Loading...
0205-149 (RC) Inspector ReportsF -y17800 S. MAIN STREET U SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 rpktw E N G I E E R I N G & TES NG, INC. (24 Hour) Cell: (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT Jodl2-036 Date O Time TYPE OF INSPECTION. REQUIRED Reinforced concrete . ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Epoxy ❑ Reinforced Masonry ❑ Asphalt ❑ Other Job Address U !/ / City Job Name Ve .2 Permit No - / Issued By Type of Structure Architect �I X Material Description (type, grade, source) EngineerS A Contractor ' Inspector(s) Name Subcontractor MMAL' _ -_ -• TESTS PERFORMED- -- - - TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES a „ S41 2 3 7 7f i"ba 7 - INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. �1 Cr avT/.�ic� Z� GT -i oG C r 'tea u - F o L G '- .++ 14 C4 if G C lone! do /.0 C A464-IlAdICAle t%/ XA -7-7d.,u QUALITY CONTROL CHECKLIST CHECKED IN WITH CITY .,EVIEWEDAPP. PLAN & SPECS El REVIEWED PREVIOUS REPORTS [}CALLED IN SAMPLES [,SON TIME TO JOB � CHECKED PERMIT ®'OBTAINED APPROPRIATE NO. OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE F REGISTERED INSPECTOR izc'S7� 5o9 l s/d SPECIALTY NO AGENCY CONTINUED ON NEXT PAGE ❑ PAGE I_ OF TIME IN TIME OUT REG. HOURS O.T. HOURS I SAMPLES `OD .Z • U O ' All Inspections based on a minimum o 4 hours and over 4 hours - 8 hour minimum. �/ WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0001A ®17800 S. MAIN STREET SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 1 E N G I E E R I N G & TES NG, INC. (24 Hour) Cell: (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT Joh . e; Dat14 Gj Time i2I TYPE OF INSPECTION . REQUIRED R] -Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete p Fire Proofing .: r ; �, ❑ .Epoxy ®Reihforced Masonry ❑ AspF.alt E Other Job Address/ City "C / 1/ cv , 44 GJu ;a 7 A Job Name ' Permit No 0,2 LE Issued By Type of StructureArchitect S'ra,a� % " e'v �. A/I ell'iQ«s Material Description (type, grade, source) Engineer ,I / Contractor Inspector(s) NameSubcontractor J�E..� TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY —LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS CHECKED; ETC. /TORQUED) yr-/+/S`/.JC G7! e+.v C�P� � .� l..i . C.-�J ��iit/� �2� �� ��t:'C!!1 � ' /-``� 7 • .j' ' •i. �f �ceiv 5'al J :�.{/ 7Gh./ 6 en t 7 74 A /A111 TE'"'.. 47GC p'r 4Jr �% i 1C /D tT 3/ P QUALITY CONTROL CHECKLIST ❑ CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN & SPECS ❑ REVIEWED PREVIOUS REPORTS ©CALLED IN SAMPLES ©,ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE No. OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGEALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE'OFREGISTERED INSPECTOR log SPECIALTY NO AGENCY CONTINUED ON NEXT PAGE ❑ PAGE OF TIME IN I .TIME OUT REG. HOURS O.T. HOURS I SAMPLES n All Inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. / 'V . WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0001A 117800 S. MAIN STREET , U SUITE 303 '14 GARDENA, CA 90248-3553 4 1236 W. BROOKS STREET ONTARIO, CA 91762 ' .1 E N G I E E R I N G & TES. NG, INC. (24 Hour) Cell:'(310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT JO02' G3G0 Date 03 Time TYPE OF INSPECTION REQUIRED 2 -Reinforced concrete ' ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete , t. ,, E]. Fire Proofing.. j :_r, . ❑ Epoxy ©'Reinforced Masohry''�''" p Asolialt ; - p`Other Job Address City Job Name Permit No Issued By Type of Structure pA-!