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04-5842 (CNHK)AUG 1 T 2f Q. cmr of �'cxuiNT�, C&.y 4 4Q” BUILDING & SAFETY DEPARTMENT 1504(760)777-7012 ALLE TAMPICO FAX (760) 777-7011 rA, CALIFORNIA .92253 INSPECTION REQUESTS (760) 777-7153 ,, BUILDING PERMIT Application Number ' Property Address;:„. APN: Tenant nbr, name Application description Property Zoning . . . . Application valuation 04-00'005842. Date 8/17/04 78275 CALLE TAMPICO 770-130-001- - - . . . CITY LIBRARY NEW COMML - OTHER NON -HOUSEKEEPING . MAJOR COMMUNITY FACILITY ` 1440557 Owner >> Contractor, ^' CITY OF LA QUINTA TAYLOR FRAGER, INC. C/O AKLUFI`& WYSOCKI 41661 ENTERPRISES CIR. N. #217 3403 10TH ST STE 610 TEMECULA CA 92590 RIVERSIDE CA 92501 (909) 296-9892 WCC: STATE FUND WC: WVK6301221 04/01/i05 CSLB: 598277 07/31/06 CCC: A -B -------------------------- Structure Information ------------------------- Construction Type . . . . TYPE V - NON RATED Occupancy Type . . . BUSINESS <50 Flood Zone . . . . . . FLOOD ZONE. AO Other struct info . . . . . CODE EDITION 2001 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY B O-CUPANT LOAD ,,;-A3,. 342.00 PATIO SQ FTG • 1976.00 FIRST FLOOR SQ FTG 20517.00 - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- =„-'-ti- - - - - - - - -- - - - -- -= - - Permit . . . . . . BUILDING ?ERMIT Additional desc Permit Fee 4421.5•D Plan Check Fee 2873.98 Issue Date . . . . Valuation . . . . 1440557 Qty Unit. Charge Per Extension BASE FEE 3539.50 441.00 2.0000 ----------------------------------------------------------------------------- THOU BLDG 1,000,'001 - UP 882.00 Permit . . . . . . ELECT -NEW COMMERCIAL Additional desc Permit Fee 253.22 Plan Check Fee 63.31 Issue Date Valuation 0 Qty Unit Charge Per, Extension 1' 1 P.O. Box 1504 VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant: Applicant's Mailing Address: 2 - Date: — 341 Architect o Engineer: ,/tel . 0. G t2oul' Architect or Engineer's Address: S•�r� /�`� 9►0 . G.F. 7-2/OZ Lic. No.: ✓� 0,2- 7 7 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Lice pseiisjp full force and effect. S9 License Class ��QQ L[3� License No. L . Date v �% d Contractor / O/C 7 e -A- �k OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is is�u y workers' G�mpen tion insurance carrier and p I'icy nymbe� arB. Cartier J I�f rti /Ft sy Policy Number _ ! -P*91U ; 0/ ZZ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date SLI %D Applicant WARNING: FAILURE TO SECURE WORKERS' CO ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN OLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTER T, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under pen Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ: C.). Lender's Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and, void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date Signature (Applicant or Agent): Page 21 Application Number . . . . . 04-00005842 Date 8/17/04 Qty Unit Charge Per Extension. BASE FEE 15.0J 11911..00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 238.22 Permit . . . GRADING PERMIT Additional desc 11 Permit Fee . . 117.00 Plan Check Fee 0? Issue Date . . . . Valuation ) Qty Unit Charge Per Extension BASE FEE 117.01) Permit MECHANICAL Additional desc Permit Fee 143.50 Plan Check Fee 29.38 Issue Date . . . . Valuation 0 Qty Unit.Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 2.00 9.0000 EA MECH B/C.<=3HP/100K BTU 18. 0C 2.00 16.5000 EA MECH B/C >3-15HP/>100K-50OKBTU 33.00 1.00 22.5000 EA MC B/C >15 <=30HP/50OK-1M BTU 22.5C 4..00 ------------------------------------------------------------------- 6.5000 EA MECH OTHER MECH EQUIPMENT 26.00 Permit . . PLUMBING Additional desc Permit Fee . . . . 439.50 Plan.Check Fee 109.85 Issue Date Valuation 0 Qty Unit Charge" Per Extension BASE FEE 15.00, 27.00 6.0000 EA PLB FIXTURE 162.00 1.00 15.0000 EA PLB BUILDING SEWER. 15.00 10.00 6.0000 EA PLB ROOF DRAIN 60.00 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 1.00 3.0000 EA _PLB WATER INST/ALT/REP. 3:00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 1.00 7.5000 EA PLB OTHER BACKFLOW-<=2 INCH 7.50 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS, 3.00 Page 3 Application Number . . 04-00005,842. Date 8/17/04* Qty Unit Charge Per Extension 10.00 15.0000 EA PL3 GAS METER 150.0.0 Special Notes and Comments MUNICIPAL LIBRARY.- 20,517 SQ.=T. "B" OCC. TYPE VN CONSTRUCTION (4 YARDS AND FIRE SPRINKLER ALLOWANCE FOR AREA12001 CODES.. (8,606 SQ.FT. SHELL AT FUTURE COMMUNITY ROOM, NORTH WING)PERMIT DOES NOT INCLUDE BLOCK WALLS, FENCES AND SITE. LIGHTING. ------------------------------- Other Fees . . . . . . ENERGY REVIEW FEE 287.40. STRONG MOTION (SMI) - COM 302.51 Fee summary Charged -Paid Credited'; Due Permit Fee Total 5374.72 00 00 5374.72 _ Plan Check Total 3076.55 .00 .00 3076.55 Other Fee.Total 589.91 .00 .00 589.91, Grand Total 9041.18 .00 .00. 9041.18 ^�MAW-31=2005 12:33 PM DEAN JENSEN' PW I '. 760 771' 6557r 02 Og`/O1%O FAX 610 621 8381 HPFF"BA.N DIEGO "Im00t/000 � CAn9Ulllnp fnpineers � , Matrb,317 2003 Tom Hartung - City of La Quillta 79493 Calle Tamploo IA Qt$eta, CA 92.253 i Re- City a1 T.Y. Quinm AJC LibL' Ty PCN-0311-219 KPFF Job No. 102092 l Deer W Hm=g We have complexed our strW.�fural observYtia®s as listed on Sheet 31.0 of the approval pians. Attached are the observstm rcpoc % for the that we c udwte& To the best of my i nowledp, my deficianoies described in *m repoft have been Qma-ted. Sinn aly, KPFF C.onsttb* En EAc LebmkWd, S.E. 61"c LEHMxuHL ` Principal $3408 ji. ESP. 3,31.08 S791 CJMIAe Col Rid MONA, Sullo 1080 Sen Diego, CA 92i00 (610) 511-8500 fir (et9J S21-8597 t Jielflll r11l1111 /er F>1101000 d1QIAM11l1 L10 Ae+llee If1110 889 01100 Pkb*sir DORM df. Leeie 03-31—x005 13:03. 7607716877 PAGE2 MAR -31: -2005`.'1' -2:34, -'PM,' DEAN JENSEN PWC T ->i t' "':,7(0 771 6557 0 /.s 1 .KPEE-9AN DIEGO ConvAng Minwo DATE: JOB NO.: $131 Camino pal NO Na t+, Suite 1080 November 11 2004 102092 ser+ DWgo, CA 82106 PROJECT: Tai: (e19) 5214M Pax (big)WV05a1 City of La_ouinta Public Ubrary ORSF-RVAT'ION REPORT M San Oieoo. CA 92101 0 PRESENT AT SITE: ATTN: 11 Ma)dne Wstwlak I PREPARED BY: Tlw. purpoe of this vialt utas to perform a paneral observation of the tilt -up wall panel reinforcements. > Stage of Construction 1. The foundation and olab-On-grade were conswcted. 2. Placement of relnfomment bars and pane! embeds was in progrm. > General dbservations I,' Align panel to panel. connector. embeds. Embeds should not be above Md fine. Adjust accordingly, Embeds location shall be adjusted where they aro. In conflict with chard rebar pocket. 2. Rebars at lining insert need to comply with the supplier's specifications. 3. Plea all root framing straps, embeds, etc. to align with framing members. Sea roof plan where straps and embed are not perpendicuW to the wall. 4- Coordinate the number of the rebars that shown in structural drawings for tag of the wiitll panels with the Going hardware drewings. Provide maximum number of rebore of the the two drawings. > Speolflc hems I. Based on random selection of tha panels that appeared more complete, the following comments are made.( P denotee panel) P1: a. Panel to panel connector is not placed (loose). . b. 'PTR' steel is not placed (loose), C. Chord bare aro not placed (loose). d, f3®em embed Is not set'(note orlentatlon). e: Reinforcement below Panel opening is missing. See 9/$5.2, f. Pocket in penal at chord bars Is not set. 9. Chord bars and sleeve are not set.. Plea per 15/S$.3. 11003/000 ;. 03-31-2005 13:03 7607716677 PAGE3 ;:MAR -31-2005 12:34 PM':,; DEAN JEh1SEN PWCI �`. 760;'771. 6'557:1. .. P. 0.4 • , _ r, F,: 1Y;OS, FAd 811i 621 8691 ,. . ' EPFF AN'`DIEGO 14008/008 7. PHD8 hotdown at bottom of post for tha two posts it altamate root framing was not installed. r. 8. The steal bearing plate of the''U' hanger -at the. two beams at the alternate maf was missing. 9. Pack wood shim between the,,drag "s bottom dwrdd and the rotwsla beam.. This o=msd at two places at East side of the rotunda, COPMS TO: Travla;llludde SIGNED: 780-771-8877 fox 03-31-2005 13:03 7607716877 M,A,R'-31-2'00;5' _12:34 PM DEAN JEN:SEW- PWC:I R 760 771 6557-.i? 05 _ru 8.19 821 8641 KPFF SAI' WEGO I�00Z3/:008 kpff ComwIting En ars 3131 Camino Dal Mo North, Sub 1080• San Diego, CA 02108 Tel: (018) OV4600 Fax: (019) 6214861 OBSERVATION REPORT # 2 DATE: JOB NO.: Februe 07 2005 702092 PROJECT: City of Le Quints Public LIbrerC- LOCATION: TO: PRESENT AT 911TE: M.W. Steele Group Travis Muckle. Suasrtntendent ilepo, CA 92101 � . PREPARED BY: The purpose of this visk was to perform a penerW observation of the structuaral framing. In General the framing was according to the construction documents. > Stage of Construction: 1. Tho west half of the roof was she8thed. Rotunda oteel framing and the metal deck roofing was constructed. The OL beams were emected at the east half of the building however secondary framing was not installed, Z The installation of the dW sb* Md other connection alements were in progrM at ft time, > GeneralOtmervetlons: 1. (rlsta8200n of the roof diaphragm' strap as indicated on detail 8/57:0 was not completed at the sheathed roof ars". 2. Please confirm that the vertical stoned holss In the side ptate of the wood beam V hanger does exists. Coordinate locations with the structural drswln$$. > specific items: 1. At rotunda, the upper end of the angle bracing at few locations at east side was not welded. 2. Line 1.2 between 8 a C, the wsU straps are bent. This is not 6 cvptabie. Strap must be straight. Install new straps as needed. 3. Pieces confirm that wall strep HPA28 Is installed at the drag truss bottom chord. This 18 on line C betwean 1.2 & 2. 4. Anchor boli nut was not IneWed'at wall tie. This is line 3 between F &G. Also line 15.7 between F.8 It O. 5. Wall anchor strap was missing at. Una F.5 between 13.8 S 14, e. CMBT strap pet deda(I 18 WA on Nrm 10 bohm en C to E was missing. 03-31-2005 13:03 7607716877 Pcarr�� i MAR-31-2005,;?.1`2 DEAN ' JENSEN PWC I F;^ t 7'6`.0 771 6557 -R•:.66 ` , VJ/Jt/Y0, lL:uJ r,+t tlad, 6Y1 8591 KPFF SAN DIEGO, 4404/008. • P20: a. Chord bars and sleeve are not W. Place per 15/S5.3, b. Roof joist entrap Is hot set, J c. Boom meat Is not set. d, Pocket In panel at chord bars is not met, as, Fully set ledger bolts in panels. • P21: a. Embeds for panel connection to P22 are not set. b. See A/P20. c. See E/P20, d. See D/P20- e. Beam embeds at edge of penal are not set.. f, See B/P20. • M, P28., y.. a. See A & D/p20. • P27.- a. 27:a. Ufdng Inserts are not act. P35: a. See A, C & D, E/P20. b. Roof joist straps need to be W at an angle to, allon with jolsts. c. Panel to panel connection plates are not set. - PS, P6, P7: a. See A, C J b. `PTR" steel is not set. c, Panel connection embed to steel column for panel 7 Is net est, d. Roof ledger wM be secured with epoxied bofls after panel being lifted. • P53: a. Sw A & D/P20. * P52: a- See A 8 D/1`20. _ b. See D/P5. c.. Embed for panel 51 sent Is missing: df Beat for stftI beam Is missing,. e.: Add rebar chairs at north edge of panel. . f; One seat for roof boom is missing.. COPIEB T4: TMM* Muolde . SIGNED: 780.771-6877 taut 03-31-2005 13:03 7607716677' PArP4 �RgIDE co M w • RIVERSIDE COUNTY!'' - Y FIRE DEPARTMENT 82-675 Highway 111, 2nd Fl., Indio,- CA 92201 • • Fax (760) 863-7072 1 DEPARTMENT Craig:E: Anthony October 10, 2005, Fire Chief `ate ia.d Proudly serving the City of La Quinta a ' unincorporated Building Department . areas of Riverside County and the Cities of: } I Re: Fire and Life Safety Clearance 'J .._Banning La Quinta Library 4. Beaumont The Riverside County Fire Department is granting a fire and life safety clearance'.for occupancy located at 78275 calle Tampico. , Cahmesa - Canyon Lake Coachella' - Desert Hot Springs - Respectfully' g. It Wells Indio Tracy Hobday •=� Chief Fire Department Planner' Lake Elsinore 4. -� La Quinta By 4- n ; Moreno valley, w Terry DeSou j; ❖ '' • . , Fire Systems Inspector Palm Desert Perris t iH 4. Rancho Mirage 4. San Jacinto , y Temecula' I Board of Supervisors Bob Buster, tI District 1 ,, JohnTavaglione, District 2 -,Jeff Stone,. - T District 3 P Roy Wilson, i A District,4 , Marion Ashley, r , District 5 EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd FI., Indio; CA 92201 • (760) 863-8886 • Fax (760) 863-7072 t7 . M.W. STEELE GROUP, INC. ARCHITECTURE 1 URBAN DESIGN 225 FIFTEENTH STREET $AN DIEGO I CA I 92101 TELEPHONE: 619230.0325 FACSIMILE: 619.230.0335 WEBSITEI www.mw�tcele.com INSTRUCTION .BULLETIN NUMBER: 076 /- PROJECT: (0110 La_Quinta Library - 1- -77 CONTRACTOR: Taylor Frager CONSTRUCTION PW Construction Taylor Frager TEAM: Attn: Dean Jensen Attn: Travis Muckle Fax: (760) 771 6557 Fax: (766) 771 6877. . OWNER: The City of La Quinta Attn: Tom Hartung , Fax: (760) 777 7011 RFI NUMBER(s): 133 DATE(s) RECEIVED: 03/17/05 ISSUED: 03/22/05 PAGES: 05 The work shall be carried out in accordance with the folio wing Instruction Bulletin issued in accordance with the Contract Documents without change'in the Contract Sura or Contract Time. Proceeding with the Work in accordance with these instructions indicates your acknowledgement hat there will be no change in the Contract Sum or Contract Time. If the Contractor believes there is to be a change it the Contract Sum or Time based on the Instruction Bulletin, Architect and Owner should be immediately notified. DESCRIPTION: Draftstoas RESPONSE: As per CBC 2001 Section 708, "combustible" construction requires flreblocking and draftstcpping. The Rotunda is non-combustible construction structural steel framing with light gauge metal studs. It is however, surrounded by combustible wood roof framing on most sides. It is important therefore that fireblocking as per Section 708.2 is provided where these roofs meet the Rotunda. These fireblocks shall consist of . either 2x lumber, gypsum board or batts of mineral or glass fiber. It think that has probably been taken care of by the rim joist or blocking at the framing. In the vertical direction, Tease provide 2 areas of draftstopping — See attached sketch. It seems that the easiest practical way to accomplish this would be to utilize mineral or glass fiber insulation to fill the void continuous in the vertical direction. The entire depth of the void should be filled with insulation. Please confirm with the Inspector the acceptable width of the insulation. I show it filling the pier at the low level and continuing vertically - tP is should be more than adequate. ATTACHMENTS: 3 pages of sketches S:1Drawingsl0i 101administration\CONSTRUCTIOh ADMINISTRATIONVNSTRUCTION 6ULLETINS10110_IB_076.doc 919-:1 900/100'd 91b-1 9££0 0£Z 619 .cul Idnolg 918615 -t11-W-W0Sd 1NdzZ:ZI 90-ZZ-NVN I M.W.STEELE GROUP, INC - ARCHITECTURE I.URBAN DESIGN INSTRUCTION BULLETIN ISSUED BY: Maxine and .W. Steele oup, Inc. ROUTING: OWNER El ARCHITECT EI CONSULTANT 10CONTRACTOR Ed CONSTRUCTION MANAGER CC. S:\Drawings\0110\Pdministration\CONSTRUCTION ADMINISTHATIONVNSTRUCTION BULLETIN5\o1i0_IB_076.uoc 929-d SOVZOO'd 9Ib-1 9££0 0£Z 619 .3UI -dnolg 81ee1S -M-N-Woad WdZZ:ZI 90-ZZ-ffl ' MAR -221605 12:22PM FROM-M.W. SteeleGroup, Inc. 20or 0 y �5 619 230 0335 Af T-415 P.003/005 F -5T6 NIAR— MS 1.2:22PM FROM-M.W. Steele Group, Inc. 619 230 0335 T-415 P-004/005 F -5T6 - MAR -22-05 12:22PM FROM-M.W. Steele Group, Inc. 619 230 0335 T-415 P.005/005 F-576 AO r "CO V *.,24-0 Xl FA sAoiDoI ocY�. v1 izoo r-4- S spa )0 ")04 25 �r 31 .6/04 10:15 PAX 618 521 8591 BPFP SAN 41mo �9/2Qo� 12-:i4 PAZ 7liCT716559 f" "`'' STiiY�i ►cx . Cllr of L4 QUJNTA + MUN1ClPAL UaPWy pW CONSTRuoTIOM, A1C, ' D9.W. STIE L6 6Rpup RF°! # 9 '� �11V .7liSLid; Wjuuo �Qas RECEIVED SEP 2 01004 ,BEQUEST FOR INFO R1IrIlATION Z'me /subs �o�pg �s7 for p ap,�� of t+edLs �bcatioa, ; Is�fv��pon liequestied By, 5 mnSecum- 6 � F lWbnAaBM best ediam e" Cgb-d 0-cumeutt�s: n ,mow Car dmct will millm: Quesdon i probkft z 9fseetQ12 detail 6 S*aWa l' 3� Wall., Please gds as to Ioos �' %Dag fnr 9W t� ,g seat oPPoske e#f the seat g sagand aif ba'amus for the it>eth�ehtal ' scat mall foot+ vra�f. Or alae these tbotbeasths� sante as the No X Pw Yes Re+r�e spa Yes nfQ Date Respon;� �qued C� Jensen 4 Reply S' -a wrINE pT<. 5-r4CcOtO7 8LE F::0& &TH- azcFc 25 ��1� � �o�JEYt � -f-KE MELLss SeA T� FoOT� �� OuccC) 'rQ � "o C aa�� Jowl 10w � � I -I $ � S c dq ?f,,1 P 007' RLW. $bele proms; SAW -r J?��S A �lbeer: simciRD an&k Schedule Impatt Yes No Reviewed gy. Cod Impact Yes No .-.,._:drw?+A"ar.�, �::x •.,v :.r3si:i&y:�!ei... 90e-1 voo/W'd 111-1 Wo On els 04-07-2005 13:46 7607716877 i i • ' FRAGE1 A TAYLOR COtuvwetion Group CanpWky LkMw No. S98277 .. PAGE1 To: X2.4 a R t From: je,4 v I S 1* -f We A.-.% f Company: o Fox: Fox-7Cv o 7 7 7d <I Phone: Phone: pages; ' CC:f ' 0 Urgent D For Review Please Comment,. i 0 Please Reply 0 As Requested f •„04-07-2005 13:46 7607716877 J _'+ U4/07/U5 12AJ PA%,4X8 521-8591" 0A-07=2005 13=21 7607716877 PAZ. sll 521 8501. z PAGE2 KPFF ,SAN DIEGO 10002/002 PFIGEZ DI�r 0 » stv i.1a IN m+o P64 39S3i lila 7OWTU"9 • • �ar�aw�ti� '•4 , - S a• • , 0. QU ' FO'* IMFORNIAIJON- iiv st� 47 A %E�1 S 1�✓!3 " i �` •• :;,x S— 5 F/Pdra ror- I Art. in -04 T -rj S AliMdai� Xj $ c ` r¢ t Y Na Y4 PW RIMbr • , e . 5 =b � i�� Fri,/ 1g • �et�'��, �o"�,.:,�' :�F� �.� ��, iloeJ�v� � TKF 'TRFu..