPE WITH N 178796.57 CONCRETE E 1295775.88 200 PLUG INSTALL NEW 54' MH RIM= 224.2t IE8'SE=214.63 190 ''Bo REMOVE E— X— S O E 1295904,44 RIM- = 219.78 - IE 8• NW k SE - 210.75 NOTE: SIDE SEWER LOCATIONS ARE BASE ON BEST INFORMATION AVAILABLE. THE CONTRACTOR SHALL BE RESPONSIBLE TO RECONNECT/REINSTATE EACH LIVE SIDE SEWER THAT IS CONNECTED TO THE SEWER MAINLINE. THE CONTRACTOR SHOUL D ASSUME THAT ALL ADJACENT PROPERTIES ARE CONNECTED TO THE SEWER MAINS UNLESS OTHERWISE VERIFIED. rl 230 22 210 Ex SSNH 5318-131 (CONCRETE N 178541.45 E 1296217.48 190 RIM.= 2091. IE 8" SE = 199.55. IEB"S199.65: lE 8' NW = 199.65 (8" KOR-NSEAL BOOT 20 ALREADY IN PLACE) L ) m V) m m ■l _PKE =20. .~,. p CITY OF - -R 2D,2 RENTON EARLINGTON SEWER REPLACEMENT �_' �� DATUM Planning/Bui-dilg/Public Works Dept.Phase II °"S-5NO. REVISION BY DATE AP W Measured Patches for Pay Estimate #1 Plan Patches Sheet Number Length Width Sq Ft Description S 1 6 9 S4 MH #4/CO abandon/Pipe Burst 14 11 154 Pull Pit ("L" shaped patch) 5 2 13.5 8.5 114.75 Side Sewer 5 3 12 8.5 102 Side Sewer 5 4 15 9.5 142.5 Side Sewer 5 5 15.5 7.5 116.25 Side Sewer/CO abandon 5 6 23 6 138 Pipe Burst Pull & Insertion Pit 10 8 80 ("L" shaped patch) 5 7 14 7 98 Side Sewer 5 8 12 7.5 90 Side Sewer S 9 15 8 120 Side Sewer 5 10 21 7 147 Insertion Pit/Connect to Ex MH 9 11 3 3 9 CO abandon 9 12 25 9 225 MH #6/Pipe Burst Pull Pit/Side Sewer 10 4 40 (Irregular shaped patch) 9 3.5 31.5 9 13 15 7 105 Side Sewer 9 14 14 6.5 91 Side Sewer 9 15 16 7.5 120 Side Sewer 9 16 13 7 91 Side Sewer 9 17 7.5 6 45 Pipe Burst Insertion Pit/Outside Drop 14.5 9 130.5 Abandon (Irregular shaped patch) 9 18 9 5 45 CO installation 9 19 14 6.5 91 Outside Drop Abandon EWO #4 Total Pay 001 2380.5 Sq ft 264.50 Scl yds 0 Measured Patches for Pay Estimate #2 Plan Patch Sheet Number Length Width Sq Ft Description 2 1 42 4 168 Open cut PVC install ("L" shaped patch) 11 6.5 71.5 2 2 32 4.5 144 Pipe Burst Insertion Pit 3 3 19 8 152 MH #3 & Pipe Burst Pull Pit 4 4 10 7 70 SS repair in CIPP area EWO #5 6 5 14 9.5 133 MH #5 6 6 5 4.5 22.5 CO abandonment patch 7 7 13 9 117 MH #8 and Side Sewer 7 8 3 3 9 CO abandonment patch 8 9 6 5 30 Open cut PVC install 8 10 19 10 190 Pipe Burst Pull Pit 8 11 8.5 7 59.5 Side Sewer 8 12 8.5 7.5 63.75 Side Sewer 8 13 9.5 6.5 61.75 Side Sewer 8 14 7.5 6.5 48.75 Pipe Burst Insertion Pit/connect to Ex MH/Side Sewer 17 5 85 ("L" shaped patch) 1425.75 Sq ft 158.42 Sq yds o Estimated Patches for Pay Estimate #2 Plan Patch Sheet Number Length Width Sq Ft Description 2 1 22 9 198 MH #1 & Pipe Burst Pull Pit 2 2 32 5 160 Pipe Burst Insertion Pit 2 3 11 8 88 Side Sewer 2 4 11 8 88 Side Sewer 3 5 11 8 88 Side Sewer 3 6 22 9 198 MH #2 & Pipe Burst Pull Pit 3 7 32 5 160 Pipe Burst Insertion Pit 3 8 11 8 88 Side Sewer 3 9 11 8 88 Side Sewer 3 10 11 8 88 Side Sewer 3 11 11 8 88 Side Sewer 1332 Sq ft 148.00 Sq yds r M _ �RX09550,, N q2. � 92 E =5' 0) Cn z- _, U CL W °' W cc o� o I_ rn c N W ; 1 H^MY N6p0 q RECONNECT ALL EXISTING /'. a 59 ° \ \ / CB CW w 4433\ \ ?cc;SE \ Q 45 6J 40 6 cs RSV co" E 403 \ kM t,5 52 4LLJ E +5 "co \ t� + 2 CO � 5y2. 5470 \ �E GON Q µM 45 0jq 6 49 CONSr S. EVP S A 86,15,11.1 f• T 20 11�40 M1�epp74 i CONNE NEW SEWER TO a \ EXISI NG MANHOLE. SEWER CONNECTION �� L/ y5 OT\ES ON SHEET 10 I I \ 4S \ \� \ / C,, NE 5, o (TYP.j, �V Coo 2+7 92 `' +St 00F �^ wl a"� wl I iYJ ./� \ / 42• %L DON \ / R1V 44,2 B GE B • OON Nw 4+.4 \ L \ TLOD27 I \\ %E4 .-.. .. NOTE: SIDE SEWER LOCATIONS ARE BASE ON BEST INFORMATION AVAILABLE. THE CONTRACTOR SHALL BE RESPONSIBLE TO RECONNECT/REINSTATE EACH LIVE SIDE SEWER THAT IS CONNECTED TO THE SEWER MAINLINE THE CONTRACTOR SHOULD ASSUME THA TALL ADJACENT PROPERTIES ARE CONNECTED TO THE SEWER MAINS UNLESS OTHERWISE VERIFIED. s h :MH#1 .........:.........:.........:.... N 178140 63 .ROA..gBo........... .......... .... :E 1297466.43......:......... ........ 90 ' 0 w- VE s 5 REMOVE EXISTING MH AND REPLACE WITH NEW _54"JA H : ao: :RIM= 67.47 e0 M.................... R�,yOV i.`................................ 1E 12"SE= 59.3.0.................................................................................:.........:.........:........ EEX/ST/NGB'S lE 12"NW=59.40 EX s31 SSu e=13a BRICK i FINE : E 1297721.77 ..........:........................RANOC �;RIM- 40.45 ..7070....................... ................ ;2'E32.0'EXISTING:......... ......... .....................................tN...... . W 11//T/y�47 E : IE:10• SW = 33.9 (EXISTING) E �_/2"PVC v II~ 12" NW = .33.70 I 60: 60 ...................:......................................................................................... :. _.....................................................................:................... .........:.......... W EX. ROAD ABOVE 1'E SE:h'ER `u s0: REMO ; 50 n.......,..................... ................. .. u VEEX/ST/NG 8„SEwER :. o . o s ADO REP(gCEW/T :.......!4:.........:.........:.........:......... .........:..................:...................:.........:.........:.........:..................:.........:.........:.........:.........:....... N?G4LF a0. OF.12, pVC . ' 9.70% 0 30: : 30 .:........................................:............................. ........................................................................................................... .................. ...................... .................... ..................... ........._... O= 1'rlcla5 :� j j PEa i �t�l D C,ni ►>Ay e5 i _ Qi-k i ,-H iz , iZ 'PAY cr s , ** Z. °" ,•=2D�-�"- EI CITY OF APR 2012 J RENTON EARLINGTON SEWER REPLACEMENT O Ems; �r�ar� '�Krc►� Fll� P>AY LS•� = 2-°'�N� � Plannin 9/ 9/ P. Phase II S-2 DATUM Buildin Public Works Dept. NO. REVISION 3, DATE APPR 2 �10 L0 tM I` N CL a) 1n ca L CD a) Q 3 a) U) c 0 rn C as w \■ Lu Lu V) W W uj 2 w w V) I1E i2. CIS zTL ooeo I I I 1 / 315 5T FL 1ODR EL-116.4 TL om I W/ 9AsaAENT NOTE: SIDE SEWER LOCATIONS ARE BASE ON BEST INFORMA TIONA VAILABLE. THE CONTRACTOR SHALL BE RESPONSIBLE TO RECONNECT/REINSTATE EACH LIVE SIDE SEWER THAT IS CONNECTED TO THE SEWER MAINLINE THE CONTRACTOR SHOULD ASSUME THAT ALL ADJACENT PROPERTIES ARE CONNECTED TO THE SEWER MAINS UNLESS OTHERWISE VERIFIED. SEE SHEET 7 0 L Z (L n p8 1 � / ,3. vv, i LANGSTON RD. FjI .A i 90 1 .............................................................................................................................................................................................................................................. 4C . 80 ..................................................................................................................................................................... PACE ww, JDN or. JDH� DA1UM DMC a s[ a KF'J S ON BY DATE APPR % w f°11 iY°b11�" V m m 2 m m IV m m m APR 2012 im TY OF RIENTON EARLINGTON SEWER REPLACEMENT`°` ZZ Planning/Budding/Public Works Dept. Phase II S—J co r- N s a E CD U) 0 cz w ern I— w Lu V) w w U) W W /2 V / W �W V / (I Yr./ Td.• 0066 SE # 62S E .\98.50 H SEMEN \. B� I Ti. 0066 H4 1 S" EL.19Blzzzz2/ W/ B SEM'EN1 r \2 GB R\M�t5 2: S B\ ? �W 4`03 N5j �\.00gf t Np B I I SW LANG.STnni Qn 91 u m m w I I\` I \\v I {�/� ���iiiii,//% i B, c' N7 _— .,r c otwtNSAND 11*TALL I �/j /jai E B C/PP SEWER MAIN TO LA P77—i E B c 616 ,,56$ „SE 4 �j E\--''0- REHAB L/TAT/ON ATE ICTERA 50MP�L` NW ;ii? I gPM �%7r71�7T SEE S�WER CONNECT/O 6 Tl. Di90 1 E B. �pY N•N \,6 3 \E 1 co, I N5E- s1`� 9 NOTES'ON SHEET 10 5DM�oRi+\ �MN \E 9 I gPSEM (TYPJ 6 \E 1�. c i525n.9.5 ... I 1L 01%6J I I T.L. DIV \E'2 p� g9Kt \E 11 NOTE: SIDE SEWER LOCATIONS ARE BASE ON BEST INFORMATION AVAILABLE. THE CONTRACTOR SHALL BE RESPONSIBLE TO RECONNECT/REINSTATE EACH LIVE SIDE SEWER THAT IS CONNECTED TO THE SEWER MAINLINE. THE CONTRACTOR SHOULD ASSUME THAT ALL ADJACENT PROPERTIES ARE CONNECTED TO THE SEWER MAINS UNLESS OTHERWISE VERIFIED. :200 200 ...: 1.90...... :.... ..:......... :.................... —......... :......... :......... :......... :......... :......... :......... :......... :..... .... :......... :......... :......... :......... :......... :......... :......... :......... :......... :...... 190.:. X SSMH 5318-134 E 1296611.49 140 RIM = 159.70 LA ...................................................................................................................................................................................................................................... :IE 8"NW=: 153.6 1"=zo•^"" �d CITY OF APR 2012 RENTON EARLINGTON SEWER REPLACEMENT °AT°M Planning/Building/Public Works Dept. Phase II — -4 rrc, 4 10 to CD N'S(0 a 71.27'1z'E 185.70' CO Rio- 224.2e I /V\ SEE SHEET 9 —i I i R' I ❑ 7 M ffv- 5oe " - TL 0088 I SW LAN 3 cow- _ Ce O! �g ,SY wlelSc"- CL 5g,51.1p f r _�i •yA ,f / (✓ %SAF+' E ,.E a ��+� I ` sc _ \ k?'>✓ . ` me I EwIgAj.YEH( U co i OHRE�r,Y I tE g�S ws215.; tf +++�,�, I E w cove. "a+ ___.__ ■� r A -HA,, • �- ` c I 2�bte r,7 c M� 1,�eoro"i-r- _` R,M EEC ,Scl)• I I cue. r rR 4 VE ,E EON 5 2p2. eOAD,, a l9511 � 0, i ri o37s ► TL 0370 i W CgNcsr rn rn i 2 z O n cE QO O i RECONNECTALL EXISTING +�r9 s5N( p /, 6,MH.2+5� I �r LIVE SIDE SEWERS. I wle' �� I H2I E _ I m 8 rn W I SEE SEWER CONNECTION: NOTES ON SHEET 10 TL 0366 M��( IS i TL 0366 I t.E. f. mw"IZD ,- N � , g I 41 Isow ,.s PIA C'2,9 MEN+ It7TM;rq� W i wleA'E � /, I i NOTE: SIDE SEWER LOCATIONS ARE BASE ON BEST INFORMATION AVAILABLE. THE CONTRACTOR SHALL BE RESPONSIBLE TO RECONNECT/REINSTATE EACH LIVE SIDE SEWER THAT IS CONNECTED TO THE SEWER MAINLINE THE CONTRACTOR SHOULD ASSUME THAT ALL ADJACENT PROPERTIES ARE CONNECTED TO THE SEWER MAINS UNLESS OTHERWISE VERIFIED. 240: 'ABANDON........: '........:.........................................................................................:............................................... . • EX SSCO ' E 1295767.j6 230 .......... RIM - 224.28 .......................................................................................................................................................................................................................... 230 .............................. 220 : cc a : E : 220 ........ ................:.........:.........:......................... .: .......... ................... . ......... ....... ....... ......... ................. .................................................................................................. : EX. ROAD ABOVE SEWEq O y ° m m :.........:.........:.............................. ...........:.......:........ ' ........:........:.................. :......... :................... :................... .. .... ABANDON PIPE WITH MH A14 : N 178796.57 REM VE EX REM REMOVE EX/STING 6"SEWER AND REPALCE WlT H 200 CONCRETE E 1295775.88 E 1: 506 LF OF 6"PVC @ `?'0� 200 m PLUG..:.........:...INSTALL-NEW 54"MH..... ......... .........:.......RIM - 249.44 _ 219:78................ .... .......... RIM= 224.2t IE 8' NW ec SE := 210.75 "--I IE8"SE=214.83: x MH 1 -1 1 CON R TEI N 1 41.4 ....190: ..................................................................................................................................... .......:.........:.........:.........:.........:.........:.........:.........:.........:.........:... . E 1296217.48 .... .........:..... 190.:.... RIM.-. 2097. . .. IE 8' 5E = 199.55: IE S' S = 199.65 IE 8" NW = 199.65 (8"KOR-N-SEAL BOOT ao.........:.........:.........:.........:.........:.........:.........:.........:.........:...................:........ .:......... :...... ...:... ...... :... AL DYIN ..:.....18a.:...... Ra<A PLACE PACE CITY OF JDH —1` R A2012 REN TON EARLINGTON SEWER REPLACEMENT °A'DM o� ouc Planning/Building/Public Works Dept. Phase It s-5 NO. REVISION BY DATE APPR LH ravbnn. 5 a,10 LO co r> (V d C 0> N co s c a> E a> U CL a) 3 a> U) c 0 tm C co W _ REINSTATEALL EXISTING f - LIVE SIDE SEWERS AN - C1PP S TO LA i I I I I � 1499� I I tpM 1�S 6 D 4�0 N� 1R 1 ��� E• N4 i53t TL 06M S `y I I / E`. ¢yE wl0" Ti- OM6 TL060 NOTE: SIDE SEWER LOCATIONS ARE BASE ON BEST INFORMATION AVAILABLE. THE CONTRACTOR SHALL BE RESPONSIBLE TO RECONNECTIRE/NSTATE EACH LIVE SIDE SEWER THAT /S CONNECTED TO THE SEWER MAINLINE. THE CONTRACTOR SHOULD ASSUME THAT ALL ADJACENT PROPERTIES ARE CONNECTED. TO THE SEWER MA/N$ UNLESS OTHERWISE VERIFIED. . T.L. 0620 0,00 ABANDON E% SSCO ... ........ E.1295216.83........:......... :......... :... .......:......... ......... :......... :......... :.... ......................... .......... :......... :......... .......... .......... .......... ....260..:.. RIM = 253:51 IE 6" E = 240.63 250 ; ...........................................:................... h u...................:.........:.........:...................................................................................................:.........:.... 250 ..:.. ................. ........ .................... E%. ROAD ABOVE'SEWER "s o to o cN u " :nE . u ....2.a.o. ... ABANDON o ............... ........ 3u .. ....... ..... .. ........ ... MH #5 PIPE WITH N 1 INSTALL 461 LF OF 6" CIPP: 230 9,529:95 :CONCRETE :E 1295224.53........................................................................................... ........:......... ............ . ........:......... :......... :......... ......:....230..:.. ;PLUG..............................:.........: INSTALL NEW 54"MH RIM= 253:50 lE 8" SE = 240.05 (RECONNECT EX. SEWER) APPROX. X OF 8" PVC 220....... :.........:.........:.........:.........:......... :......... :......... :......... :......... :.........:.........:.........:.........:...................:.........:.........:.........:.........:.........:.........:... CONNECTED TO THE zzD EXISTING 6" CONCRETE: H N T 210 . N 176 8.29 210 ............................... ................................................................................................................................................................................................................e'1'295652:58 ........................... RIM = 233.85 IE8"5=226.12 IE 6" NW = 226.22: 200 .................................................................................... ...........................................................................................:...................................................................................................... 200 JDH JDH a�a DMC N0. REVISiON BY DATE APPR iH e CITY OF APR 2012 RENTON EARLINGTON SEWER REPLACEMENT :7° ol�� I DATUM Plonning/Building/Public Works Deft. Phase II s-s ��" 6 10 r i7 �i N rn cd L a_ C [b Q 3 a� U) c 0 rn c co w co ="ry NOTE: SIDE SEWER LOCATIONS ARE BASE ON BEST INFORMATION AVAILABLE. THE CONTRACTOR SHALL BE RESPONSIBLE TO RECONNECTIREINSTATE EACH LIVE SIDE SEWER THAT IS CONNECTED TO THE SEWER MAINLINE THE CONTRACTOR SHOULD ASSUME THAT ALL ADJACENT PROPERTIES ARE CONNECTED TO THE SEWER MAINS UNLESS OTHERWISE VERIFIED. 160...............................................................................................160 ... :...... 150:....... 111........ _....:......... :......... : 150 . ...................................................................................................................................................... 100 .................................................................................................................................................................................................................. PACE , =20' ,:-,,., p,® CITY OF WAPR 2012 '°" --� RENTON EARLINGTON SEWER REPLACEMENT —JOH A'uM DYC � Planning/Building/Public Works Dept. Phase II s-7 NO. REVISION BY DATE APPR ,r CD co r- N lei aD rn c� s d c m E am U O3 Q a>' 3 a> U) c 0 a> c cu w S, .-z NV Sax A-z' NOTE. SIDE SEWER LOCATIONS ARE BASE ON BEST INFORMATION AVAILABLE. THE CONTRACTOR SHALL BE RESPONSIBLE TO RECONNECT/REINSTATE EACH LIVE SIDE SEWER THAT IS CONNECTED TO THE SEWER MAIN LINE. THE CONTRACTOR SHOULD ASSUME THAT ALL ADJACENT PROPERTIES ARE CONNECTED TO THE SEWER MAINS UNLESS OTHERWISE VERIFIED. 130 .................................................................................:.........:.........:............................................................................................... 120 ..................................................................................................................................................................................................... 120 CITY OF APR 2012 �� RENTON EARLINGTON SEWER REPLACEMENT:-- Phase II _ s-8 Planning/Building/Public Works Dept. 8 10 HSE I E4.225. 223.0 I 516 69 I.L. W7J HSE i E(...,97� I tD 1ST 0 We T 2 VISE i60°OOR EL.- VISE �� E(-. I H 1512 E,_.212.2 H I NO B � S . iYi I N0 BARN I 1ST gAS4MENS I HSE 522 E4w219.99 I W� iolij E1/EHSE / 51T 1 9), RE NS I 55'" 196-29 49 i NO 140 BA¢4ENT I EE,.207? / H / E4- I SSE nz N2• EPLACE EXISTING BROKEN 0pR BASEMEN No BASE RIM . S.E.11 17 0036 fE Sod 2o3.B / 1929 N 9 ¢MENT w/ BASEME I SIDE SEWER TEE WITH NE 3 r ww ( P1 I PVC TEE (APPROX. 10' WEST / I OF MH #7) w, E r w • �Z a a Al1YL1 IE 27 Co" E 1521 93.0 IE 12 CON N (PE000ED) IE 6 COH w ��g5 0g ' G �3 �yaL•. i:'� 1 7 w ASRKr /4 MH #7 cocart c c A411Atr So J✓ � r„ — c c c c a)R91" "0 TL 0088 I S W L A N GS TO RECONNECT ALL EXISTING E IE s- 2`0' HSE�o, ,ST iT 7L 0080 N PL LIVE SIDE SEWERS. I vrr 29 r °"l Ems" 15.6 I SEE SEWER CONNECTION I I REINSTATEALL EXISTING CL w/B I NOTES ON SHEET 10 I I LIVE SlgE SEWERS AND INSTALL CD cc ` tE• y I gyp) I I aM ,Bcr s.B+' CIPP SEWER MAIN TO LATERAL REHABQ;ITATION AT EACH. I P.n `,j� SEE SE ER CONNECTION 3 / TL 0066 TL 006G HSE I EL--j79-6 a) kr °"< I VISE/50245T I aA�p,T NOTES ON SHEET 10 co \ gA,SE.4 1 I I /'may 522 50 � �518 EE-"1960 I I . / P) I NT E4� CD r R04p ` CB RIM W 20516 I I n 12 I `... \\ wAY \ ' 'g� IE E call 204 CON2p 5 6 j I • 6 ^ C NW gpp 4 7L . IE 6 vI CL IE 12• CC"20 w S = = I TL "tI 7B W 1� �' . 1 1.5 I w/ BASEMEN �. RO do " 9Z B9.° /Q�-� / WATER gP'T ,i7 8� 55 tE B• CON I I W tE 4• PVG CB ": E t60'6 I VISE FE4 EL.173.3 \ ovc IE B• SW 159. U�j ,,,, 011 M" .427 \ w F (r1P) w y I45 50 y, s 07. � i i E`201? CBipM"2+oI SEESHEET4 a al araArs sY I.E. fi N Air / BW pCLf WC BRASS PII S70'S pN0 66 169.51' 09 1ST FL EX. SSMH' CONCRETE): : : : : 220 ............ .......... ............................. ................ ....... ...:......... .......... ..................................................... .......... .......... .......... .......... .......... .......... ................ , SW LANGSTON PL E 129645�.76 Ex RQ A RIM= 196;29 . SEWER IE 8" S 179.49 . IE8"E179.59 MN#6 IE8"W= 189.83 WITH zto ....................................... N 178705.25 INSIDE DROP IE 8" = 179.59 E 1296117.82 (STD. PLAN 402.2) REPLACE EXISTING BROKEN REMOVE EXISTING CO AND �T'EMOVE'X8" C[,q Y SEWE P R DETAIL ON SHEET 10E WITHNEW PVC MANHOLE TO D TEE (APPROX SIDE SEWER EO' WEST OF MH) zoo .........:.REPLACE../TH N W 54.... ......: ..... R ...... ........ ....... ....... .............................................. . AND RE IElB"SE14.92 �CEW/Ty3 [ OFBwpVC P LOCATEANQ REMOVE 39 ,c C 7..40% - Ex: RQAo EX. BURIED C.O. ABOVE SEWER ,90 .........:.........:.........:......... BAGLEY PL : SW.............................................................:..... :....... . ......:.........:. . ••• ••.EX•SSMH. INSTALL 144:LFOF8"CIPP EX 8" CLAY SAN, SEWER 60 N 178477.47 E 1296413;76 RIM = 186:76 IE 8' SE 176.2 PRIOR TO CIPP INSTALLATION, IE . .:... EX.. ROAD' 1804t. SEWER....... ' ......... 8' NW 176.3 170 INSTALL AN.ADDIT/ONAL. B.LF. DF ........ . e..N..:176.z..... ......... V Q MATCH LOPE . 8" PVC MA EY S MH #T N 178595.60 t NOTE.' SIDE SEWER LOCATIONS ARE BASE ON BEST INFORMATIONAVA/LABLE, E 1296591.96 t THE CONTRACTOR SHALL BE RESPONSIBLE TO RECONNECTIREINSTATE INSTALL:NEW 54"MH 160 EACH LIVE SIDE SEINER 7HAT'IS CONNECTED TO THE SEWER MAIN LINE": ......... ......... ......... ......... RIM= 185.10...... :......... .... . INSTALL 151. L F OF 8" CIPP THE CONTRACTOR SHOULD ASSUME THAT ALL ADJACENT PROPERTIES IE 8" W =MATCH EXISTING ARE CONNECTED TO THE SEWER MAINS UNLESS OTHERWISE VERIFIED. PACE =20. :,.. a CITY OF APR zo,z J°" RENTON EARLINGTON SEWER REPLACEMENT —� DATUM Of1r pyC Planning/Building/Public Works Dept. Phase II s-9 NO- REVISION BY DATE APPR i" — 9 '10 ore i1.e Construction Co. GENERAL CONTRACTORS Letter of Transmittal #1 To: City of Renton 1055 South Grady Way Renton, WA 98055 Ladies/Gentlemen: We Are Sending You Date: 06/18/12 Job: 1225 Attn.: John Hobson Re: Earlington Copies Date No. Description 2 Bond 1 Retainage Bond 2 Signed Contracts i Signed Fair practice Affidavit 1 Copy of Active Business License I Copy of WA Master License I Certificate of Insurance These Are Transmitted For Remarks: Signed: P,O. Box 358 • Woodinville, Washington 98072 9 Phone: (425) 483-0600 • Fax: (360) 668-5133 Date Invoice Ticket # Bedding Cadman 17-Jul-12 5201893 3044831 29.77 20-Jul-12 5202431 3044919 x 20-Jul-12 3044928 23-Jul-12 5202680 3044963 23-Jul-12 3044971 23-Jul-12 3044975 23-Jul-12 3044980 24-Jul-12 5202843 3044987 24-Jul-12 3045002 24-Jul-12 3045006 24-Jul-12 3045008 14.43 24-Jul-12 3045010 24-Jul-12 5202844 3370571 26-Jul-12 5203176 3045065 26-Jul-12 3045076 26-Jul-12 3045097 27-Jul-12 5203345 3045141 30-Jul-12 5203560 3045202 30-Jul-12 3045218 31-Jul-12 5203749 3045231 29.34 31-Jul-12 3045253 31-Jul-12 3045254 31-Jul-12 3045257 31-Jul-12 3045266 31-Jul-12 3045269 31-Jul-12 3045272 1-Aug-12 5203943 3045278 9.5 1-Aug-12 3045279 1-Aug-12 3045281 1-Aug-12 3045310 1-Aug-12 3045369 14.04 3-Aug-12 3045395 3-Aug-12 3045410 13.93 3-Aug-12 3045411 6-Aug-12 3045445 6-Aug-12 3045451 6-Aug-12 3045457 7-Aug-12 3045501 7-Aug-12 3045516 14.53 8-Aug-12 3045517 8-Aug-12 3045554 Gravel Quarry Base Spalls CSTC CSBC 28.61 28.26 29.78 29.65 30.81 31.03 29.74 29.12 28.20 30.98 31.10 29.25 30.03 30.81 30.03 31.30 29.41 29.88 31.30 29.32 31.45 29.67 31.87 32.64 29.70 29.74 29.21 : .