-h"4; D41 c Architect Material Description (type, grade, source) Engineer 13 Contractor Inspector(s) Name / 411 n c c tv C %TNG-�c r? Subcontractor ,(Ai:,L TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY - LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. C -7 N i, /I-- lr c rt/1 /? L !� l,� m �:uT 6a/g s. a e-4. 2. a r�f�A! S!_G713/.vs ii.cPi—`/Ini":nl T fes' /rt%./� f G✓ 7���'7a 7'��s d�tF'/r PG.4r^,.-7; Sri erC : — W4 5�G A/ z7 baa /�/2E r� /J �.4 77,.0 v 4. -.0 7. //�1 F. inl 7 '1d 17L�/G iiinl C � �PI ;"^ t' �'z . � N S %�F C�TYJ 4 2)A n/ ): '6 i !d i A 6 - �Le �l • c°h . L�1 s`i�i�t�G t..+ >' h'% i /rel � / Y QUALITY CONTROL CHECKLIST E] CHECKED IN WITH CITY E] REVIEWED APP. PLAN & SPECS E] REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES ©-ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO.OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE Z OF / I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. t + SIGNATURE'OFAEGISTERED INSPECTOR SPECIALTY NO AGENCY TIME IN I TIME OUT REG. HOURS O.T. HOURS SAMPLES All.lnspectlons based on a minimum of 4. hours and over 4 hours - 8 hour minimum. Ap proved l/�" ' Project Superintendent . WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0001A 2/17800 S. MAIN STREET SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 EN G I E E R I N G &TES, NG, INC. (24 Hour) Cell: (310) 713-5008 ' Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT ^ J°02 - 10-y'60Dat 11/-a3 Time we- 0 TYPE OF INSPECTION REQUIRED ❑ Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire Proofing T t ®'Epoxy , ErReinforced Masonry' • ❑'Asphalt p Other Job Address City 44 Job Namef a Permit No 16e,<--/qr � Issued By Type of Structure Architect Material Description (type, grade, source) Engineer Contractor , 4' 1 Y.'. Inspector(s)•Name/ Subcontractor — TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES ,INSPECTION SUMMARY -LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. // _A..7 SI9 !� /i / C Si �� / l ... '%1 � ,- �•-//EC•' S �/ �ir {.!/ /w�� /J �� ' i i /� ./,i �Y. �J�� �. GLJ/v !• Gl % .� � d. -7, Ar -ni/ r% 3 G ?-,W r �� �3n a� �r.�/rc' ?� r /3 S • _. t _ g er' r kY- /9. G. e- .�=/v� C'o�irs� s n_.gj n. c.,e d • �,.�� L--`- C 4 e QUALITY CONTROL CHECKLIST ❑ CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN & SPECS ❑ REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES [O -ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO.OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATUR€'OF REGISTERED INSPECTOR 5 7 - SPECIALTY NO AGENCY CONTINUED ON NEXT PAGE ❑ PAGE _� OF / TIME IN TIME OUT REG. HOURS O.T. HOURS I SAMPLES All Inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. Approvedtry V v FPrblectSuperintendent . WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY J 0001A �r17800 S: MAIN STREET SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 Y i ENGI`- ERING & TES