�S A -rg t4d •oY'7: WOW we 04-07-2005 13:38 7607716877 PAGE2 M.W. STEELS GROUP, INC. ARCHITECTURE I URBAN DESIGN j. " 3 25 FIFTEENTH STREET SAN DIEGO I CA 1 92109 TELEPHONE: 699230,0325 , FACSIMILE: 619.230.0333 WEBSITE: www.mwxtccle.com I N S T R U C T 10 N B U L L E T I N - NUMBER: 081 PROJECT: 0110 La Qulnta Library CONTRACTOR: Taylor Frager CONSTRUCTION PW Construction Taylor Frager TEAM:. Attn: Dean Jensen Attn: Travis Muckle Fax: (760) 771 6557 Fax: (760) 771 6877 OWNER: The City of La Quinta ; Attn: Tom Hartung Fax: (760) 777 7011 , RFI NUMBER(s): WA DATE(s) RECEIVED: WA ISSUED: 03/24/05 PAGES: 03 The work shall be carried out in accordance with the foPowing Instruction Bulletin issued in accordance with the Contract Documents without change in the Contract Surn or Contract Time- Proceeding with the Work in accordance with these instructions indicates your acknowledgemere that there will be no change in the Contract Sum or Contract Time. If the Contractor believes there is to be a change In the Contract Sum or Tlme based on the Instruction Bulletin, Architect and Owner should be immediately noti><ed. DESCRIPTION; Rotunda_Light_Flxture RESPONSE: I would like to maintain the 10' ring suspended from the central point of I the steel structure. The.16' ring can have separate vertical cables. The problem is providing enough cables, while not conflicting with the steel I structure. Option,1 shows 12 vertical cables located to avoid the, steel structure, suspended i•om the underside of the metal deck. This would be our preference, however, the manufacturer may require additional cables. Option 2 has 16 cables, a of which would attach to the beams, and the other 8 to the higher -metal deck. With either of these options, the suspended wood slat ceiling needs to avoid the cables at the high level. Also, we need a shop drawing indicating the attachment method to the beams and the deck. ATTACHMENTS: ISSUED BY: Maxine Ward M.W: eele Group, Inc. " L. S:1Drawings10110\administrationlCONSTRUCTIDN ADMINISTRATIONIINSTFiUCTION SULLETINS10110._IB_081.doc 9Z9 -d £00/100'd 69V-1 9£E0 0£Z 619 .oul Idnoig 91691S -td;.w-w0SA wdSVZO 90 -K -ON - I w N 1 O P rp.. R H £00/£00'd 69V-1 9££0 0£Z 619. -out 'dnoag ilsolS Id W—WOad WdV0:i0. 90—VZ—dvN ; w N 1 O P rp.. R H £00/£00'd 69V-1 9££0 0£Z 619. -out 'dnoag ilsolS Id W—WOad WdV0:i0. 90—VZ—dvN S 5 N . N C 919-4 £00/Z00'd W-1 9££0 0£Z 619 .'out 'anoag alae}s -ra'w-woad wdv0:ao 90—VZAVH �r i I t. i S 5 N . N C 919-4 £00/Z00'd W-1 9££0 0£Z 619 .'out 'anoag alae}s -ra'w-woad wdv0:ao 90—VZAVH �r i I S 5 N . N C 919-4 £00/Z00'd W-1 9££0 0£Z 619 .'out 'anoag alae}s -ra'w-woad wdv0:ao 90—VZAVH u I U .1 1;. 1 1 L 1.6 - lily 11:01 PA! Ali Ili 48kV" �.�C. SAN✓arE o _ sr�t� jb002 CONT. 0 24 til�E(�N- €�• - -. (SW WW'* WAIL OOh[Ii�. JOlE�j 8" 0 11�. WJD {ROUT VAN= PER 9%9,0 1 �14 Wm HOLES 0 IV - 0' mr. x 1$'m CRUSM ROCK e AT WEEP HOLES CW. m 0-7" LAP'. 4 TDP a BMT •� �5 CONI' . IF � • N01� ' �' � 8" z VMNRY CM a* 2M F9 -3ND PSI vim, ;,or�rr'.View IYU'l�V 1` 1 JI F E . YY l { CITY nF LA OUNTA T3Jdd M.W,STEELE GROUP, INC. ARCHITECTURE 1 URBAN OE51GN $25 r-IrTEE&NTH STREET SAN DIEGO I to 1 92101 TELEPHONE: 619.230.0325 FACSIMILE: 819.290.0395 WE651TE: www.mwsteelo.com LL89T21091L TS:TT S002 -ST -20 INSTRUCTION BULLETIN NUMBER: 062 PROJECT: 0110eLa Qluinta Library CONTRACTOR: Taylor Frager CONSTRUCTION PW Construction TEAM: Attn: Dean Jensen Fax: (760) 7716557 (949)-366.4102 OWNER: The City of La Ouinta Attn: Tom Hartung Pax: (760) 777 7011 RFI NUMBER(s): 124 ISSUED: 02/15/05 PAG ES: 02 Taylor Frager Attn: Travis Muckle Fax: (760) 771 6877 DATE(s) RECEIVED: 02/09/05 ' tl The work shall be carried out in accordance with the following Instwotion Bulletin issued in accordance,` with the Contract Documents without change in tho Contract Sum or Contract Time. PrMe0ding/ with the Work in accordance With these insmictlons Indicates your acknowledgement that there will be no change in the Contract Sum or Contract Time. If the Contractor believes there is to be a change in the Contract Sum or Time based on the Instruction Bulletin, Architect and Ownershould be immediatelynotifled. DESCRIPTION: 124 — RESPONSE: The plans show the floor sinks at the mechanical yard connecting to the sanitary sewer — P4.0 The area drain which we added to the mechanical yard and which is not shown' on the plans, should connect to the storm drain system: If there are further questions relating to this issue, please call. ATTACHMENTS:. None ! ISSUED BY: MOU Maxine Warwick + M.W. Steele Group, Inc. ROUTING: OWNER 0 ARCHITECT 0 CONSULTANT 0 CONTRACTOR 0 CONSTRUCTION MANAGER EI CC: BL Hui, Bechard, (858) 391-2925 t SADrFawings\01 tOladministrationlCONSTRUCTION ApMfNISTAATIOMINSTRUCTfON BULLSTIN810110 IS 062.doc 590-1 100/100'd £80-1 9££0 0£Z 619 e1xsalS '1M'N-WOSd' VN£l:tl I 90 -9I -SU 't ' � JAMES � _ `SI NCO • .. ,�'. � r . y •' !'DISPATCH r.;. MEASURED AT, MAILING. ADDRESS OFICE a.. 3 CONTRACTORS{ 35905 DILL ROAD' BOX 10990 • INDIO CALIfORNIA?92202` 760/347 59 760%347,4383"'' a Iw �, e and 5 8926 r R r. s rr r y e x frH P TO is t SOLD U TO SI �� al �.{ �. '�, (tet t C E 1 i�I�tF :Z C MCI t I I�rt_ µ., r!+_2w - - .. , r mit ♦-• i (��f 3. r.,�� .•a.:. „� a <. 30 t -?l lt�l� f� b ��1 iir`1 � i �.1 f ' —4 -n �t �x..�t Tit+Irar�� I hlt�L!' ,f thlx� pi'I�l h`9r� Cal t ati L r;f� . " a � ( Ii r 1 j t�l�jt�si';#,.,i11. '•'F� % � r � x 1 t ~tit #� TICKET NO FORMULA # t77 LOAD SIZE f YARDS:,ORDERED ;MIX TIME`. iTRU' .'' 1Q a ^� 1 i-�'' r aY-1y e(^� Citi r'� -J+e� r....'✓"•F '...l i::; �' e G. r• ti it t. 1 "fed.. "ity# c ,1,'. �^, x ��. i (R�1,� y �F t 1 , +<.• I.�Qit �.r �` ♦ a.. s�r ,y g. � 3'ti , •: i 7 t o } �� Y w+.` WATERr,TRIM SLUMP t ePLANT -r j e LOAD rl YARDS DEL ,. J # s 'tDATE r, CODE,#,; v OB �.3`l`�•♦ ..vi 1 vt -'" ry'YY44 f Is@ t 1 - r !`, �ti. ryh>/1iS W� 4 y_ T� C• f r b 4i .. in:. /� (,7 ! 1 ' �J.` k '�„ >*ixr F.( 1. 14 { 1 i �,A... SCJ rK.! { �Y t 1 ^,k, - '� r .' 1 i`' s <i.._. A i - a Aifs�`' f'k' r ! ,.r u♦ "L :F I �• AUthorzetl B �F#.T ,WEIGHMASTER CERTIFICATE'' ty9 H2o atlaetly,BytResQUesUy�, Y ' . * WARNING - �` THIS -IS TO CERTIFYslhat the lollowlnp,desedbed cofidity /.� 7 '} t was wei hed�measured, or counledfhyja welphmaslerr ose -ani + •,,IT ' IRRITATING TO THE SKIN AND EYES:' , a, h► 3i a .c r sipnatureis on this certlgcate who is a recagmreQauthd�ot f 3 Y S rGAL ? X w PROLONGED CONTACT MAYCAUSE.' 'es resci(hed chapter 7,;(commendng alih Section - '. t� . friaftirM,R fr PiW' t g0i5 GIP'les• g 44 P 6y .. - : r' . hh� B gip" ''r 129p01tol�Oivislon h',81UTA,CtIIlOMy8 ep81Rpsselm rlmeaaluiu• :1 v •r••gryr� r� v,. tir :•�F `'{'. ,r'. t; BURNS Avow Contact and Prolonged Contact vrllh'$IUh: in 635d at ifitlllld,l Wldi y;F; II• VEyes..Msh Thoroughly with Water,if lmtabon Persists, Get Medical Atten4onaiEEP CNIL,�,_rd.; Code;adipinistered•4y;Oivlalon ol�Massurement.Stendards of -� T�PR'OVIDE'AN_ , A*:„ the Callfomia Department of FooE andllpdeulture ,, '; CUSTOM_ER!MUS - •,� '.ORERAWAY. T 1 _ ^, �ONCR"Eh'E isa PERISFIABIFCOMMODTfY and BECOMES the PROPERTY at thi;:PURCHASER r-- S`s 'L f?'`t`t " # i ; • . '° ONSF f' AREA FORTRUCI( WAS UP t OII VING the PLANT. ANY ;tCELLATWN'd{'ORIGINAL INSTRUCTION, �{ y'{,*n IF', tr 'i�,�. 4 'k^•" fir, sc iy ty�'YELEPHONED tofhe Of�E•.B :. s ' Id 4easanahle anomeys tees. mco k L;her fir.. ,..• r%<"t?v:r ' y s t janderslpnedpromises lrr pay r I✓4 ,,.... - �'pMES�E SIMON CO •w114n9 arty rums owsd ♦`' _ , s , •p •,} hllaccoumsgd4,121d,wnhm30days'ofdefiverywl{1p.?aS1M?rest?t�erateollb%,perannum,0 'We(glmaster; ', "-`•'LOA©;RECEIVED'BY ,a�•` r `''r• c:flhiresporrsiblefor Peachve`Apgregar Colo,OueY NmAliowed Unless Made at Time:; oT +t ,�'r' j, i 1 nth -1 .t+. Meie(W I Dg� a - r' LEPAR �-i - f ,: s �`• . A$15,OOSerb nd Loss ofthaCash Discpuh+leged onafl Hptume Checte- B� .X t..� Ih aSy Irl e 1 r i UNIT PRICE, EXTENDED r3 ��YARDS'/T� DE aDESCR�IPTIONi t DEPUTYw {� g. •�}.r ! :+v rf ,.,y�, .Fa y'� / i{k•� t t' SFr, ♦ 5't �C t k y♦ a `. # } �.!.1 r f 1.�A y f•••+ �{tS I�:.� R Y.y • ,. tG l,l}.�,.x t�Dr�l I l�I r aL % i:. C.il� ! 1 r.,; ^ l (4-' ,1 • [ f `�� . +C m of 4 a 1:a1-1", t idj'I�t ` IYlF } aJ., RETURNED TO PLANT LEFT J06 ;FINISH UNLO G FORM OF PAYMENT ' O CASH AMT, PAID $ , 3 o c .. cw#, LEFTP,LANT,; t;ARRIUED;J06. TAR` DELIVERY TIME `'. # ON'ACCOUNTco ' i .... ' •' DL#:.• , ' : ADDITIONAL'CHARGE 1 TOTAL• ROUND.: RIP OTAL Al..:.!'. UN OA ]NG TIME:, STATE fX STAND BY ADDITIONAL CHARGE 2 « I Ilia .: DRIVER MIN SIGNATURE: $ t ,; —• — SOLD T0: y SHIP TO: r'1( C.; . ItIC. _ IYICC4 :"782'75 Cf"IL-L-E Tf)mr—' 1 C:G' • ' JAMES E. SIMON CO.,_ 8:19, ; r' - C11 19 -7 MEASURED AT MAILING.ADDRESS OFFICE. AT CK .. TIME FORMULA•# ,LOAD SIZE ! r35905'DILLON ROAD BOX 10990 • INDIQ CALIFORNIA 92202 760/347-5399 760/347=4383 -' f 041.06 E. 3. O N r , ,1'46 V I CT0fR, 13r,-, r' LIC. NOS. 521795 and 518926 SOLD T0: y SHIP TO: r'1( C.; . ItIC. _ IYICC4 :"782'75 Cf"IL-L-E Tf)mr—' 1 C:G' • ' r'4: : `►t3 (,?Wll?R'i TRAIL #t l -.4'+a • L•I'I17(:)1`r'..'Mt1R.� 8:19, ; r' C11 19 -7 .j 60 .) 43 1 V t+'3 TIME FORMULA•# ,LOAD SIZE YARDS ORDERED MIX TIME „TRUCK NO. DRIVER ITICKEl'10, 041.06 E. 3. O 294. 5 e ,1'46 V I CT0fR, 13r,-, r' DATE CODE # LOAD # YARDS DEL.' JOB # ' ' WATER TRIM C' ,< _ SLUMP, PLANT 4 38.00' 47r.4.4•a. y kz0 PI --Ant _euest%AuthorizedBTR eqW RNING WEIGHMASF1 -, ,. tIRR4TATHE SKIN AND ING.;EYES - nF - THIS IS TO :CERTIFY that the following described cammodlty was weighed; measured or counted by a welphmaster whose signature Is on this eer110cate; Is - 8.:,..og11�RPoftf�d,Caeni WearRubfxf andGbves. PROLONGED 60NTACI;MAYCAUSE ",'V,6vNh Eyes and Ph Coistact with SI* lrt Case of Cont*_-Iv,hSki - -6y Water. I Persists• who a recognized authority of - accuracy as prescribed by chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions GAL' X M with " Gat Medicil Atlenbon ifEEP•CHIL Code, administered by Dlvitlon of Measurement Standards of - " ONSITE AREA FO "TRUCK ' ASH -U ERISHABLE COMMODITY" 4 BECOMESthe PROI'Efi7Y of the PURCHASER u ,,�� Hce„PfSW , ANY CHANGLO6,CANCELlATION of OAMINAL INSTFOCfWN$ ,the Califomia Department of Food end Agriculture.. • ; 'e '( �, . M iECEPHONED to the OFFICE BE. LOADING STARTS Iundefsigryd promisas10 pay a➢. costs; btcirlding reasonable attorneys fees, incurred In • cling any sums paved. JAMES E, SIMGN CD. • ' M accounts not paid within 30 days of delivery va bear interest at the rate of 18% per annurn. Not res; able for Reactive ADdregate or Color,04 cry. No Claim_Mlowed Unless Made at Time `Materiidlef) Weighmisler'~. � LOAD RECEIVED'BY - - '# livered. - A$1511)861 ice Charge and Loss of the CashDisCount Will be Collected oniall Returned Clercs. p^• 4•�_nr•��•••C,F� .By t�.T�y, �G,e.:lY1Ci 1"Z L�-F � - X -TYARDsfr5s CODE. `.DESCRIP,TION 'DEPUTY UNITPRfCE EXTENDED PRICE' j0 �F.+41, W." TIT +iJ �i''�'" 10 �'.l ..r.�'C: h:.f 1.-I C:t 1 L.. �.a! L.. �L G7'II-iY-iI"i i" S..�I.•J T 1.0-0 0 • C V � E tJV I R0NMItW i F)i_ FEES, ' E—ach ' . (� I` f^" J I� S :Ivlt a l C;E i� ,A f� e~ h . . l �ti�ry 3 MM RETURNED TO PLAAWFT4OB -' _ FINISH —L*' G• FORM;• MENT SHORT ° L g.CASH `AMT.. PAID $ -OLID CHECK/# LEFT PLANT RRIVED JOB START TIME ' DELIVERY TIME O ON ACCOUNT DL # CLj5 -. 5 ' ADDITIONAL CHARGE 1 TOTAL ROUND TRIP NOTAL AT JOB UNLOADING TIME STATE EXP. STAND BY ADDITIONAL CHARGE 2 DRIVER MIN SIGNATURE: $ z • JAMES E.7SIMON C( -MEASURED AT' MAILING 35905 DILLON ROAD BOX 1.0990!- INDIO, CESS OFFICE DISPATIC F6RNIA 92 202 760/347-5399 -760/347-43-E� 4 LIC. NOS. 521 H and 51-8926. S 'WTOW." OL "r H -C C" -It" Zl` -,7k CIN 72 iAIRORY' TRAII- I i A 1$ 19 CZ 'N,,, I-A Qu I N"I, A HbUSAND PAUIS. DFi ' 9 7 6 7603431;2,43 TIME FORMULA # LOAD SIZE YARDS ORDERED MIX T . IM TRUCK, RIVER TIC, NO., A A 0- 4. 1, 121 G 9.-50 294. r.-. 0 116,149 1 DATE, C06E'# LOAD # YARDS DEL. JOB # WATERT L UVP PLA Wt . . -S j I 00 -0 WEIq CERTIFICATE H STER CERTIF Added '6 �ed By-Request/Au onze r WARNING THIS IS TO CERyi hat the following described commadil< IRRITATING TO,THE SKIN YES MAY X pighed, ma:;�urel,' o,,;;,uunfa1 1.,.afwr I hustler whose We' w g signature Is an it nized authority of GAL '0�14 Cordim; Portland Coluent, Wear Rubber Bootsand Gloves, PF NTAC17 CAU 6 I=. Avel d CWad vurif h Eyes 3 n d ',,oq cir 4 of Conta cl-with cy, as prescribed by chapter 7 (iomi cfnp watt Section I Division 5 of the California Business and Professions . . I ars, '% or EyeT, Rush Thoroughly with Wate Ge eAWMerrhort. ev CHlL- r if n Persists; DAENAWAY. Code, a'dmlnl ered,by Division of Measurement Standards of the Calltom 1. Department of Food and Agriculture. COMMODITY and BECOMES the PROPERTY of the PURCHASER CONCRETE is 9�PERISWLE $"!XSQ AMA FOR TRUCK UPON LEAVING the PLANT. ANY CHANGES or CANCELLATION of ORIGINAL INSTRUCTIONS MUST be TELEPHONED tothoOFACE BEFORE LOADING STARTS. MOSM-Pan M, V Q. The -rdlesill- promises to pay all,costs, incolding reasonable attorney's fees, incurred in• coloWng an sums owed. y JAMES E. SIMON CO. AD amounts not paid within 30 days of delivery will bear Interest at the rate of 16% Wan on at IT' Not responsible for Reactive Aggregate or Color Quality. No Claim Aliowed Unless Made Tine Wiighmaster LOAD -'ir Material It Delivered. A$1 5.00 Slimre Charge and Loss of the Cash Discount will be.Weted on all Returned Checks. L -.EG (71 -E I ri jRECEIVE9.ioy�A. ®R YARDS/TONS CODE. DESCRIPTION DEPUTY T PRICEEXTENDED PRICE 1b,4 E64i 04 - 1 Ot� F, o 0 P S I LlDRARY CIA Y��,, '44 ONMEN L - C, E F" f T f I' Ean i� Ap. FS A. 00 F h tO LINLOA61NG FORM Or'PAYMENT ?"� RETURNED PLA* LEFT FINISH 1-10 R Tr t) YE N1-1 JO CASH AMT*,ID El CHECK/# LEFT PLANT 'ARRIVED JOB SJART TIME 0 ON ACCOUNT — DL# 0 1. ADDITIONAL CHARGE 11 TOTAL R G7IME. ROUND TRIP TOTAL AT JOB STATE, EXP. STAND 13'�' ADDITIONAL- CHARGE 2P tUNLOADIN DRIVER MIN Aw SIGNATURE: $ 0 0 S OL ,77 ah 0 S OL ,77 QWU k, 7. VARNIOG Rp IRRITATING TO THE SKIN ANO,EYES'.,1 j'onhillm; Porilind Cement, Wear Rubber Boots and Gloves, or EYei, flush �Iioroughly with Water. If Irdt I t, KEEP,CtIlL' TYof Division 5 of,flog.'Ca!1,� , ��ikEuVnaa anqTMmisklY�,- by Of Renato S TOMEITWS TRUCTIONS TfLEP&IINIEDtojh� I ONSITE AREA F R TRUCK WASH. MUST be OFFICE BEFORE LOADING, STARTS. dollbptlng any sums owed. - JAh &W 4,411 a6counb� It bear interest at the rate of 1;% per ainnom, - Not reSponsl4lojor.RbictiVe Aggreigate of Color Quality. No Claim -Allowed Unless Made at'Pme v, �NdWhmaster..,q, V. ,,�15:00:Servlce Chargaand Loss of the Cash Discount Will be Collected on all Returned Checks, 68 tA JF TART Mu 7L VC11 AD 06 -UNLONDIN ?T CHARGE 2 jls 0 it JE rEO r s YJI MAILING ADDRESS OFFICE TS -PATE CONT�ACTO,RS_ 35 5 DILLON�iO`AD BOX110990 • INDIO CALIFORNIA 92202 7 /347-5399 76Q/347 4383 t; �. NOS 5217.95 antl'18926; , � • .fit, i `F t 5 � } > -ti'i jt � t K � ` `� l 4 '` .. c N LL k :4. Y S L TV"'T.F..'a F `�L Lt TAMF' 1 Gt! 7iI� l';CFiA1Y't+l1!''1Rk : Cay �r s,tL1ARt�`rllF3I 'J [�nil�`✓� r�"t'�iy./ �"�L t� � y . ,Fd. _ TT �, �i� �.i. *t e., �b ,�:. t s$, TRUCK 0 t z�,DRIVER TIME it° r. FORMULA # t hLQA SIZE YARDS ORDERED MIXtiTIME 4I'M> tTICKET;NO eft rx� i 'S 6(fI it �! is ri �x� n t r iCODE-#LOArD # YARDS DEL , ,JOBS#� WATER TRIM t SLUMPS T ; .,r �'l,-d:/,1..¢✓'!L"Il YA Y ti5� �� +f� ifi `i'�� r SC' N"�",�!.., l .�., mac{ Knc3.: :t , .:r...Fao i �d ,,.P : ) x n �-w .. 5 s',"• l ' `$ }H2O Added B Re uest/Author'aed " I of x�yWEIGHMASTER CERTIFICATEx I i t= 1, Q i " ;4- WARNING ,.! N THIS?`S TO CERTIFYy.,that the lollowlnp deserlbed:eommodlrya° E f I:�k ` RRRATING TO THE SKINAND EYES t waa:welghed ma`agared er eounied�by a welghmastersvuhose w 4�`,.. g F signature is on thlsEerllllsate who is a reeepnized aulhodw t ,GALS X Contanis,p,"mt 0 'iitWearRubberElbots'and Glues: PROLONGED gg!JTf C, MAV CAUSE-, aee`urery as presedhed by chaptnr T-{commeg*Ing,wlih Seolion' _+ {BpRN$'Ysvol iviN EyeSand Prolonged ComaU.-wnh Sdn. In Case al Contact viU; Skip' g2700t of Dlvlslon 3.ol the Callforalaipuslness:and Prolessslons: .�� +�'.,1, ti „r, z • ' �• � - -: at Eyes, ;flash., toughy with Water !Mon Persists-, Get Medial AUentior KEEP¢HIG� fyCade adminlatemd by Divlslon of Measurement,Standards"o( 't^ "- - -` `� '1c `t is jy; DREN AWA`t. the PROPERTY of.the PURCHASER t Ihe:CaliIomla Oepartmrent'ol Foodand Agriculture1 k« T i +. ,y. �p,� .'�.CUSTOME�+MPST'P Otr�ID -AN •' 1 , T .CONCRETE{isaPERISHABLE.COMMO�Ad.pECOMES ' ' l * ! i ; � � �. 4s,}e y� �4!`.- ONSITE.AREA. FOR TRUCK WASH-UP .. :1f URQN tfAVING the PLANT.. ANY CHANGES or CANCELIATtON of ORIGINAL INSTRUCTIONS F - MUST be TELEPHONED to the OFnCE BEFORE LOADING START: The updervpr�ed�promises to, pay all costs; inculding reasonable attomeys'fees InwRed do r ;'i. �r collechngamisumsawed: �� , JAMES E SIMON C0: t e�;.Afa'aourlisnot dwith7n'9Od" of tlelivery, will bear interestat the rate. of tp%per annum.: '" "t-" Al• r; ,d'Nbt responsible fo�P Reactive Apg gate or color Ouarity. No Claim Albwed unless Mad eat lime. W81 IIfn8Ste4 a y;. LOADRECEIVED':BY �re•MaterW( is Delivered �'- l9 f it� e^t•. n:: ti � � s1r •' A E75 00 Service Charge aM Loss of the Cash Discount will be;Collected on all Helumed Checks,-�' + -G. �..� y t:-. G. t.J 1"t t"'c F't ' X .. ' . K - t ... A 1- t ,YARDS(fONS'. r CODE fir, �x 'DESCRIPlTION. j,) 4 'QEPUT`? § ' ��I 3 ��' � UNIT Pf IC�V� EXTENDED PUL ti + r . 'ca ►y� {� q �J� I Q. I TP,'O �F�zY' l,,,, !0 !A -£14l j t"(r\j{ [ALLV,} t k l ;,` �1�'!1;l itttay i� .;FI: C>C�►P'l.�l'�}f!F'"{+I...1.{IL. F"Eli •� .�.-,�F .,L� • "1 �►4 �r—►tf:I CH(-, Ci a �' N h13 f• to ��► r.°�" FO.RM OF PAYMENT ' C {�}C1�iT !.�,'(�FlF� ' RETURNED TO PLANT x .. LEFT JOB f FINISH UNL+A INS 3 O CASH AMT PAID $ �, R ' { =EFT PLANT IRIVED JOB t,` START TIME'',, DELIVERY TIME ACCOUNT .. DL'# 2+r' ��" t ADDIT!UNAL:CHARGE 1 `7► 1 e ADDITIONAL ©TAL AT JOB ' ..UNEGAN TIME, STATE r _.. UML_STAND BY. l IONAL C ARGE 2 MIN F 1 JAMES E. $)MON. CO. law 1 MEAqW, ED AT VAII&JGAIADDRESSorr CC DISPATCH. 35905DILL0NROAD j 9Z 'J,0990+b _AN 10, CALIFORMA 2202 760/347-5399 760/347-4383 LIC. NOS. 521795 and 518926 SULU iii r SHIP TO: MCC49 [,ALLE TAMPICO.� 72"290. 7x% L. Q. LIBRARYMAP 8 I—A QU I NTf) THOUGANT) W4LIYIS �t1 p"r 7 6Q311 r 1 is 4•iJ' TIME FORMULA # LOAD SIZE YARDS�"OROEOD� W TIME TRUCK NO. DRIVER TICK N0:' ID 041026 9w 50 �194. 5th AbATE E.'# LOAD V YARDS -DEL. JOB #7 -SLUMP 7ATER TRIM. WA rWEIGHMASTER CERTIFICATE H20:Added.1v Request 116, Re ,40MWING Ta -THE SKIN AND ,EYES THIS THIS IS TO CER=.thda,1,tpo'f:,11,0wl:9, described commodity was vvelithed. In counted . vvilgir.met., Whose. 66rdfiinsPotAndCemWif;. ubber A�t , . � I ts"W e&PROLONGEDq ACTMAYCAUSE p . W sliflatute Is on this car ... gh If uncite; who is a a"""' GAL X , ."S1411i elect &b. 0 with Sk'n:'&Ca'e 460OAld With Skin or, In= III, Get Medical Afteflt&% Tirroughly Water. it Irritation o"FIL• accuracy, as'proscribed byjha�ter 7 (coma ioncinj Will SajO '12700) of Division Sof th lifornis Business and Profession 3: of N!apliuremant Standards of Code, adminlsla�eCby Of of. the Ca Illome department of Food and Agricilfuni. lu ONSITE AR C Ise PEPW S�ffffl PROPERLY of the," ITY .Id EEC* ER LAN w � CM of ORIGINAL 'M Or, F rye- MUSTIng, EPHOgED to the OFFIC_ f: LOADING TS jK,,i_Tbe undersignarl pr& pay attamws I Incurred in 7: inculding r �asa" a irnpectinparysama'yfilhi�ri 30 days of a -Wary will bear lnhn� the rate of I per annum. At JAMES E. SIMON CO. w"IM11109WAR, 11ag—g- If M10'eactive Aggregate d0bbr.,Quafity. No Allomd Uriless.116de at Time hIOdWred. Wli� weighmaster RECEIVED; A$ tjK00SeiyIje Chargee Loss of the d4AC;Iffit yqIIJWCOIlected on all Rett" Checks By T, Lf. MPRE -YARDS/TONS"FCD btSQRIPTIOff DEPUTYD UNIT PRICE. EXTEND PRICE E :9*.'r_'_5 Q1 0/1 1 O'G. ES .04— 11,Atp -,7501�1 P I' I—Or L I BRA RY CLI Y 0 EV F,--NkJ I RONMEEN]"(4 FEE 41 U RC. F4 f."i R 0 ti. 41' aach 61 T, Q%1RNED-T0 PLANT, LEVAN,' FINISH UNLOWING.,' FORm;.bF PAYMENT O CASH AMT PID $ 0 CHECK/# .7, LEFT PLAN! ARRIVED JOB, START -TIME DELIVERY TIME k DON ACCOUNT DL# . 