* 16.26 15.34 15.49 15.64 28.78 30.61 9-Aug-12 3045582 14.67 9-Aug-12 3045583 10-Aug-12 3045586 10-Aug-12 3045587 10-Aug-12 3045604 30.47 10-Aug-12 3045672 30.83 13-Aug-12 3045708 31.51 14-Aug-12 3045723 14-Aug-12 3045724 15.98 14-Aug-12 3045751 13.93 14-Aug-12 3045752 14-Aug-12 3045762 30.29 14-Aug-12 3045767 29.85 15-Aug-12 3045794 29.47 9-Aug-12 3045604 30.47 .:e 14.19 15.24 12.44 Total 170.12 1054.46 0.00 93.72 103.93 CADMAN HEIDELBERGCEM ENTGroupe WEIGH� 11y(.�1STER STATION 99t'21100 Black Diamond TICKET NO 3044831 TICKET TIME 07.40.00 DATE 7/17/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 1001758• Customer Job. No. CustomeP P.O. Map Ref. Disp. Ord. 4 Truck Type Truck No. Vehicle or License Plate No. Traller or Ucense Plate No. Zone Solo SH0361TT SH036 B Hauler/Carrier No. Drivers Name Delivered / Ordered Load No. Running Total 29.77 / l 29.77 BD/P LANGSTEN & SUNSET LANGSTEN & SUNSET RENTON 91120 PEA GRAVEL AEOWN HEIDELBERGCE� E"VGrouptk 29.771 1 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES -UNLOADING TIME. • fuel Surcharge 100 , 94 0 LB Gross scale se.1. X Jennifer - Sales Tax Tare 41,400 LB/P.T. Cadman, (1 .) will not assume Liability for any property dt age or any equipment damage for any delivery beyond t11e curb fine. wp Not 5 9 , 54.0 LB Total ti Deputy wefgtxnister No one available tosign, customer waives rempt • Received by Signature X Print Name (Customer) Driver's Signature X X Standby . Time Arrive Job • Start Unloading Finish J Unloading Standby ITime Customers Initials I.X .I HEIDEL•BERGCEMENTGroupe . WEIGHMA13TEA STATION 99021100 i Black Diamond t • t i TICKET NO - 3044928 TICKET TIME 10:57:00 DATE 7/20/2012 Customer No. Payment Type Customer Name. Order No. 7830664 Account SHORELINE.CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map fief. Dlap. Ord. 0 1225 / Truck Type Truck No. Vehicle cr Ucense Plate No. Trager or License Plate No. Zone Truck & Tkaile SH03.17TT Flauler orNo. Drivers Name Delivered /Ordered Load No. Running Total 59•.39 2 59o39 BD/P — EARLINGTO14 SEWER REPLACEMENT PH 2 SW LANGSTON RD & L�ND AVE SW n H fi I1H111111011I II I thll IIIII1I �fi i IIII •RENTON - EARLINGT©O, SEWER REP E+ Ci i:'iE v'i• rrC�iJ(a' PREV WAGETotal ,O Unit Price 92152 CSBC 30.61 " A STANDBY SURCHARGE WILL BE ASSESSED t'OFi LOADS Fuel THAT EXCEED 10 MINUTES UNLOADING TIME Surcharge 101,966 LB Gross scale t stele 2 X Jennifer _ -� - Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond Sales Tax 40,740 LB/P.T. `; Tare Total Net 61, 220 LB the curb line. No one available to sign, customer waives rece pt RecelVsp.tty Sigrreture Pdnt Name (Customer) er's Signature Standby signature a x x :TCxL. Start Finishtoms s s Arrive Job Unloading Unloading Tme x >mAlkl%MkmA&EL■ ( TICKET NO.1 3044991 Trr1.WP-T TII,rF i i n. i . nn 1 -- Customer No. Payment Type Customer Name Order No. HEIDELBERGCEMENTGroupl, 7a30664 Account SHORELINE CONSTRUCTION CO 17133 WEIGHMASTER STATION mer Job. No. Customer P.O. Map Rel. Disp.Ord. k 99021100 1225B1dCk D1dIDOric4 Truck No. Vahide or License Plate No. Trai'er or License Plate No. Zone SckNo. T 5H0361o. LrTr-uike Driver's Name Delivered I Ordered Load No. Running Tolal 28.61 / 1 28.61 BD/P - EARLINGTON SEWER REPLACEM41i! SIN LANGSTON RD & LIND RENTONEARLINGTON SEWER REPLACE I ��III IIIII'I'I' I'lll IIII� IIII II'I ��"�� II�II� tllll PREV WAGE P ` t Product Description Total UnitPrice Amount 91254 GRAVEL BORROW 28.61 uy� ` m mmffil��7 7 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel 98,640 LB THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge Gross Sales Tax 41,420 LB/P.T. XO � Tare Scale 1 Scale X Jennifer Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Net 57 , 220 LB Total Deputy Weiihmaster No one available to sign, customer waives receipt Received by Signature Print Name (Customer) Driver's Signature Standby X X X Time Arrive Job Start Finish Standby Customer's InKlels Unloading Unloading Time Ix HEIDELB ERGCEMENTGroupe WEIGHMASTER STATION 99021100 Black Diamond I TICKET NO. 3044971 TICKETTIME 1 12:00:00 DATE 7/23/2012 Customer No. Payment Type Customer Name Order No. 7630664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ret. Disp. Ord. N 1225 / Truck Type Truck No. VeNcla or License Plate No. Tratlor or License Plate No. Zone 3010 SH0361TT SH0361 Hauler/Carrier No. Driver's Name Delivered / Ordered Load No. Running Total 56.87 1 2 56.67 BD/P - EARLINGTON SEWER REPLACEM.,r SW LANGSTON RD & LIND AVE SW s.. RENTON - EARLINGTON SEWER REPLA yr -+.ir ::},Eilll: {O�tpx PREV WAGE Product 91254 GRAVEL BORROW 28.26 ' A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 97, 940 L$ Sales Tax Gross X� 41,420 LB/P.T� Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond rare Scale s Scae2 Jennifer 56,520 520 Net 1 $ X the curb line. Total Deputy Weighmaster No one available to sign, customer waives receipt Received by Signature Print Name (Customer) Driver's Signature Standby sgnature. o x ix ix Time Start Finish Standby Customers Initials Arrive Job Unioading Unloading Time X HEIDELBERGCEMEN Groupn WEIGHMASTER STATION 99021100 Black Diatlond TICKET NO. 3044980 TICKErTIME 13:39:00 DATE 7/23/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. k 1225 / Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Solo SH0361TT SH0361 Hauler/Carrier No. Driver's Name Delivered /Ordarad Load No. Running Total 116.30 / 4 116.30 Pyi� 2 BD/P - EARLINGTON SEWER REPLACEMENT.J. Lip ' SW LANGSTON RD & LIND AVE SW RENTON - EARLINGTON SEWER REPLACE,i PREV WAGE Description 91254 GRAVEL BORROW 29.65 -° - 1>i A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 100 0 LBW Sales Tax ,L72 Gross XC] 1-1 Scale t Scale Jennifer Tare 41,420 LB/P.T * Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond Net 59,300 LB X the curb line. Total -71 Deputy Weighmaster No one avalabletosip, customer waives receipt Received by Signature Print Name (Customer) Driver's Signature Standby s gruwre. a 0 X X X Time Arrive Job Start Finish Standby Customer's Initials Ix Unloading Unloading Time em- H EI DELSERGCEM ENTGroupe WEIGHMASTER STATION 99021100 Black Diamond I r REPRINT TICKETNO 3044975 nCKErTtME 1 13:05:00 DATE Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 1225 / Type Truck No. Vehicle or License Plate No. Trailer or License Plate Na Zone OVru�c 3010 SH0335TT SH03a$ Hauler/Cartier IN Driver's Name Delivered / Ordered Load No. Running Total 86.65 / 3 86.65 BD/P - EARLINGTON SEWER REPLACE SW LANGSTON RD & LIND AVE SW RENTON - EARLINGTON SEWER REPLAC E PREY WAGE 0MCEMEIPP'trPi:10 91254 GRAVEL BORROW 29.78 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel 97,220 LB THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge Gross 37,660 LB/P.T. Sales Tax Tare Scale i Scale 2 Cadman, (Inc.) will not assume Liability for any property Jennifer damage or any equipment damage for any delivery beyond 59 , 560 LB X the curb line. Total Net Deputy Welgttrnaster No one available to sign, customer waives receipt Heoelved by Signature Print Name (Customer) turtvers brgnature Starxlby 0 X X X Tme Start Finish Standby Customer's Initals Arrive Job Unloading Unloading Time X �� HEIDELBERGCEMENTGroupd WEIGHMASTER STATION 99021100 Black Diamond r TICKET NO.1 3045002 TTICKETTIME I ii.r7.nn DATE 7T24 2012 Customer No. Payment Type Cum stoer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. 0 1225 / Truck Type 3010 Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone SH0335TT SH0335 Hauler/Carrier No. Driver's Name Delivered / Ordered Load No. Running Total 61.84 / 2 61.84 BD/P - EARLINGTON SEWER REPLACEME�J SW LANGSTON RD & LIND AVE SW RENTON - EARLINGTON SEWER REPLAC�L PREV WAGE 91254 GRAVEL BORROW 31.03 ``Vn ^'°k'F"; - - A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel 59,720 LB Gross THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge 37,660 LB/P.T * XD 0 Sales Tax Tam Scaler Scale X Sheri Cadman, (Inc,) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Net 62,060 LB _ Total Deputy Weighmaster No one avadab!e to sign, customer waives receipt Received by Signature Print Name (Customer) Driver's Signature Standby signature. n )e v Tme Arrive Job Start Finish Standby, Unloading Unloading I Time H EI DELBERGCE M E NTG ro u ps WEIGHMASTER STATION 99021100 Black Diamond r TICKET NO. 3044987 TICKETTIME 1 07:52:00 DATE 7 24 2012 Customer No. Payment Type Customer Name Order No. 7630664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. N 1225 / Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. one Solo SH0335TT SH0335 Hauler/Carder No. Driver's Name Delivered / Ordered Load No. Running Totel 30.81 1 30.81 BD/P - EARLINGTON SEWER REPLACEMENT PH 2 SW RENTONG- EEARLINGTONNSEWER REPLAC • r _ I IlI1II IIIII tIIII IiIII IIIN IIIII IIIN IIII INI PREV WAGE ??!FK FLBERGCEMFNTCrntip,d 91254 99,280 LB ,Gross 37,660 LB/P,Tt Tare Net 61,620 L13 No one avaltaNe to sign, customer waives receipt Rerr signalum. ix Job Start {,lnloading GRAVEL BORROW 30.81 '' MM A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge XO M Sales Tax Scete t scale 2 Cadman, (Inc.) will not assume Liability for any property Sheri damage or any equipment damage for any delivery beyond x Deputy Welghmastet the curb line. Total Finish i Standby Unloading ` Time Tone r� H EIDELBERGCEMENTGroupa WEIGHMASTER STATION 99021100 Black Diamond TICKET NO. 3045001 ITICKETTIME 11:51:00 DATE 7/24/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Jcb. No. Customer P.O. Map Ref. Oisp.Ord. 0 1225 / Truck Type Truck No. Vehicle or License Plate No, Trailer or License Plate No. Zero 3010 SH0335TT SH0335 Hauler/Carrier No. Driver's Name Delivered / Ordered Load No, Running Total 21.00 j 1 21.00 BD/P - EARLINGTON SEWER REPL SW LANGSTON RD & LIND AVE SW RENTON - EARLINGTON E PREV WAGE 99000 / 1 / DUMP FEE CLEAN DIRT (CY) 21.00 a A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. - Fuel Surcharge 0 Gross S� 1 S� 2 Sheri X Sales Tax 37,660 LB/P.T� Tare Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Net 0 LB Total Deputyweighmaster No one available to sign, customer waives receipt signature. 01 Received by Signature X Print Name (Customer) Ix Driver's Signature X Standby Time Arrive Job Stott Unloading Finish . Unloading Standby Time Customer's Initials X C�DM�N H EI DELBERGCEMENTGroupe WEIGHMASTER STATION 99021100 Black Diamond , TICKET NO.1 3045006 TICKETTIME 12:50:00 DATE 7/24 2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. 