NG, INC. (24 Hour) Cell: (310) 713-5008 Office: (310) 851-8685 w Fax: (31'0) 851-8692 Office: (909) 467-0104 Fak (909) 460-7409 Z. REGISTERED INSPECTOR'S DAILY REPORT JG No. ��U Dane,-�� 63 Time -UCS TYPE OF. INSPECTION REQUIRED • ®'Reinforced concrete ❑ Structural Steel Assembly �` ❑ Quality Control ❑ Post Tensioned Concrete s� ❑ Fire Proofing, i f� ,❑ Epoxy YReinforced Masonry:-.: 'Asphalt ❑ Other Job Address7, .2 / �✓� /✓� CityA iv, 1v 74 Job Name vows 21 -7� Permit No e5a�s -, Issued By e/ � Type of Structure Architect k1 4 Material Description (type, grade, source) Engineer 43 MIx Contract6r Inspectors) Name/� Wr9�J.44­1 C: 4-c- "p Subcontractor R191"l, -'fie 2 414 Stav1 q �-i:�4C TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY INSET ADDITIONAL REMARKS ON SAMPLES 2 INSPECTION SUMMARY -LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT.- AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS` TORQUED) CHECKED; ETC. 7-/ off G "' <l ea u c � f' TF fy r c �i u . (l �lrl 3 (,!%/1G 7i C //tJdt / •i • 7 ( G'G•L ,Ct4.,,v A 7>P,9D 7,-R, kle-gr- i'dr �lt/G-7 �i -- i�•�7 C� f..,iuE' 160 Z T74AJ wllq MJ M, e rii,in/I!' .011 U/1*!:1"/?,4z/D,0 ,. /. VD.5 oma- Mf >, D,; 37P 7"E 2- . _77 IVee-i A9 Ar ,A R C'.4ltA- lit A6(- 66 F -rat; /, D -- c=, l 5 r414r-�r�t (4 f.• L� 5' f:" Fad .v iD-1f"'aa, G rA i � elA 44kv,1 i / 6 A' Gl. 14,_ a ,? QUALITY CONTROL CHECKLIST ❑ CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN & SPECS ❑ REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES ❑.ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO. OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE'OF REGISTERED INSPECTOR SPECIALTY NO AGENCY CONTINUED ON NEXT PAGE ❑ PAGE OF I TIME IN I TIME OUT I REG. HOURS I O.T. HOURS SAMPLES All Inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. / Approved byA��-- ProJect ;Superintendent WHITE -.OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY OD01A '�!�.fl� i - r •,. ,7y y� 1.. 9fIFu'w7,�.+'�"�+-+va+Y—.-*Trw.T'9.� ..• gl"17800 S. MAIN STREET SUITE 303 ' GARDENA, CA 90248-3553 EN G I E E R I N G 1236 W. BROOKS STREET &TES N G , INC. ONTARIO, CA 91762 (24 Hour) Cell: (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 or REGISTERED INSPECTOR'S DAILY REPORT Job alp` _,id' D to C) -5 Time TYPE OF INSPECTION REQUIRED ❑ Reinforced concrete. Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire Proofing �poxy ❑ Reinforced Masonry ❑ Asphalt ❑ Other Job Addressrq , • city It kJob Name _ :/ - Permit No Issued By Type.of Structure _ �: (t.tC-'1.-�C iiC,�1�1v.e Architect MteriaLDescriptlon type, rade source) ce-2 s '� ,cam . LN 'iC31� G:LLC . Engineer 7' /Cai'!� g� Contractor 1 l'`1� Inspector(s) Name Subcontracto TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT NO'S OF..TEST TAKEN: STRUCT, CONNECTIONS(WELD MADE BOLTS TORQUED) CHECKED; ETC. ySAMPLES p� �G rH�T J.r+ .,, s t .. L T6 C. L C JY�SCC -r i v TC;�+I . 't k 3,0 kkP(. i ,'. f -C ✓ . �---roi:-L-T, •`� .�..�'.�- • �,$.� 2 - � • �.:) 6r, �,� �r� fi.:i- I� � �> � �"� �.-Tit' zz- f-c..C.• 1. ��'. i� : 1. 1✓L . 