06.: 0 Ilk ADDITIONAL C GE TOTAL AQUjNb, TRIP TOTAL AT. JOB UNLOADING TIME STATE' EXP. STAND BY DRIVER ADDITION • SIMATURE: 0 r {.• t 1 a SI'iON{ CO k MEASURED �� { ` OFFICE DISPATCH MAILING ADDRESS s �,, ry� t w gas; �,. f Y{ ^ .sa <.' ^v ,.k COiNTRACTORsj 35905 DLL#ON ROAD BOX 10990 �INDIO C' LIFORNIA 922023' 760/347=5399 760/347 43$3X . h u i f ` 1,,i , ?IC NOS 5217y95 and 58926iAk .. 4 E x77 { k SHIP TO`. ty ' , , SOLD TO ��Y •. ,. r rte �`, iI..L._.E *►Flf�l'[t } h SLI y i 1�}C 11C L 1 rR,IJfaPMN,'iRAi Lel 'Ul,l IlJ }'I i ? t r1 -1L LYI'a }{ i t }rr q /, '{, v r F 'rel r } r rr t r 1 I tLJ. , - , TICKET NO AD S TIME',l FORMULA # r LOIZE' YARDS ORDERED tl MIX TIMET,RUCK NO; DRIVER 1`IY: T d 1�4�AEl� El. y�t t':Fr�11 'f X LUMPS- , ,PLANT �` YARDS; DEL ; WATER TRIM <y DATE_I CODE#� y. LOAD# t.c L`s<, ffa�h , `'.:, r �. tf A'u t•� 'q G:f• 1.A �� P ti , f " ,�, 1 . )16 `{f s ? eZ '}Y s� y.4 `„k {,. �`rk. a `•1 a r ., �• r .I,..= .. ,a w .. B 164uest/Authorrze`d`:By = r p r �WEIGHMASTER CERTIFlCATE>� L i 0 Added y WARNIpe' /+ NG �^ % ,t.T}IISI TO CENTIFlythat Alhe'following described commodiryF}y f• •A,p �., t4�M. i r' t',.�• , t M'w'as welghedmeaeured jo'reouMed a welghmasler-wlios"e y2 j �n , - c "IRRITATING TO i�lE SKI }: ND EYES . '.' �) '�tijBnaNre Icion lhl cerl)iEale,,,w ie recognized authontYFo! cS:.,._ ny "� :GAL r ...: .. ryo " R • '_`�` �� s-NandC��em; Wear UTiber go�sz�6lovZ's., ONG'E�.d01 'iWA1`LY�US—.I_.attyraey _as P�sc�Eed ay etiaPtei 7, le mmencing wllh,SeNion . CopWn Po, � '' Conuclwith e5anA Pmlol�edCop ofP:-IR Case ot.ngntad with;Ski {�127g0)of Dlylslon Sof theCelilomla8 Inessand Prolessldns,�.. „l+�'�,:aT.}V,t%tl,,�; 't, �a lk h)' .t' aC:a : , til1RNS: Avofp _ - ieP: KEEP CHIL Cade admillstered by DI4lsibn otjMeasuiement Sta�nd>rnlc` h - or Eyes, RuSh ThdmaOrN. h Wates N Iridairon PecsistS'• L Medmal Attest ,: '" - TOIGII R *� !T*P'Ft i r y DREN ANIAY. .� u TejCelltamla:Uepertment al Fodd andUlpdcultum c �,. r: �, a : `,k � �:i� t tt t` r CONCRETE isaPFjiISHABCE COMMODITY and 9EGDMt'S� PROPERTY a{tlePURCyASER �t0 ,,,, _'DNSITE'RREA' OR TRUCK WASH-UP 1• .I LPON LEAVING the PL?NEtP�'�'9f ORIGINAL INSTRtICTI0N5 ; ?.A�� _ �7 y MUST,be TfLElfifONED,fo-theeDFFICE BEFOIFI ADIB GA e,jQ�L� The undersigned pmro�se's,16 ,pay all eos[s,irmul6ln able! attorneys tees mourned !n JAMESE'k$IMO CO d� . , a t 1 C ' ! z + collecting any sums Awed: RX J tr, g t �AI)•aGoounts notodiid vnthlntiQ,days of dellverywdl.baarime tat thErate at-IB�per annum :,,Wel 9h4na9'1e i +r'.,.1 LOA -IUED BY .."y.,,•-+ .'�Noltesp6nsiblefortie�'ctiveAggregateorColoiQualiry:'No-- ImAIt'dSVRd lnlessMadeatiliTe v M� a�q, r ! E q4 •. Mateaai tS OelNemOh .eti � �' k (~.(aha �2F::•1`H } - x;,r.�. j ; hE15.00 Sere cegageand foss of the Cash.DiscountwYA Caliectedan allfleWmed CherkS y L i/ Jt RIP fONJ r s g .�.,h"'. rDEPIJTY r �. a. ika } UNITPRfICE�*: EXTEN'DEDPRI7' YARDS/TONSr Y CODE 4 DESC �µ Y rr { M }_A ,�F _;. ry�� " t. '.;... V ,;. (M! t.. I 9fi 7,! OX1 ':3G� ii1�F1►�)k, PR (ZIA-1>4tw f ttr)"�,4.� 1�F2 Eke +;ff'J 9 F'.C7N}�l� L'--J{i hili F E `i I� Zi F r f w'LlF L 1�,tJR :HARGPm Cas. {I C 11{� 4 a `FORM QF PAYMENT Y RET RNEO;TO PLANT; • LEFT JOB FINISH UNLOADING I iEirr AD'- . ❑CASH rAMT PAID $ _ '❑ CHECK/# 4 fF f START TIME �:pELIVERY TIME a LEFT PLANT ARRIUED JOB ❑ ON ACCOUNT' r siFCDL # c'ti�J " 1'' ADDITIONAL CHARGEl1" _. _. _ TOTAL Damp, TOTAL AT JOB UNLOADINGfiIME STATE JfXP• STAND BY ADDITIONAL CHARGE 2 DRIVER MIN ..1...: _' . i. 4 't :SIGNATURE____-- "�f"u✓gF51 • AMES iM�>DISPATCH • :PY :r OFFICE MEASURED Xr ;MAILING ADDRESS t , t. = (: 3 %BOX 1Og9�INDIO CALIFORNIA 92202 760/347 5399, .- 760%347 4383 > rF ONTRACTO 35905 DILLON` Y .;i. LIC NOS 521795 and'51>3926 'SHIP TO: y !r SOLD TO l'R t £ rm I .L 'i Fii+1F" 'L;LJ ' ., I�Icyvl a _ (\T�1�� nr:1��r1'(a12�f 13. 11�iafi�K'� a a RP. \1 �� i`'-7 A..I:` Y7• } �;�, L_�� i Y Iii 1 »�'S aks. 1 ; - �}i:ilm f L lJ r' , l 1f r ,r r ' N IM ,' :' TRUCK',NO,. R i TICKET NO ad, DRIVER LOA6'S IZE;RDSORDERED , MIXT K TIME FO 3 1 ry; f �t f}.1 ,� �. j ,,.,k►k \ f uzi, I r ` Fr0 « k SLUMP WATER r3 . t : _ 3 DATE a € \ t �. k t'�"• ' %F ` t a I Sit ,�{ ►(d{..2"' ,.i,�, t I�' 1T•► 4 +•,� Y _-:F �Y't,, f .6,4 .1 �fflW a'u�� , ,�*f fi �.i,•4 {�' L.;.. �'Uk. S.:-- ,':. �� ,,y " :r7 i `YOct WEIGHMf� SER CERTIFICATE • a r a*a �y,� x , 1`!FY-,!h`; WARNING iris Is fieflDllawin9 descdhed CommadtN y {il 4,, a i k ,_ yia's welBbetl measured occ"ounl�d by a weigh = ` ` IRRITATING TO THE SKIN AND EYES:. -k, IRRIT signatare,ls ud irifs oartineatepvma �s a reg000ked anthadry, nl, GAL ,}, X' i • a= - - _ Iavas.PROLOt:GEO CONTACT MAY CACISE r'; eiyurery.es•prescnbedby cpapter7tcommencieg r}D)r Seetlon x, r3"t'�(�L i , ,, +•''r.. I.,ClinteipspintiandICdrtleht,WearRubberBoot`sznoG F ^'. t wtdt and prMonBed.Comact wil Sldn.,ln Case of Contact wiBi'Sids 412700) al Division 5 al the. Californialilmia Businesr�,"am{•ttotbssions •:.'-. py. ...BURN$.Avoid-Contac a. CoEe adtdinistered hy,0lvklogaf Measurem'€�nlT�,' Ordsal ' *}i '`•, .�L - 'Thorou hNwMWater;itltritation•Ferslists;GetMedical.Attehtion KFFP.CHi4 ,n .. n1N EF11�(� ti. ,arbyas.Rusir 3+.aj _».._ .0 `. Tfil)EA .or ft AWAY; ` "'+' fir Calilom�a�P yrtm�ent of Food and Apd�elWre j OkeNA�EtSaPERISNABLECOMMODITYandBECOMESthe i+ROPERTYotthePURCFIASER �� + Zlr, -; ON�AFiEAE�R.TIiUCI(•WlkSH-UP UPON. LEAVING the PLANT. ANY CHANGES or CANCELLATION of ORIGINAL.INSIAUL'TIONS +�`` `• MUST be TELEPHONED tothe OFFICE BEFORE LOADING STARTS.a,, r� - r -V. The tmdersighed promisas.to Day ailywsts.lnculding'reasohahle alto tees, incurred -in :'JAMES Ef SIMON CO ° ' ...._.--- '""'--'^� ' -Y1� rYk:fi I, .r cCllechng am "sums owed, , ` >.'_,' _ - _ °�., ,_ .: o We)ghmaster _ r r � tl ;:.� SII accounts no paid within 3o days pf delivery will Uearrmeres[ at the m[e•oH6% per annum. - t 1N _�„ d.. �z Not responsible loc RW&m Aggregate or Color Oualiry. No Cutin Allowed Unless Made at Tim Y $; _ • - r f Matedalls.Deliveietl- Z I p=tS.OpServieeChargeandLossdUteCashDiscountwillbeCotlectedonallBetumedGhecks By Q 1 FD F I UNIT':PRICEkz;``,,EXTENDED'PRIGE .n. �' x f t�' etre d DEPUTY 'o YARD$ITONS 'CODE DESCRIPTION ►; rx.-� s [^ L f w tom. i z I t t rY(9 �i �,GJ F •a Me) J C ale l 1 5 ix hk I • .i 1 , F.Cti L►htFiidi�fE..l•.E E ��L ` f~ 1' L.-. ;;, t ` 1 pt�1tE V , : 1. 1 I1 1. `alilw H( iii �" t: Er. h r f r E. ix r � soi . IV.� FORM PAYMENR 3 ' OF T + ltl::T RETURNEDJO, PLANT LEFT JOB FINISH UNLOADING ,y ! ` 1 f O CHECK/# jay DELIVERY TIME , .� LEFf PLANT ARRIVED JOI3 START TdNIE _•, ,' �i�J u r, ADDITIONAL CHARGE.1 P ' TOTAL ROUND TRI'Rw A �, UNL'OADI G TIME_ STATE 3 EXP. v STAND BY ADDITIONAL CHARGE;2�— :- r. DRIU a MIN N CO OFFICE DISRATCH 4 MAILING ADDRESS_ t, RED AT ` +766====d N< TOR$35905 DILLON�>ROAb, 'BOX109901•' IDI'O�CALIFORNIA 9220/347 539760/347 4383 r '� t LIC NOS'5217,95 and 518926 ,> �;,x, . L a i c p ti r - SOLD TO �� 't i —" s I H�1 i E i� MO G7 Y � ^ . •,. "..i�iL isy_1�It.;��IifrC�ig 1• y Gad Ipi�tfI{'lIMAi' F�1 E'la"'' A Ea R 1 � i =) X t �1 � � � � . kz d yyy ,. y t ' r , �f., , Al", - �••,f 1, •� tJ 1 F�1" a R 1 c •p 'i •� Y ',f 1�V f��•1 'PtI_�d •17 +{ C"'1 �� iC"i #� - .. i �f. 4r ) �• k '`� ,1� f l Jam.. •'� 4.8 r� 1„ TICKETtNO r T4iME77!FORMULA,: k LOAD'SILE tyQRDS ORDERED MIX�TIME 4 TRUCK NO `r7 DRIVER is { i .ia 4, 9 ��+` '�`u �`"�4� ��?+ ' �'� w y�`Kl �� "+� � � . c,��1Cdf,�t� F � N 1 W,C�++�►� � ' YRRDS DEL �'WATEF+TRIM + SLUMP, PLANT h' r, DATES ti r ar; CODE # 'r 3 r y t }� �� _ ✓ t � y � �;�' S.r. l�'11� �i �cr'I !�� r ep s e r- �. �` !� . CATS ^7 By R r :H2O Added Au�th WEIGHMASTER CE TIFI , y 1 WARNING `.,.' s S: , - THIS S'TO CERTIFY that the followlep dessdhed4ommodHy waa tvelghed measured or e6uede, ,y a vat hmectar whose .:IRRI AT1NG TO THE SKIN AND EYES : <. siAnatpieisonlhisbeAiBcata whols'arecoA9i?QDuNodryot r, n�C ea RobberBoots andGloves`. PROLONGED CONTACT CAUSE aeeerdry, aspreserltfedby ehapter,7 (ip�me elnA wllh Seellon d .UY, ,Gorrtams .- .`.�BUfi Cot`tTa-dvdthCyesand•PiolbnOed�ComzctWitltSkuanCaseat'DrfirfootwiNSJL,!; 12700ra)D141giog5oftheC•ntnmla.,(luslnesaendProfessions �. - .y `ir �•_r{'E i � , `, , r`�#pr�ha_ oWhKwdh Waler.If lnifafioo Pe'rslsls Get Aledick AtlenOon.•KEEP CHIt '!: Coda,. edminldered; by blvlsion;of;Mpasomment Standards Df.�{" r` g s ,DaEN.AWAY , " yt- Ne catitomla Department WHO arid; AgdeelWre f , ,* ,� .:, U T _ U 7:�::R E' . r rt �` ,COt1CREfE r@g PEFtIS1NBLE COMB OOIt,: andaEeoMEsrtie l'HOPERTM btthe'v"ultc}tASERt; - „ < , � `�e' � ' ONSITE'AREA FOR`TRUC `WASH UP .•� PON'LEAVING the P1APti,' ANY CHANGES ei CANCELLATION pf �ORIGINAI IN•S'FRUCTIDNSy'" `yr . n. ` &. ° x,1'; r _ • • `F t a t i t T r. .. The undersi•IEPHONEronD' two the CE B�EPDRLrcWADIN6 STARTS!`-. _ . _ a i, } a p _ 1 _ k, e td g D m0 rdasonabk. attom s fees: incurred do ' _ ' •) - ^ JAMES E SIMON CO E ` r ' �cahec0ngartysumsowad.�- _ 4t� o y ,(d(accourrdtt��not paid within 30 days o@delivery will bear interest at the rate of 18%per annum ,�IIIe Ighf112SiCf �3 .,�- r�.:: r. R ,. ,`LOAD FtECEIVEQ BY ^ 'k ;wt• ri.', S Notiespo. ble for Headh AAOrey?to or color QoSlity,tJa GlaimAllowed Unless Mad¢atTime.'' � ;f s MataTi o Delivered. . t Cr`` ©© rr•!r+ ` F• AS15.00 Service charge and Loss of lhe Cash DrscourdvnitbaCOOeQed on all Returned Checlq .. rB�� r.�l.�![l4f" f't�4 #.�: 9 cJ)( . ' w. r+ Y + k� G s?{ EXT 471, r DEPUTYx ty=�`'+ ''a `r. UNIT PRI; ENDED'PRICES PTION . tMz ARDS(fONS is CODE DESCRI 5. l �, 1 , s f�r +f�E 1111 s °!+�►U' "�y 1.,:CS)1fL:IBF2f• N �LEf �r'• )sift,:i r;. -tf ,UfRf `1 �- ,.�+K' arra.• t RETURNEDTO� NT x ' LE JOB + FINISH UNLOADING FgRM OF:PAYMENT< fat,hIbR r `LU�1L " + . p c f _ !� E CASH AMT. PAID:$ ❑CHECK/# DELIVERY TIME LEFT PLANT ARRIVED,JOB START TIME ON ACCOUNT Y S C, G C 1-7 A 'ITIONAL 6ARGE,1 3 �, vis 1, DL # . SAL OUND TRIP TOTAL AT JOB UNLOADING.TIME STATE _ EXP: STAND BX . ADDIT,IONAL CHARGE° Y r , : DRIVER; . , t MIN �' -SIGNATURE.: � $ ' 1 {; :�. JAMES _.S r T. MAILING -ADDRESS QFFICE�DISPATCF� MEASURED A 1 CONTRACT .RS 35905 DILLON ROAD 60 1:0 0.1NDIO CALIFORNIA 92 7, 347 5 %'{ f 760/347 4383��' ; ��. `a I r , S.-521r795:and 518926: ' r - L �. SHIP TO z 4YfC'.CGtl}, t* i SOL T T i l�l_i : l Hi� 1 iVA ��' � : ft > .L INTF1 . Ti if311 (al�dla" 'tai I"!S G F+ 9327 61" [ j j - y i �•c, TIME fr , FORMULA # $ LOAD SIZE YfR6ORDERED:. MIXtTIME . TRUCK NO • ; TICKET 1;a � .�II' d,1*`�. .0.'1.74:1:.�.l+7r:. 1 'I L•.• .'�.! ;lU w *' LOAD # YARDS DELK JOB # 3,;T, RIM ` fi SLUMP PLANT �� DATE :r t" CODE #, y r Y r 4. , 1 .Z1 i, ' 1. .I l i 'r'I' ( r X. e . r H2O Added B Request'/Authorized By_ WARN}NG WEIGHMAST'ER CERTIFICATE, Yr „^i -.`.THIS IS TOCERTIFY that Ne IOIIowInA described commodity z ' . ^ "wasiwelAhed +meas redor.yountad bY,aivelphmasler whose x� .`y & ; ►K IRRITATING TO THE SKIN AND EYES v z. :•M::.'>” •MAY CAUSE �. <slpnatdrels.on lhlslceHltieale whoGs:atecapnlzed�autlioAry of :R .1 ' GALS dzi^dk"'_(v dM7>&R �" '�'�+ ~ 1 , ` - ' rescdbedtiy cfiapter7 (commendnp wIN S'ecUon r N :� ^ '>� `j l 1 CootainsPortla+M Camert,WearRubbet Bootsandfiloves. PROLONGED CONTACT a&urety as p, •r a tl ` ' Id Contact witl+EYes t!'rPlonped Cpntacl with Skin. In Case of Contac with Skin,'. _72700) of OlNslony5 0l the;Cellfomia;Buslnessend Professions BURNS. Avo - -;'or Eye:s,:Flg'sh'Tharouphty,wdh Water. fr�rdtation Persists: Get Med lwt:ADenho,n.KEEP CHIL ,..-Code administered fryDlvls'lan of Meas`uremaM §tandaNs a1 - > - - _ i ..�;;.. , ;', the Callfomla'.Ddp! lr 'eentioFFoo and:ABricultum k' .. � CONCREfEis•aPERISHABLE.COMMODtTYandBECOMESt!!ePRO,PERTYofifsPURCHASER ; E '� UNSITE ,- EA FORTRt9i•KWASH-UP - - UPON LEAVING tl�e PLANT ANV.CHANGES.or. CANCELLATION of ORIGINAL INSTRUCTIONS - x MUST be'TELEPHONEO tafha OFFICE BEFORE LOADING STARTS s ' �'_ t • • • • 'r' r • •114 • • '5.•Z r a' = The:undersgned-PW nA f. meys fees iitcutred m ! r misesm a14Lasts, mculdi nableatto - JpME$ E,�SIMON:CO _ ° f • v dollectipg airy sums owed. ;t ,c. r Weighrtiaster CEIVED Bn. 1 • + o AOaccouofs not paltl•x8hin.30'days,; ofdelfvery wdl bear Interest,tthmraWOf 18%Per,annufn, - '; Ir cz NotJFsponsfble tor.Reactiye AAAreAate`orcolor Quality. Nd Claim Albl9ed UnlessMade at Time. e , t - Makrial lsoeltvered.; :.'• L: a r— �... _, BScc M•�frr;;- f,rr��1 � ' a and.L'oss ot,theCash DiscourRw�l�tt ollecteE orvall Retu ed Cheeks. .s :': t.:.�F'�i`it + Y^I.. }� t LOAD RE 4 J !I R z A$1S.00SernceCh .� - .` ;-`By" X ., a a9k - ib o'ONS;` ."� UNIT PRICE:.. EXTENDED,PR a Q fONS DESCB Obi DEPUTY aJICE Y P r JG. .5 ly •s4a `t I';.td1 r� `IP1�1T4CfIF:IaIi�i:' Fka� F Eris # } t y�UI CIit+R ,,f �r J .0 I r r i ate FORM'OF PAYMENT :. t 'ri I C1t°fD RETURNED TO PLANT LEFT FINISH UNL ADING al-I xK` fe r y l�'CASH, AMT PAID $ i a �R .r CkIECK/#s ALEFT PLANT i R ARRIVED JOB ; START TIME w :flLIVERY TIME a, r s ,.: ❑ ON ACDUf— CO jr�✓� '�, � + � � , r ►�f�'n 7 i` +ADDITIONAL fiH�RGE 1' ..; TOTAL ROUND TRP TOTAL AT JOB , ., UNL ADING TIME ' STATE'` EXP• t N ABY ADDITIONAL CHARGE DRIVER IN 1 w. ' ' .' SIGNATURE a $. " }. -----------------._.___ ..rte' �F--�y o ---i--�- NCS;, t JAMES ESIMO OFFICE DISPATC �:o ' MEASURED AT MAILING ADDRESS BOX 10990 • INDIO, CALIFORNIA 92202 ` 760/347-5399 760/347-433' . CONTRACTORS 35905 DILLON ROAD 6 NO .. r, , LIC. S. 521795 and 518926 ti 4 :1 SHIP TO; wlr SOLD TO., _ 782 7`5 CAL..I..E_: TE-I�' P I C.O. €TCC a`� - s�, GUAI�RY 1 -CRA l: L- '# 1 I_ 7 �3 C7f�C�Y €+IAF" 8 1 �� 'TL{(Ilj�'FaLi`IIE (::Fa t7Fa .. TICKET NO:� �� ;TIME FORM ULA `# LOAD SIZE • YARDS ORDERED MIX TIME TRUCK NO Def UyER 136504 G75 ...r5 $ 4'{NF1 ACr �.' k IEZj r'146 VIC r�tlq, j1 � ` ; SLUMP � . PLANT :, �` DATE CODE # LOAD # YARDS DEL: B # JOB WATER TRIM na ,i2l�i 4.0 � p€ ctil 0L?) ii 13'3.. ---- .. H2O Added By Request/Authorized By + WARNING WEIGHMASTER CERTIFICATE .Z 4` `THIS IS TO CERTIFY that the loliowing`' described commodity,,was we good, meisuredi or counted by a weighmastar whose _ .. GAL • X IRRITATING TO THE 'S�N AND EYES signature Is on this certificate, who Is a recognized authaAry e+ + a �.. Contains PoNan u1aFd,V RuDDerBoots and Gloves.PROLONGED CONTACT MAY CAUSE accurery, as presaibedby coapterT(eommencing ,y 12100)ot Division 5'ettha Calllomia Business and Professions • BURNS. Avoid ContaetWPol Eyesand Prolonged Cortisol wM Skin: in Case at Contact wnh Skin Code; administered by Division el Miasoremant Standards of oPITOVITIFAN r Eyes f$ah ThOm W* with YhW., n PersisFs, Get Medical AnentlbR. KEEP CHIL' tue Califomla Depar byiaaW l "n o and llgdebltoM. - v i ORENAWAY 'ywniePuncl+AeER - " -0NSI R TRUCK WASH-UP CONCRETE IS.s PCRISRA&E CO•DECOMES the PHVPERr r'+UPON LEAVING iha SHABL ANYCANCELLATION of ORIGINAL INSTRUCTIONS ' r,.. i -� • e • 'A i ' a MUST W TELEPHONED M.ihe OFFICE BEFOR ING STARTS:. • ' • • - ' •� vi 101 tu pay tan rasoruble atromey's fees. incurred to • , e Theunderalwiedlx c .JAMES E. SIMON CO:. • �. maecum any stuns owed. - • afl,ccoetsno<paawhhmaodays IdahotTj+, Interestatmerate of18% erenlum: We{ghmaster" LOAD RECEIVED BY s � z^NotresponsibleforRacfiveAggregateorColorQuality.NOClalmAllowedUnks;Matlea[Tfine Matedalisoauvered: . By - 'v LEGAR C�C� , -_1 X r:y ,.. ,:. ,_ A'S.15AD Service Charge atdLoss at the Cash Discount will be Collected on all Return Chocks. `}.,) L..G.I:a h�7�'f'S-[.• t t ' a YARDS/TONS I ` CODE DESCR' F 1DEP •UNIT PRICE EXTENDED PRICE 1 CRl ikR �` � ` G~L! Y LO 4 1� r c}7{Lj eiTi� z` °� s s E :� ¢ Nor - ...... t: RENRNED*TO PLANT L I`D i.. . �- FL EFT JOB`_ FINISH UNLOADING J RM OF PAYMENT f HO R -T L -O e777 O CASH AMT. PA $ 0 CHECK/# - DELIVERY TIME; LEFT PLANT. -. ,_ ARRIVED JOB START,TIME 0 ON ACCOUNT ' k)f= ^ ADDITIONAL CHARGE 1 DL# STAND BY TOTAL ROUND. TRIP. TOTAL`AT JOB UNLOADING TIME 'STATE fXP. ADDITIONAL CHARGE 7 ' DRIVER M r IN s .:`' SIGNATURE: $ • JAMS SJ#ON CO MEASURED AT MAILING ADDRESS CONTRACTORS 35905 DILLON ROAD _ •' ' BOX 10990 •'INDIO. CACIMI44 L :. OFFICE DISPATCH' _ 5 92202.; 760/347-5399 760/347-4383 ' LIC: NOS. 521795and 518926 OLD TO. 4 `SHIP TO: rICC, TNL °, .W ' ECC�i9 � 7C3t ."� C ��L�E Ii�i�tP'Tt"�7 �y" '^ '.OU.( RRY 1 1�`!F•lZL # I ... I....., la. vl LEEA�H'nR'`'( /Mr `` 8.19 07,?'.'',. - TI-OUsA11 l) €rAl ISI r:n 2,2-7 L.4--, QUINTA , . 1,24,3 '. ,TIME FORMULA. # 'LOAD SIZE' .' ~ YARDS ORDERED .c.MIX'TIME DRIVER TICKET,NO i ' `n « 32 {_411..0, ' i`i 1.36505 r DATE r CODE# 'LOAD # YARDS DEL. JOB # .WATER TRIM': SLP PLANT fir: t 7 :,z 1 �� . 14 ;R. 5174 47-1 ?WARNING uuEiGHMa T S ER CERTIFICATE H2 �r 0Added.By Request/Au thorized'By- : s - ,.. IRRITATING TO'.THE SKIN:AND EYE$ PIIS ISTO•CERTIFY, that the lollowtnp deseribed.eommadity was weighed, measured; or counted by a tneiphmaater whose „ a t. t " .: �onpins Portland Ceulditk WearOubtiit,11—santl Gloves PMONGEOCONTACT MAY �ALl E`, signature is an this EertlOeate, who isareoopnized anthort of ry aeeureoy,.as .' y •• AL � ` BIIRNS.AvoidCmdacl1lEYesard? dContud With�S(Qn Case �Contedwrth Stare: - otE ush 7t�r�hiy�wtth Wa`fpr.lf1�_ pn Peisrstsi (fit Med�aF�ttiptiorc 1 CNIL' ', - - i? -� pruscdbed byehaptar 7(commencing with Segibn t1�po) of Olvislan5 0l the Calilomia Rosiness and Pm(assio�re Code, administered by Division of Measurement Standards k .-A - �- 0 P y a • t NCRETEkaFERiSHABL'ECOMAfidbrrgiai BECDMESt 'ROPEHTY of the jIRCF1AS . ;' of the Celllomla Department of dod anA Agriculture. t •s.•s•�i•'Tyf rRCp^�rin p�.