0 1225 / Truck Type Truck No. Vehicle or License Plate No. Trailer or L tense Plate No. Zone 5010 SH0361TT SH0361 Hauler/Carrier No. Driver's Name Delivered / Ordered Load No. Running Total 91.58 92.58 1 1 13 BD/P - EARLINGTON SEWER REPLACEMENT PH 2 SW LANGSTON RD & LIND AVE SW �i RENTON- EARLINGTON SEWER REPLAC"'-'" ` PREV WAGE ,E � EEV `-1� 1;'UN-IGrOUp'-k mill INI I IIIY I I I I I I I II I I III l l l l l l I I I I I I I I 1 Product 91254 GRAVEL BORROW Descriplion' 29.74 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS uel THAT EXCEED 10 MINUTES UNLOADING TIME Surchar 9e 100,800 LB Gross 41,320 LB/P.T.. XD � scale 1 scale 2 Cadman, (Inc.) will not assume Liability for any property Sales Tax Tare Sheri damage or any equipment damage for any delivery beyond Total Net 59,480 LB X Deputy Weighmasler the Curb line' No one available to sigt, customer waives receipt Received by S gnature Print Name (Customer) Drivers Signature tldby signature, o X X X Start Finish Standby Customer's Initials Arrive Jo Unloading Unloading Time X REPRINT HEI DELBERGCEM ENTGroupe WEIGHMASTER STATION 99021100 Black Diamond TICKET NO. 3045008 ITICKETTIME 1 14:26:00 1 DATE 7 24 2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 1225 / Tru�c Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone .010 SH0335TT SH0335B Hauler/Carrier No. Drivers Name Delivered / Ordered Load No. Running Total 14.43 / 1 14.43 BD/P - EARLINGTON SEWER REPLACEME T 40 REND G- EEARLDING LINSEWER REPLACF�.9 'C � 1 � t i. r?.i PREV WAGE l" I II�I�I IIIII I'III IIIII'IIII "Ill ��l'I III II'� Product, Desi.ription Total 91120 k PEA GRAVEL 14.43 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge . 66 , 5 2 0 LB Gross %� Scale 1 scare 2 X Sheri Sales Tax 37,660 LB/P.T* Tare Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the Curb Ilse. Net 28,860 LB Total Deputy Weighmaster No one available to sign, customer wahres recelpt signature. p Received by Signature x Print Name (Customer) ix Driver's Signature x Standby Time Arrive Job Start Unloading Finish Unloading Standby Time Customers Initials Ix �DNI�N HEIDELBERGCEMENTGroup® WEIGHMASTER STATION 99021100 Black Diamond REPRINT TICKET NO 3045010 nCKETTIME I 14:33:00 DATE Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 1225 / Truck Type Truck No. Vehicle or t k ense Plate No. Trailer or Ucense Plate No. Zone 0 o SH0335TT SH0335 Hauler/Carder No. Drivers Name Delivered / Ordered Load No. Running Total 16.26 / 1 16.26 BD/P - EARLINGTON.SEWER SW LANGSTON RD & LIND RENTON EARLING N--EW PREV WAG 92 CSTC 16.26 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING 71W1E � Fuel - Surcharge Gross Tare 99, 4 0 LB * 66,520 P.T* xO 0 scale t Scale 2 X Sheri Sales Tax Cadman, (Inc.) will not assume Liability for any property. damage or any equipment damage for any delivery beyond the curb line. Net 32, 520 L$ * Total Deputy Welghmaster Yo one available to sign, customer waives receipt ignature. o Received by Signature x Print Name (Customer) Driver's Signature x Standby Time Arrive Jo Start Unloading inish Runloading. Standby Time Customers Initials X CADMAN HEIDELBERGCEMENTGroLp - REMITTANCE ADDRESS: Cadman, Inc 15620 Collections Center Drive Chicago, IL 60693 Plant Locations: 99021100 Black Diamond 99041100 Gold Bar 99061200 High Rock 99151100 Redmond 99191100 Sky River 99231100 Seattle 99241100 North Bend Nff�DELIVERY TICKET Tall Free to Cadman 1-B88-322-6847 Dispatch 425-961-7100 Building Materials 425-868-7334 we r Cadman Administration 425-867-1234 r;s Toll Free to Black Diamond 1-877-268-6561 99251100 Issaquah PLANT NUMBER TICKET NUMBER j. If_1.5;�. DATF "CUSTOMER# CUSTOMER NAME. P.O.# 7!Z4 201? 78 0664 9HORELINE CCIP gTRUCTIGii CO 11c25 SALES ORDER # DISPATCH ORDER # USE iGfl17i$1 SI41'i P- LAING' T&1' & SU DELIVERY ADDRESS MAP PAGE LANGSTEN & ':iLINSET/ RENTON INSTRUCTIOjJs K# kj* & "'U1 �t,T/ RENTON ZONE TIME SCALED DELIVEREDIORDERED LOAD NO. TRUCK TYPE TRUCK # HAULER 10.44_OCR 29.12 / ). SUisa SH0361T WEIGHTS PRODUCT PRODUCT DESCRIPTION PRICE AMOUNT GTa re _ )Jkt �4i 51 URAUL_ ?9 'rhn 41,320 58, 240 114_+49 Enviro Fee Ly_1 > V DUE TO FUEL PRICE F CTUATI JN ALL DELIVERED ORDERS , MAY HAVE A F EL &JRCHA RGE APPLIED WEIGHMASTER SIGNATURE DRIVER'S SIGNATURE Monica =3�:1;•. SALES TAX t . TOTAL SIGN HERE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. any equipment damage for any delivery AUTHORIZED BY: nanc.) Win I >.►,(the curb r any property damage or H ElDELBERGCEIAENTGroupo WEIGHMASTER STATION t 99021100 Black Diamond 1 l TlQ<ET N01 3045065 ITICKET TIME 1 11:54:00 DATE 7/26/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account. SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P_O. Map Ref. Disp. Ord. k 1225 / Truck Tip Trick No. VeNdO or License Plate No. Trailer or License Plate No. Zone Solo' SH0361TT SH0361. Hauler/Carier No. Driver's Name Delivered / Ordered Load No. Running Total 1 28.20 2B.20 BD/•P - EARLINGTON SEWER '�.EPLACEM SW LANGSTON RD & LIND AVE SW ij I ll�lll lllll ��lll'l�ll Illll �'ll� Ill'I Illl l`�l RENTON - EARLINGTON SEWER REP l ■■ PREV WAGE'' �- CE:�O".i:iV�GfOU�a 91254 GRAVEL BORROW Z8.20 A STANbBY SURCHARGE WILL BE ASSESS' I`46R LOADS THAT EXCl ED.10 MINUTES'UPtOADING TIME. Fuet Surcharge Grote 97,720 LB k Scat Scup 2 X Jennifbr - Sales Tax ` 41,320 LB/P.T. Tare r Cadmanr.(Inc) -will not assume 1-lability for any. property damage or any equipment damage for any delivery beyond the curb line. 56, 400 Net 1 B Total Deputy Weighmaster No one available to sign, customer waives reoeiot Reoelved by Signature PrInrlVarne (Customer) Drivers Signature Standby signature. 0 �I X Ix X Time Start Finish Standby c45torners Iniitiais (Arrive Job Unloading Virile I Time x REPRINT �D" TfCKEtNO 3045076 HEIDELBERGCEMENTGroup• WEIGHMASTER STATION 99021100 Black Diamond A TtMF 1 12e7R>nn InATF 1 7/26/207.2 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No, Customer P.O. Map Ref. Disp. Ord. 6 1225 / Truck Type Truck No.. Vehicle or License Plata No. Trailer or License Plate No. Zone Solo SH0335TT SH0335 Hauler/Carrier No. Drivers Name Delivered / Ordered Load No. Running Total 59.16 2 59.18 BD/P - EARLINGTON SEWER REPLACEM P 2 SW LANGSTON RD & LIND AVE SW rj r & I I"�I� lfl�l "lit II�II II�IIlllll l��lL'I�� f ��� RENTON - EARLINGTON SEWER REPLA- I li 1 1 f PREV WAGE L R C�.iViENiGrOul;„ 91254 Gross 99, 620 LB Tare 37,660 LB/P.T.* tie, 61,960 LB signature. Arrive Job Start Unloading GRAVEL BORROW 30.98 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge FOR -I I I WEVIT-1 UP as 0 Sales Tax Scale 1 Scale 2 Cadman, (Inc.) will not assume Liability for any property X Jenni f er damage or any equipment damage for any delivery beyond Total Deputy Weighmaster the curb line. ✓ Signature Print Name (Customer) Driver's Signature Standby ., I Time Finish Standby Time HEIDELBERGCEMENTGroupa WEIGHMASTER STATION 99021100 Black Diamond REPRINT r TICKET NO �n� Gi n T TICKETTIME . ni . nn DATE 7/27/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. rr 1225 / Truck Type Truck No. Vehicle or License PWte No. Trailer or License Plate No. Zone Solo SH0361TT SH036 B Hauler/Carder No. Driver's Name Delivered I Ordered Load No. Running Total 29,25 / 1 1 29.25 BD/P - EARLINGTON SEWER REPLACE T H SW LANGSTON RD & LIND AVE SW RENTON - EARLINGTON SEWER REPLAq Wg • -r-NM, NTGratip PREV WAGE 91254 GRAVEL BORROW 29.25 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 99,82o LB Gross ® t S� 2 X Jennifer Sales Tax Tare 41. L$/ P . T . Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Net 58.500 LB Total Deputywelghmaster No the avaftio to sign, cmtomer waives receipt signadre Received by Signature Ix Print Name (Customer) Ix Driver's Signature X Standby Time Arrive Job StartT Unloading Finish Unloading Standby Time Customer's Indiats X CADMAN EtDBE HELRGCEM ENTGroup® WEIGHMASTER STATION 99021100 Black Diamond r REPRINT TICKET NO 3045097 TICKErTIME 14:24:00 DATE 7/26/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. >t 1225 / Truck Type Truck No. Vehldo or License Plate No. Trailer or License Plate No. Zone Truck & Trailer SH0323TT SH0323 Hauler Carrier No. Driver's Name Delivered I Ordered Load No. Running Total 90.28 3 90.28 BD/P - EARLINGTON SEWER REPLACEME T H 2 SW LANGSTON RD & LIND AVE SW V°t RENTON - EARLINGTON SEWER REPLA PREV WAGE 11 L R CU'_VT.iv1G10!lu� 91254 GRAVEL BORROW 31.10 INNUMMINEMOM A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel 103,380 LB THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge Sales Tax Gross scale - 41,180 LB/P.T. Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Tare t S� 2 Jennifer X 62 , 2 0 0 NetLB Total Deputy welghm"er W- "available to sign, customer waives receipt Received by Signature Print Name (Customer) ix Driver's Signature Standby signature. o x x rlrt>c Arrive Job Start Finish Standby I Customers Initials Unloading Unloading Time X r H EI DELBERGCEMENTGroupO WEIGHMASTER STATION 99021100 Black Diamond , TICKET NO 3045202 ITICKETTIME 1 08:54:00 DATE 7/30/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. B 1225 / Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone solo SH0361TT SH0361 HauledCarrier No. Driver's Name Delivered I Ordered Load No. Aiir ning Total 30.03 1 1 30.03 BD/P - EARLINGTON SEWER REPLACEMENT PH 2 SW LANGSTON RD & LIND AVE SW RENTON - EARLINGTON SEWER REPLA 1 I Ill PREV WAGE i�.G _ F,^,iriV IGrOu�' 91254 ( GRAVEL BORROW 30.03 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel 101,380 LB THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge Sales Tax Gross � � � � 41,320 LB/P.T.A Cadman, (Inc.) will notassumeLiability for any property damage or any equipment damage for any delivery beyond Tare Scale I Scale Jennifer 60, 060 LB Total Net x the curb line. Deputy Weighmaster No one available to moelpt Reoelved by Signature Print Name (Customer) Driver's Signature Standby signature.Trm@ o x Ix x :1 Start Finish Standby Customors Inibats Arrive Jo l I Unloading Unloading Time X H-FID��NTGroupo WEIGHMASTER STATION 99021100 Black Diamond , . . .. ........ REPRINT TICKET NO 3045218 TICKET TIME 13:00:00 DATE 7/30/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No, Customer P.O. Map Ref. Disp. Ord. s 1225 / Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Trailer SH0323TT SH0323 Haulor/Carrier No. Driver's Name Delivered I Ordered Load No. Running Total 60.64 2 60.84 BD/P - dkRLINGTON -SEWER REPLACEMENT PH 2 SW LANGSTON RD & LIND AVE SW I��I�� �IIII 'Ill llll� rI �lifl h��l II�II III �II� RENTON - EARLINGTON SEWER REPLAj p; I I 1 11 11 lIl ll ^ PREV WAGE ProductDescription 91254 GRAVEL BORROW 30.81 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME Fuel Surcharge iQ3,100 LB Sales Tax � Gross XO M 41,480 LB/P.T.