Superior Ready Mix Delivery Ticket (Was in 55235 Inverness)WEIGHMASTER CERTIFICATE } r5i z�
THIS IS TO CERTI'TY that the following described commodity was SUPERIOR READY MIX CONCRETE, L.P. •- '�' �: 0)
weighed, mea uied, or counted by a weighmaster, whom signature SERVING SOUTHERN CALIFORNIA SINCE 1958
is on th,�, certificate, who is a recognized authority of accuracy, as
prescribed by Chapter 7 (commencing with section 12700) of WITH LOCATIONS TO SERVE YOU
Division 5 of the California Business and Professions Code, SHOWN ON REVERSE
administered by the Division of Measurement Standards of the
California Department of Food and Agriculture.
CY = CubidYard',-�
PY = Per Cubic Yard
Weighed at: : ,• r t >; i ; =1 ..
t 1. L.1, tY
DATER
CUSTOMER NO.
ORDER NO.
CUSTOMER P.O. NO.
PLANT NO. DELIVERY
TICKET NO.
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CUSTOMER NAME
CUSTOMER
JOB NO.
JOB ADDRESS
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MAP
PAGE
SPECIAL INSTRUCTIONS
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WEIGHMASTER
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DESIGN NO.
P,
SLUMP -TRUCK
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'tel' NO.
DRIVER NAME'
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ORDERED BY
QTY ORDERED
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LOAD OTY
CUMULATIVE QTY
UOM
PRODUCT DESCRIPTION
PRODUCT CODE
UNIT PRICE
TAX
AMOUNT
f— •Y
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1.
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.QTY TO GO
Excessive water is detrimental to concrete
C.O.D.
TICKET TIME ARRIVE
performance.
❑ Cash
!1 ,. _ _, ;1 �f t
TOTAL FOR THIS TICKET
Gallons to full load
\ /Slump
Check No.
START FINISH
Gallons to 3/4 load
/Slum p
E]Credit
11'A .
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TOTAL FOR THIS ORDER
Gallons to 1/2 load
/Slump
,`
Driver Comments
STAND-BY TIME FOR THIS TICKET
Gallons to 1/4 load
/Slump
PREVIOUS STAND-BY
Water added on job at
customer's request.
Authorized By:
TOT+ + MOUNT
"Customer acknowledges that the described material has been selected and ordered by Customer and that Superior has not reviewed any plans or specifications nor given any of
recommendations or assurances regarding the fitness of the material for a specified purpose, unless Superior has provided such review, recommendations or assurances in a writing sign.
by an authorized representative of Superior. Superior does not warrant that the materials supplied comply with SB 800. Concrete is porous. Some cracking. pop -outs. surface blemish
or color variations may occur for which Superior is not responsible. Water is added only at Customers request. Added water will increase water/cement ratios, decrease sa•ength of
may cause increased cracking and color variations. Superior is not responsible for the addition of water or any other material to the concrete by the customer. Customer agrees to defen
indemnify and hold Superior harmless. to the fullest extent of the law, from any liability or claims for damage relating to the ordered material being not suitable for its intended use or n
suited for placement upon the ground soils or conditions where the materials are placed."
■.7DI1•.�9\7DI.-1W-`f1171.91
Received in Good condition by: CUSTOMER
Mix Design Report
Superior Ready Mix Concrete, L.P.
1508 W Mission Rd
Escondido, CA 92029
760-745-0556 l^`
Mix ID# D837P-- 4500 PSI 1" [0]
This design is being submitted for approval. Conformance with specification should be reviewed.
Contractor: PGA West
Project: PG es
Compressive Strength :
4500 psi at 28 days
Aggregate size :
1" -- 25 mm
Air:
1.2±1.0%
Water/Cement ratio:
0.45
slump:
4.00 ± 1.00 in
Source of Concrete: SUPERIOR READY MIX CONCRETE
Construction type :
Placement: TRUCK PLACE / 4" PUMP
Unit Weight: 147.89 pcf
Design Date : 01/14/2015
Constituents :
Quantity
Density
Volume
ASTM C150 TYPE II/V CEMENT
559 Ib
3.150
2.84
ASTM C618 CLASS "F" FLYASH
99 Ib
2.200
0.72
Water
296 lb
1.000
4.74
ASTM C33 #57 ROCK
1418 Ib
2.670
8.51
ASTM C33 #8 ROCK
350 Ib
2.640
2.13
ASTM C33 FINE AGG
1269 Ib
2.640
7.70
ASTM C494 TYPE A WATER REDUCER
26.32 floz (US)/yd3
1.000
0.03
Air
1.2%.
0.32
Total :
3993=
:
27.00
Remarks
Reported by Superior Ready Mix L.P.
Approval by:
Date : 01/01/2015
Date : / /