•a•�H E AN N(r•�fp 1,ANjANYC-MA CRA tOR(BINALI CTIgN ` upDIVIFAvi �i r mso.theO OFFICE�i - i0(lp jothe OFFICE SEFOR AO NG Si - :� f ' ,. ONSITE AREA FOR TRUCKVASti UP' • JAMES E. SIMON C0:. ' •' �Aiiccoonts not paid wdhin 30 dape`o)AeWsrywlNiiFar mtepC;tat fllprste o118,`per annum. Notresponsible tarReasmeApprag8earcaiarDuaBty'Nnt imARo�xedume kuBeatnme - Weighmastei LOAD RECEIVED BY Materiel is Delivered. - _;? AS15:DOSeidce Charge and loss oftbe Cash Otscount Nnil be Call eaedoball RB`turoed Checks 1T E0Ari 1'A , •' _ �w� - a Y X 3)TONS «, CODE' _ i . .. DESCRIPTION ' :. DEPUTY UNIT PRICE ' 'EXTENDED PRICE fi mow - .k _ -0 .k"lt,' i__;. sir 5 ht"! r"' I ` ►��F-; 2 �. y ��>v r. PSI T -'L_1;. L. I � C�r� I� � ~ CU 't _ . �. EV ENV'T. R0NMENTAL :FEES Each 3. ► C? FS . 'FtlE=1-.. Si1R,! EfF -' Each r C!11 %?w, w e ET. 9NED TO PLANT LEFT JOB 0NISH_UN D)NV FORM OF PAYMENT r t CASH SVIOR'T LA)AD .. k . AMT.'PAID $ CHECK/# ,. LEFT PLANT 713 E B. I STA TIME , ` ` DELIVERY TIME ❑ 0IV 4C N . M Q)6 a ::,0 'ADDITIONAL CHARGE 1 TOTAL ROUND TRIP TOTAL AT JOB ADING TI .. STATE EXP. STAND BY ADDITIONAL CHARGE 2 DRIVER MIN '' SIGNATURE: $ " i t ES. •LIMN CMO: pFFiE: tF'AI C,H „ f f1/ILING ADDRESS 1 MEASURED AT 760/3:47 4 }' 4 CONTRACTORS. 35905 DILLON'RQAD BOX 10990 • INDIO CALIFORNIA 922j 2� 760/34799 LIC NO ys 795 and.51892 Ti 7 + 2, Ok I i j f • 'SHIP TO(,C1LL¢u� ! SOLD TO t r ?Sr l �s :'.0 Rl. l .F CF'+PRIG `3R It l6 i �y . t+, t4E,irY �'i I_'4 C3 1� r`/•t�1G�F' k :. qhs+ a: �' r t 7 Htal l�at-'1NCDR.A. I i 3 . ! s k'�` . v TICKET NO �: DRIVER � MIX Tlti� ��a FORMULA #� , ; LOADYARDSfORD'ERED '' TIME i t 1.47'i." L FTr y =� £1Fad� Q .�J.9 .: 041. IE # :r �� rte,' ' �l1ATER TRIIN� , �' � SLUMP M1 � 7 YARDS DEL JOB # ; COPE#r F LOAD# t DATE 4 '2 Added By Request/Autho`rized By a. r• ,:. - iWEIGHMASTER CERTIFICATE H'1yQ ; , int r a - .:. ~CERTIFY that NedollawlnB desertbed eommodtry ".WARNING;:., t.,THis IsnTa. a °. '. y vias welpnedtnde:ured'�or counted OY�aYwel hmaster whose ,, � EYES THE�$KIN ANR' c;slgnauretlaanU�akarNNcaia weal:areoueg)mdaatnadN''o) GAL tX A 0 ... ":.:: MAYCAUl . PROLONGFD ACT.... `•`ao2urary;as Dres�rlbedby ehaP.ter7100 slness anA Profeaslden i'.,' Co-PbSg"id; meld;Weg �,R SbBooisan4 ves. sex '1C B6wnh slue'In Cafe _CuntaU vgekiSYAr! __12TOOpol Olvl`slon5of 16e lif6loOlMeesuremenl Standards ole - cp olonged . F.A txY .KEEP:tL Code adminlateied by�Dlvlsloeh ., y".''U.T1 - .. {g ,tlt(Nahluty s1s, Goi MedlcP ,ate� CAS w - U��UIY1 - Ash Th. roughy,wltlz a�,_ .. o '�to'e Cellfamla Department of Fbod.aed�AB�eoltgre 1 - 1t Y y C �y �x ;y. i" ' DRAY... r y E�t btlhePURCk1A�ER<.n. °ONSIiE.AOR'TRUC1�= • i 4. COf1CFtETE rs a PERISHARLEi, MOOITY and BEM Ne PPOPEft1?' •+ : • • • t ,i ti`�CHANGES br gANCELIAnON of ORIGINAL *N UCT1ONS ��) � • • V ` UPON LEAVING the PIA01" L ,'" MUST ba 7EkEPHONEDIothre"i� C�,BFFOAEL ZING -STARTS:, ' dAD J * • • es'to 1 costs.,Inc reasbnabie attamey+s tees Incurred' mA, _ j ° MES �E. �SIMON CU ` - • •`� undersigned promises ,� .IA RECEI: �} t'� Ileb[f :a�tY wms owed:•Yt: t. `d per annum aster �r .t tb VED BY �, � ! W BDear interest at the�rate bt-18% Wel hm 9 All accods¢snol Dald ixditin 30 days ot-delrva!Y' x Unless-M?de at Time '.zit f:".:Not responsible forReacliva Ay9reBate ar Cplor tty,NaClaim AllOWed , A F"d Fsli��Yi ally Delivered :N .r .,,... rt '' t7 G r Y - Mat¢ c X z'i°rAi15:00 SeFvke Charge and Loss of the Cash Dl Dunt wdl be Co{lected on,all Returned Che Ks lf',By w i.:: �;' .. ''� UNIT;PR r ENDED PR EXT< ICE' I,CE a3 ODE �f x DESCRIPTION t irTn_ YARR$/TONSti t K! I l <GFltl� t '� 'f • A'4Zr-;t ,:� ,• =.t 4� ' 341 A. z r' 1 Vit';' 9:h��-' •�` tf�l4h iW's�.a �:y� t '. . ENTI AL F,a t�t 1 1;5 ;F1f 4CtCw't ,'E N 1= �tl�vti w ¢ 31 Q4 7 Nil QBQ a •.Y t .t fj .5 e: p !FORM40F PAYMENT} IIpD ' REfURNED;TOPLANT c� LEFR' Qq FINISH+UNLOADING ~ <: " A PAID $ z ' y . ERY!: RY S €' ' ARRIVED JO START TIME "+ x LEFT:PLANT r,, ,s O ACCOUNT„ <v7I8ADD TIOf1ACCHARGE I STAND BY ONAL CHARGE y; ) . ADDrf1 EXP: - 4t TOTAL.;ROUND:tTRIP TO_ AL ATrJOB U_ LOADING TIME'' STATE MIN r. DRIVER ' ' - S"' MURE $ --77- —. �.--�� _ , s 'yet ,�'}1y • JANIE'S E`. �INiON C:O • r,' , .T. $: MEASURED AT /TAILING ADDRESS FILE a DISPATC � CONTRACTORS 35905 DiL' LON ROAD B.qX 1:099.0 --,i. DI ,CALIF IA 92202 * X34T:5 399 E',W 760/347 4383 a , s LIC NOS 521795+and' 518926'; t '� `SOLD TO ti • - _ 7. i f �P�i C, t X ItlC� ; t,�C.`C `t `, ; •C,� F . r II+ti' f Ci I,'" (E'?I ._. �.� R P 1 I' i• T i... 11' I. t a 16 "> f -21 'i( L I3R1141Ti ��. I t TIME " FORMULA # a LOAD SIZE YAR ORDERED `' MIX TIME STRUDt NO DRIVER z TICKET+NO _ M 41 V�"t VC.f F}l" MtY� QJ IBJ �'dt* A St.7'u1L �J 4 "Ell"o i r, ,.,•rFs - y. i �, - 1 4±�..Ir 1 , DATEr.:.,yYARD 'DEL JOBt# WATER TRIM _' }� 4L� SLUMPr 1' {ikPLANT �'l taw �.7,� �h i j3�yt + vt �L ri JTZ if'cerC.t�r s �,is . . y .,F '^- r zn. rT d s .lar j �L : Pit rL` t ) 'd' ,t '� 1. WEIGHMASTER' ERTIFICATE l a Y :H2O Adtletl By Request/Auttioriie`d Bye � WARNING i +THIS 1S TO CE@TIFCIhat the following desMbeQ�commodiry �: .y y, y , res'welphed measured or eouptaA,oy a weiphmaster whose . - -;(; z IRRITATING TO THE SKIN AND EYES vV '� i; '- slpnature is an this eerfi0eate who7gereeognlzed:auNoriry of �. �tLy,. "'tom GAL 'A ��";—�� ik{�'''�� -, Coq)alns PerfIand Camem, Wear Rubber Boots and Gloves'. PROLONGED CONTAGT MAYCAUSE accuracy as prescribed by ehaptar,7+.(common. 00 Sedian- BURNS. Avok.6onFe'c[wrm'Eyesand Prolonged Conlai wi�if.Skin.ih Case.of Coafact v+dh Skin, `. ':12700)%of Divisions el Na Callloml_a • _• ; x or Eyes;'Rush Thoroughly anm Water if.InitagQ4 Petststs°Got Medical Attention. KEEP CHiG•, tiCOEe ��edmtdistered h Dlvlslon of Measurement Stan�aids� of �= pIt a �_+ DREN AWAY., R.. the PURCHASER:'. tha:Calilomia Dep8r1 em of FooO;aad Aprlculture �.' y '.'; ,.. , ;CUSTOMER IOUS- j [ QIIIDE AN W CONCRETErsaPEHISHABLECDMMODITvandBECOMESttrePROQETYof =k;,.:;<ONSI EAREA:FDR-RUCK4�liASH`UP 3 yy -T UPON LEAVING thb,PLANT. ANY CHANGES or CANCELLATION of ORIGINAL INSTRUCTIONS = L r , 7e [fl 'MUST be TELEPHONED to the OFFICE BEFORE LOADING STARTS? ; WW the undemIgned.proMises tP Pay all tmsts ince ng taasor�able attorneys fees, mctirred_ in t eonecllrq am(sums JAM SIE SIM00 C0 '` ' • • • -' - r7x� • 2 In a s 1 640 31 4 Allxoounts not pafdwff in 30 days of deliverywI(Ijearintereslat thkrateot'T8%Petadnom. _ Not resPansitNe'tnrataacuveagurepateurcalurpoarry:tiuc�imtdlnvadumessitadeat-rima' WeighmastRttEIVE�D BY +k Y _ Material is Defrwred .. �'•. ` +A$15 00ServiwChargeapd LossofmeCash Ddsydunt will 6 Collectml on alf Returned�' �'! itt I✓ :{� Bya' PRICE €XTENDED P�iICE . r ;. YARDS/TO,NS CODE DESCRIPTION' x �, r DEPUTY 1 Z )ct4lt i i 'sZi r` C ,a-`�+7+1+ iP i L.Q k:IR.RAR CII 1� Y f / L `io O. La �yFi L. 1 �j V' .L 1� 4:!411 [� L.t � 1 0 y "' I lit L Le �ZrPfRl*i; ve i flot >� •" Off 'd RETUR ED TQPLANT L�RlxJ06) rFINI H UNLOADING ++FORM OF PAYMENT •. r� p. AMT PAID $ S7 a y TI i. �Gi raS/ l _ ) CHECK/#fi r F LEFT PLANT jARRIU :JOB_ START TIME ` DEL*IVE IME r CCOUNT . t/v . �!: DL # ApP!TIONAL CHARGE 1 + t TOTAL .OUND:TRIP :. TOTAL AT JOB, ., •, ,UNLOADING.TIME. , 'STATE EXP STAND :BY . ADDITIONAL CHARGE 2 DRIVER MIN 11 i SIGNATURE;. �E.� $ ' s,' I f L JAMES i { -. "r • :,MEASURED AT; A%IAIbNG A`DpRESS. OFFICE �D�l ATCH. ._ ,; CONTRACTORS < 35905.DILLON ROAD BOX 10990 • INDIO,.CALIFpiA'92202 760!347-5399 760/3'11 77 11 W" LIC NOS 52179;5 a'ntl 5) 8926 x{ uSOLD:TO - = SHIP YO `tai+ IP�IC� g t�IG 7Eiri +: t i 1 4•'.I 'i l Sj rMJ(4 Inv rigfl 1- :. � , . 7 c ..r }f liar rrT�A��, � as IT , x I t►,C-UT.l4 (�a ii�It iLl�s a�13 rlAi }PIED {� ��v • sp�y��aa3` I` f TIME FORMULA,# LOAD SIZES r YARD;S,ORDERED k MIXTI;METRUCKNO:. RIVER,:. TICKET.NO ' -a t"g' k" r N • .:.I 517, Jr e , i ' t• r i t 14 ,s 7AA r I 1 F; r �, DATES' " CODE'# LOAD# YARDS DEL • -JOB # WATER TRIM SLUMP PLANT ;:. i Ca%1 r .+ �.' ++ s i ,,;' .WEIGHM'11STER CERTIFICATE ; tided B egvesiJAuthoriiedBy,: `,WARNING ]HIS�IS; TO CERTIFY."That the fpllowipp"dasedhed_t:ommodiry, ;^i """ ';i. ` �{. " t ? "_. :•: r ' 1 i - was°wel hed measu�rdA ar counted;by a wei hmaster't- wA.. IRRITATING' TO THE SKIN AND EYES ,, a p i ,. aa• �i Y a,^.;•-' sipnatuie is an thlaspAipeate-whole arecopnized'a' • ry.o` - ,�'• a� �� >,,:jr ,a• CoriWnsPot(Iand,Ceme{p, Wear Robberli and Glmtis.DF[Ol00GED.CONfACT MAS'GAUSE eewrery, as preserilied by eha0ter";l (eammendnDw od •F• GAL.. X1.1_ , .•a»� ,i y BI1RN$; Avofd Cdptaytw{M,Eyes znd Prolonge„Ll CorjtactvntA SlanIn Case of C,AnWcthSMn,,. .ty70g)of Divlsloq SaYlha Calllomia Busiriess'and Professlon5, o�,�yes,flush Thorou hly wRh-,Water.If`IrtPaaon Pe[ststs,'GetMedtcal Anengtin;KEEP CNIL- Code,"sAminlatered3hy?Dlvlston of�Measurement $teedards.o_I—t•-''• ' •L '".^j "•� '`a-•L""�2� +."s: 9 ts'•,�' v > il, . 'GAEN:AWAY ' t ��` the Califomla DeDarlmenl of Food a' Apridullum:" 7:•�+? I',!� - CONCRETEPERISHABLECDMMODIi.Y antl BECOMES tho PHQPERTY of the'PURNASER - - �� ",,=f - :.a '`� ONSIT TR CK WASH UP'' .+ �' POWLEAVING the!fl ..ANY'CHANOES or CANCELIATTO9 D1 ORIGINAL tN$7RUGYlONS '�. t' ' •� I `` ,MUST p9 TELEPHONED to the OFFICE BEFORE LOADING STAR7SK.,�- •ti' r� +. i 5 k _ • • DAM a underS�ned Promises to pay all costs,,inculding reasoaabi4� ome?s fees: incurradt n • • • • • Ki bollechnaany$ainsawed. ESE SIMOI CO . • • . +A. All zyrrount3 not pald:within38 cl s ofd6veny Q11 bear fgerestkthe rate lflaye pef,8rfnom : "'' .+��k _ ,, kM,- _ Nottesponslblefor.ReadlvaAgpegateorColor,Duality, NoClauhAllbweUUnlessMadeat• WB19"rt� St@f•„ �Yc:•: s'aLOAD RECEIVED BY q S .:• o " + dal is Dellyere(I,:. '-11�,,�yy'i+?� pp pp�� //r�� ) �y y p .. t 4 'L.'t� ri 1'7 i"I IRF . t l"[.:. y� ? A$15.00 Semce Charge and Low of the Cash D sco nt wBI De Collect(t all Resumed CheDks 1. YARDSlfO:NSDESCRIPTION TY ` UNIT PRICE -EXT DE DEPU �. 4. 15 'J 4-►�i� s l i:�} 5' i�Y. ( ��11` 'i fi� ! _ Z,L t31��2YF L"L� Y. " #�,�' y ►i(�'!. �,�.. C C3I�If ik t1�11 A EG- F •„ I ` 1i 9 4, I Uh s!J(t�f �FttiE _; IW �f :h1 t 11i� Eii r * n RETURNED TO PLANT LEFT J0.6 FINISH UNLOADING FORM40F PAYMENT ` ❑CASH AMT. PAID $. I E1CHECK! L . tEF7 PLANT ARRIVEO;JOB START TI zr: DELIVERY TIME .� O ON:A000 !1 DL ADDITIONA GEJ., q� (' TOTAL•ROUND TRIP OTAL AT • OB 'U OADING TIME STATE EXP QND Y" .ADDITIONAL.'C . RGE 2 IDRIVER MIN :* SIGNATURE; : ,.. .. $ fir. •' - .. PJAMES E-:. SI:O�N CO. .wr MEASURED Afi MAILING ADDRESS OFFICE DISPATCH. L, =r :: ;CONTRACTORS 35905 DILLON ROAD BOX 109,90 • IND10, CALIFORNIA 92202 760/347 5399 x - , �, I # r y r d 518926 T� n - - ;; 'SOLD'T0, ._. .�, - •:__., - :-.,...: - - .:......., 'SHIPTO:.. _ ICtNOS�5217(`5;a� L.. z.k , n7i C' I1>l% ' h1Gi''r.r} .782.73:CAULE' E rAtlP Z CID ?��+-r 4'r '!)lJaT1"tFdTJ I w D L RlRf=tRYVAIfw)1"' @1..3 fa 7 : I...A QUIF�t"t 1 I i(iI.JS� rt�J)"a 1 �tLi+ia 104 �r `TIME FORMULA # LOAD;SIZEt, YAR4S ORDERED MIX TIME STRUCK NO DRIVER . TICKET NO •V. L4 k �+ r 1 TCJt�i r xf 1, N , , �c r x, �•: DEL.; JOB #, WATER TRIM . SLUMP PLAN $ k •" 1'v'I/1LK ('a r ° Y4 ? r4trZr2 4 Jf: i/r T'!�51'rl i yHIIAASTER CERTIFICATEAaaea B : Re. De"st/Authorizetl'B� ` r, r K,<W 4. 3 WARMING a a ,, � •r; TRIS IS�TDaCERTIFYllat the IolloiWlnp deaerlbed.eammodlry � ( . �a IRRITATING oTHE S�K(I EYES WBE Valphed mflae lfBE flr Coal lfld hyH WelQhma6fer wl o:fl I 5' 1 .' W-?:, • slpaaWre is on lMs.ceAlReate who is a ieeopnlW aethorlry of s d 7 � ..'1 •;':r .,>: CgnWn;P�jian. up"pQwear Robbe[BoM3 andG "vest. CONTACT MAY,CAUSE.„ -.. .. •.. ,,, -t•- _:. .. f7Al; X;.v+� ,^�.', ..k,�, 1,..,..•.,., a:n. :.,ice a+: x:,�,.•. `f. _ .,,., ,...... .. ,._ ._F��>(eeurary, as presedhed,by chapter 7,(eommendnp with�Senlon, Xs .:.bU115^,A56y'�Comadwdh Oyes and Prolddged Centadt S 59 d1.Conla,0 wlgi Sluo. g127g0�IDrvlslomti of lha Callfomla;9uslness �•� tits, .',*,r .tyi7+r�r�,. �Rd`3H'Tho �tN with arei Jf lmlahOn'Pe'*., ,'Caat Medical Attentlon; KEEP.CRIL-. r`p'gdde edminlstereq by,Dlvlslon ol'Meesurementi$iendaNs af.t��? -_ .i4« ., a ,x, .� ,�I�NAWA{y, ` ;r __•i,; .':'w' "• • .; � IhpCaifromtaDeyartmemolFoaeandapAemture':' $ � USTDMER:MU .PR IDE-� CONCREjE�ts'a PERI LE CDMMDDI I.0 RECDMESfhe PROPERTY of the Pl(RCHASEN t •;uf og LEn51N� dta,t�Aq{r ANYrowuacEs ar caNCE�,tanorrof'QRIc+NAt IxsmucLlorfs A",.O.NSITE AREA FORT �JC 'W SH UP . r ..,JAUST heTE).&l1 NFD°fo the PMCE REFOhELDADINMARTS:r?" ^t y,N r "� �' .; • • . •. randersiQrceOProrof`ses to PaYall costs *neuldrop ipasmahle adomey5 fees,, incdrr�d jg r[ ,� 7_• • . • • • • Yt` o d v anysams;awa�, 3 AMES E SIMON co"', . ., . - • J o _ ' - - laccounts notpaid within,30 days of delhrery will bear interest at the ate of,YR°h Perin di7n � ,t J . t" -.:r y �: Yc N3rre;ponslble for -Aggregate or Calor Duality, Na Claim Allowed Unkfas Made�tTlm Weighmastery:- y• - {I ; LOAD+RECEIVED B`F• _ y -y� .'•a Malarial Is Delheled:" - , - _ v.. '• T { ,� r �' ; f `. iz, z A$0.00 Smice Charyeand loss of the Cash Discountwlll be Collected on all Returned Checks. By :�i' �,�I_fYIR, ,'� �., '- •.r, , o- 'C.0QE'i [)ESQRIFTION, :. ;DEPUTY.. , N , UNIT PRICE EXTENDEDi:PRICE tZ 53 k��+ 1+1 I '� (}r 4 ►?rt, r�rf� 1 -'� L l a:rC2F�r t`i' C'>!J lr I is : E I'f %tP�4PYIl�ii { I F `I ' < E t h `• 3 y ►!,! I FUEL t i •? w. t RETURNED TO _PLANT 1" LEFT JQB f FINISIi UNLOADING FORM OF P�IYMENT �'• y JuI IC?I+ T t� C?ATr I; f O CASH AMT PAID $ O CHECK/# X l= LEFT PLANT . dRRIVED:JOB I START TIME DELIVERY_ TIME O ON ACCOUNT DL # 081 F' ADDITIONAL CHARGE 1 TOTALROUNDT.RIP: TOTAL•AT'JOB UNLOAR.ING.TIME STATE- °EXP STANDBY'.. ADDITIONAL CHARGE 2 - DRIVER MIN SIGNATURE: . , t CO3NTRA',C-',1T.0R,'&"v. 3E P. 1. is MAILING ADDRESS ...icECH' v!-. CALIFORNIA ALI OR, N 4 3,' - rr, I I r im id 0. Ci'ALI T - . It _v. . �c . ' - . ' — . i - 'If Q. AR FRY Tf A lj� W, L. a. .2i'vA I ;i I- 'R v M A P 6� 4:� 'I t, 70 L A OU I' A 4 ti V t I'MEFORM 16AYARDS4ORDERED,'a TRUCK K, N v ,U TIC_KE t7, 0y,y RWQE:-W ::0& -At COA,b� :g - j WAT. YARDS 41, av 4� 5 4, .47 k 4 �;:WEIGH ATE. U Y t",WARNINIG' �.4�jiiiillii iii.'CERTIF _wiriff'idekiib ad com modify measured.7i imastir whose -)r b*elglzh fH� AND EYES1 !elpbp�, IRRITATINGSKINx ai 4 on his certlp ad authority of X. 'hA U661. ]on "I"M&W-Ument at TT�,jc!ng with go im Eyes.;4�iplpa In ns pdSQftW with Skin. In Case Of 130#Je�Wbw�ldn �e Professions ss.�ndl P lf!i�slon 5 of �W, it Aftentfb rill qs,Nsh7homug*wfthWater,�ditaifatiopP�Fs.10s,Get)Aed!co �..tKEERCHII I by pj!!Alori�q!�Mos ,a Cod Measurement Stands of EN4WAY.' "'Jive,california Oepartmenl.qf 66 coilum. Isal PERISHABLECOMMOWO.i�d BECOMES dw PROPERIY'01 —4k e 4 DIM7WSI PKUVIL)t AN.- .7 ONCRETE 64" PON LEAVING The PLANT. MY CHA11GES"cir CANCELLATION of ORIGINAL IN! SfRUqTIONS tl�, UST. Ira TEVPHdNEIj tothe QFF)C&fffqlt�q�APJNG STARTS •`.-n`' A 0NS1.TEAFttk_FIJ�.fhUCk*A SH -Up , :� . , � "Al - V 4� r - Is `7�d In 1) KI 'as' Nt, underilgoa,peomisej to fin ad aftorne?s i Wk cbilecnng any su , mNi til- �JAMME SIM0WC0'.,N I at not paid.within.30 days bfdellveryW�lfbaaTiinteres _thqrafpcJf,18%,lJar,andum tr Aggre prColor Ojalty. No Claim AlloWed,L161iis Aofimaster -11,11 •LoAb"Att �,tlor.R n the n in _4V Loss b 8 CD a L- L of 4 Tarr/'. X �,c OD — 7 J,13 ',I)EPUTY ;k.fAAQS/T E kIPTM -EXTENE)EQ1 IUXF'- UNIT, Rlt , R, -T h v T1 % UEU. C H I E 'a RET ENT ON NUO 1 r, f hVINILOAD' I G 8 1`40 R T' t 0 AD T.) 'AM PAID' 0 CHEG ';ARRIVED J R W I fT PLANT ffB OB D'LQE -Y TIME T 10,,QN;A W "r, '4,`� :3 ADDITIONAL CHAkUl' AO If_ Q, %TOTA J, IP TOTAL W�"Jr � E EXP. ND BY %-AJOITIONALPM, f- 2 7 DRIVER MIN / SIGNATURE: ; $ 0 .CONTR JAMES S t:. SIM_ ON CO' 4' ' MEASy ED AT IVIAILING�ADIJ,4OFFICE IL rovs 35905 DILLON 'R 6 Ab INQ.101 CALIFORNIA 92262 1: 760/347-`53 ...... LD' to. vi 1, `75 CrILL,E 7 8 2- 9' E"U'' BRIARY/MPIP 8 1,9 -.0 12Y, OR RY 4-ra CA 92276-t LOAD 'SIZE .YARD S4R0 NO DRIVER T -N 14 k V, L 54 z5,% `DATE-' ` z4 . j .. SLUMP.... -,WATE I KA (4) n t THIS IS iii commodity H2 WARNING s IRRITATING i0 THE SKIN AND;EYE UjIL d7;dil CAb SE , w, as wa "I 'dC' wItIfSkIn lot gmact vdth Skiq. Bg onW ..... 12 10 0)'0 1141s i 6 o B'.k.'126 a pterT F ni� " i6ii 'JI Tbd?-hI,-) Persists,:Gelled' KEEP CAII� _P Tbdroilghl,6ilo; OREA AWAV_ �i.CQJO, ElIt'A' the PROPERTY•o PERISHABLE COM n oi i'dinFniitiii'd,,6i�'Di�lsldn-of, MaasiarpiMnt Sti� dAil tho:daljiori.lad.iparllneid of Food and u!1uhi. � .." , , I u VIULAN, TUA kmul UPon: llllr�tptf�PLWA 6 SOCANCELLATI IGINA �f" N IN gQq-$bT1v1�LEPHOflED to tfig()�f R�t�L'OADIIIG,S ONSITE AREA FOR, Ild(WAS11--up Inculd! ,fve undersigntil promises to a nD �y po& no ar�tsunns bots, I id It of will M It Auto Qq JAMESE-.4SIMONX( gulam 7 blefor-Raii re o(Color0iiality.NoClairnAll U eat T., ahmaste� , '."IbAb'A ...Materiel J$ I ergd. DeW a -oss of Cash Discount willbe olhictedo, Service rgeamIL n all Relume'& Checks 15-H- kR T�l a. I �,TF877w� 7 F. NIt, P,,k EXTENDEDPRI .E, DEPUTYUNIT 0- �3Fketo*" rt 0 7 1, Lj B R il f., cu! y , ow. , A, " C : i RETURNED"T PLANTNi UNLOADING FORM T FINISH J fil IRT LOPD AW O CASH oT H d C Ebkd- DELI ER J IME 7� LEFT PLANT T V y ON lACCOUNT LAU M7 C:1 ,. 55 ADDITION ,CHARGE1. -bL# AL :� STATE_. D BYT 000NO TRIP,'j0p:, UNLOADING TIME ' ADDITIONALCHARGE 2: .,.'DRIVER.- IIN, `S16NATURE: C7 JAME'S�' E. SI1v�ON` MEASURED "AT L.'t MAII "} LIC NOS. 5 n 'SOLD TO;;SHIP'' MSG,1�!(, PC,C4,9 7E�t;';'�,FIL...L_Elii�9f'i'C'f!•. ,01 f"►tlf ltl'Y ''t F:fdlL ;�1 `'' L . C. Ll ��l�t=tlti`u' fMIAP F; t� i 4If t41r,tI�lLs T!!1t ! (�_'� 1E,.,r + . �I 760 ,4-3124.,_,__`0 4 ;r7 4. R•4E,., FORMULA'# YARDS ORDERED ,MIX :TIME .,DRIVERTICKET N0; i < x. �� rw1 r A • L �a. i �j�'GFW ! v.t r1 0: `T (1i,:1 t C1 G.. d�� I r z I DATE CODE # LOAD #_�x. ''YARDS JOB # �.... W INi ATER TR s SLUMP.. ` ,• § . _QEL ..,a _: e.. . , t„ a° .. r,'FANT Y y 1f.. :. ''ova ,p. • ; tt `�#.i.,a•�'',< , ,14 ?s. ., �..i':.i _ ",.t �. ri •%- ..r.: .,E d£'. . x, , r a rt.wr ,. „ $ :vi ,it.11 � WEIGHMASTER' CERTIFICATE' t H2 Aadea By RequeSt/AuthorizeB '. WARNING` . , -. . t . ., THIS IS TO CEflTIFY tbat ilia lollowlnp described commodity. s r �ti ., .. x;::-1RRITATING�TO�,TH�-SKIkANIS EYES' -" was;walAhed-measured'or counted 6Yawalphmasler�whose. -slAdature 'in r ;,.�: •' a.; \ +Pti +'., A:.�l F, 21 rVl ,;t . ConfaipSPortland Cement, ear Rubher Boots and Gloves, PROLONGED CONTACT MAK CAUSE - • iiriho is a recopnl[zed auNodry of ti aspreac'ribed'by chapfer7 (eommeneinp wlth Section. i t ,,} • - i `fr Yh•,'1,{,�-t? ' ,1 �r _..' E r- v CaO-.hi�urary 'BUfiN•S;Avaid Coninct`w andP'' o Qh Eyes to�gnged Copfaclwith SMn: In Casa of.Conract vdtflSkin of EYea,, Rush TltoTughty with. Water. If lhitatlon Persists Get Medical Attention: KEEP CHIL - 1270p) of Division�5 01 the Catlforoia puniness and Prafesalona Code;:admmlalersd bya0lvision:-al Measurement Stendarrds of 0RF11AWAy: r -c ' . ,. - - ^ ° ' :tne,Calilomia Department of frood'and AAdwiture '': t,°: ` An Tfr�p I�p.