* Cadman, (Inc,) will not assume Liability for any property damage or any equipment damage for any delivery beyond the Curb line. . Tare Scale t scale 2 x Jennifer 61,620 LB Net Total Deputy Welghmaster No one avaitsde to sign, customer waives receipt Received by Signature Print Name (Customer) Driver's Signature Standby siaoature. o x x x time Start Flnish StaiSdby omer's Initials Arrive Job Unloading Unloading Time X TICKET NO.1 3045231 TICKET nME 1 07: 12:00 1 DATE 11JI12u Customer No. Payment Type Customer Name Order No. HEIDELBERGCEMENTGroupz, 7830664 Account SHORELINE CONSTRUCTION CO 17133 WEIGHMASTER STATION Customer Job. No. Customer P.O. Map Ret. Disp. Ord. 4 1225 / 99021100 Black Diamond BD/P - EARLINGTON SEWER REPLACENT H 2..i t SW LANGSTON RD & LIND AVE SW s j; � r ` t�3 n RENTON - EARLINGTON SEWER REP, }� a PREV WAGE 91120 PEA GRAVEL Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Solo SH0361TT SH036 B Hauler/Carrier No. Driver's Name Delivered / Ordered Load No. Running Total 29.34 / 1 29.34 29.34 `s�r�t?L''azr_ a«" . c. - A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. • . . Fuei Surcharge 100,000 LB GrossR Sc® t S� 2 X Jennifer Sales Tax Tare 41,320 LB/p • T * Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Net 58,680 LB Total Deputyweighmaster Naone avaliabtetosign, customer waivesreceipt � Received by Signature X Print Name (Customer) Ix Driver's Signature X 6ndbysignature:� Arrive Jobi Start I Unloading Finish Unloading I Standby Time I Customer's Initials I X CA N H EIDELBERGCEM ENTGroup,- WEIGHMASTER STATION 99021100 Black Diamond REPRINT TICKET NO TICKETTIME 09:58,00 DATE 7/31/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. It 1225 / Truck Type Truck No. Vehicle or License Plate No. Trailer or L'aense Plate No. Zone Solo SH0335TT SH033 B Hauler/Carrier No. Driver's Name Delivered / Ordered Load No. Running Total 30.03 / 1 30.03 BD/P - EARLINGTON SEWER REPLACE T SW LANGSTON RD & LIND AVE SW ` RENTON - EARLINGTON SEWER REPLAQ A�]£f ,, ,:-M NILrOtir PREV WAGE 91254 GRAVEL BORROW 30.03 MOWN '' �.. A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 97,72o LB *� Gross Scale Scale X Jennifer Sales Tax Tare 37,660 LB/p. T * Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Net 60 060 LB * Total , Deputy wellgttfma No one available to sign, customer waives receipt C7 Received by Signature X Print Name (Customer) Ix ❑river's Signature X $tandby Time Arrive Jo Start Unloading Finish Unloading Standby Time Customer's Initials X REPRINT A� t•IEIDELB ERGCEM E NTGroup1- WEIGHMASTER STATION 99021100 Black Diamond TICKET NO. 3045257 1TfCKE1TIME 1 11:14:00 1 DATE 7/3112012 Customer No. Payment Type Customer Name Order No. 7830664 ACCOunt SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp, Ord. a 1225 / Tru k Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone :.1 0 SH036ITT SH0361 Hauler/Carrier No. Driver's Name Delivered / Ordered Load No. Running Total 90.74 / 3 90.74 BD/P - EARLINGTON SEWER REPLACEMF 6.0 E� ��2gj,,� ¢ SW LANGSTON RD & LIND AVE SW e isvt4" I I I l I RENTON - EARLINGTON SEWER REPLAC i t Rt�4+i : r`1-,` I IIIIII IIIN IIIII IIIII IIIII HEIIIII IIII IIII PREV WAGE ProductDescription Total 91254 GRAVEL BORROW 29.41 • r A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel 100,140 LB THAT EXCEED 10 MINUTES UNLOADING TIME, Surcharge Gross 41,320 L B/ P. T* F l-7 Sales Tax Tare scare Cadman, (lnc.) will not assume LIabIIlty for any property Sheri damage or any equipment damage for any delivery beyondNet 58,820 LB She curb Ilne. Total Deputy Weighmaster No one availalle to sign, customer waives receipt Received by Signature Print Name (Customer) Driver's Signature Standby Sig-lature. lime � X - Ix X Start Finish Standby Customer's Initials Arrive Job Unloading Unloading Time X 101111 HEIDELB ERGCEMENTGroup- WEIGHMASTER STATION 99021100 Black Diamond r TICKET NO. 3045258 TICKETTIME 1 11:14:00 JDATE 7/31/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ret. Disp. Ord. rf 1225 1 Truck Type Truck No. Vehicle or Licerise P to No. Trailer or License Plate No. Zone Solo SH0361TT SH0361 Hauler/Carrier No. Driver's Name Delivered / Ordered toad No. Running Total 42.00 2 42.00 BD/P - EARLINGTON SEWER REPLACEMENT PH 2 SW LANGSTON RD & LIND AVE SW WF'RNFNTGroup;1 RENTON - EARLINGTON SEWER REPIPREV WAGE E!_ Product e . . Total 99000 DUMP FEE CLEAN DIRT (CY) 21.00 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel 100,140 LB Grass THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge 41,320 LB/P.T.fi � 3.11 at 1 Sales Tax Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. . Tare Scale 1 scale 2 X Sheri _ 58,820 820 LB Not Total Oepuly Welghm aster 'able to sign, wstomar halves receipt Received by Signature Print Name (Customer) Driver's Signature Standby Q X X X Time Arrive Job Start Finish Standby Customer's Initials Unloading Unloading Time X REPRINT r� H E1 DELBERGCEMENTGroup* WEIGHMASTER STATION 99021100 Black Diamond TICKErNO 3045266 TICKET TIME 12:59:00 DATE 7/31/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Dap. Ord. M 1225 / Truck Type Truck No. Vehicle or License Plate No. Trailer or Ucense Plate No. Zone Solo SH0335TT SH0335 Haule,fCerner No. Driver's Name Delivered / Ordered Load No. Running Total 120.62 4 120.62 BD/P - EARLINGTON SEWER REPLACEMENT PH 2 SW LANGSTON RD & LIND AVE SW 4s r v r �+}r #k RENTON - EARLINGTON SEWER REPLACi� l �' PREV WAGE IF PE 91254 GRAVEL BORROW 29.88 y ` ,t i�'c A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel 97,420 LB Gross THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge 37,660 LB/P.T.* Tare r � � Scale 1 Scale 2 Sales Tax Cadman, (Inc.) will not assume Liability for any property 59,760 LB Net Total X Sheri damage or any equipment damage for any delivery beyond the curb line. Deputy Weighmaster No one available to sign, customer waives receipt signazure. EAX Received by Signature Print Name (Customer) X Driver's Signature X TStandby Time Arrive Job Start Unloading Finish Unloading Standby Time customers Iniials t X G� HEIDELBERGCEMENTGroup® WEIGHMASTER STATION 99021100 Black Diamond r 71CKETNO 3045`254 �TICKETTIME 10:00:00 DATE 7/31/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref, Disp. Ord. rr 1225 / Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Trailei SH0317TT Hauler/Corner No. Driver's Name Delivered / Ordered Load No. Running Total 61.33 2 j 61.33 BD/P - EARLINGTON SEWER REPLACE T PIH,2,� s SW LANGSTON RD & LIND AVE SW a a is RENTON - EARLINGTON SEWER REP�,p i PREV WAGE t.,Uji� , .-F MFNTGIc;up1 91254 1 GRAVEL BORROW 31.30 ' Y " '.. _ A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS f1'IAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 102,460 LB Sales Tax Gross' 39,860 LB/P.T. TarreS® t S� 2 Jennifer X Cadman, (Inc.) will not assume Liability for any property damagvor any equipment damage for any delivery beyond 62 600 Total Net ' LB the curb line. Deputy Weighmaster No one available to sign, customer waives receipt Received by Signature Ix Print Name (Customer) Drivels Signature Standby sig aNia. O X X Tirne T tart Finish Standby Customer's Initials Arrive Jobe Unloading IS Unloading Time - X H El DELBERGCEM ENTGroupe WEIGHMASTER STATION 99021100 Black Diamond r TICKETND. 3045269 TICKETTIME 1 14:02:00 DATE 7/31/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ret. Disp. Ord. X 1225 / Truck Type Truck No. Vehicle or License Piate No. Trailer or License Plate No. -Zone Truck � Trailer SH0317TT Hauler/Carrier No. Drivels Name Delivered! Ordered Load No. Running Total 151.92 5 151.92 BD/P - EARLINGTON SEWER REPLACEMENT PH 2 r SW LANGSTON RD & LIND AVE SW g RENTON - EARLINGTON SEWER REPLA�i' PREV WAGE : I,e�a 4. Krt.t'.:"iI�.:P'Y ., oup'r, 91254 GRAVEL BORROW 33— 30 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME, Fuel Surcharge 102,460 LB Sales Tax Gross 39,860 LB/P.T� Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Tare Scale 1 Scale 2 x Jennifer — 62, 600 LB Net Total Deputy Welghmaster Poo one available to sign, customer waives receipt Received by Signature Print Name (Customer) Driver's Signature Standby signature. X Ix X Time Start Finish Standby Customer's Initials Arrive Job Unloading Unloading Time X H EIDELBERGCEM E NTGroup- WEIGHMASTER STATION 99021100 Black Diamond r TICKET NO 3045273 TICKET TIME 15:03-.00 DATE Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No, Customer P.O. Map Ref. Disp. Ord. H 1225 / Tr ckkT Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zona bNoloype SH0361TT SH036 Hauler/Cartier No. Driver's Name Delivered / Ordered Load No. Running Total e4.00 4 84.00 BD/P - EARLINGTON SEWER REPLACE T P,H? SW LANGSTON RD & LIND AVE SW tty� ° RENTON - EARLINGTON SEWER REPIi4 ' PREV WAGE �' K.al_cMt.Itfl;r t l 99000 I DUMP FEE CLEAN DIRT (CY) 21.00 " - A STANDBY SURCHARGE WILL 13E ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADINGT{ME. Lqra • rUTIM Cadman, (Inc.) will not assume Liability for any property, damage or any equipment damage for any delivery beyond the cult) line. Fuel Surcharge 99,960 LB Gross �1 Scale 1 Seale 2 X Jennifer Sales Tax 41, 320 LB/P.'i * Tare Net 58 , 64 0 LB Total Deputy Weighmaster No one ava➢abla to sign, customer waives receipt ;gretum C7 Received by Signature X ix Print Name (Customer) Driver's Signature X Standby Time Arrive Job Start Unloading Finish Unloading Standby Time Customer's initials X 304 5272 TICKETTIME 15:03 :00 DATE .r .Customer Order No. PaymentType Name CONSTRUCTION COMap 17133 HEIDELBERGCEMENTGroup®0664 Account SHORELINE PTICKETNO Ref. Disp.Ord. ItWEIGHMASTER STATION No. CuslomerPO. 1225 99021100 Truck Vehicle ar License Plate No. Trailer ar License Plate No. Zore SH036 Black Diamond So o SH0361TT Hauler/Carrier No. Driver's Name De r BD/P - EARLINGTON SEWER REPLACEUTT��_, SW LANGSTON RD & LIND AVE SW RENTON - EARLINGTON SEWER REPLA�����F(U�( PREV WAGE 181.24 / 6 I 181.24 29.32 91254 GRAVEL BORROW STANDBY E WILL BE HARGMINUTETIMEE FOR LOADS Sucharge TA HAT EXCEED 0 UNLOADING Sales Tax 99,960 LB. 41, 320. LB/P. T * Cadman, (Inc.) will not assume Liability for any property Tare s� 1 s� 2 damage or any equipment damage for any delivery beyond Total Jennifer 58,640 LB X D"uh Wmaster the curb line Net Print Name (Customer) Drivers Signature Received Standby No one avatab a to sign. wstomer rre vas recut by signature Time signature. 0 X X X ustomees initials Start Finish Standby Arrive Job I Unloading Unloading Time X 0 H EIDELBERGCEMENTGroupe WEIGHMASTER STATION 99021100 Black Diamond TICKET NO.1 3045278 TICKETTIME 06:59:00 DATE 8/1/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 1225 / Truck Type Truck No. Vehicle or License Plate No. Trader or License Plate No. Zone Solo SH0361TT SH036 B Hauler/Carrier No. Driver's Name Delivered /Ordered Load No. Running Total 9.50 1 9.50 BD/P - EARLINGTON SEWER. REPLACEMENT PH 2 „k SW LANGSTON RD & LIND AVE SW �' , �.. r' r:K t tiyt�.n i RENTON - EARLINGTON SEWER REPLA. N — �. —"� ,-� `' er--�- PREV WAGE �4i�.s:" "tt:;aC..=:l'ii_I`lr__rL1Ll„'• 91450 UTILITY SAND 9.50 y IMl,A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME Fuel Surcharge 47,4120 LB Gross E7 0 Scale t Scale 2 Jennifer X Sales Tax 28,420 LB/P.T.• Tare Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. 