+. ref lAf f 4UST111lIF•.!tr*.USTTIDE „" d ,CqONCRtn is a'PERISHAflLE.GOMMOD11Y and BECOMES the; PROP&F Ypf4*PUHdt1AUR lti r b l• ;.r d w <, ;.4PDN i.EAVING"Um IkANTyANY CHANGES oir CANCELLATION atORIGINAt,INSTAOCTfONS "'{�, t w ` a' O F T «., NSITE AREA pR.. RUCIC711lASH.UP t P - sMU jbaTEf�PHONEDtothUUFFICP6EFGRELOADINGS[AHTS _ _�_ ' -' r; 4 ,�� • 1 ,.7he undersigned prornrses topay am costs. incuW(np reasonable, ahorvesfees incurred 0R >: Z' t - • • • °pllat)ngapYsmsowaa.,. ; JAMES E SIMON C0: • . • • c t. i•afxounts not paW within 30 days of delfveN vnil bear;iMerat at the rate of:18%,pe annum, -•+ r - 'Wel9hfllaS_iCi t Not tre5porsible foritaacfiverAggregate ocColor Duality; NdClaim Apowed Unless Mage-at.Fm81 - •.-% LOAD RECEIVED $Y MatertelrsQeBVQf$d. •. , -,- 1Y r -A515.00 Service ChargeanQ Loss of the Cash D*ogrd WI be Collected on all Raturped Chenbs: t^ F", ..,. i, Ir A."TN . Cf`{ ( pax T - '• i I m CODE :.:: , , DESCRIPTIO,N',,, .. $ .. :.., •.. DEPUTY ` PRICE, K' EXTENDED PRICE; , :1 9` +1 �'I�� f 'it,t F �S�j�'a j jp1. 0, E, J f1�� t Wf alb .a, _T 't ( E V : r 1~ !J'J I�lif:Ihlull 3�t'f AL FEE �5... `, � f to �� ,•. - :: ��( •. f'f ► 1! I .Ut2f�fal�tryL 0.11'j-x �{ 1 k t e •y Aids A i. - e i %OF RETURNEflTO PLANT LEFT;JOB INISH`.UNIOADINr�: FORM PAYMENT: tR � _r � •, �� : � i � � ❑.,,GASH AMT PAID $. � r , _ f LEFT PLANT ` ARRIVEDnJOB S RT TI DELIVERY TIME -, pfONACCOUNT ,. n L# , )l' T 't�+ ADDITIONAL CHARGE n_ ... ... TOTAL ROUND, TRIP: OTAL AT JOB °` UNLOADING TIME STATE EXP STAND BY ADDITIONAL CHARGE 2 - ,,. %DRIVER. IZIM ATImr- • JAMEKSkh�: SIM ' CO.. M,EASU ED`ATt4;,' RESS OFFICE MAILING ( CONTRACTO:RS 35905'DILLON RbADtr BOX 10990• IN' . CALIFORNIA 92202 760%347 5399 760/347-4383 LIC, NOS. 521795 an618926. :SOLO Tq SHIP TOS , t At n ir1l� y.; .INC i hitt ��7 ��lr../ ("ALLry�L..E.. "(I•I��iF�lCO. .G i�J I�L.iP Ry. T:Rlr, , I #:L L ` � e I � �'��'f� l�,i �i (}i�f"'i. i 7 1 9 i - - I A' G!UT•?,IT H1�!f�"sill�l1� t`''f=il -PI-CA, 1-92`,27. �` •;: 'M '>( xRsl S t s•P r a f i TIME FORMULA #' LOAD SIZE YARDS`ORDERED MIX TIME; TRUCK NO DRIVER TICK N , rf 1 L4F�61UU- . E '• {DATE WATER TRIM' ` , .SLUMP yt. �C-PLAAIT' 0 1 t c L �• ;- .�r4 Hyi. 1 .,,t.i �1 `l X71 .15[y "i►��`�t3�r�tdY; rpt r. 22 3L r7Jr' rL 0laT WARNING` WEIGHMASTER CERTIFICATES - r H2O;Addetl Bye Request/ ` thorized iti4rt�.. �` `i -±. THIS IS TO�;CERTIFY tha) the lollowinp dasedbedeommodlry _ ; }; ' a # i >_ ::' _ , �'' .aIRRITATING-TOTHE`SKINANDEYES wasweionad;measured:oPcoumedby,e.relphmaslerm¢aa f j >;• u �'q,,-r yr ,signature Is:on Nla cenigeate who Is a reiognhed aulhoriry o1 k ,�. ,c' �,� y., �y;•,..,0 -Codta(ns Portland C¢mem;Weal'.Rubb¢r,B.00ts and Gloves, PROLONGED.CONTgCTMAY�CAUSE fix. GI1L X .4 - ti-_ b ,-...• Pccy9cy;as�Prescrlbed by ehapter7(cammencingpilh Semlon ?. HU NS Av?AQonlact with Eyes.and,PiotongedCohtad'With Skin.. In Case of Contact with SW�'f'. }'.1Y700'ofAlvlslori 5�elahe'C2111ornf�Bdeiriesa aed:¢r"efesslons t rs s.:..,c• 'e+:r�.�; i, ) Y Flush tiro oug6N v(NY!.:Watpr, tt ItriMdon Perarsts Get Medical:AtlenUon...1(kEP Cyll, in4 Code adinlnlatered EyDlyislon of Measuiemeel StandaNe ¢f,,t. �1-`' �`r�`^<<`x - •b EN'AWAY - t - I rL • .., - , .- c Ne Calilomla Depertmenl:ol Foad an?,Agdculture 1`. ta�� 7� ` •p�(��jj , L .� C1Re {tisa POISHABI. COMMODtT�2nd BECOMES the PROPERN of the PURCHASER kr. } u�ys«`'"""' ry": - -syr• lTfr�IN LEAVING the PlAFWrn CHANGES er6ANCELLATIONaWAlGINALINsTRUCT10Ns ` ONSITE AREAE -OR TRUCKWfASH-UP �+�.�� ,� •;1 $Q Mdi,I '�ELt:PHONE�t`C the OFFIC.QEFORE LOADING STARTS The untlai� ,ed DromTses is Pay Dll.cosls, lncultlin9 seasonable afto[neys fees ,incotretl m o", ♦ ti ,� • - • • ` • y i_ colle4Hn an ...,k o h' :,JAMES# SIMON;:CO .� -^.'r o �.�.-�,'.(pl accopmsnotpaid ynfhin'3IIday5of deliverywiU tiearigterest atther3te of 189o- Per annum - '. Not responsible fo.Racriva Apgrepatd orCobr Qualfry.No Claim Allowed Unless Made at Time ', W@IQhff18Si8f ` iLrOAD`RECEIVED BY�1 "' `I f?' ` .:4 ' `s Material 1§ 0eiweretl ;` 1 • W = A 515:011 Service Charge and Loss of the Casb Discountwilllbe Collad& on all Returned Checks. . � � 9 L � � �� R R E 1 :-. E BY S n, YAR' CODE ;; ` DESCRIPTION ;X` t` ;, DEPUTY ,., : UNIT PRICE; EXTENDED PRICE k f;9^ i � .- -•� r - i'{ r :''-�. rikt - , � f _. �:-. ;zt 1 •r �� _ ,• l ::,aF i. � }� fa +�4t 1 1 ES 0 1ir_iw�;` �D(�'1<J 1'wT !_(,?'LCtAtZi�i^RYt i"U' r t' '. L ;► N V.1 I�fDNt�{EMtt: f FAL F EES:71 Cts a a 0.1 I aIIF'i�:L�(iftf:`rF II RETURNEO'>TO PLANT LEFT 106 ti FINISH UNLOADING FORM OF PAYMENT s� I � :,• % r� t, ( C ' � CASH AMT PAID ' t . �' i, �a �x -� v LEFT RLANT _ ARR1tUED JOB START TIME DELIVERY TIME Ff T. ACCOUNT _ 2 ADDITIONAL CHARGE 1 . . TOTALROUND TRIP `TOTAL AT'JOB UNLOADING. TIME , STATE EXP STAND BY .' . 'ADDITIONAL CHARGE 2 Y'... . . D RIVER`. �' MiN _SIGNATURE t : y E. SIMO ,14 CO *jAMES : Y s °1 MAILING A1�DRESS OFFICE ytDIS AT,G r�'� MEAS.WRED AT �r�r :... CONTRACTORS 359.05.DIL•LON ROAD BOX 10)66,4N DIO CALIFORNIA 92202 760/347=5399y7f0�4743$3 L 5 1795 and 51:. . IC NOS 2 SOL' D TO SHIP TO 1 1 p i `' r (.1r �:f L (aL.t_�i t r1t+`tC `a GO 2 �r 1.419 � I�1L ' +:�3 f?►I4�Ftl�Y.. TF £I_ fiFl 1� �;?. I. � RARY/MPit-' _ �. E.a t,�ItI,IrI r�;tf.lt,.I��o-aslt} r''AL.I�'I�;• ' s''t� '7, : �"'r y;1f. t �s TICKETYNO rr TINJE FORMULAS# LOAD SIZE YARDS ORDEREDy MIXTIME TRUCKDRIVE, „ �tfdJ4J, k f,F� s .'f(r {�� -Fie � 1; ��+.1+7►E'r ��;, ,�t �,►� ; �� ,, r t x � � 41 � . e ' 'tiDATE ` fi COpE # LOAD # YARDS D,ELyJQB # WATER,TRIM SLUMP ". PLANT ><' ♦ i tt d a t �r+� r' a '. r ar u > I A': �fr3 iii1 , H2O Addetl�By Request/Authoraed By µ WEIGHMASTEFf GERTIEICATE:'fl: V y a> T YARNING t`�THIS IS TO CERTIFY that the tollowinp descrltied commddiry.> �! .� i 4 �'�"'( `-` I ` ' awa`s'welpbed "meaaured or eoujded by'a�vrelg�masler whosei s uteL;.':� uti'*W" a.;K a IRRITATING TO THE SKIN AND EYES F k sipnature`Is on this eetUOeate v+ho ts� reeapenixedtauthonry_ol, ' GAL CdnWns Pddlxnd Cement. Wear Rubber 6dotsand Gloves. PROLONGED CONTACT MAY CAUSE .`. accuracy asprescAbed by ehapte`rl(eommenelnpwith Sedlons + A " " - colon ed Coiriact whh Skin, In Case:of Contact w!th�Skin ;g2Z00 of Dlvrsiog 5 al the Callfomla Boslneas"and Prolesdioys� may'+ `" - t k ' T+ , :-..,BORNScAvotd'ontactrrdh Eyesdod P_,•,.:g_.. - ., -pr Eyes; Huse ThoroughMvmh Water:If.Untat,oq Persists,. Get Medical Atletmon lCEEP;CHIL .a Code adminlatered by:DlvlatoofolMeasoreR!ent StendaWsfgi •` - __ _ _ ,:. „ �v M1T t�opme DRFiJ AWAY tAe:Calllomla OaDartment of FooA and AprlculNre ,°" K»r'CUJTV IQIGyv IIe _U•71 �IlU YIU�� .... :.. CQNCRETErs a PERISFIABEE COMMODtTY;anA OECOMES the PRGPERTf of the PURCHASER S ; t z "if ts„ N 'N4 a.. +^h. -'r." 'UPON LEAVING the PtA{iTr,ANY CHANGES or CANCELkAT10N of ORIGINAL INSTRUCTION$ tE- '.a„ : " ` - YY r V*". , .aONSITE AREA FOR-TRUCK.WASH-UP r MUST be•ELEpHONED;to`I11e OFFICE BEFORE LOADING STARTS i.":� ..4 - r it TI, undersigned promises']o pay all coats, mculdi!!p reasoh5blapttorney's. teest nwrtad�(n 'x r 1. '� (r > °tf` coheohnganysumsowed ...• :JAMES E $IMDN CD 'AOaccgutlsnotPaWw,lhin30daysofdeliveryvnllbearm5erestattheratebftOXPeradnum WeIjhI118S1Bt LORD RECEIVED BY • r,3 • • r d 1 c a -Not respot(slble forReacOvq Aggrepataor Calor Quality.NoCla,m AllotvedUnlessMade at-Tim_ e x --F ... r,+` - � _ .MiteliaWBalivered. - g 1* t^ q {x, "A;!5.Oo Service Chargeand Loss of the Cosh D!scountwittbe Collected on 9lTReturned Checks By , o ,� X -'x, t /TONS s ~_CODE „ DESCRIPTION, ✓ DEPUTY UNI NIT PRICEY ;i EXTENDED PRICE .,t t',tX+;+tCt;' 'Yet"+�s1►?(E, '}'F1)i["I. f��ai• l t�L 1��i�V LU » �, , EV F IV I Far F�tMF-t+d"F ,t FF r` E.: `' r -t F Llt I ta�IF�;Ntlt�'t;'` .F t A. 1 RETURNE TO PLANT LEFft`JOB IN NLOADING FORM OF,PAYMENT C�l'IC�F' (; t 6aAD t ''` C7 CASH AMT,?AID'$ 1 CHECK/# r r DELIVERY TIME LEFTiPLANT a ARRIVED JOB yr START TIME O ON ACCOUNT i t ADDITIONAL CHARGE 1. DL# z , >� Tp AL ROUND TRIP' : TOTAL AT JOB UNl.OADI G;•TIME . STATE 7 EXP ADDITIONAL CHARGE 2 STANDBY W ;DRIVER MIN :SIGNATURE__— y JAMES zE. S�MON CO. s, MEASUR s f h MAILING ADDRESS 40.9 GE- DISPATCH ; CONTRACTO'R'S 35905 DILLOIiOAD BOX 10990"INDIO CALIFORNIA"92202 760/34`7 5399 * 760/347:4383 LIG. NOS 521 516026518,926 r '�TO SH <.: T OLD TO ' tttl t:�F 1 " yip7 CiCALL TAMP li y ITB' f4RYlidf-P f�J k G7 fi. y �••• la)U a NTP), P'Y. r w x :N 1 'r 'Cnll-wall s :x r'z^i a i, �r> a rxi TIME tFORMULA# r• a ` tiu rz `s + LkOAD`SIZE; YARDS QRDERED MIX TIMET; ,,. STRUCK NO, DRIVER„ �3 j t t4r f�'Z qg (C ' A yy7x L :shay .> is TICKET NO ,r 'r.. Ce yy1�Y; , 4„ '.[�^^n .fS •`' ��,. `, BP"i.Jy �S ,, •. '✓c.IJ 1r 5J3 . L : DATE. CODE # s .LOAD # YARDS'DEL` F i' s ..? ?JOB # WATER TRIM SLUMP,FLANT,,- at" r l 1y� `•3..^� ,'L; >, r' k 1� s l� [ I'�Jfy)t�^ffr :l s 3 cy r` a f �' ,:rr. r... ,.i,.� �•t,..�;= ,4.. ux :a t $ < � �Y t ` � t s , 'F 5 �w 'i7� k � �3tSI:,ll WARNING iWEIGFiMASTER CERTIFICATE r` ' ' dded.6"_Re I t, rr {/ esVAuthonzed,BV r.,A., ,4r, - IEYES"' , THIS IS TO�CEgTIPY that the Tollovrinp idesedbed commodity % r xi .. a. • ,:._t r 4. �^; ,xz «,a-=,,•: rr Yet ..,,."t RRITATIN616 THE<SKIN AND EYES J•wesweighed massuree oreountee'A' n>wol hmarier vl ' �~ S' k 4t, .. - _ • ♦vr .,:. y, Cortrt.II��.fli sPoruanACement,_Wear Rubber BoMsaod Gloves. PR OLONGEDCONTACTMAY A SE sl8neture is on tAls cediBoate twho is a mcopnized autgoriry fi$ BURBS.AmIdG ntacGwit E .. „ U z h c,; r;.},iF3l, .:. ! r . , 11 h._ yes ant, Prolonged Contact with Skin. In Case of Contact t4ith;Skin. � �� aicdmry ,as presedbed by chapter? )commeneing:wlth:Seet16. . xat . IM,X •'+u�' a .,, ... , ,,a i,n l;„ty&: � z¢w.ar.. ju,�� ,;.� I ,'. 'E%4 ' . ” e 12780) of givisioti 5 of h,e Calllomia Buslnett'and Profesdons901 , r te; ser hr• s, Push"ThocopghlywM Wates -l? Irtrtation Persists,.0e6Metlical Attention. KEEP CFjIL 1 OREN AWAY., ' ,+•am;; a.. 'Code apminlsteree by RIvlsion,ol MCBsoremeid standsNs..?t?-,rc_ t_. _Frei, .:JTCRETEa I'ERISFIABLECOMMODITYand BECOMFS Itie PROPERTY ofthe PURCHASER'the'Calllomla Department of Food aneAgde'i .AVING the PLANT.�ANY CHANGES or CANCEILATIOd of ORIGINAf. INSTRUCTIONS � � " � '��:MUSTheTELEPHONEDtothe-OFFICEBEF.ORE.LOADINGSTARTS"�:.d�� i,.� _,'>�Q��TE�AREAFORTRUCASH-UP 'D'' - The ndersipneq promises oto. pay all costs igculdmp reasonable ahomey's teakIncurred-I'k`�'volle�dnganysumsowed JAME$ E $IMDN CQ'' aAryaecoopts'notpaidvjhhin38,das 'f dliry ll i'perannum. S,i Ngt responsiole Tor ReactiveAggre{�te pr.CoJo'r Oualiy NoCmim AlloweA UnressMade atlime We)gmHsterA`",;.. aaiDei vee. ' AD` RECEIV qD BY 7yT} 5 Service¢hargeand loj. ssofthe CasADisoountVnll beL011ected on altAetUrned Checks. !1, _�i ;- ► gY Erty ,L FGI11ZF2t 1 r1 v at * 1 t T t os X y r g p =YAROSlfONS, CQOE "s kDESCRIPTION s " �. k- _. T+ i DEPUTY y' ",�UNITPfiICE EXTENDERTRI. t Erre f� )�f r� r t., t a 5? 0 A..iL�tfaf�`r ,y t... t0 EL► EN -01 ri�il� E N"i alt ";� F - E C' -A h Vl >x 7 YSsA Ica a{ FU 44 f -`:►.JR ViA"R -E G?CA MRETURNED TO FWNT LEFTiJ,OB FINISH'UNLOADING FORM OF PAYMENT> DCASH AMT PAID$ t �fIE?I7 f _ •_ ` ,, a t , :� � ❑CHECK/# ) '.` t , ; r s LEFT PLANT , VAR TART TIME ' " ' DELIVERY TIME ' D ON ACCOUNT DL#. 36 DDIPON AL CHARGE 1: DTRTIME ;STATE' NLUADING STAND BY AD DITIONAL CHARGE 2 DRIVER MIN SIGNATIIRF- T.� SOW 0 �H!�� _0` MCIC49, 7 E1277 t.,. C El�'L iar 1:3 t�q R F, Y TR (4, T L., I L ,7 it! L FI -T,. G1. U I -1\1 J'A' A pgi J. A., P R1TICKET NO;.. -IF ,'.MIX �DRI . . .... TIME LA 4� OA 'ZE YARDS K Q� TIME S 4. W. YARDS U81. Y. VJIATER IR N7.xI ''ADDRES s rp H �1, ZU 4 'TO MEASURED; AT, MAILING W� WEIG"MASTER'� WARNING NO IS TO CERTIFY that the lollowing deserihed commo 11 .,IRR'A ING TO THE* SKIN AND EYES IT F. 6§96 wi�, ;THIS V, th BUHNS.Avoid Contadvi[thE i An. in Case of Contact with Sian X y8 and Prolonged Contact wi 36905. ILLM� X;'i IO R.M A qPdN LEA%hNG the PLANVANY CHANGES or CAN( MAATION at ORIGINAL INSTRUCTIONS e I{VSTb6 TELEPfiOyED to 6 OFFICE BEFORE LOADING STARTS -TRUCK updersignK promises to Pay all costs, iftc6iiiing ri�awnAle•att()MOYV fees, ikurred.hk ':E,,--,SIMON.0 9 Eel ;�ffil k, I DIAL1111 F1 accouhis."otp w, If It .. er N., Aggregate or'Color Qmlity.'ho.'Clalff•Afl"ed 4Jqless 144 atMme �ig "Ma. 0 �D WE'D, jNot risli6qpW�fqfIdackive .,a ......... .. .. Chac6 'CBS ';A r4 E T A D, -LI2 6, A$ 5.008e,rAwC ge and Loss oVhe' Discount MR be Coffecteil OR all Hato med f B t, r x 10N X'; Puw` EXTENDED 1 R1 CEt •I �j 1 1 Q L I TP, R fl'R Y Y" �ENV FEEC-i-, E-V_ TRON 4. -3 "FUL [Rav 7f, 4 3. fYffl Al PAYMENT?, ING - RM,OF'P RETURNED 0. PLANT, LEFT JOB - FINISHUNLOADING_114,11IRT '.L0 A 15 A T.� SOW 0 �H!�� _0` MCIC49, 7 E1277 t.,. C El�'L iar 1:3 t�q R F, Y TR (4, T L., I L ,7 it! L FI -T,. G1. U I -1\1 J'A' A pgi J. P R1TICKET NO;.. -IF ,'.MIX �DRI . . .... TIME LA 4� OA 'ZE YARDS K Q� TIME S 4. W. YARDS U81. Y. VJIATER IR N7.xI �.MIJF* v, A, �1, ZU 4 'TO ;11ZA �/:8 r5i rZ14c P, W� WEIG"MASTER'� WARNING NO IS TO CERTIFY that the lollowing deserihed commo 11 .,IRR'A ING TO THE* SKIN AND EYES IT F. IT, . I I d -C.ritet� Portland Carnent, F!R0LqNGED CONTACT 4YCAOSt a , Wear Rubber Borotsand GloVes. -accuracy asOri' ;THIS V, th BUHNS.Avoid Contadvi[thE i An. in Case of Contact with Sian X y8 and Prolonged Contact wi pf, Oe�% Fluslh.Thorougf* wid) water. if Irritation paj�ts�, 4 lAqdicaf Attention: XEEP,CHIL3,,,. the'Califotnia pe!a #oll Food and ;Agr !tuf��O,r MINE �pliuvlut AM, GO „RETE is a PE-RISHABLE:'GDMMODITY and BECOMES the PROPERTY of the PURCHASER Z". aA ONSITE AREA fO WASH-UP qPdN LEA%hNG the PLANVANY CHANGES or CAN( MAATION at ORIGINAL INSTRUCTIONS e I{VSTb6 TELEPfiOyED to 6 OFFICE BEFORE LOADING STARTS -TRUCK updersignK promises to Pay all costs, iftc6iiiing ri�awnAle•att()MOYV fees, ikurred.hk ':E,,--,SIMON.0 9 Eel ;�ffil k, I DIAL1111 g a!y- w s,- JAMES accouhis."otp w, If It .. er N., Aggregate or'Color Qmlity.'ho.'Clalff•Afl"ed 4Jqless 144 atMme �ig "Ma. 0 �D WE'D, jNot risli6qpW�fqfIdackive .,a ......... .. .. Chac6 'CBS ';A r4 E T A D, A$ 5.008e,rAwC ge and Loss oVhe' Discount MR be Coffecteil OR all Hato med f B t, r x 10N X'; Puw` EXTENDED 1 R1 CEt •I �j 1 1 Q L I TP, R fl'R Y Y" �ENV FEEC-i-, E-V_ TRON 4. -3 "FUL [Rav 7f, 4 3. fYffl Al PAYMENT?, ING - RM,OF'P RETURNED 0. PLANT, LEFT JOB - FINISHUNLOADING_114,11IRT '.L0 A 15 A CHE C Kv # . ..... . ` ARRIVED JOB:- Yri. ALEFT PLANT .7:Q,ON ACCOUNT 0ELIVtIl' 6A E . CHARGE 1, 'ADDITIONAL I ".` j 01410 .TOTA 'AT JO JIWA STAND: ,,13T iiihiiihsim CHARGE T Ak�AQN , ",LINLOMING T DRIVERMIN 01. 0 JAMES' Em. CO.'SIMOIl1 CO. OFFICE DISPATCH MEASURED AT MAILING ADDRESS t '` BOX 10990 • INDIG, CALIFORNIA 92202: 760%347 5399 760/347-4383 g } CONTRACTORS 35905'DILLON ROAD,, . „ LIC: NOS, :52MF 7 1795�and 51r 8926.. ' Iti 11 �t i x SHIP TO SOLD TO r . I �S2t CiAL L E.. l J,7t11...: z'h. t e r �s�.. 1 x}67 lti`— i.. !. I,IARR't' TFtt;il tax L(� ;;GLIbxNI`F► 1 F It1EJ 8tildi t b t'� TRUCK NO` t` � DRIUER 71CKET+NOS k ;r ;MIX TIME wy"ef fL'OAD SIZE?, YARDSIORDERED { dt TIME � � FORMULA:.# � , • x Y �'' "�" •, + � ¢tMA 1� »ty rc 1� WATER TRIM." f . SLUMP;. PLANT, i JOB # Y � •' t• t �: •csYARDS DELA . � � ` CODE # 1f r I `DATE ` : ti ti = r. i v 'y K� +}` 0A y�4 t $ J ' cky Itt�l Aar. Iir�.q I 7 1 k �'Request/AuthorizedS Byx r H2O Ad(l By WEIGHMA$TER CERTIFICATE-� _ 'WARNING ` TNIS IS TO'`CERTIFY chat fhe IollowlnB deserf0ed ommod,ry WARN r;rr !• - was weiBAed `meesure0, or cbunted by a we#phmas(ey.�whose a t$rin SKIN AND EYES`;' hl'oaturelsenttlscerltncate wholda,recOpnlzeCauthodryoon,4* IRRITATING TO THE [� g . and Gloves.PROLONGEA,CONTACT MAY CAUSE, taswrary;.as Dreuribed: DY g�aptar7(comm`endnA wlnh Seel ra ,x w �. _ i� ! e„}-, h,r,,,2�. .a+^�•�•`'•�"'`---i -:.ConlaNs Por7Land Cement, Wear Rubber Bootsa Co w,u, g • 1nCase of Contaciwnh Sjgd,T . 12T0OW Divlslon,5 of the Calllomle Buslnesa and Prolesslons r'+� j }'1 �• a 4, 'Cade,, adminlstered hy,Alvlslon of,Measurement Standards .5 BAIRNS. Avoitl Conrad rnth Eyes.and Prolonged,��iR VI - t akEYes, Rush Tltoroughry,with water If ImtanoP persists, GeLMedical 11. he, KEEP CHIL Ne.Calllomla DepaAmeM of and arid:{IgdeulWre .` ,. ' F ,j„r, :2 'a .. ` t 6REN;AWAY. .> ;' - -? '-` - ONSITE AREA FOR. TRUCKINASH UP _ y I :CONCRETE is a PERISHABLE COMMODITY and:BECOME$ Ne PjiOPERTY o1 the PURCHASER, M • a • .R _t UPON:LEAVING the ?LAfI'k ANY�CHANGES or CANCELLATION Of.ORIGINAL IN$TAUC'[IONS HONED',to the OFFICE BEFORE LOADING STARTSa ,' a r'M&T. be TELEP> 'Incurred irt;"' mculdlh reasormble: 3ttorne 's fees, ' i alI g r JAMES E SIMON,CO. d Yt3 undersign PromSse ip paY t u 3 ; ;i lfedmganysurtisowed., per -'` {. LOAD RECEIVED:;B, st+ Va 'will bear interest at tttatate of l8%pe Welghmastelt • 4 , Ail'accounts notaid_wiBlin 30 days of daljverY• No Claim Allowed Unless Made at Time< it- z� , Nbt reesponsl6le Ior,Reactive AggmOate or Color OuaTiry - a'-.r^ r y n �• r' Mat¢rf�l isD0lrv¢fed:.. ve By s:-�Aq I. Gt'r�T�.tG 11 ) 4i( i A$jSgDSerwceChargeandLossoltheCashDisioudWdlbeCollectedonallRetumedChecks s EXTENDED PRICE 3 ''UNIT PRICE f t i a u DEPUTY:. f Y 3 i. ry Z DESCRIPTION°` Z*13R,.. { , r tet. ��1'1.1 � ��1..► E r� •7 �h +, r 2t.� yat to :EN ]. rti�{ y fir• v a t.. a aI LfO > ti��F2CaI� E�r<It 7 1 h Ipl j t_t]a1 . 1f1. r">; r._ .. 4c' � - } L� FORM OF PAYMENT �. �iF ICJh ' + RETURNED TO PLANT ' ,' LEFT JOBT :� 'F4NISFI!:UNLOA`DING+ '. + tT 5•. 'r r2\ ❑ CASH AMT PAID $ x CI, ME ❑ D VERY. START TIME s - I ARRIVED JOB ;LEFT PLANT`" ❑ ON ACCOUNT EL •' r) t1 WA 1 i' p� # NAL CH ,, STAND $Y TIONAL CHARGE 2_ ADDI - DR TE711 EXP.' OTALAT JOB UNLOADING TIME •- TOTAL ROUND TRIP = S7 >. . 'SIGNATURE:• $ JAMES iE, SIMON CO: MEASURED AT. RAA.11 lKirlA'DDRESS •, )RS. 38�§05*DILLOrqRoAb. BOX 1A990 D.19, CALIFORNIA NA 92202' IN. m 0 H VIL Q 4 78275 _ AL Tf)NP,,1Q;LD. .72 1.3 .1_L.E U csAtu V? ALMS's-,,:. t r4 ou i N q TIME'Okb' YARDS TRUCK NO. TICKET 4p, -,.777777 0 (4 L 0'I�f 1" 6 1-7` - 'L,0 AD # YARDS DEL J B:# o; WATER TRIMSLUMPS PLANT -81 44 V 4 7 WARNING' IGHMAS H2 a edgy Je uesl IRRITATING NG TO THE SKIN AND E YES 0�- 136rdains Potfiarvl Cement,Vgat Robber So& and Gloves. P PROLONGED CONTACT MAY CAUSE 5og h u! . ... . BURNS. Avoid C"cl wi$ Eyes and Prolonged Contact with Skin, 10 Caseat Contact Wi�l Skin RUS111714fuughlY �q"nre�y, INS P,1ss,oqP94 try,;cfippterj t,1?7po) at olvlsjon Vllljhe %4i_ V, �x 4,1� --- Or Eyes, with Water. It 116ta'11011 Persist0Get MadiWA CHIL- GREN AWAY, ttentia� KEE�, "613HABLE qa�lkfArnlq anpjPM,u Codii-admindgefy"6"ml,�:q�!Meaturement,St�14irds;of. CONCRETE ;'a PE thC&Iliamlo Depadrnent:bt,�,po, , f 1111.