19, 000 LB Net Total DeputyWelghmaster No one available to sign, customer watves receipt signature. (] Received by Signature X Print Name (Customer) ix Driver's Signature X Standby Time Arrive Job Start - Unloading Finish Unloading Standby Time uvomers Initials X �� HEI DELBERGCEMENTGroupe WEIGHMASTER STATION 9.9021100 Black Diamond TICKET NOI 3045311 TICKEfTIME 1 12:36:00 JDATF 8/1/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 1225 / Truck Type Truck No. Vehicle or License Plats No. Trailer or License Plate No. Zone Solo SH0361TT SH036 B Hauier/Carner No. Driver's Name Delivered / Ordered Load No. Running Total 21.00 1 21.00 BD/P - EARLINGTON SEWER REPLACEMMT-2He_2 SW LANGSTON RD & LIND AVE SW RENTON - EARLINGTON SEWER REPAM% PREV WAGE EMEN FGraupi4 99000 M Gross 100,640 LB. -. Tare 41,320 LB/P. Tit• Net 59,320 LB No one avaiable to sign, arstomer warm reoipt Rawiw signature 0 X Start Arrive Job Unloading 1. DUMP FEE CLEAN DIRT (CY) 21.00 A STANDBY SURCHARGEVILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line: Fuel Surcharge ® 0 Scale Scafe2 X Jennifer Sales Tax Total Deputy Weighmaster y Signature Pr6d Name (Customer) X Sere X Standby Time Finish Unloading Standby Time Customers initials Y HEI DELBERGCEM ENTGroupa WEIGHMASTER STATION j 99021100 Black Diamond r TICKET NO. 3045279 TICKETTIME 07:00:00 DATE 8/1/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. 0 1225 / Truck Type Truck No. Vehicle or Lcense Plate No. Trader or License Plate No. Zone Solo SH0361TT SH036 B Hauler/Gamer No. Driver's Name Delivered / Ordered Load No. Running Total 15.34 1 1 15.34 BD/P — EARLINGTON SEWER REPLACEI�T PH 2 SW LANGSTON RD & LIND AVE SW ` l :." I IIIIII IIIII 1111111111110 11111111111111 IN f RENTON EARLINGTON SEWER REP , A _ - ` tAENTGrOlij�'rk PREV WAGE Product Description._-_A_mcunt 92253 CSTC 15.34 N A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 91, 000 LB Sales Tax Gross �7 O 60,320 LB/P.T* Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond Tare Scale I Scale 2 X Jennifer 30 660 LB Total Net , the curb Tine. Deputy Weighmaster No one available to sign, cusforner walves receipt Received by Signature Print Name (Cirstamer) Driver s Signature Standby sgnature 1 X Ix X Time Start Finish Standby Customer's Initials Arrive Job Unloading Unloading Time Ix • �� HEIDELBERGCEMEN7Group® WEIGHMASTER STATION 99021100 Black Diamond r TICKETNO.I 3045281 TICKETTIME 1 07:14:00 YDATE 8/1/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. A 1225 / Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Traile SH0317TT Hauler/Carrier No. Driver's Name Delivered / Ordered Load No. Running Total 31.45 1 31.45 BD/P - EARLINGTON SEWER REPLACEMENT PH 2 SW LANGSTON RD & LIND AVE SW �r Mo 1" t ay3n RENTON - EARLINGTON SEWER REPL1�Cs' I 07,1,y PREV WAGE H ..IIV LnE'-.E GC.' . ;, "1 ...:± . 91254 GRAVEL BORROW 31.45 MOM A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 102,760 LB Gross 39,860 LB/P.T O 11111 it awl all kyj Sales Tax Tare Scale sI Scale 2 Jennifer Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond 62,900 900 LB Net X the curb line. Total Deputy Weighmaster No one available to sign, customer waives receipt signature. Received by Signature Print Name (Customer) tx Driver's Signature Slandb y 0 X X Time Arrive Job Start Finish Standby Customers Initials Ix Unloading Unloading Time HEI DELBERGCEMENTGroupe WEIGHMASTER STATION 99021100 Black Diamond TICKET NO. 3045310 TICKET TIME 12:36:00 JDATE 6/1/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. ft 1225 / Truck Type Truck No. Vehicle or License Plate No. Trailer or license Plate No. Zone Solo SH036ITT SH036 B Haular/Carrier No. Driver's Name Delivered / Ordered Load No. Running Total 61.12 2 1 61.12 BD/P - EARLINGTON SEWER REPLAUTq2SW LANGSTON RD & LIND AVE SW *TON - EARLINGTON SEWER REPPREV WAGE _ E!iiFi�TCrOtJp'Y 91254 GRAVEL BORROW: 29.67 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. _ Fuel Surcharge 100 , 0 LB Gross S® 1 SG 2 X Jennifer Sales Tax 41,320 LB/P.T.* Tare Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. 59, 340 LB Net Total Deputy We±ghpraster No one available Io sign, cuslorner waives receipt signature. Received by Signature X Print Name (Customer) X Driver's Signature X 8ta7 dby �� Arrive Job Start v, Unloading Finish Unloading 1 Standby 1 Time 1 Customer's Initials ly REPRINT CI OMAN HEIDELSERGCEMENTGroup$ WEfGHMASTER STATION 99021100 Black Diamond TICKET NO TICKET TIME 11.01:00 DATE 8/3/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Rol. Disp. Ord. k 1225 Truck Type Trud No. Vehicle or License Plate No. Trailer or License Plate Na. Zone muck & Trailer SH0317TT Hauler/Carrier No. Driver's Name Delivered / Ordered Load No. Running Total 31.87 / 1 1 31.87 BD/ P - EARLINGTON SEWER REPLACEMENT. RENTONGSTNRDEARLINGTON NSEWER RESW LAND AVE SW PLAC7Nf"IN-0r�4<? IIIIIIIIIIII IIIIIIIIIIIIIII Illflllllllllllill PREV WAGE 91254 GRAVEL BORROW 31.87 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. ' Fuel Surcharge 103,600 LB Gross X0Scale t Sot X Jennifer Sales Tax Tare 39,860 LB/P. T. Cadman, (Inc.) will not assume Liability for any property damcagear�ny equipment damage for any delivery beyond the Net 63,740 LB Total Deputy Welghmaster Nc one avarlatAe to An, cusromer waives receipt sgnerure. r Received by Signature Print Name (Customer) Driver's Signature Standby Time Arrive Job l Start Unloading HEIDELBERGCEMENTGroupe WEIGHMASTER STATION 99021100 Black Diamond r Finish Unioadi IStandby Time TICKET NO. anA4aCo TICl<r-7' AF Herr a/� oni� Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. isp. Ord. p 1225 / Truck Type >olo Truck No. vehicle or License Plate No. Trailer or Lloense Plate No. Zone SH0361TT SH036113 Hauler/0—wr No. Driver's Name Delivered /Ordered Goad No. Running Total 14.04 / 1 14.04 HD/P - EARLINGTON SEWER REPLACEM P . SW LANGSTON RD & LIND AVE SW� I RENTON - EARLINGTON SEWER REPLAC ,-1:11lllb 1: ,•r: I III�II Illy IIII) I�I�� IIII lll�� IIII I PR8V WAGE l IIII I 91120 PEA GRAVEL 14.04 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel 69,400 LB THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge Gross Tare- 41,320 LB/P. T.* � Sales Tax 1 Scale 2 X Jennifer Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Net_ 28,080 LB Total Deputy Weighmaster No one available to sign, customer waives receipt signature Reeive cd by Signature Print Name (Customer) Driver's Signature nd $la by 0 X X X Time Arrive Job Start Finish I I Standby I Customer's initials Unloading Unloading Time - �� H EIDELB ERGCEMENTGroup6 WEIGHMASTER STATION 99021100 Black Diamond TICKET NO. 3045410 TICKETTIME 1 14:23:00 DATE 8/3/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 1225 Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone ono SH036ITT SH0361 Hauler(Carrier No. Driver's Name Delivered I Ordered Load No. Running Total 27.97 2 1 127.97 BD/P - EARLINGTON SEWER REPLACEMENT PH 2 ` } c s t I "IIII IIII I'lll IIIII IIII IIII li'�I I,II IIII SW LANGSTON STON RD & LIND AVE SW C3Nuki.� RENTON - EARLINGTON SEWER REPLA PREV WAGE w i i >1=, 91120 PEA GRAVEL 13.93 - A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10'MINUTES UNLOADING TIME. Fuel Surcharge 56,280 LB Gross %EJ r Scale t scale Jennifer X Sales Tax 28,420 LB/P.T.* Tare Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. 27, 860 LB Net Total eputy DWeighmaster Noon available to sign, arstorner waives recelpt signature. � Received by Signature X Print Name (Customer) X Driver's Signature X Standby Time Arrive Job Start Unloading Finish Unloading Standby Time Customer's Initials X ' HEIDELBERGCEM ENTCroupe WEIGHMASTER STATION 99021100 Black Diamond _ r TICKET N01 3045411 T,ICKETTIME 1 14:24:00 DATE 8/3/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Rat. Disp. Ord. # 1225 / Truck Type Truck No.. Vehicle or license Plate No. Trailer or license Plate No. Zane ono SH0361TT SH0361 HauledCamer No. Drivers Name Delivered / Ordered Load No. Running Total 15.49' 1 15.49 BD/P - SARLINGTON SEWER REPLACEMENT PH SW LANGSTON RD & LIND AVE SW WCE RENTON - EARLINGTON SEWER REPLA �. PREV WAGE NTGr' 92253 CSTC a IIIHI IIIII tIIII IIIiI IIiII IIIII IIIII uII IIII 15.49 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel 100, 160 LB THAT EXCEED 10 MINUTES UNLOADING TIME. 9e Gross 69,180 LB/P.TX S� � �� Sales Tax Cadman, (Inc.) will not assume. Liability. for any property damage or any equipment damage for any delivery beyond Tare Scale I Scale Jennifer 3 0 980 Total Net , LB X the curb line. Deputy Weigtmra9ter No one available to sign, customer waives reo* Received by Stgnature Prim Name (Customer) Drives Signature Standby signature. Q X ix X Time Start Finish Standby Initials Arrive JOb Unloading Unloading lime . Icustomer's X rAlmd H EIDE LBERGCEM ENTG roupe WEIGHMASTER STATION 99021100 Black Diamond TICKET NO. 3045445 TICKET TIME 1017:00 DATE Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ret. Disp. Ord. # 1225 / TruckTy�e Truck No. Vehicle ar License Plate No. Traileror License Plate No. Zone Trl1CK & Traile3 SH0317TT Hauler/Carrier No. Driver's Name Delivered / Ordered Load No. Running Total 32.64 / 1 1 32.64 BD/P - EARLINGTON SEWER REPLAC la,SW AVE fJTGroup 111111I1II NIII IINI lllll IIII IIII EARLDINGTONN O RENTON SEWERD REP, ^, I IIIII1111N PREV WAGE Product DescrirtonTotal 91254 GRAVEL BORROW 32.64 a. A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 105,140 LB Gross � � Sales Tax 39 860 LB/P.T. Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond Tan; 2 Sheri Net 65, 280 LB X__ the curb line. Total Deputy Weighmaster No one available to sign, customer waives receipt Received by Signature Print Name (Customor) Drivers Signature Standby signature. 0 x Ix x Start Finish Standby ustomers Initials 4ii- Arrive Job Unloading Unloading Time x7 rill so~ H EIDELBERGCEMENTGroup® WEIGHMASTER STATION 99021100 Black Diamond r M TICKET NO. 3045446 TICKET TIME 10:18:00 DATE 8/6/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. 0 1225 / Truck Type Truck No. Vehicle or L tense Plate No. Trailer or License Plate No. Zone Truck & Traile SH0317TT Hauler/Carrier No. Driver's Name Delivered / Ordered load No. Running Total 22.00 1 22.00 BD/P - EARLINGTON SEWER REPLA:AR. SW LANGSTON RD & LIND AVE SWRENTON *E,,,1N"TG,&u, - EARLINGTON SEWER REP PREV WAGE Product Description 99000 DUMP FEE CLEAN DIRT (CY) 22.00 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge Gross 105 , 14 0 LB c _ Sales Tau 39,860 LB/P.Tt Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond rare Scale Scale Sheri Net 65, 280 LB x the curb line. Total Deputy Weighmaster Ne one available to sign, customer waives receipt Received by Signature Print Name (Customer) Drivers Signature Standby sgnature. a X Ix X Time Start Finish Standby ustomers Initials Arrive J Unloading Unloading Time rx w AIL t#`Am 0 till ■ 4 TICKET NO] 1045451 ITICKETTIME 1 10:45:00 1 DATE 1 6/6/2012 Customer No. Payment Type Customer Name Order No. HEIDELBERGCEMENTGroupa 7830664 Account SHORELINE CONSTRUCTION CO 1001758, WEIGHMASTER STATION Customer Job. No Customer P.O. Map Ref Disp Ord. k 99021100 1225 / Black Diamond Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Solo SH0335TT SH033 B Hauler/Carrier No. Driver's Name Delivered / Ordered Load No. Running Total 29.70 1 29.70 BD/P LANGSTEN & SUNSET LANGSTEN & SUNSET ' ? I IIIIII IIII�IIIII IIIII IIIII IN�IIIIII IIII R NTT H'' l'�I Product ?4r,Is F4H-3 C:E:ivfE:` rG:GuF,a 91254 Q GRAVEL BORROW 29.70 _ A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 97, 060 LB Sales Tax Gross �7 37, 660 LB/P. T.