-� ' ', -4,1. 1 .. �-;ffg 11) M t H'M _P �'" I ITOVIYE AN 7 UP IN LEAMG thy�PLANI ANY CHANGES or CANCEUATION at ORIGINAL INSTRUCTJOkj MUST be TEUPHOMEO,to the OFFICE BEFORE LOADING STARTS. j, - A Fv' - _u S ONSITLAREA FOR TRUCK WASH-UP The undersigned pioknqlses to� pay all co inpulding re asonable Attoffmy�; fees incurred in mu��Ii cQlloqfing any sunns�� JAMESSSIMON 0"�,,. 1011IRM111:11. Im,10swravangg-maqw? V AD LOAD RECEIVED BY -0. VV, .4 Pury�,"-�, J I WO E. XTY, E N Q E D P, R I CO " L 4 R`Y� E' -CIJ Y C IRL, 4 E ia C J� a. E R TU LOADING,, . FORM -:dJF`PAYMENT 4- t'. A. CASH 0 S H R -T brib. AMTiPAID $; ti 7 7 ARRIVED '08' START I_tA'EFr- PLANTR_ 0 CHEM# 04W.EhY TIME Q QN ACCOUNT J 7- DL f" ADDITIONAL CHARGEI 30TAff OU -.,RIPTIME STATE "T STAND BY`_ nno7anfifA1 CHARGE— ADDITIONAL —ji D RIVER - R Sl�.NATU RE:- m 0 JAMES E. SIMON CO.. MEASURED AT MAILING. ADD R OFFICE '_ , DISPATCH 3� I CO.N'TRACTORS 35905 ;DILLON ROAD BOX 10990+ INDIO; CALIFORNIA 92202 ` 760/347 5399" 760/347=4383 • -, :,. � s... •.. �.� ,.��.. 'LIC._NOS..:521795.51-9020 _ w LL SOLD , SMIP TO , ,1 : TO' MEC 7 t1 c Gott,. L.E. l AMF' L� r040 G!l.Jial,R" ! R41.1� °I!�. �\ L Ddu ! I1�i�hal�l'%!►l�i�,.'�t� C � e �a ;!LI1R! r� TIME ,FORMULl1 #{ ,LOAD.SI.ZE ;,';YARDS ORDERED MIX TIME'`, TRUCK;NO`�' r` DRIVER .&.J_ j�j z t '� � � , 1 '1 {, a ♦ t , Z; .: , � f p �< .' �L��c .. c � i i i y t .,} }' _ t Z.;, y y ♦ 2., C. d tty +.. e §a 'f,r j.�. •* X73 " �M "b Of-- a. � �"� r r. • l : G a•i...Y . r a..l :: .. " Y DATE CQDE # ` r x` LOAD # YARDS DEL JOB # `` 1NATER +: 4 •+ ,A } t,. �a t z. .i1 > a '1� '� e fo 5:Y. a .y l: � l�,}., t :4�," 4..: 4 .� c, � l ..�� '1 y'� {"..• i ; WEIGHMASTER CERTIFICATE �ti Slt3• 20�{� ded By j1equestlAilthoclzed By if �w s WARNIN, �'Y� . i. .-THIS IS TO CERTIFY lhat tAe lollowlnpldeserihed eommodlry'A 'heti a _:��y) • ' `-was welphaE. measured 'br counted hya}weiphmaatediMose i r. _, ,,.� _ _•'♦;�, ,� ,, ,§,.. ^ y?y t IRRITATING TO THE SKIN AND EYES- ,. sipnature�is:en.lhls certipeale who is a_resapnized authority of` ''t, .,:.tSiI7AL- ;. X".,t•}�s!',H .. _ ,�'t 'Qt' 4 :#„�. ” �,O•- ContamsPortWnd Cement,Wear Rubber Boots and Gloves PROLONGED CONTACT MAY CAUSE ';euura`tysas.preaciitied by ehapter7lcommenelnA OFtWS> Avoid Contact with Eyes -and Prologged Contact with Skin. In Case of Cb' pct with Spn " � ' �' � • -� • `" ^•' � 6 - . �,.. '-2700}af Dlvislon S-oI the California -Business and Proleaslorn f��, , 0. +`';�'� s t� }+•�.' +r k� .t Eyes, Thoroughly Wdh;Water. It lmtatlon Persissts,Get Medical, Atlenhnn4KEEP'CML I "Cbdu,•fadminl'stered b Dlvislon'ol Measurement StandaNs ol;. `d- °'"'"" - =�`�'r ""'•� a- •�`•` • 1 r..n.., rM ,s DRF�AN?Y NeCaNlomla'Oepart entoffoku andApticultum ri„: � U OM�R,IMUSTPR VIDE A ;. CONCRETE-saPEMI ABLE„COMMODITY and BE'6EStha PROPCFRYofths41J OWER S,` +'•^ 's`�• .;:moi � .-.„. .. S. ki UPO LEAYING beLEPthePLANT.ONED to AW OERCEB or,CANCELLATION DING ORIGINALINSTR CT0NS ON ITE°AREA FUR•TfiU KThe undersipded promisesto �y ati costs fnculdin0 reasonable ahameys fees. Inc d m i F .., s 4 x t” - '-'3 • s • WIN acts, r< ..�nallectipp,an�sumsoWed.,,. :i. '� "� NtC Y ♦ s • s • r AMES E SIMO 0 AlfAcdouhls not geld WRhin'30 days otdeliyery will beat interest atdhe.�ate ofl8%pet anp _ c a.' ,, y,•s Y'+y Welghmasterr rY LOAD RECEIVED BY t Notrespunstblefor ReictveAggrepateor Calor Oeetrry: No cta,m Allbw�d U0less Made atTune s 1,. ._.,,.: t ,rY: y Materialns bei. eyed. - "s :a a . r' a , as ".:' 4 Y � l �' ft•. SODS Chargee Loss of fe Cash D`srnumwn'86e Coll cted on a ll Returned Checis 'Ji ? a + LM t s�•' e' e: U. n§it ale. #!, e t gy�1 fJ9 1 61lrcl- t 1a} a to r YARDSl, SC'k ,CODE bESCRIPTION��f' � nth DEPUTY t` ' '� i, '� UNIT PRICE : ,EXTENDED PRICE °�C >: a n fit_ .�6 \ -1 1:R .,tie .:``� �...�d x 'S�'-��' ` �•:. Y!' N� �,il ti:'- y r 1 ' "'%ZI<"�"4,ai0 iI �RA'Y h yV1 — c=:111 t7LtZf+�t F icy y, t t Y 7 lifly+� :} Y. tF ! ({ i p.t ll♦'c i Ir Rr3r , L ciC_!3 27 ' n t eF0' Y it I F V0 'TOTA RNED70 PLANT `LEFT JOB FINISH UNLOADING x y :,Y FORM OF PAYMENT ^; , c-61 xz n "CASH AMT' PAID $ „ r r CHECK/# EFf PLANT .f ^ ARRIVED JOB,_' START TIME, ' ; ; DEL VERY TIME b ON ACCOUNT t r � i 1 , DL# LROUND TRIP" TOTAL AT JOB; UNLOADING:TIME `' STATE EXP ",. STAND; BY MIN SIGNATURE $ ` .SOLD TO SHIP T0, A ^ n> 1 TR''A lal F z9 � r, �:<?� :{�"�1.1f�FeCs4 ,�:"t ("tr~� 1: i.. 9�• �.: , - -� a 1 r� U' ht i f$ ,'1. 7 t�; iS-t4 �s')f�•!t 11� 1:5 ALA ki' 3 12 41S,4 h X43 t h 3 TIME t FORMULA # LOAD SIZE`„ ;YARDS ORDERED rMIXiTIME 1 TRUCK NQ: x DRIVER r TICKET NO , _ 77 r , �!t i M. ?!�t"� t?+ , k ' ,tZ! h; In) 4. 6 �� F?F#`� Q F�� '� � ,1� ;. DATE LOAD # `.YARDS,DEL , JOB #fi WATER TRIM ,}`hV SLUMP } PLANT A j', q y 6d t. `,� r ' i s••h, -•ei $ 7 s ' ; /� {�yt y.. t t t: J ' Y WEIGHMASTER' CE�iTIFICATE Added B,y�Request%Authorliesf WARNIN > . k rr �•,�,•, vy THIS IS TO CEfiTIFY lhatOieNollawl p deccrthed eommoofty"S. ;; '�'1RRITATING TO THE STUN AND EYES v zs weighed measuree or eoonted�Uy e v elghmaater whose 4 ye> L . d s vri #: I w . r . 'signature is2lt'lels ceAigeate�iaho li a recopnize0 aulhodry:alb„�ik'GX�.. s,`1s ixryt d- # • ice, L k Contains Porgai dCement Wear Rubber Notsand GloVds PROLONGEll CONTAOT,IAY CAU,S) acarery as prescdhed•hy ehapter7 twmmenelnp with Segloo 11WNS.AYold,C#actWIkEyo,and Prolonged Contacpwilil skin, Case of contact wilh,Siunt� - 1YT00)a1 Divlsioe5ol the Celilom128usleeas`and{Profesaloni 4, k z r=Eyes,'RushTngmughly`wip�Water. tFirgtatron%Pasists: hpzi AledicatAttention, KEEf? GRIL -CDCs administered by ONlsloubt eteasuremam Standards' of r• ` �' ""'a ` ” �' HEN AWA ,,:' • i; the Caldomia-Departmental FooC and AgdeulWre ' ' f r M_T�y•��m -: CONCREW iia P ASWCOMMODn..Yznd BECOMES Ule PROPERTY Ofthe ICNASER r i J } Cr ';S ,a _, • 3 t . �1: ` UPON LEAVING a ;,ANY , *GES,or CANCEUATION of ORIGINAL INSTRUC7J,ONS j.� � "+ "� I , ' � F T �jCC ONSITE AREA„ ,OR R. CK WASH -U MUS�be TFLEPR N to'tha OF, 4EF09ELOADINGSTARTS The undersigned o{nises.to Day alt eosts;::incOiding reasonable anomey s fees, Ihcurred m t t . 'ti' '+ y ,• a e ' dollew1gany sutns owed. ,mss:' �, JAIWhE SIMDN COt e AD sccourits hotpatd `•Nt(h 30 days of delivery vnll 6car Gterest aCtharatepf lS�.Oer'annum Welr`hm2ster 'X'g 'rte Y z; LA trespopsi6lg foBfl dyr'. aggregate or Color Oualdy.No-Clatm:Ailowod Unless AletleatTime9 " !1 ['LOA'D REC IV D4BY tes-OBlrveretl . •,. ,�:rI150fi SemCe Ch rpeaod Lossaf the Cash D-scoOni will be Collected on all Returned Checks 7 Li} t ��ja�� E 't -t3 r yet By' x k a X�E. y YARDS/TONS •*,. CODE :,.,..; D_ESCRIPTIQN:: DEPUTK¢UNIT PRICE EXTENDED PRICE •t�r :a �•_ 4 rx ". 1r _ ya. r -y .".' (• `_.•7tpy y� �•• ' n r ... y j . �S l q c h -33` `� h•' t o L. -A. � RAR— 1.., 00 y�Yd •'{�i Y'' t- .b.1 flC7.I �4j} J. rL/'a, r'� 4 :�� ; F vt ' L 1.�>ir 1.�t�t['}[f. r.. - }ts;" i 1' ��•✓.t`�' t. '�a4 i :�✓e•r yf .lr7j �� t:7 r". Sy ` h 4` w ak Lit Ti p�� •y r t c A t � " , # r 4v ` S ,� r ;,t ' °k Y ' RETURNED TO PLANT LEFT�JOB. ` .,FINISH,UNLOA'DING =' FORM OF PAYMENT ORT ASH AMT PAID $ 9:;'•' 6". d � � CHECK/'# s DELIVERY TIME', � s � LANT ARRhVED JOB , $TART TIME ADDITIONAL CHARGE.1 U", a TQTAL ROUND TRIR,' TOTAL AT 0B . UNLOADIN�:TIME STATE EXP".STANDr8,.._DITI N AH RAVERD 0 AL C RGE 2p ' ,;SIGNATURE A z� s t; • .L''. —.�•xf•' 'F 'i4is "fid -•. .`�v„• s ai ,' .�"Y v.. 1, .n t y. f _., Fs a •y _ _ ' '. - �F'", .a. ,�'•a .: � c r'. d t z;�' �.y f � < . w _.._. LANDMARK `s' �-� , ��t �4 •EL CENTRO: 7607370-3000 PALM DESERT: 760.360-0665 DBE/MBE/SBE'COMPANY TECHNICIAN: DAILY REPORT` PAGE OF . Project Name:. L4 r.. Project Number: L.. ' Client Name:; Owner's Re Onsite: r OSHP.DLBuilding.Permit'No.: Plan File N0 ;'.DSA File. -No.: Scheduled Anival-Time::DSA App Time In: a Time Out Lunch/Break: Mileage: K: ;Total: Hours: ,General Contractor (Name & Company): Specialty, Contractor (Name &`;Company): WEATHERGONDITIONS,:' r� r , " .• EQUIPMENT'USED: ," n ARE'AS;,WORKED: Location of work,observed, tes. s/samplestaken:progress, <j ,o problems/issues A7 1 j 41 47,1 r 3 - C' t" .77 .' �� s• r • t r ,.. t Vv- � s KY - F •, DID YOU OBSERVE EVERYTHING. YOU'ZXPECTED?.,. .ES'' El NO DID YOU OBSERVE ANYTH I NGIVNEXPECTED? IN-PARTICULAR;;WHAT SHOUL• D BE'OBSERVED/CHECKED/RF . ESTED DURING.'NEXT VISIT . 5 NON-CONFORMANCE:. TECHNICIAN'SS[GNAT U °:� _• DATE%DAY ERSON NOTIFIED: SIGNATURE: OTiCE:"Ourfirm s technicians;a.re;r pr e f si s' ely t tisery •operations of the'.contractor`identified;•to form opinions about the adequacy of those: oge,rations-and to report.tho o ' ns o o r clk' nu T e_pre nce.and activities of'our field representative do not relieve any contractor from its obligations to.meet contractual,;r�q ire ent .T orftractor- t ins sole;:responsibility;for,site,i i ty.and the;methods;,operations ani sequences of construction. i 780 N::4Th°:Street EI;Ceniro -'CA 92-2.43-_-,771948 Wildcat DnVe;, PalrniDesert;CA 9221 1 . <+.r_: � - 4. p r c lb�jjJ�'7J"A1 a! 16: �yd".%v, `.t .4r�e++R ..+W.✓4, Yi.,p' Ar ; DSA File No.: Phone Nq ' 5 '� '�� ` .. CO _0 TESTING DSA app. No.: Fax. No.: "I (N:uclear Method.ASTM D -292-2_,&-D=29`5.0.) Branch Office: Test,No. Density..Count,- Moisture Count a. Moisture -Correction Mode.& Depth Wet Density; RCF. `., Dry. Density, PCF % Moisture 79 Standard Dens. (MAX) ' Optimum Moisture ( i/ %.Compaction Am Specified Density: Test No.: Station: Elevation: - "- Mat'I: Location: Test No:. Station: Elevation Mat'I: Location: ' Test No.: - Station Elevation Mat'I: Location:. Test No:: Station: Elevation Mat1l: Location: Test:No _ `Station - Elevation r'' � '' �� Mai`I: Wocation: PROJECT A E: . ' _"_ .' PROJCl ,r CLIENT:. - ' TE '" '" TECHNICI9DJ�''" f� Gauge_Serial. No : Density Std ..+�� Moisture: Std.:- . _ SPECIAL. R • t.. INSPECTION REGWERE D.INSPECT OR'S DAILY REPORT ' BUILDING PERMIT.;N. UMBER'- PLAN FILE NUMBER Geo-Engineers and Geologists: COVERING WORK RERFORMED '� :REINFORCEO.CONCRETE [3STRUCT'STEEL'ASSEMBLY ❑ GLUE. LAM.' FABRICATION WHICH REQUIRED.AP,PROVALA3Y •❑ PRE-STRESSED CONCRETE . ❑ REINFORCED GYPSUM ❑POST-.TENSIONED CONC. THEPE,CIAL INSPECTOR OF ❑';REINF,ORCED MASONRY ❑ PILE DRIVING DO' JOB.ADD ESS . / `' f ) / "': 05 cc PROJECT.NUMBER J.DATE 20L) OWNER OR PROJECT AME CxEi 0 4. ARCHITECT. CONSTR. MAT L..(TYPE GRADE,EM) DESIGN yS�TRENGTH cz N. ISOURCE-ORMFGR: ENGINEER / A DESCRIBE•MAT'L. (MIX ,,DESIGN,-RE=BAR.GRADE &-MFGR ,WELDINGETC.).:. GENERAL CONTRACTOR ..' ' 'CONTR DOING REPORTED WORK v ce LAB. RECEIVING:•&TEST.ING.CO.NSTR.; MAT'L. SAMPLES LOCATIONS OF WORK,INSPECTED TEST SAMPLES TAKEN; WORK REJECTED, JOB PROBLEMS PROGRESS,. REMARKS;' ETC. ITEM . NO. INCLUDES' INFORMATION•ABOUT. AMOUNT OFMATERIAL PLACED,OR WORK-PERFORMED, N,UMBER,_TYPE & IDENT.'NO"S OF TEST SAMPLES TAKEN; STRUGT.'CONNECTIONS;;WELDS MADE H�T;BOL-TS T.OROUED CHECKED ETC C. _j // �J ` j`^1/y �(y . jam• .. ,. r A, ❑ CONFORMS to DSA'Documents t •OES NOT:CONFORM.to DSA'Documents -- x SIG ATUREOF REGISTERED IN9PECTOR /'/� � ❑ PROGRESS'REPORT'ONLY.� NAME OF RE.GIS.TERED REGISTRATION' NUMBER INSPE TOR (PRINT); A! ..":. ,,.LEA N . -DATE!LEA UMBER Form No. 2180 - Pioneer PrintinD (760),353=5401 W SPECIAL INSPECTION REPORT hAM REGISTERED INSPECTOR'S DAILY REPORT BUILDING PERMIT NUMBER PLAN FILE NUMBER . '• • --and Geologists, COVERING WORK: PERFORMED WHICH REQUIRED APPROVAL BY THESPECIAL INSPECTOR -OF REINFORCED CONCRETE. ❑ STRbCTI'STEti= ASSEMBLY '0 GLUE. LAM. FABRICATION '0 PRE -STRESSED CONCRETE O.REINFORCED GYPSUM. ..0 POST -TENSIONED CONC. :U;REINFORCED MASONRY 13 PILE DRIVING 13 OTHER 40B ADDRESS 7727.5 CPL-�L "r Wfl(-Q PROJECT NUMBER DATE/ 20 OWNER OR PROJECT NAME C- 0-Y OF, 4 U141 ARCHITECT .5 rF C- L r CONSTR. 'MAT'L: (.TYPE GRAPE, ETC.) j 41 F0 L DESIGN STRENGTH SOURCE OR MFGR. ENGINEER DESCRIBE MAT'L. (MIX DESIGN; RE -BAR GRAPE &'K4FGR.*. WELDING; ETC.) G�gERE,RAL CONTRACTOR CONTR. DOING REPORTED WORK RECEIVING & TESTING CONSTR., MAT'L. SAMPLES ITEM NO. LOCATIONS OF WORK INSPECTEDTEST SAMPLES TAKEN, WORK RblldtEl�,4!'O R 6BLEMS,"6qkEtS, REMARKS ETC. � INCLU I DE$INFORMATION . ABOUT. AMOUNT OF MATERIAL PLACED -OR -WORK PERFORMED; NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES EN; STRUCT. CONNECTIONS, WELDS MADE, H.T. BOLTS*TO.RQUE.D.:C*HECktb:,E.T,6. TAKEN; Z.5 je� P-ov 1=61C pto ct /vl o -y -I- e) 0: 'fly 'A 0 CONFORMS to DSA Documents •DOES NOT 'CONFORM -to DSA Documents CIPROGRES . S REPORT ONLY Form No. 2180 - Pioneer Piintiling (780) 35�3-5401 - OIGNATURE OF REGISf-E-RED INSPECTOR NAME OPREGISTERED REGISTRATION NUMBER -INSPECTOK,( . PRINT) DATE LEXNUMBER LANDMAR-K Jop EL CENTRO: 760-370-3000 PALM DESERT: 760-360-0665 TF-r-WNICIAN nA1LY.RF*JbR-T DBE/M'BE/SBE.COMPAW PAGE OF Project Name: Project Number: Client Name: L-42 e',)) Owner'� Rep Onsite: h- OSHPQ/Building PermifN6.- Plan File No,. DSA rile No.:'. Scheduled ArTival Time:IbSA A App.' No.`- Time In: F_ Time Out: f Lunch/Breaik: Mileage: ..'k)- Total "ours: General:Conteactor (Name: &.Company): Specialty Contractor (Name &.Comparlly),: WEATHER CONDITIONS: 4 4 EQUIPMENT USED: AREAS WORKED: Location of work observed,aests/samples-tak6in,%progrbss,,rethArks,'Jolb gro6ierns/issues A —_*,, —1f -11 _7_ A I.,, Ile n AJ_ ZI T71i r X I -P 4) A I A 4 �Al� /A 1.0 -.4 4 DID YOU -OBSERVE EVERYTHING YOU EXPECTED?:_ ES. 0 NO DID YOU OBSERVE ANYTHING UNEXPECTED?: 0 YES J IN PARTICULAR, WHAT SHOULD BE OBSERVED/CHECKED/RETESTED' DURING NEXT VISIT- NON-C-ONFORMANCE: TECHNICIAN'S SIGNATURE DATE/DAY' • I. PERSON: NOTIFIED: SIGNATURE: NOTICE: Our firm's` technicians are repr onsitesolely f6�observe,operations'of the'cofiiiactoridentified, to form opinions About the adequacy of those operations, and to report,those ihio to our client. The presenqeandactivities:of our. field representative do not relieve any contractor from its obligations to meet contractual requireme The contractor retains sole responsibility for site safety and the methods, operations and sequences of construction. 780 N. 4th Street, El Centro C . A 92243 77,948 Wildcat. -Drive, Palm Desert, CA 92,211 44;� fi r-4 t4� PAN`.' • I* ,N. ON '. TECHNICI'AN!S-.'Sl.'GNAT-.,URE�.-PATE/ J� I. -PERSON NOT -If IED *' o t .requirements. to our diibn�i.e I ctvitids-o,f, our bi6 rOres6htafi've'do'n6t rel6v�e an contractor fr:m its ':obligations lo-ne6t;contractual:The'cortrakfor ��ia[K e�responsibility r 46 k -methodsj.opprations and sequences of construction. 780 N. 4th Street, El Centro, CA 92243 X77:!.948 -Wl d PalmDesert CA 9221 1� A - D� ARIA - Phone No::1f -'== - • COMPACTION TESTING DSA File No.: DSA App. No.: Fax. No (Nuclear Mett od ASTM D=2922- &.D-2950) Branch Office: -FPa ! � � Ak -7� - Test,No. i Density Count `. -Moisture Count Moisture. Correction - a Mode.& Depth Wet Density; PCF >� ' Dry Density; PGF ` %..Moisture r� Standard Dens .(MAX.). Optimurn.Moisture %`_Compactioh Specified;Density Test No.. - Station: ;Elevation Mat'I: .. Location f r ' Test: No., Station. Elevation. Location: Test No.= - " Station Elevation Location: Test :No . Station :Elevation =Man: f Location: �! Test ;No.: Station-, Elevaiion Location: . li Test No.: Station Elevation TMat j Location Test No.. Station: Elevation Mat'I: cation: .PROJECT AMEN: `a;�. PROJECT N.O.: } I CLIENT. A TECHN'I IAN; ' Gau a Serial:.No.: r r, `� �� Density,.,td ' Moisture Std:: * fA15 9 r_ M ,' " Form No. 160 •Pioneer Printing (760) 3535-01 -...>.. +.s-.:e�.wk.ov;r�tr•J-1•x:z :b�asaiF"vy'S S 'n. ro.3¢sr ,.Sw6'''i x t«'0z`°1'13 "!..,' Y" . .eraa,''s7ja .zt' S, SPECIAL INSPECTION REPORT REGISTERE'D'INSP.ECTOR'S DAILY REPORT BUILDING PERMIT NUMBER PLAN FILE NUMBER Geo -Engineers and Geologists COVERING WORK PERFORMED'' a jeREINFORCED CONCRETE❑`STRUCT. STEEL ASSEMBLY ❑"GLUE. LAM. FABRICATION WHICH REQUIRED APPROVAL BY -0 PRE -STRESSED CONCRETE Q REINF©RCED GYPSUM 'C7 POST -TENSIONED CONC. THt SPECIAL INSPECTOR'.OF ?❑;REINFORCED MASONRY Q P.ILE-DRIVING ❑ OTHER JOBADDRESS PROJECTNUMBER DATE OWNER OR -PROJECT NAME " . ; ARCHITECT CONSTR. MAIL: (.TYPE GRADE', ETC.) DESIGN STRENGTH SOURCE ORMFGR. '. ENGINEER DESCRIBE MATT. (MIX `DESIGN; RE -BAR GRADE &MFGR •WELDING,,ETC'.) GENERAL CONTRACTOR p, . CONTR. DOING REPORTED WORK LAB: RECEIVING & TESTING CONSTR., MAT'L. SAMPLES ITEM LOCAfiONS`OF.WORK INSPECTED, TEST 'SAMPLES TAKEN WORK•REJECTED JOB PROBLEMS ET PROGRESS :REMARKS, C:' INCLUDE $ INFORMATION.ABOUT. AMOUNT OF MATERIAL PLACED -OR WORK PERFORMED„NUMBER,:TYPE &.IDENT NO'S OF TEST SAMPLES NO. TAKEN; STRUCT'CONNECTIONS, WELDSMADE, H:T. BOLTS TORQUED,"CHECKED :ETC: x.� Y • w t CONFORMS to'DSA:Documents -'` Vs *DOES, NOTCONFORM to DSA Documents PIONATUREOF REGI ERED,INSPECTOR PROGRESS REPORT NAME OFREGISTERED . REGISTRATION NUMBER INSPECTOR`'(PRINT) DATE LEA NUMBER Form No. 2180 - Pioneer Printing QZ 0) 353-5401 ' , ARKLLALNh e6'BECcmp ,y TELEFAX PaIm Desert Office Date: September 29, 2004 To.. Ms. Maxine Warwick @ (619)230-4335 From: Greg M. Chandra, P.E. gchandi_aAlandmark�ca com Subject, Slab-on-grade Recommendation - La Quints Municipal Llbrary Landmark Project No. LP04053 We have reviewed the site condition with reference to the pad grade. It is our understanding that the pad was graded to elevation 42.0. The finished floor elevation is 42.5. The floor details indicated that the concrete slab thickness I's 5.0 inches, on top of 4 inches of aggregate base'courses with 10 mil visqueen vapor barrier placed in between, The upper 18 Inches of the slab subgrade was silty.sand and non-expansive in nature. In order to meet the tlnlshed grade elevation, we recommend that the concrete slab be placed an top of 10 mil visqueen vapor barrier property lapped and sealed and with a 1.0 inch sand cover. Please do not hesitate to call if you have any question or require additional information. J 780 N. FauM 5t; EI Centro, OA 1a2243;(' W)370.3000: Fax('160)337-8900 77-48 VVlldca! Drive; Palm Desert, CA 92211.(76D)3604)665; FoW6D)360-Q521 E9Z-d E00/EOO d 1EN' SEEO OBZ 619 auk dMOJ9 91981S 'h1'V1-WO84 t, i - f Buildlrng Officials 7-n ; uPHILIP LIMON.' ... .• i +' A 'FIED SPECIAL II�SPECTOR UBC _ . ... * ' REINFORCED CONCRETE 1997 Uniform Building Code, ' The individual named hereon is CERTIFIED in the'category sRown, having been so certified pursuant to successful eompletiohYdf the + ' prescribed written requirements. ' - • - Expiration date Fefft' —'6; 2 '15Q ' I/ No. 'Fg6479188- ( r/✓YlIt�5121 ♦ Not valid 'less signed by q t ificate holder. 57'1 ' lCB0 certification attests to competent knowledge of codes and standards. • - g Applicable experience should be verified by local jurisdictions. I i • '. .. i • Alf �,., � 14011,20�g� •�� `. ..,. -� �S � , ��_. E,gxx ei ti it A t _ ��►'Plil1�P': Q3192001.1 SEDONA'SUNR1$6 LAS VECi/1_SMV + Yt'$912A t . .. i „NQS ''sRowN • 05-'11"19 '� �c�tr�;,,� , ��; ;� '•� OSS .T - • • s . r J� REGISTERED INSPECTOR'S DAILY REPORT LAN -1) RL • ME Geo-Engineers and Geologists BUILDING PERMIT NUMBER PLAN FILE NUMBER COVERING WORK PERFORMED WHICH )REQUIRED APPROVAL BY THE SPECIAL INSPECTOR OF 'EINFORCED-CON CRETE IJ STRUCT, STEEL ASSEMBLY .11 GLUE. LAM. FABRICATION 13 PR&STRESSED: CONCRETE 13 REINFORCED GYPSUM 13 POST -TENSIONED CONC. 13,REINFORCED MASONRY .11 PILE DRIVING O.OTHER JOB ADDRESS 7,?2'7T-A. � ;;9'o'M ;-.E4 e -v PROJECTNUMBER DATE 20 0V OWNER OR PROJECT NAME 4 ARCHITECT CONSTR. MAT'L. (TYPE GRADE, r ;TC.) er DESIGN S1 STRENGTH 3cx7c, SOURCE OR MFGR. ENGINEER — DESCRIBE MAT'L. (MIX DESIGN, RE -BAR GRADE & MFOR., WELDING, ETC.) PENEfW CONTRACTOR, 67 CONTR. DOING'REPORTEb WORK LAB. RECEIVING & TESTING-CONSTR., MAT'L. SAMPLES ITEM NO. LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN., WORK REJECTED, JOB PROBLEMS,PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT. AMOUNT OF MATERIAL PLACED OR WORK.PERFORMED; NUMBER, TYPE & IDENT. NO'S-OFTEST SAMPLES TAKEN; STRUCT. CONNECTIONS, WELDS MADE, H.T. BOLTS,TOR6UED,.CHECKED. ETC. 74/ 7A vwo 4 4 A�. . 2 g2 A i 4 c' - V v ee- zz /7 I_4A �a 4, Xa/ 0 CONFORMS to DSAIDocuments 00E.8, NQ_TCONFORM-to.DSA Documents 0 PROGRESS REPORT- ONLY Form No. 2M - Pioneer Printing (760)353r5401--- STU14ATUREOF-REG.ISTERED INSPECTOR `NAME..*OF. REGISTERED REGISTRATION EGISTRATION NUMBER INSPECTOR (PRINT) DATE LEA NUMBER Al JAM Co ON S1 ftwb�-Abb tiMEAS..�URED ATS, kESs C ACTORS oxto4b`b -AElb;CALIFORNIAZWLI�bRN 2202 760/; I'A9 --xk17" "CAL [,FK TAMPICO % MCC44 76 ,q �j JQ RAIL W J. I B -;� . - - L fil G!U.fT_ari TI ` 40 'k 7, ri—, i 0 33 1.2"471V, �Z E -_DISPATCH'; TDIC"Q. -111r, --xk17" "CAL [,FK TAMPICO % MCC44 76 ,q �j JQ RAIL W J. I B -;� . - - L fil G!U.fT_ari TI ` 40 'k 7, ri—, i 0 33 1.2"471V, �Z A." 'ty,' q,.• FORMULA D', W.' DERb Wt •-t' j t IXTA C" ,,,,,TRUCK N�fDRIVER k NO s4','_ 4syn sa 1 tj 87 -.YAI4b$-,,,b �.PLA "i 'N T, i '-p 9141: t." Aw A e WARNING-_ CE ATk 2 r1.e d qqqes,t/A thodidt'B d' IMy"A 6 ifo ing i-IRRITAVINGTO'THE'SKIN AND EYES %Vis.vieIghed.*easdred:-A'rt Is Is f, t., v ;.T 6e. Bk6a6liqloye�Pk�OILONdEO *GO` NACTMAY CAUSE �qntalm; RNS�Avoic!Conladv WtfiS�n Eyes and�Prplqigpd CofflaqvA4kiA_Ip,C!se'6fCQidack sipriature on Ihls hd aso finized,aulhorl a 14*160dlaq, • • yAh c4 ly with Water. If F�rsists� get Medical Attention brE i_u5hThor h 12 w 5 - of the 1. ofitl ualni��imj Pq!?;#ns. 'IS -, EN Ny "I ISHABLE C6�IZ MI C. A and 0061M "fe_PqpMtV 4 it. F�h4ASEO WANT, GR�NGES,orf,�NC-N, too."N"'P6, TIONB$ Vjhea, I� au!AmjpU 'I�lhe,,Cal�foff!iorpo-Ooitoofit,df'Fobd:an Agriculture.: UMMMMUSrM.11,11; 0111,11 .,ION 5TX'!EiCEPRONEO to Die OFFICE KfflRE LOADW'$TARTS. otblilGINA�AqSTL ONSITE AREA R TRUCK WASH-UP spnderslgned promises to pay ali oosts, inculdialf1reponable attorneys fees, mcurrod;in 2, , " 1 a21III1lElie collecft any sums owed., A in 30 clays ofclellv" will bier ildenist at the take of 185� peranninn Nfla"t spo sib Reactive Aggregatebr Colqj Oual*.jVd Claim Allowed Unless Made at Time rt Ma: A $J5.00 Seryk.96Discount aigeand Loss ofthe Cash iniclumedqhecks will becollected on all XRECEIVED-bY' w w. YAR'N ,DESGRIP 4-'11AxV,' DEPUTY Oly 'EXTENDED PRIQ 7. RtJB-- 171 -Q: o 0,V k1j, Y Ato ,11"t Tp 61 -T - iENI) I PUTAMENITA FE. IE 41 E -8 L 3 w FS ". Ito F, £:.a h .4 L RETURNEDARNISKUNL N FORM:0F PAM�NT 1.-Rr L -)FD O�CA80, A 'ARRIVED O'C HEC J -L1ffv'p"(A1NT'j1_T;, ,Jo B... e START TIMEI DELIVERY TIME 0ON A COUNT D L;. # "55 ADDITIONAL CHARGE 1 fwk ROUND TRI ..TOTAL AT JOBS, TQT. L. "UNLO DING TIME, STAT� EXR. 'STAND BY A ADDITIONAL CHARGE 2. DRIVER MIN J. SIGNATURE: _JAM.AOL Ll 99 -4383990.CONTRACTORS 3'5905 DILLON ROAD BOX 10990 - INDI CALIFORNIA 92202 760/347-5399 760/3471892LIC. NOS. 521795 and 51892SHIP TO: --j"290 QUARPALMSNO. DRIVER-, TICKET NO.DS *g�Eh),�L MIXTIME TRUCKJOB# WATER3RIM SLUMP_ PLANTLOAD # YARDS bEl_j47.15 Add BIf BiRe 'VAuthoriied-' Y,WARNING THIS IS TO CERTIFY dj1:n11.1'0.mm0fill measureo. unted byTO THEM authority ofsli;natul GAL JXBURNS. Avoid C" ift Oes and Prolonged Conlal with In 0106 with Skibode, 'doinjill by11fornia Department 4 00d B Ag Ore.tie Calani, ELLA�Ol ORIGINAL WORto ft01 OFFICEjem01"*me�sfam,il in. Willannum:1 UNIT PRICE- EXTENDED PRICE0 CODEYARDS/TONS DESERIPTION -,DEPUTYEVir EarSHOR-r LOADRETURNEDT'O.PLANT' LEFT JOB . FINISH UNLOADING FOR0 � PAYMENTCASH I AMT -46 $ ADDITIONAL CHARGE 1- 0 DELIVERY TI LEFT PLANT ARRIVED JOB START TIME 0 ON ACCOUNT, STAND BY TOTAL ROUND TRIP ID TOTAL AT JOB UNLOADING -TIME - STATE DRIVER LMIN ADDITIONAL CHARGE 1- 0 SIIV[ JAMES.. E . MEASURED AT MAILING ADDRESS OFFICEDISPATCH• �.CONT;RACT �R$ 35905 QILLON ROAD BOX 10990 -pINDIO, CALM=ORNIA 92202 760/347 5399 760/347=4383 �. ;. .s ' -706'anW." 51;8926 ' . SOLD TO LIC. N tfil,t SHIPITO x 7Er" �1j C�[_iy'�!d Fi`(. i 1 i'I ( k;I ; i F'S. l -5 ! t aLL E `� A1`4rl I 1 T�u' I � JRAP,,Y/tYify� j .. w T i ittl�tf�lyi, :i +fit i+I C 1� u .j; 3' I `17 FORMULA #<_.LOAD SIZE, ,YARDS ORDERED �� ,� f TRUCK NO k r ,• .tz' t'Ir� �1, LhF lS?J 3a, , ! DRIVER i TICKET'NO ` �lE r ' K DATE s CODE # L iv � j,WAT ER;T RIM �LOAD YAS �j {Q �1tt , t.�•fa-/` t%1 t � ; ,� � , '; , x , q � � ... - .. r r:. �, ,IPIANT .� I . (�.ptt9J t r 4 1 4 yr ° r 'rt r 1 y„lr + .;t (T£'..' , T Y 3 �x R• iK " .' at q. t, a ,t' ,s �zQ. W°, , , •+�;.'As d ` S t ,, �l+ E1 Ct jt�kjA 54 + d. ... 1 411 r"k WARNING; a *,. WEIGHMASTER CERT,IFICATET�''�` °: jt�^`''� y•T}IIS IS: TO CEgTIFY thafaAe+fo ,.,.� >'' ,.�•,,,.. n -, �s° H2O. Added1:By,Re ']ues Auth IRRITATING TO THE SKIN 'ANU E Ilowlnptdesetihed commoOiry , c jxr4 - Q. ,k OrlZed''By t ',r EYES S ;,!mswei hed toeasuree or'counted - .i; + '_:��, I'i ; rr "r r3' .,� } f ' f.,'±"k Cordains P.ortland Cemem, Wear Rubber Boots and Gloves. B hy;awelghmaslerwhose pa, Y CONTACT MAY'CAUSE signaNretaod.this eerURcaro'who is a;reea nizee�•' P BURNS. Avoid Contac(with Eyes and Prolonged Contact with Ski p. In Ca -zkpte dr '; aecura 8.. oilry,ol ®+ . Case of Contactwi" Slun .' ty; as piesen0edby'.eAp ter? commeneln wllA Seetion '[; w; ' ^�' "-_ •` i or Eyes, Rus6.Thvroughy vrith Waleo H Irritation Persists, Get Medioa6Atte ti n:: P ( `P' 9 + .: _ ,.P o_; KEEP CHIL a ?!d';' d Oiyision 5 of Ihe;Cetitomla 8usmess�and Protesafons -DR�N AY✓AY.r .,-�,��;._ -_} ._-.. �-- Cotle adminlateretl by Division otMeasu""` '< ` `.CONCRETE is'a PERISHABLE and BECOMES the PR - cement Standards: of�&`i: p� , ,y e�'� r. F t t(1� •:� a,� 7. "x1;t �'t>,r ;a• �. ' Itie Caldomia'pegatlmem ul rood and AgAb Iltm ` * ti'.... UPON LEAVING the PLANT. ANY CHANGES CANCELLATION Of NSTRUBY ONS IJJ G., A71�n tt••sstt 1 •�,,,.I x�. MUSTbe TELEPHONED to the OFFICE OEFORE'LOADINGSTARTS' :# 'i$k7T VQ The unferslpned promises�to pay all costs, incpldingreasonable attorneys fees, incurred n J ' ,°' '`' ::1 ^ #t .. .a ,, ' .. ; ON T'P T CaBecung any sums owed w - . g;: +. . a , , t r SITS AREA 069-TRU WASH UP G ,; JAMES E 'SIMON C0' t a ° z I,ti 4 All accountsnot pard wdhm 30 days of delriery wip bear (merest at the rate of 18% per annum s .a �a. NolresponsiDlalorReactiveAggregateorColo�Oualdy.NOClaimAllowedUnlessMadea[Tiime r • s s s Material is. Delivered. WelJhI112S1eE < s 4 z 'A$ rgandLossote Cash Disountwill be CollecteBy�EI7g f LO+ ADRtiECEI15.lg Service ChaVED BY LE uAd Returned o x 5 r X)L� T r,• "r YARDSlTONS CODE y DESCRIPTION 31! `� �' DEPUTY t z § s J, UNIT P.EiICE : EXTENDEDrPRICE' Y' t V EGG itikft � r l kl{ . Pce:31 .' F,N i'/',S. I J ! 4.iVt 1 P?CIIVIYi�:WFA t p k �` t�:s° :F i I-S.LJI L !�Idl2rP�1'F�i�(�k� � RETURNED TO PLANT —al FINISH UNLOADING FARM OF PAYMENT c r,19EJf�7 ` x -. OCASH AMT PAID$: �;-I'LIFaD w LEFT PLANT . 'ARRIVED JOB, ;°CHECK/#. :" r' av fi - i •.• r START TIME DELIVERY}TIME z ❑ ON ACCOUNT , 41 Cfr) ADDITIONAL6HARGE+1 TOTA[ ROUND;TRIP TOTAL AT JOB UNLOADING TIME STATE EXP STAND BY DRIVER IN ADDITIONALsCHARGE'2 • '67 JAMES E. SIMON CJ r 7 AT O�d C. AFFICE . T CONTRACTORS 76) VONT _.9.Wp1LL0Nfl A -BCALIFORNIA)�202 7661�47.-o T,',,F )22Q 0X1b§.0-iN01' C'(LI 9. 4383 0/347- NO&v �7 521795 and5189S SHIPTO"."".. SOLD TO MC M� WrV.:,7A.t:75 C'ALLE IM Y.,,G L J)9 A, r) L at Q'_'�47-'5399j�� N -I q, �YARDSORDERED�.h, I T W,E 041'0& g c, 'CIIE P- J, I K, BM Mt-' T 7 7" --,WARN 'WE.IgHMASTER,CER.T.IFICATiE,,�� f12� Added e uf' bhfitW AGITO THESKM WA Ad' '41FV�'U�qi I , Y1.1 aster whos 11 4i 1i �4 &1VE lhfflift I -,,A- WEYES" rants rpruang qmen �6.N13bbONJA CIT 869W h;oIdNhfart fry chap ti or,Eyes; Fhrsh-th6;a.b "tiffi, Water. 1 pl� Medical Attention. KEEP., CHI . � "l I CAUSE` r"y ac�lfl P!V' T.L '2 er ;7 (ro C on e [no wilromis u a'. %A, �-q OREN AWAX_,'J(-.p 0dq;�adTIpjs!ored'by 01 1 on of 5 '0.4, , R5 n V_ he PROPERTY of the PURCHASER t 0`0 CONCFIEiEIP i PERISHABLE COMMODITY and BECUSl n F CEL�rAT'134"F"G'NL INSTRUCTIONS' UPON LEAVING ST'FRDVFDM the �L 0 S I ET A "RE TF WOR TELEPHONED! D! �� ANY, CHANGES or CAN - . 1;� �, .- ! I - MUSObe HONED! 0 the OFFCBEFORE LOADING STARTS, We 4 1 f, _T OR TRUCK WASH-UP The lmderslined, Promises to pay all.cosis, inculdin' Incuded I collecting any sums owed [till owed IN JAME&iL All accounts rrot paid vnI:JhIIFIIO days,crf defive� Will Emil V0 Claim A Aiifidister Not i o9sibto fo!,�ieactW-AglIreljiite oi�ttifoi Qualj�f. Rowed Unless Made t T Do f 'red: . , ( - t' Aat is .. * � , 1. . I i� -'7 T -n a AD 0ftiv, o' a Timer r'qry q Q, so' Ch,go and Loss ofifhe cash Discountwill be Collected on all,'Rehimid CIA" y X E DED.P EXT fo s'�DEPUTY� UNIT PRICE pSCODEQf F I �01i ", A� At, 4 PV RICE . NA", PSil� "FN -T'/ AJ% 8- 7 J, 1-70 N F, 17 J R G E" 5 v v E7URNED70 PLANT LEFT JOB Iff FINISHNLOADING 1, ,',FARM OF PAYMENT H - PAID $ _s� QfZT L(.)Ar) Wi ft:PLAN A TART TIME LEFT ARRIVED �S DK,�Igq im I J.4 DUN T" E5 7 777 0A �- ADDITIONAL CHARGE 1 OT,ALZ ROUND TRIPI TOTAL"ATi._JOB `-i�l UNLIDAbiNGTIME STATE "'IMP STAND BYJ AbbiTIONAL CHARGE 2 • �v ME -'S. �LMO - ,• MEASURED'AT MAILING ADDRESS OFFICE DISPATCH CONTRA RS'. 359Q5 DILLON ROAD BOX iQ990 • INplO C`A IFORNIA 92202 760/347=5399 760/347 4383 +. Imp LIC NOS. 521795 andr5T8926 SHIP TO y. SOLD TO e � ! Till 4P I QUI *r " t f.MAP fit'= IL"t G�11f RRY, l`IERll 41 h �y --t -�.g k�a _ •; T'.- _ rte.. r"T'` � '�''" ""'!', 1 _ ti � +-^-a � ".,."'"� �,,.. aCfi �s �:'. „ .�. •�!''1 .d! p+_� .""(�D I( i 43 a t 4 LOAD SIZE YARDS ORDERED MIX TIME 4 TRUCK NO 'DRIVER`S TICKET NOS h f�c TIME ,r FORMt�LA # i.� ! t 3f7 q ,� ,"�' �` ZS�� iC a ,, .t+•' +" P" !i'¢i-£t��iTj b .r. Y�ikx i t 1['i'h �.ti tit; s r at „ #CODE # v'' xLOAD # d YARDS r ' cDATE rt +w+ v i 1 s 3 1 'L E f. ; r,.} h I. ';f k "Fr �� "'-?'y. f.�.� �� .rs�i'it^ a+ ` '1 i t'Y.5 . 'rJ • ;7 1 4 r z 1$f �$ y: t r.:'.'. F, n y ° ° WEIGHMASTER C RTIfICATE 'H2O Added By A ibbst/AUfhOrlZed WARNING _ `s "eai + THISiIS TO CERTIFY That the lotto deterlUeE commodiry °. �' -°e� TVIE 3KIN AND EYES i was walphe6rmea'sured gyeaentedl Ey a welpliinarter whose.a ] r ,' IRRITATING TO n isi9natura is op mts'i T ate whu is a readgN:ed authonn otsandcloves. P. OLD GED (ANTACT MAY CA,: SE >aecgre yas.D `�,�bY;phepte%7. commencing IthiSactlo��. ;;: B w ncaseoLCdnma" h. 1•ri27001�ot OivlsTdl UaaautSmfasustS'ea'an�'PmTeu�t'ona iT . �",`U .wli e opged Cijtact .M[? y „ " Flush Thoroughy wiMVlaterrritation Persists,:Get Medical Attention. KFC .IL- ,.Code adminlstereE by Dlvision�dl �leasuremeM Standards of ��E� OeD,iAmenl of FooE an�1 Agdcufture ,� y,. �y+�y� CONCRETEisa PEAl5HA9LE COMMODITY and BECOMES the PROPERTY of the PURCHASER r Iti.,�%y�` �F +„,. i „zf `t'_.. ,c"`"NN��T"E'AR EAFUR"TRIJCI('WAS�I�-UF��`��'�� fs„r{rt .UPON LEAVING the PLANT. ANY CHANGES or CANCELLATION of ORIGINAL INSTRUCTIDNS A. r y ;#�, . ^MUST 6e TELEPHONED to the OFFICE BEFORE LOADING "STARTS. ,+ i + ;�v -" a 9r 555 _ • • • f" The uadeisignedPremises to:pay all costs,'inculdin0. reasonable attorney's fees, incurred, in - �¢ t conecttnganysPmsowed. y �. JAMES E. SIMDN COd t . • `� IVED 'r r ,, :qll eccDuptsnot pa,d vn�m 30 days otdelweN vnll heir iota est at the rate of 18� per annpm ek 9 LL; Y: s t LOAD' RECE BY Wei hmaster t, r*•'C Not fespdnslble for Rracbve Aggregate or Color Ou fjlry. No Claim Allowed Unless Madaat Time i t r , + - ; 1F {• ? ; t • ,.'. 'r,M anal ls�0elrvered .r, 15.00 Ser`tVfce Charge grid Loss of the Cash.Duscoum will be.Collected onall Retained Checksr .By „U•,., ss„ r X u UNIT,PRICE EXTENDED PRICE; CODE:. DESCRIPTION f „r DEPUlY'` YARDSITONS s vN ;f fir; �� , ! 0 11: �•e1C I vp 1 4TF'' CEJ i F' �� sI `2 rjPjl`i Ii�tV.f E , 1�f...j{1t s 1 " z r yy. } * 14 I . `ESU FAL l IH'� -�r7� d , } :::C 5 'I A ' T,. - �+1 tt Y h' 'T :'i+•7k rq �.fTF,}x; �_?�'F'n': ,�: RETURNED TO PLANT LEFT JOB FINISH UNLOADING FORM OFPAYMENT rt y t r a F CASH 'AMT PAID;$ . 4 O CHECK/%# DELIVERY TIME IEFT PLANT ARRIVED JOB'. tF1START TIME ON ACCOUNT r F t u .., 0l` ADDITIONAL CHARGE 1F 1t TAL ROIND TRiR; TOTAL AT,JQB UNLOADING TIME STATE` E P k' STAND BY ADDITIONAL CHARGE `. DRIVE a SIGNATURE: y 1 MIN. _-__--_--_-_-_-�__`-----___-_---__--_--_-_-___- JAMILab, It. bIMUN CO.,MEASURED AT MAILING ADDRESS OFFICE DISPATCH 760/347-4383 LIC. IN16S. 521795 and 518926 soLom: SHIP TO: Ivicr; 1114C. MCCLI-9 78275 CAI LE TPIMPICID TOO.Y33AND PALAAS dil. `322-76 JIME'. 'FORMULA #' LOAD SIZE YARDS,OROERED MV TIME TRUCK NO., DRIVER TICKET NO. IRRITATING TO THE SKIN AND EYES THIS.IS.TO'CiRnFY that the jollowinit'deiiribird commodity W83 wslghed..moasured� or counted bya weij h mans ;;��GAL, C E Byt,wri! rtla&OCement,,,WearRobbpe= GED CONTACT MAY CAUS on Contact with Skin.. In Case of C tactwifloSlarl signature Is on this certificate, who Is a mcogh - accuracy. ii prescribed by chapter 7 (commenciiiii wl or . V or Eyes. Flush Thardughly with Water. If Irritalm.Pruststs. Get Medical Afford ion. KEEP CHIL- 12700) of uivii1or, S. of the,Califamia Business and Professions C040 adm1pistered by Division of Measurement Standards of tmblu IVIER Wall rnuvilur AN DREN AWAY. CONCRETE is a PERISHABLE COMMODITY and BECOMES the PROPERTY of the PURCHASER the C�Ilfomla I - ]apartment of Food and Agriculture. UPON LEAVING the PLANT. ANY CHARGES or CANCELLATION of ORIGINAL INSTRUCTIONS t, ONSITE AREA FOR TRUCK WASH-UP MUST be TELEPHONED to the OFFICE BEFORE LOADING STARTS. mel"IslifflT 0 The undersigned promises to pay all costs, inctitiling reasonable anorney's fees. incurred in 11111:11m:113 collecting any sums owed JAMES E. SIMON CO. All accounts not paid within 30 days of delivery will bear interest at the rate of 18% per annum. Not responsible for Reactive Aggregate or Color Ouality. No Claim Allowed Unless Made atllme Weighmastier LqAD RECEIVED -BY' Material is Delivered. A $1 &OD Service Charge and Loss of the Cash Discount will be Cratiecled on all Reliumid Checlor. �.',YARDS/TONS CODE DESCRIPTION' DEPUTY UNIT PRICE 'EXTENDED PRICE ma OF RETuRNEDT LANT LEFTJOB_ FINISH UNLOADING FORM OF PAYMENT. ED CASH AMT. PAID'$ ON ACCOUNT DL4 10 41D ADDITIONAL CHARGE 1 TOTAL ROUND TRIP TOTAL AT JOB ACOADING TIME . STATE TEXP. STAND BY ADDITIONAL CHARGE 2 DRIVER MIN [SIGNATURE: $ 0 'tY =%+ � u.MEASUAED ALT MAf;I JIM RMOM 71, tc CONTRACT,05 35995 DILLON ROAD : BOX• 10990 i I i • i' r , 'SOLD Tot Sys * r ,d * ,1•p,�tt'7 M{+?is., t 4� 1.i�# �'3�1.�Ey �• F hi i� ��'i � t.."l,,�dGt ��.I:.i�l'S hY"s � JY �a I `Fi. i •' aw 1 r, �•`p j ,i y y1 iµ9 � 1'� I2f:• 9. �`fk��NWf d .f,�-.{ 9i Rif ' 5... Ali, a C } ,,�L77 b >;• t � L�� 1 �C s y',r^� � � a �c� L,� +��3��{ � y 3 > g � � ,r }�' T" :' � 1I,��,� j �ff 14} - Y R' �FYeo-�� SZ L t '. 1 *' '+. _ f tx• `` y tra'�14-M�B.r -`. s' 5 �,•�' Y "'' WARNING. ARNI r. t lIEIGHM IRRITATINOO THE SKIN AND EYES .M d am. •. „q v: ContainsirmliclydCerA@nl,Wemlluli4er pl5endGigves:PR�i.OI)tiED, NT gMAY CAUSE p. is 4n BURNS. Avoid COMWW 'Eyes and Vi onged Comaot wIPZC. InDas�, Caitab4with Skin °feey asD,teseHA' / 12700) 01.01'yl6lph 5�� fi'a5�u t or Eyes, Rush Thoroughly with Wat uallon Panelctfr GekMedicalA (ym. NEEP CHRL Code admiMstere 9Ci; r; i1iU4 �( 'r DRENAWAY �` NaCeHlomlaGepr�ine .. t CONCRETE Is a PERISHABLE COMNI00 and BECOMES the PROPER of a PURCHASER UPON LEAVINO the PLANT.. ANY CHANRES�or CANCEL4ATION•ot ORIGINAL INSTRUCTIONS J' w MOST be TELEPHONED to the OFFICE BEFORE LOADING S F11S. :� t`,'*5�� ' • 'nte undersigned promises to pay aN vests; inculding reas0*6 attorney's hes, incurred m : u S . R s° owed. collecting an ms g r - MES,E SIARI O All accounts not paid, within 10 days of tlelivery will hear intarestatitia,3a[a.ofT Petr annum Not responsible. for Reactive Aggregate or color Quality. IbClaimYillow Unless Ma s {Time 9 Matgriatis Delivered..: _ - , ,2*�" Y - '' A$.15.00ServiceChargeand Loss of the Cash Disa;ouMMAJlLeColle4 kopallfletumedChecks :B Q,YARDS NS .; ' , ;: CODE 9-SCRIPTION . �+fkt�... '�s y .1L Y+iy� { � 7� ,y ••y�^J�,1�"y�i �' fin ..+-y t+ P� .r 35..f ''�t�f)7 r"a �"I fat •�ib�M� rLJ I'�` LIW''t,•-. 7rWrf.+l��,tit � T , • r�+y�r1�1y�� .;_.:%`�.� ��T."�`z'>;•��', tr�`,,,��;if�l tt ��j�ih�yi�,�l� f �t"�� '.� ya,= r�-.v. l�,rilJ �il'f ��•.-�@ajth`vL?b`x't�.lIM 17��wl.J f'.�y'C i�tT�1: arr rF W •)• - Y s !L� / 1 •u, t3. FeTu EQ TO PLAN t L +iOB ' INISlrJ Nk0 QIN ° FOR; 4t}�,Y s s � � b &ECK/# `. PLANT ,` ' ARRIVE OB. `�sSTART TIME �! � ,. • � � fOON�ACCOUN,r TOTAL UND TRIP T07AL Qr , UNLOADING TIME n STATE ` 1... r s A r , DRIVER 'e A s 3 P r SIG'NA'TURE. Tlf Olt j.Fg�ems: SS OFFICE +_ i PATO QRNI1 92202 760/347 5399 7J i 47.4383 t � d i ��S'1. ' ' r �q�ri• t. ,. i.