* Tare Scale 1 Scale 2 X Sheri Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. 59,400 LB Net Total Deputy Weighmaster No one available to sign, customer waives receipt Received by Signature Print Name (Customer) Driver's Signature Standby signAre X Ix X Time Start Finish Standby Customers Initials Arrive JDh Unloading Unloading Time I i X H EIDELBERGCEM ENTGroup* WEIGHMASTER STATION 99021100 Black Diamond TICKET NO. 3045457 TICKETTIME 1 12.10:OC IDATE 8/6/2012 Customer No. Payment Type OrderNo. 7830664 Account 71�or%- XoI NE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. H 1225 / Truck Type Truck No. vehicle or Licerse Plate No. Trailer or License Plate No. Zone Solo SH0361TT SH036 B Hauler/Carder No. Driver's Name Delivered / Ordered Load No. Running Total 62.38 2 62.38 BD/P - EARLINGTON SEWER REPLACEMENT PH 2 SW NG RD & LIND SW + I lillll Ilill IIIII (IIII IIIII III11111111I11 II11 RENTOTON - EA EARLINGTON SEWER REPLA _f PREV WAGE I�� * -- v t�rG. ,. 91254 GRAVEL BORROW 29.74 �'A `NE ti I` u=+y A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 100,800 LB Sales Tax Gross ® F 41,320 LB/P.T. Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond Tare Scale 1 Scale 2 Jennifer 59,480 _ Total Net LB X the curb line. Deputy Weighmaster No one available to sign, customer waives receipt Received by Signature Print Name (Customer) Driver's Signature Standby - signature. � X X X Time Start Finish Standby Customer's Initials Arrive Job Unloading PUnloading Time X HEIDEJBERGCEM ENTGroupo WEIGHMASTER STATION I 99021100 Black Diatnoild I f TICKET NO. 3045501 TICKETTIME 1 13:55:00 JDATE 8/7/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. rr 1225 / Truck Type Tntek No. Vehicle or License Plate No. Trailer or License Plate No. Zone Solo SH0361TT SH036 B HauledCarrler No. Driver's Name Delivered / Ordered Load No. Running Total 29.21 1 29.21 BD/P - EARLINGTON SEWER REPLACEMENT PH.2 SW LANGSTON' RD & LIND AVE SWP° I I IIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIII I IIII RENTON - EARLINGTON SEWER RELA . PREV WAGEProduct ?�'.'.`r-_:v!VTGroupx Price 91254 Descriptior, GRAVEL BORROW Tolal 29.21 Unit Announz A STANDBY SURCHARGE WJI:L: BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 99,740 LB Sales Tax Gross K— 1 41,320 LB/P.T. Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond Tare Scale t Scale 2 Jennifer 58, 420 LB Total Net x the curb line. Deputy Weighmaster No one available to sign, c.rslomer waives receipt Received by Signature Print Name (Customer) Driver's Signature - Standby signature. o x Ix x Time rl finish Standby Customer's Initials Arrive Job Unloading ISta Unloading Time Ix rA HEIDELSERGCEMENTCroupe WEIGHMASTER STATION 99021100 Black Diamond r TICKET NO 3045516 TICKETTIME 07:04:00 DATE Customer No. Payment Type Customer Name Order No. .7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer JoD. No. Customer P.O. Map Ref. Disp. Ord. A 1225 / SS qq Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone SOlOype SH0361TT SH0361 Hauler/Canier No. Driver's Name Delivered / Ordered Load No. Running Total 14.53 / 1 14.53 BD/P - EARLINGTON SEWER REPLACEM i�1 SW LANGSTON RD & LIND AVE SW C{ RENTON - EARLINGTON SEWER REPLA T PREV WAGE �-`'Fti;•; .r.:.,.'...... +:......... ;:�. r.�t.+ 91120 PEA GRAVEL 14.53 �. A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel 57, 480 LB THAT EXCEED 10 MINUTES UNLOADING TIME Surcharge Gross 28,420 LB/P.T.* XO ❑ _ Sales Tax Tare Scale 1 Scale 2 Cadman, (Inc.) will not assume. Liability for any property 29, 060 LB Jennifer X damage or any equipment damage for any delivery beyond Total Net Deputy Weighmaster the curb line. to �- - ❑ I X Ix Ix Arrive Job Start Finish Standby Customers Initials Unloading I Unloading I Time I I x tiE Dk13ERGCEMENTGroupe WEIGHMASTER STATION 99021100 Black Diamond Standby Time TICKET NO.1 3045517 TICKETTIME 1 07:04:00 DATE 8/.8/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE.CONSTRUCTION.CO 17133 Customer Job. No. Customer P.O. Map Ref. Dtsp. Ord. n 1225 / Truck7ype Truck No, Vehicle or License Plate No. Trailer or License Plate No. Zone Solo SH036ITT SH0361 Hauler/Carrier No. Driver's Name Delivered / Ordered Load No. Running Total F 15.64 1 15.64 BD/P - EARLINGTON SEWER REPLACE &H2SW LANGSTON RD & LIND AVE SWRENTON EARLINGTON SEWER REPLAII PREV WAGE Cif+,lENTG(cup s 9225`3 CSTC 15.64 101, 66 0 LB Gross A STANDBY SURCHARGE.WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES U%t,QADING TIME. Fuel Surcharge Scale(Inc.) � t 2 Jennifer X Sales Tax Tare 7 0 , 3101E LB / P . T � Cadman, will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. 31, �8U Not LB Total Deputy welahmaster No onus a.aA 1e to sign, customerwtlm receipt Received by Signature Print Name (Customer) Drivers Signature _ d� Arrive Job i Start I i Finish T Standby customers Ind" 1 Unloading . ( Unloading I Time I I X HE IDELBERGCEM ENTGroups WEIGHMASTER STATION 99021100 Black Diamond I —j TICKET NO.1 3045554 ITICKETTIME I 11:40:00 JOATE 1 8 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. 4 1225 / Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone olo SH036ITT SH0361 Hauler/Cartier No. Drivers Name Delivered / Ordered Load No. Running Total 28.68 1 28.68 BD/P - EARLINGTON SEWER REPLACEMENT PH 2 SW GST RENTONEARLINGTONNSEWER REPLACS1I3 -F; l'Cr , ?ems_/ ? � I ��II�� I�I�� I���I I���� II���'��I� ■III ��'� I�I� PREV WAGE 91254 GRAVEL BORROW 28.68 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. _ Fuel Surcharge 98,680 LB Grass XQ [] scale r Scale 2 Jennifer X Sales Tax 41,320 LB/P.T.* Tare Cadman, (Inc.) will not assume Liability for, any property damage or any equipment damage for any delivery beyond the curb line. 57,360 LB Net Total Deputy Weighmaster No one available to sign, customer waives receipt signature. C7 Received by Signature X Print Name (Customer) X Driver's Signature X Standby Time Arrive Sob Start Unloading Finish Unloading Standby Time Customer's initials y M HEIDELBERGCEMENTGro u pm WEIGHMASTER STATION 99021100 Black Diamond TICKET NO 3045682 TICKET TIME 3.1.40:00 JDATE 1 8/1 2612 Customer No. Payment Type Customer Name, Order NO, 7830664 Account SHORELINE CONSTRUCTION CO 10017584 Customer Job. No. Customer P.O. Map net. Disp. Ord. N 1225 / Truck Type Truck No. Vehlcle a License Plate No. Trailer or License Plate No. Zone Truck & Trailer SH0365TT SH03 6E B Hauler/Carrier No, Driver's Name Delivered /Ordered Load No. Running Total 14.67 1 14.67 BD/P LANGSTEN &';SUNSET LANGSTEN & SUNStI � " [ lll�ll hill lull lull lull hill Illy llll IIII RENTON .+, Y- �s sx q? �, ProOuct Description91120 PEA GRAVEL 14.67 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 5 6 , 96 0 LB Sales Tax Gross Z7 11111TAI 27,620 LB/P.T. Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond Tare scale I Scale 2 Sheri 29,340 LB Total Net X the curb line. Deputy Weighmaster No one available 10 sign, customer waives receipt Reeetved by Signature Print Name (Customer) Driver's Signature Standby atura 0 X Ix X Time Start Finish Standby Customers Initials Arrive Job Unloading Unloading Time X ' CAUD MAN HEIDELBERGCEM ENTGroupe WEIGHMASTER STATION 99021100 Black Diamond TICKET No.1 3045683 TICKETTIME 1 11:41:00 DATE 8/10/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 10017584 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. 0 1225 / Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate Na Zone Truck & Trailei S1-10365TT SH036 B Hauler/Carrier No. Driver's Name Delivered / Ordered Load No. Running Total 15.24 1 15.24 BD/P LANGSTEN & SUNSET LANGSTEN &SUNSET MRENTON9 t¢— Y �.i DE L13 E;?Cr 4rlEN' Ill ..J,3 Product Description Total Unit Price Amount 92152 CSBC 15.24 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel Gross ` 99, 700 LB THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge 69,220 LB/P.T� l] Sales Tax Tare scale 1 scale 2 Cadman, (Inc.) will not assume Liability for any property 3 0 4 80 Sheri damage or any equipment damage for any delivery beyond Net ' LB Depuy weighmastar the curb line. Total X No one avallable to slgq customerwaives receipt Received by Signature Print Name (Customer) Driver's Signature Standby signature. Time 0 X ix Ix Arrive Job Start . Finish Standby Customers Initials Unloading Unloading Time :1X H EIDELBERGCEMENTGroupe WEIGHMASTER STATION 99021100 Black Diamond r TICKET NO. 3045586 TOKETTIME I 07;30;00 DATE 8/9/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 10017584 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # Truck Type Truck No. vehice or Ucense Plate No. Trailer or License Plate No. Zone truck & Traile3. SHO365TT SH0365 o Hauler/Carder No. Diners Name Delivered / Ordered Load No. Running Total 12.44 I 1 12.44 BD/P LANGSTEN & SUNSET OMEN & SUNSET IIIIIII IIIII IIIIIIIIII IIIIII l l�Ill�llf III{ HEI DELBERGClM ENTGroup°ti 92152 CSBC 12.44 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. I MEN IN 3 Fuel Surcharge 52, 560 LB Gross ScO t Scale X Sheri Sales Tax Tare 27, 680 LB/P. T. Cadman, (Inc.) will not assume.. Liability for any property damage or any equipment damage for any delivery beyond the Curb line. 24,880 LB Netme Total Deputy Weighsier No one "able to sign. customer waives receipt Received by Signature Pant Name (Customer) Driver's Signature Standby Arrive Jo Start Finish Standby I wmm skoers rnais Unloading Unloading Time X NEID- EME� " N� p" F GHMASTER STATION 9021100 lack Diamond TICKET No. 3045587 Customer No. Payment Type 7830E Account BD/P LANGSTEN & SUNSET LANGSTEN & SUNSET RENTON ir NEIDftlBCEME WEIGHMASTER STATION 99021100 Black Diamond r Type Truck No. �k & Trailer SH0365TT TICKET TIME 07:31:00 DATE 8/9/2012 Order No. Customer Name SHORELINE CONSTRUCTION CO 10017584 Map Ref. Oisp. Ord. # / VefHde or License Hate No. T ailer or L SH03 6 5 No Zane 1 1 16.BO REPRINT TICKET NO 3045604 TICKETTIME 09.46:00 DATE 8/9/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 10017584 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 1225 / Truck Type Thick No. Vehicle or License Plate No. Trailer or License Plate No. Zone Solo SH0335TT SH033 B Hauler/Carrier No. Drivers Name Delivered / Ordered Load No. Running Total 30.47 1 1 30.47 BD/P LANGSTEN & SUNSETS I I I I I LANGSTEN .& SUNSET '# t :: l IIII�� llll� ��III �IIII'lll� �l�ll ���II II III I RENTON ProductH k-. i D F L8 F RC 'J TG - .. 