•'1LF L.v n yf� LiC NOE< 521715 and 518926 _ >-NR , t +l1,f E.L.L>" i:Ar'lljr�ru44 6 F0, it �r . 1 y & R {- R . k4(IP C,19. 67. h� 13 i", �� oJVIIX TIMES ` ' 'TRUCK NO ,, � t `�DRj�/ER `� 3�• � TICKET �1Q � �f� ,� y R` j. .tT F r�`Wt t a K .' 1 G. F t7P!y�`I@�" 4 'Yr'•..y id�7� t is tb .g.u,� '�:' f•,I'n, �� 1. "l,. ai,.i. X41. ,1� •.� ERTI#=�CATf � ` H2O Adde�tl'�'BylrRequest/Authonzedy+Byr � � �- n hy�yvei eet�YaindSe i i :. ..c eognizdd autNbnry',°t4td } tGAL {7lcpmtGeY+cI� 1Jh Sieelion, an '._.�4/t_ .._ n Bosihess alMg Protrsslons '� E f' s•e u,+;l' '.� ka�,s,;.a Sy`�,i'iiivv y, -F,+. ': �i.�y � k '� ,,:"? 4'� •^r^a�:. ,t 1:: • easdremeld tandards of I�Agrry liare� _ '-� 17 "`,,- cusT0�1afffAtImI Ryle Isis. ATI- .. y "ONSITE AREA!FOR TRUCK WASH-UP rT A acs,O_ F•'r t S 'R LAD RECEIVED BY TII,,,.;, sUNITPRICE ." 'L�(TENDED f�iI;CE AXl L,II)0", 113 ri_i fx - S•'v; 1 Y a Z t_-�c �,.. •t'` ..$ ._fit ^".. r�:' i;: 4 { MENT r - MOR � LC*4 E1 3 ,, � - DELIVERY:T4ME _ tr'�y �N ►i�` ► 1 ADjn]ITI a c GE 1 Ph " STAND BY IDNALEIAR Z .a MIN r • 0 .JAMES E. SIMON CQ. 14EASURED AT MAILING.fAC 359e DILLON ROAD BOX 10990 • INDIO Ci ;S OFFICE + DISPATCH iNIA 92202 760/347-5399jjr 760/34,7-4383 1;LIC. NOS. 521795 and 518926., SOLD T0: SHIP T0: NIC. MCC49 76275 Ciat. L.E `I AmP 7 Cil �7 1.. 117 01.1f4RRY (Rf•I.LL: #i,. L, 0. LIBI?MY/I4AP 8 9 67 h - Lei QU II• -ITA � T l 1E71 iS1 fil�f) I tf�I •.ISI: a . CA 9P2.76 .. I rat ;fit , 1,:Cr'F i FORMULA # ., LOAD SIZE YARDS ORDERED MIX TIME ,TRUCK NO. f DRIVER •:' TICKET N0. 1 L FE l '434102 9. JXr .6 ,.. 5rf„�, A . icc,E.err � ,��'�• ^. z c.. �•;�. � CODE# L-O�AD #.__ YARDS DEL. '� JOB # WATER TRIM SLUMP -, PLANT . � t K+rl" /1 ! •i lI%w ? 29 �tsa ��IE:I (f L cc1it : - » WARN= WEIGHMAStER CERTIFICA_TE Added By Re' B r.; : % - n :IRRITATING TO TH6l$KIN AND EYES THIS IS TO CERTIFY that t a following described commodity was walgoee, measured or counted by a welghmaater whose signature Ia this pie, is ,H2,0 E t .uest/A'uthdrize'd . of ' . },�• (:o-htags hQrdand CbfiwM, WearAubtier Boors al GlovBs.pA000N6ED CONTACT MAYCAOSE fi=r BUflNS AwW Cofit�ct with Eyes and I'milonged ntaciwM$�C6t. In Case of Contact with Sleet on eer1I who a recognized authority of aceureey, asgrescribed by hapter 7i commencing with Section \:- GAL . v . n t ,� p ' ,• ,_,f Tfdffoupidy with Water. lrlydta Persists, tart Medical Ai<entwn. %EEP CHIL- 12700) of Division 5 of the, alifomia Business and Professions : Code, administered Ey Division of Measurement Standards of California Department 4f.FooA and.Apdcullure. :. .ONSITE `rx:RAEIEapPA(SHABLE'COMMO'�I7Y an 0ME$the PROPEkIY of urePllFiCHAS'R ,S ,,�??AA l ,.:Ifie ` °UPON hNe the PUd11 ANY CHANGES or LLA719N 4HI61NAL%ISTRU ONS . 1M11S7Nra.TE`LEPHONEO to ftle.OFF10E BEFORE ING Si�Hi� AR '-FOR TRUCK WASH =UP ` aiitle�slpnevrondses to'* ad•cosls, irg'ieasohlbk"aaomeys tees. incurred in ,t • _ • • , rolikgnoanywmsowed., JAMES E. SIMON'Co. . • . . = Agftccourrts rpt paid widfLt30 daysAf delivery. Ibear interest at the rate 0118%Aar annum. eacllve Aggregate or Color afity. No Claim Allowed Unless Made at nme � We1Qi1ff12SiB� LDAD RECEIVED BY Ionsl�bleffor A$15.00 Service Charge and Loss of the Cash O♦ant will be Collected on.aff Returned Checks.By iJy LE.y �� ?ff. .'i .'• �( t .--YARDS/TONS .. CO E, DESCRIPTION t -'DEPUTY UNIT PRICE. '`.EXTENDED PRICE f : 0 �. 4z��'�-, � �� , - U�_ ��000 Pj I- nIT/ �u��..:.�r ref CU 4 .:. L �/' ENV J: RONMEhITAL. FEE izz�tc tI . 1...'0UA. F.-2 .. F'tA—L- SURD -TARGE Es c Fi �; � •�� .-:est.., "VIP RETURNED TO PLANT LEFTJOB FINISH UNLOADING FORM, FPAYMENT CI CASH I AMT. P41 $ SIdCiRI LCIfCi f LEFT PLANT ARRIVED�JOB START TIME ❑ CHECK/# DELIVERY TIME ❑,OIV•.A000UNT y ✓ DL # 1• ADDITIONAL CHARGE 1 TOTAL ROUND TRIP TOTAL AT JOB UNLOADING TIME STATE L ;EXP. STAND BY ADDITIONAL CHARGE 2 VER "t MIN ' NATURE: j $ LANDMARK ,*EL CENTRO: 760-370-3000 r PALM DESERT: 760 360-0665. DBE/MBE/SBE COMPANY TECHNICIAN DAILY REPORT PACE OF Project Name:'. , C ;Prpject..Mmber: Client Name:(,;a, 8Aq Owner.'s,Rep Onsite: OSHPD/Building Permit No::=Planfile.No :° DSA File M.: Scheduled Arrival Time: DSA App. No.: Time In: t. t Trne Out: Via' t' ' Lunch/Break: Mileage; Total Hours: ! General Contmetor•(Name & 06mpany)c Specialty.Contractor (Name &Company): . WEATHER CONDITIONS EQUIPMENT. USED.. AREAS WORKED. Location. of=work;observed, tests/samples taken, progress, remarks,:job problems/issues y"' i �� +.'i E �'+'• _) ` }i F� , i r S� S. �:`� n �. , it ` ( s q ,- : f, ,.�:✓ ` !'t, `'1^ o :\ �! 1f :{�..i�,i .l: - \,r' 1, i i 'y •�� ! Iii j _ .� 1� 'i! .� a/ tY :�,..+C �t�ii� '-fel �'L S •) ��n .•1 ^ � f� � .�( '.;i _ . DID YOU OBSERVE EVERYTHING YOU EXPECTED? YES" DID'YOU:OBSERVE ANYTHING .U:N'EXPECTED? ',. •0:Y;ES, `- _ -NO` IN`PARTICULAR WHAT;SHOULD`'BE-OBS,ERVED/CHECKED/RETESTED.DURING::NEXTVISIT: NON-CONFORMANCE; t _ r _.^ t.. .. TECHNICIAN'S SIGNATURE:' ` SE / ,f,, DATE/DAY:+v •PERSONNOTIFJED -' SIGNATURE •` NOTICE..Our firms technicians are represented. onsite solely to `observe :operations 'contractor identified, to for opinions about the adequacy. of those operations, and to,rep tb:our client The presence and activities of our field representative notrelieve:any contractor from its obligations to meet. contractual;requirements. The contractor`retains sole responsibildy;for site.safety:ar the, met ods, operations and sequences of construction. 7,80 N. -4th Street ELCentro, CA 92243-x`77 9484ildcO Drive, Palm Desert, CA 92211 I- AAT"*A/I.AIMwIr ALIMU I MITI • EL CENTRO: 760`370 3000' -PALM-DESERT, 360-0665 DBE/MBE/SBE COMPANY NOWCONFORMAKE: TECHNICIANIS.Sld'NATQRL�- k,, IDATE/DAY -504 ERSON'NOTIFIED: s SIGNATURE: WOTICE: Our. firm 's.technicians, are. re . presentedohsite,s6l6ly.to bbterV6..",Ooora1!6ns.,.of;thi contractor identi ied:.to form 6ns about the adequacy of those operations, and,to report boie`o, p-inio-n,s,f",6r, ci hepresence and -'.!activities; ofour;field'r I epresentative do n ieve. any contractor from , its obligations to, meet coWactual requirements..- T;he';contfaf6tor mtains, s-ole,responsibility.. for.site safety. and the methods operatioris and sequences of construction. 780 N:.4thf Stre,et;,EI-Centro,�CA'.92243..-i',,-71, . _446"Wildcat b6e,i Pam Desert,. CA 92211 DSA File No., Phone No.: COMPACTION TESTING DSA App. No. Fax. No.: (Nuclear Method' ASTM' D-2922 & D=2950) Branch<Office: Test No. Density Count /;D'% Moisture Count Moisture Correction Mode & Depth U �� Wet Density, PCF /4. Dry Density, PCF /D 61 S % Moisture 9 - Standard Dens. (MAX.) Optimum Moisture 0. % Compaction -9 , Jr' cified Density -�- Test No.: Station: Elevation O� Maf'I; Location:G�T>�/�1► Test No.: Location:_ Test No.: Location:— Test No.: Location:— Test No.: Location: Station: Station: Station: Station: Test No.: Station: Location: T t No.: Station: Ation: Elevation: Mat'l' Elevation: Mat'l: Elevation Mat'l: Elevation: Mat'l: Elevation: Mat'l: Elevation: M'at'I: PROJECT NAME: Alet4 Y� PROJECT NO.: ` tPOD- CLIENT OC 41 AOTA ATE: la 4 K TECHNICIAN: ?dAIA Gauge Serial No.: � 7 Density Std.: XS 1 Moisture Std.: C'...... — Ian . 0;—..Orin inn /79n%'�S'7_Sdf11 NTRO 760=370-3000' PALM. DESERT 760-360 0665 DBE/MBE/SBE COMPANY TECHNIC( ROAILY'REPORT,. PAGE OF NON=CONFORMANCE: 00 Ir Ra TECHNICIAN'S SIGNATURE % DATE/DAY PERSON NOTIFIED SIGNATURE NOTICE: Our firm's teohnicians:are represented onsite solely to observe operations of the contractor.'identified ,to.form opinions ati f the adequacy of those operations, and to report'those opinions fo our client The.presenceand activities of.our field representative do.not relieve any -contractor from its obligations to meet•:contrac '"equirements oontrector retains sole: responsibilityjor'sitesafety andahe methods,;operations;and sequences of construction. 780 N::4t�h' ireef EJ Centro, CA 92243 • 7�7=948 Wlldcai D�IVe Palrn;Deserf;.CA:92211 Imperial Irrigation District Power Department — Underground/Service Inspection • CLIENT: � 1vl 1 " (7 CONTRACTOR: PROJECT NO.: NETWORK NO.: CSP NO.: JOB LOCATION: �, �'.'orAA-pr 1, ked - PASS FAIL TRENCH:. ❑ 0 PB,TRY STANDARD ❑ ❑ SECTOR WrSECONDARY ❑ ❑ ❑ SERVICE CONDUIT: ❑ 0 PRIMARY SECTOR ❑ J�tCONDARY ❑ ❑ SERVICE MANDREL:. ❑ ❑ PRIMARY ❑ ❑ SECONDARY ❑ ❑ SERVICE K_ 3234 DATE: TIME: INSPECTOR: CONTRACTOR: PHOTO/s AVAILABLE: ❑ YES ❑ NO NOTES: 05' r, I I (-j " u.J y(f (M<J- r ( PASS FAIL VAULT: ❑ 0 STANDARD ❑ ❑ SECTOR ❑ ❑ SWITCH GROUNDS: ❑ ❑ PAD 0 0 SECTOR ❑ ' ❑ VAULT PAD: ❑ ❑ PULLBOX: OTHER: 0 Imperial Irrigation District — Power Constriction Management . IID -766 (7-01) Phone(760)339-9532 Fax(760)339-9533 7 • . , • .. •Geologists, ;.ers -_.o1—spy 01 REGISTERED INSPECTOR'S DAILY REPORT BUILDING PERMIT NUMBER PLAN FILE NUMBER C GOVERING.WORK PERFORMEDREINFORCED.CONGRETE ❑ STRUCT. STEEL ASSEMBLY ❑ GLUE: LAM. FABRICATION O POST CONC. WHICH REQUIRED APPROVAL BY O PRE -STRESSED CONCRETE ❑"REINFORCED GYPSUM -TENSIONED THE SPECIAL INSPECTOR OF O'REINFORCED 'MASONRY []-.PILE DRIVING .0 OTHER JOB ADDRESS PROJECT NUMBER DATE � 20 c� 79- 2 Z ARCHITECT OWNER -OR PROJECT NAME' CONST L. (TYPE GRADE, ETC.)' . DESIGN TRENGTH SOURCE.OR MFGR. ENGINEER 3000 v`/ DESCRIBE MATT. (MIX DESIGN, RE -BAR GRADE & MFGR., WELDING; ETC.) GENMO/ CONTRACTOR CONTR: DOING REPORTED WORK GG LAB. RECEIVING & TESTING CONS.. MAT'L. SAMPLES LOCATIONS OF WORKiNSPECTED TEST SAMPLES'TAKEN, WORK REJ.ECTED,•JOB ITEM ABOUT: AMOUNT OF MATERIAL -PLACED OR. -WORK PROBLEMS, PROGRESS, REMARKS, ETC. PERFORMED; NUMBER, TYPE A (DENT. NO'S OF TEST SAMPLES INCLUDES INFORMATION NO. TAKEN; STRUCT.'CONNECTIONS; WELDS MADE, H.T.:BOLTSTORQUED,.CHECKED, ETC. Gav, c pit 4 / l/U P.c. G G Erna VFx ol c� aerr is life Gpaf �"�l� / f / tr�b•/' ' /h fia.78 Gs /% oQp"rG ,/w ,moi✓7-�. G'/lst.. C i•1' a�* .'/'!�i G.Ai ia...c-.. . ONFORMS to DSA Documents. SIGNATURE OF REGISTERED INSPECTOR DOES NOT CONFORM to. DSA Documents �So O PROGRESS REPORT ONLY j NAME.OF REGISTERED REGISTRATION NUMBER INSPECTOR (PRINT) DATE LEA NUMBER Form No. 2180 - Pioneer Printing (760) 353-5401 (ASTM x,615) CLIENT: City of La Quinta. DATE: 10/13/04 PROJECT: La Quinta Library OSA/App. #: PROJECT No.: LP -04053 TENSILE - YIELD AND ELONGATION DATA Bar Size Heat No. Cross Sectional Area Yield Strength - Tensile . Strength Elongation ( %) Grade Load PSI Load PSI Size #6 T 43416 0.44 32,000 72,730 51,000. 115,91 u 13 r° ou Satisfactory #5 J 400720 0.31 _ 23,500 75,510 32,500 104,840 16% 60 2.19 - 1.75 1.75 3.57 .288 2.88 #5 N 31042799 0.31 20,500 66,' 30 33,500 'T08,070- 14% 60 #4 J . 400805 0.20 13,000 65,000 500 2�002�2'1 102,500 13% 60 • #4 T 42910 0.20. 14 000 70 000 110 000 9% 60 BEND DATA Size Heat No. Bar Diameter#6 VW g L /�Bar Results T 43416 0.750 Satisfactory #5 J 400720 0.625 2.19 - M7 Satisfactory #5 N #4J 31042799 400805 1 42910 0.625 0.500 0.500 2.19 - 1.75 1.75 3.57 .288 2.88 Satisfactory Satisfactory Satisfacto . T *NOTE: Rebarmanufacturer T=Tamco N=Nucor J=Japan Conforms to Specifications: Yes Tested By: Certified By: r1r.1101 11 1.16 I'M . r _. -� ... « - - . REPORTSPECIAL INSPECTION REGISTERED INSPECTOR'S DAILY REPORT • Geo -Engineers andGeologists BUILDING PERMIT NUMBER PLAN FILE NUMBER COVERING WORK PERFORMED WHICH REQUIRED APPROVAL BY THE SPECIAL INSPECTOR OF REINFORCED CONCRETE ❑ STRUCT STEEL ASSEMBLY ❑ GLUE. LAM. FABRICATION ❑ PRE -STRESSED CONCRETE ❑ REINFORCED -GYPSUM ❑ POST -TENSIONED CONC. ❑ REINFORCED MASONRY ❑.'PILE DRIVING ❑ OTHER t JOB ADDRESS f? -2. PROJECT NUMBER DATE 20 OWNER OR PROJECT NAME ;' ARCHITECT CONSTR. MATT. (TYPE GRADE, ETC.) DESIGN STRENGTH SOURCE OR MFGR. ENGINEER DESCRIBE MATT. (MIX DESIGN, RE -BAR GRADE &MFGR., WELDING, ETC.) GENERA ,CONTRACTOR CONTR. DOING REPORTED' WORK Gf ' LAB. RECEIVING & TESTING CONSTR., MATT. SAMPLES ITEM NO. LOCATIONS -OF' WORK INSPECTED, TEST SAMPLES TAKEN, -WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT. AMOUNT OF MATERIAL PLACED OR WORK PERFORMED; NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN; STRUCT. CONNECTIONS, WELDS MADE; H..T. BOLTS TORQUED, CHECKED, ETC. .4i f A -V1',—Y4 1[ .,a Jam. / ,...✓ �1 = ...i'� a� /`., .Z 7/ j- .�. / /.1 A-4 -. /.� .Y" l �.9, wa/ :n -t di( /l -N ea: •... s..•R•.• s"Yi•i� .�:7.:Sr'/".. ' ❑ CONFORMS to DSA Documents COS NOT CONFORM to DSA Documents ❑ PROGRESS REPORT ONLY Form No. 2180 - Pioneer Printing (760) 353-5401 SIG RE OF REGISTERED INSPECTOR NAME OF REGISTERED INSPEC 0R (PRINT) �v DAT REGISTRATION NUMBER LEA NUMBER CENTRO: 760-370=3000 PALM DESERT:. 760'360-0665 DBE/MBE/SBE COMPANY TF.CH'NICIAN :DAILY "REPORT. PAGE /OF Project Name: JJjj /" z , 1 r4 SQA (., to 1,• .* ( 4 Project.Number: Client Name:.. , . % �, Owner's Rep Onsite: Y<. OSHPD/Building Permit:No.: :Plan:File No..: DSAfile No.: Scheduled Arrival Time: DSA App. No.: Time In: °" Time Out: Lunch/Break: Mileage: Total Hours: General Contractor (Name & Company): Specialty Contractor (Nam.e & Company.): WEATHER CONDITIONS: C icy A� EQUIPMENT USED: AREAS WORKED: Location of work observed, tests/samples.taken, progress, remarks, job problems/issues 'r!,'�.�'�r U.J �" 'K. Ing .l(''r .,L�T./^Tz.•'Y. , , 1 1 E.6�L.. l; -�-C. '..•�- •. � r\ .cp .tn. I�J L 1 {R y4/ • n 1�.KJ 11 ). �S ' r fl, LA. + .i :\ \T -f'A G{/.�, v f, '•' l/:,.. =V I C'C G, � /� `.: C4 DID YOU OBSERVE EVERYTHING YOU EXPECTED?:: - WYES O. 0 DID YOU OBSERVEANYTHING UNEXPECTED?: 0 YES' 040, IN PARTICULAR, WHAT SHOULD BE:OBSERVED/CHECKED/RETESTED"DURING NEXT VISIT- NOWCONF.ORMANCE: TECHNICIAN'SSIGNAT.URE: , -- ��,i T._ DATE/DAY: /L'S ERSON NOTIFIED: SIGNATURE: NOTICE: Our firm's' technicians are represented onsite. solely,to'obsOve.operatiohs' of'the•contractor;' .. if e , t orm opinions about the adequacy of those:operations, and to report those opinions to our client. The presence and -activities of ouF field: fepres nt 'five do not relieve any contractor from its obligations to meet contractual. requirements. The contractor retains sole responsibility;for site safety an the methods; operations and sequences of construction. 780 N. 4th Street, EI Centro, CA 92243 77=948 Wildcat Drive; Palm Desert, CA 92211 FMI Project Name: Um b er: (h, `Client,'Nam 4 -OP Onsite: j OS HPD,/BVilding-p,'0rrn -, !-it, No.: Plan File SA File No.: ScheduledArriyal Time: _p Time-lh'Time C Out: Lunch/gir J`TbtalMours- General Contractor (Name. om &C. ems issues Z, _T 11 e 4711 - "T DID YOU OBSERVE EVERYTHING YOU EXPECTED? "y DID YOU OBSERVE ANYTHING UNEXPECTED? - O EM IN - LA PH -L Ry -WHAT E MOEEKED gSTE�pv, 2— i,"3� -W - NON-CONFORMANCE i ECHN PCIAN'S SIGNATTURE*:, -DAT _E/DAY vZ// ERSON,.NOTIFIEQ! SIGNATURE: *TECHNICIAN'S bur firm!stetchfii'c'iians are represent solely .tW66serv,r'60 c ntractorideritified't-61 0 the, 0 s,o i'v', �e' c of tho�se..-perati6ns,-aKd-id,'-r�pport those opinions our cpqn T iactivitiesbUout field. represeht6, ".t., he-prd'§,6.h&ed-hfd its obligations to meotcohtr6btual requirerheints. The contractor it -,s ��th 9,jn or retai'o 0164bsp�nsibilityIor, q7 afqty-.Apd, of Construction. 780 ' 4th reef,, b Centro ::CA 0243_"P,47-7",.,. iiacat.Drive, Palm -.,Desert ", '-9221A n pKi , ns -ab about the ade�uacy not:relieve e i6 e-any.cohtrI - . . actor from ids,;operations and.sequences r REGISTERED INSPECTOR'S DAILY REPORT .. .. • BUILDING PERMIT NUMBER PLAN FILE NUMBER Geo -Engineers • ;. 0 4/ COVERING WORK PERFORMED WHICH REQUIRED APPROVAL BY THE SPECIAL: INSPECTOR OF R EINFORCED CONCRETE .C] STRUCT STEEL AS EMBLY Ej GLUE. LAM. FABRICATION " .. PRE -STRESSED -CONCRETE 0 REINFORCED: GYPSUM O'POST-TENSIONED CONC. O REINFORCED MASONRY -:1`PILE"DRIVING. ❑ OTHER . JOB ADDRESS PROJECT NUMBER' DATE OWNNE,R:OR PR/OJECT NAME 64 7F CON T'L. (TYPE GRADE, ETC.) . DESI STRENGTH SOURCE .OR MFG R'; OESCRIBE':MAT'L. (MIX -DESIGN. RE -BAR GRADES& MFGR.; WELDING, ETC.). ARCHITECT ENGINEER G ._ L CONTRACTOR CONTF(. DOING.REPO ED WORK .LAB. RECEIVING &TEST:ING CONSTR., MAT'L. SAMPLES g "ITEM �'NO. LOCATIONS OF'WORK:INSPECTED,.TEST. SAMPLES TAKEN, WORK REJECTED JOB PROBLEMS; PROGRESS, ETC: INCLUDES.INFORMATION ABOUT: AMOUNT OF MATERIAL PLACED OR. WORK -PERFORMED,. NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN; STRUCT. CONNECTIONS, WELDS.MADE, H.T. BOLTS 'TORQUED, CHECKED,'ETC. 67 (�!,/.§r,lQ i'e,/. ^' OJrMGA ./�o 2..// lti ✓t!7//.C' .: /G /'L '.Q/7/ ❑ CONFORMS to DSA Documents SIDOES -NOTCON : FORM to DSA Documents ❑ PROGRESS REPORT ONLY ' Form No. 2180 - Pioneer Printing (760)353-5401 IVY SIGNATURE OF REGISTERED INSPECTOR -0 All NAME OF REGISTERED REGISTRATION NUMBER INSP TO (PR;INT) fp 'l''d' o .` TE LEA NUMBER COMPANY NON=CONFORMANCE TECHNICIAN'S':SIGNAT;URE: DATE/DAY; ` /0 A, , [PERSON 'NOTIFIEq;.. SIGNATURE:.. NOTICE: Our firm's techrnciaris are represented ,onsite ely to observe oPerations`of the contractor identifie to"f. m opi ali ut the'adeguacy of those operations, and'to rePortahose-opinion.,'s to our client he;presence=and act'iviUes of'our field,repres ntative do . -W relieve any contractor from its oliligat.ioris to meet contractual,requirements_.'The contact r.retains sole res ponsibility�for site safety and{the;methdds,.operations and sequences y of construction. „ r 780 N. 4fl Sireei;>:EI CenTro, GA"92243 7T-948 Wildcat Dnve1`Palm Desert, CA 92211 V DSA.•File No.: Phone No.: --r)U r: -.S COMPACTION TESTING- DSA App. No.: Fax. No.. (Nuclear Method ASTM D-2922 & D-2950) Branch Office:21 �1 Test -No. 5 4. r A[ 3 -Density Count r. Test No.: ' S Station: Elevation: f-^ mat'_I yam'' Location: t ' L,, J Moisture Count 103 Test No.: Station: Elevation '" �''' {' Mat'1:_ Moisture Correction /,)4 .a 1 Mode&' Depth Test"No:: Station: - Elevation: 15C-7 Location: Wet density,, PCF Test No. �� Station: - Elevation:S� -Maki: Dry Density, 'PCF' �'� IA f(; . c�'�' % Moisture 12 3" /�1:�� 1 �• 10 .: Standard Dens. (MAX.)" Optimum Moisture %.Compaction :. ecified Density r. Test No.: ' S Station: Elevation: f-^ mat'_I yam'' Location: t ' L,, J Ce, r a Test No.: Station: Elevation '" �''' {' Mat'1:_ Location: 1 Test"No:: Station: - Elevation: 15C-7 Location: Test No. �� Station: - Elevation:S� -Maki: Location: �'� IA v .7 Test.No.: Station: Elevation: MatT Location: Test No.: Station: Elevation: Wa ;Location: No.: Station: - Elevation. Matz: tion: PROJECT NAME: L -'-:PRQJECTNO.: L_ SGL )..57 3 CL'IE'NT: i ,- i.��., ,� 4i DATE �.cc, TECHNICIAN: .s _ Gauge: Serial'No.: 'w'` ! Density Std,:.. + Gr Moisture Std.: `�(X