91254 GRAVFL BORROW 1 30.47 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel 98,600. LB THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge Gross(_ 37,660 LB/P.T. K1 _ Sales Tax Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond Tara _ Scale t Scale 2 X Sheri 60, 940 LB Total Not the curb line. , Deputy Welgnmaster - No one ava table tosign, customer waives recap! Received by Signature Print Name (Customer) Diver's Signature Standby signature. re. Ix X Time Start Finish Standby Customers imilais Arrive Jo Unloading Unloading Time X %WJM® TICKET NO] 3045672 HEI DELB ERGCEMENTGroupw WEIGHMASTER STATION 99021100 Black Diamond r TIME 09:55:00 TDATE 8/3.672012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 10017584 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 1225 / Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Solo SH0335TT SH033 B Hauler/Carrier No. Driver's Name Delivered / Ordered Load No. Running Total 30.83 1 1 30.83 BD/P LANGSTEN & SUNSET.74 NI LANGSTEN & SUNSET RENT"#X^•i .1;; '' I IIIIII IIIiI IIIII [IIII IIIiI INII III{I IIII IIII Product Description Total Unit Price Amount 91254 RAVEL BORROW 1 30.83 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. _ Fuel Surcharge 99, 320 LB Gross L�pff Scale 1 Scale 2 x Sheri Sales Tax 37,660 LB/P.T.* Tare Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the Curb line. 61,660 LB Net Total Deputy WelgFa er No one available to sigt, customer waives receipt signature. � Received by Signature X Print Name (Customer) X Driver's Signature X Standby Time Arrive Job Start Unloading 'Finish Unloading � Standby Time 7dX Customer's Initials Vim HEIDELBERGCEM EN-i GIoup® WEIGHMASTER STATION 99021100 Black Diamond t BD/P LANGSTEN &SUNSET LANGSTEN & SUNSET RENTON 91254 TtCKETNO 3045708 TICKET TIME 10:11:00 DATE 8 13 2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 10017584 Customer Job. No, Customer P.O. Map Ref. Dlsp. Ord. # 1225 / Truck Type Truck No. Vehcle or License Pleto No. Trailer or License Plate No. Zone ruck & Traile) SH0317TT ��6��,'}3 c�q�`'':��II i•,I I; •rr �i r'ryirf GRAVEL BORROW 31.51 " 102,880 LB * - A STANDBY SURCHFjARGE WILL BE ASSESSED FOR LOADS THAT EXCEED Fuel Gross 10 MINUTES UNLOADING TIME. Surcharge rare 39,8150 LB/ P . T .* X0 ED InTmSales Tax Scale t Sale 2 Sheri Cadman, (Inc.) will not assume Liabilityfor an anyproperty vet 63,020 LB ,r X damageoran y equipment damage for any delivery beyond Deputy Welgtunaster the crb line Total to one avaAabie to sir, customer waves receipt Received by Signature lgnatum. Pri Namo Customer ( ) Driver's Signature X StandbyX Time hive Jo Start Unloading Finish X Standby ustomer's Initials Unloading Time REPRINT rig wd HEIDELBERCCEMENTGroups WEIGHMASTER STATION 99021100 Black Diamond TICKET NO 3045723 TICKETTIME 1 07:11:00 DATE 8/14/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 10017584 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 1225 / Truck Type Truck No. Vehicle or Ucense Plate No. Trailer or License Plate No. Zone SO10 SH033STT SH0335 Hauler/Cartier No. Driver's Name Delivered / Ordered Load No. Running Total 30.17 / 2 1 30.17 BD/P LANGSTEN & SUNSET LANGSTEN & SUNSET RENTON / 92253 CSTC 14.19 t ✓ ' ' ` �.., �� A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. � Fuel Surcharge 54,540 LB Gross t s2 2 X Sheri Sales Tax Tare 26, 160 LB/P.T * Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Net 28 , 380 LB * Total Deputy Weighmasler No one available to sign, cusb rwalves receipt signature. C Received by Signature X rivers Signature Print Name (Customer) Ex X Standby Time Arrive Job Start Unloading Finish Unloading Standby "imp I Customer's Initials Ix ' REPRINT CAW -LAN HEIDELBERGCEMENTGroup® WEIGHMASTER STATION 99021100 Black Diamond Gross TO(ETNOI 3045724 TICKETTIME 07:11:00 DATE Customer No. 7830664 Payment Type Account Customer Name SHORELINE CONSTRUCTION CO Order No. 10017589 Customer Job. No. Customer P.O. Map Ref. / Disp. Ord. # 1225 TYuottType Truck No. Vehida of license Plate No. Tracer or License Plate No. SH0335 Zone S 10 SH0335T1' Haul Canter No. Driver's Name Delivered / Ordered Load No. Running Total 15.98 ..is. 9iii / 1 BD/P LANGSTEN & SUNSET LANGSTEN & SUNSET RENTON 91120 PEA 'GRAVEL r • . 15.98 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel Surcharge 98,000 LB * THAT EXCEED 10 MINUTES UNLOADING TIME 011111 Sales Tax 66,040 LB/P.T * 7n 0 Scale Scale Cadman,. (Inc.) will not assume Liability for any property Sheri damage or any equipment damage for any delivery beyond Total 31, 960 LB * X Dep1ayyyetghmaste, the curb line. . In, customer wahres receipt Received by Signature -pant Name (Customer) Ddver's Signature Standby _ • Time Start Finish Standby Arrive Job Unloading Unloading Time REPRINT H E—ID ELB ERGCEM ENTGroup! WEIGHMASTER STATION 99021100 Black Diamond TICKET NO. 3045751 ITICKETTIME 1 10:41:00 DATE 8/14/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 10017584 Customer Job. No. Customer P.O. Map Ref- Disp. Ord. # 1225 / Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Trailei SH0317TT SH0317 Hauler/Cartier F37 Driver's Name Delivered / Ordered Load No. I Running Total 29.91 / 2 29.91 BD/P LANGSTEN & SUNSET I l (! RENGSTEN & SUNSET i, �,� , I IIIIIIIIIII "III IIIII IIIII IIIII IIIIIIIII REF2ENTON34°R��.�w%r:- Product Description Total Unit Price Amount 91120. PEA GRAVEL 13.93 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel 53,500 LB * THAT EXCEED 10 MINUTES UNLOADING TIME Surcharge Gross _ 25, 640 LB/P.T * Sales Tax Tare Scale 1 Scale 2 Cadman, (Inc.) will not assume Liability for any property LB * X Sheri damage or any equipment damage for any delivery beyond Total Net 27,860 Deputyweighmaster the curb line. No one available to sign, customer waives receipt Received by Signature Print Name (Customer) Driver's Signature Standby signature. O X Ix X Time Start Finish StandbyCustomer's initials Arrive Job Unloading Unloading Time X C�DM�N HEIDELBERGCEM ENTGroup® WEIGHMASTER STATION 99021lbO Black Diamond r I OV1414M TICKETNO 3045752 TICITT-nME 1 '10:41:00 JDATE 8/14/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 10017584 Customer Job. No. Customer P.O. Map Ref" Disp. Ord. # 1225 / Truck Type Trick No. vehicle or Ucense Plate No. Trailer or License Plate No. Zone Truck & Trailej SH0317TT SH031 B Hauler/Carrier No. Driver's Name Delivered / Ordered Load No. Running Total 16.86 1 16.86 BD/P LANGSTEN & SUNSET LANGSTEN & SUNSET RENTON 92152 CSBC 16.86 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 101, 440 LB Gross - 67 720 LB/P.T.* F-1 Sales Tax Cadman, prtc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond Tan: Scale t Scale 2 Sheri 33,720 LB Total Net X the curb iiiie.. Deputy Weighmaster No one available to sign, customer waives reeelpt Received by Signature Print Name (Customer) Dees ign� Standby signature. E03X X X Time Start Finish Standby orne s Initials Arrive Job Unloading . Unloading Time X X REPRINT I-EIDELBERGCEM ENTG roupa W£IGHMASTER STATION 99021100 Black Diamond TICKET NO. 3045762 ITICKETTIMF 1133:00 nATF B/14/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 10017584 Customer Job. No. Custcmer P.O. Map Ref. Disp. Ord. >t 1225 / Truck Type Truck No. Vehicle or License Plate No. Trailer of License Plate No. Zone Solo SH0335TT SH0335 HauledCarner No. Driver's Name Delivered / Ordered Load No. Running Total 59.93 / 2 59.93 BD/P LANGSTEN & SUNSET &SUNSET wfei ' �` : ' !? RENGSTEN r RENTON ; r^iC3 4- �a . r�� :. I IIIII! Illll lllll Illll IIIII IIIIt hill IIII IIII ProductDescription. . 91254 GRAVEL BORROW 30.29 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 98 240 LB Sales Tax , Gross Scale t S� 2 Sheri f ERTIM Tare 37 , 660 LB/P.T * Cadman, (Inc.) will not assume Liability for any property any equipment damage for any delivery beyond Net 60,580 LB X tlm curbor Total Deputy Welghmaster No one avarlahle to s'gn• customer waives receipt ReceNed by Signature Print Name (Customer) Drrver's Signature signal ure. o x Ix x Tune Start Finish Standby jStandby Customers Initials Arrive Job j Unloading Unloading Time CADMM HELD ELB ERGCEM ENTGroupe WEIGHMASTER STATION 99021100 Black Diamond REPRINT TICKET NO 3045767 TICKETTIMF 1 11:57:00 DATE 8/14/2012 Customer No. Payment Type Customer Name Order No. 7830664 Account SHORELINE CONSTRUCTION CO 17133 Customer Job. No. Customer P.O. Map Ref. Disp. Ord, rfi 1225 / Track Type Truck No. Vehide or License Plate No. Trailer or license Plate No. Zone Truck & Trailer SH0355TT Hauler/Carrier No. Driver's Name Delivered / Ordered Load No. Running Total, 29.85 1 1 '29.85 BD/P - EARLINGTON SEWER REPLACE PH 2 n ar,n. SW LANGSTON RD & LIND AVE SW `'>+ �$ L f RENTON - EARLINGTON SEWER REP PREV WAGE 91254 GRAVEL BORROW 29.85 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED.10 MINUTES UNLOADING TIME. Fuel Surcharge 103,540 LB Gross � Scale t Scale Sheri X Sales Tax 43,840 LB/P.T. Tare Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Net 59, 700 LB Total DeputyWeighmaster No one available to sign, customer waives receipt sgrature Received by Signature X Print Name (Customer) Ix Drivers Signature X Standby Time Arrive Job Start 1-Unloading Finish Unloading Standby Tie Standby Customers ininals MW&A At 1hj TICKET NOI 3045604 HEIDELBERGCEM ENTGroup® WEIGHMASTER STATION 99021100 Black Diamond TICKETTIME 1 09A6:00 (DATE 1 8/9/2012 Cuslomer No. Payment Type Customer Name OrderNo- 7830664 Account SHORELINE CONSTRUCTION CO 10017584 Customer Job. No. Customer P.O. Map Rat. Disp. Ord. B 1225 / Truck Type Truck No. VeNde or License Plate No. Trader or License Plate No. Zone Solo SH0335TT SH033 B Hauler/Carrier No. Driver's Narne Delivered / Ordered Load No. Punning Total 30.47 1 30.47 BD/P LANGSTEN & SUNSET LANGSTEN & SUNSET RENTON 91254 GRAVEL CA-118EXIM" ylt r 30.47 My- M-45MIRROW A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel Gross 98,600 LB THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge 37,660 LB/P.T.* Sales Tax Tare S� 1 S� 2 Cadman, (Inc.) will not assume Liability for any property 60 , 94 0 LB X Sheri damage or any equipment damage for any delivery beyond total Net _ Deputy Weighmaster the curb line. No one available to sign, customer waives receipt Received by Signature Print Name (Customer) Driver's Signature Standby signature. - - - -. I Time Arrive Job Start I Finish I Standby I �c;usrcmers rnnrars Unloading Unloading Time Xmom REPRINT Ak TICKET NO. 3045794 TICKETTIME 08:34:00 DATE H EI DELBERGCEM ENTGroup's WEIGHMASTER STATION 99021100 Black Diamond Customer No. Payment Type Customer Name = Order No. 7830664 Account SHORELINE COA7STRUCTION CO 1 17133 Customer Job. No. Customer F.O. Map Ref. Disp. Ord. a 1225 / T cl,Type Solo Truck No. Vehicle or License Plate No. Trailer or Liters, Plate No. Zone SH0335TT SH033 B Hauler/Corner No. Driver's Name Delivered / Ordered Load No. Running Total 29.47 / 1 29.47 BD/P - EARLINGTON SEWER REPLACEMIMT PH 2 SW LANGSTON RD & LIND AVE SW RENTON - EARLINGTON SEWER REPLAC�s$ PREV WAGE I 91254 96,600 LB Gross Tare 37,660 LB/P.T.* M., 58, 940 LB No one ava-lade to sign, customer warves receipt HF signature. El k Arrive Job Start Unloading GRAVEL BORROW 29.47 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge ® F-1 Sales Tax Scale i Scale 2 Cadman, (Inc.) will not assume Liability for any property Jennifer damage or any equipment damage. for any delivery beyond X Deputy Weighmaster the curb line. Total by Signature Print Name (Customer) Driver's Signature Standby .. Time Finish I Standby Unloading L Time