1=�C_ . C..C,•�.Y.:✓ t +�'V G' � t t7✓�% �• (�:�Gl�/t/� �. i� 1.Ar1(��1�. IL-1 1�N � (.ccL.cc n-r,oro ie-reori-r oF,-:fittil0Cn. or,� U C Z.:�S 2:G ,VZLOS AEC Ae,0-*JC> fi 1 f:-1 LVS e -,;,,e— CA, -T. � C� • ��� 1 �� + ' u.kL4:C KC5 fa- a 2, KM5, n t-fp-"-Z> i. . �e --10 t c.� /t r•lr136 i� �. O (-LSCCOL-yo Y.�-c N+ <L -I tS Ute -,C'. AE`:..L- (e( -o 1+%X-, � �t�✓v'� rV':.� (1 t�' FC O... QUALITY CONTROL CHECKLIST Q�ECKED IN WITH CITY 0�EVIEWED APP. PLAN & SPECS ❑ REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES ❑'ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO. OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH, THE APPROV D LANS, SPECI (CATIONS, AND APPLICABLE SECTIONS OF HE G fVERNING B IL ING LAW . wwk SIGNATURE OF REGISTERED INSPECTOR W (wL:' t ..�' 1 �. e -C3 SPECIALTY NO AGENCY CONTINUED ON NEXT PAGE O PAGE OF I TIME IN I TIME OUT I REG. HOURS I O.T. HOURS I SAMPLES Y'%vTTX-r y J. /-,1 1 .... a _3 --- All inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. y� Approved by m/1 '. Project Superintendent WHITE - OFFICE COPY, CANARY- ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0-1 0001A ~ t SUPERIOR READY MIX CONCRETE, L.P. • Weighed at 38-155 Monroe Street Indio, CA 92201 1508 W. MISSION ROAD • ESCONDIDO, CA 92029 PHONE: (760) 775-8272 • (760) 745-0556 DELIVERY TICKET 222675 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, a: prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business and= Professions Code. administered by the Division of Measurement Standards of the California Department'of Food and Agriculture. DATE— _ CUSTOME_RN —0. 1 ORDER NO. CUSTOMER P.O. OR JOB NO. PLANT_NO. � DELIVERY TICKE,T_NO.._. 5/1;3/0'3 082489 230 71 7121890 CUSTOMER NAME SPECIAL'INSTRUCTIONS ? I'NAC coNs'rRUCTION INC Y IN FRONT' OF VOLAS JOB ADDRESS 78-271 MWY 14LI(VONS)LA QUINTA .DESIGN_. ___ - _?•'d' ROCK -(LBS.), _iL" ROCK (LBS,), LBS_SAND______ ,_.L,BS_QEMENTi SACK=,^WATER._ �ADD_MIX_(LBS.):-.� �I D837P SUPERIOWREADY MIX CONCRETE, LP. W_ EIGHMASTER TRUCK DRIVER .. '�- "`"- ...-�--' DEPUTY 474 GQRU©RT FINLEY CUBIC.YARDS TOTAL C/Y DESCRIPTION lf�t PRODUCTCODE UNIT PRICE TAX —AMOUNT .JVJ 1y..Z)(0 — ✓ J. UUINL:PCI~ Fh a h YARDS TO GO T In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER ' meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The STAND-BY TIME THIS TICKET purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No PREVIOUS STAND-BY cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume responsibility for area or container for clean out of, concrete truck chute. Any discharge to watercourses, street gutters or ° stormdrains is a violation of law. Concrete -is a structural building material warranteed only to meet ASTM standards. Some TOTAL imperfections and popouts may occur for whichsupplier is not responsible. PLANT 73 OUT 09 :05 UNUSUAL.INCIDENT OF)NQlTE ON THIS DELIVERY MAXIMUM q 00 . }Jy_� C RECEI VED 1N G fOOOD CdNDITION BY: ! • SLUMP ' IN X!� /�� 4I. - • WATER ADDED AT CUSTOMER'S i CUSTOMER SIGNATURE I f CAUTIONI Cement powder or freshly mixed concret`e;!grout,or mortar may cause skin Injury. Avoid REQUEST GALLONS ON JOB UNLOADIN� contact with skln and wash exposed skin areas promptly with water. If any cement powder or mixture gets Into the eyes, rinse Immediately and repeatedly with'weter and get prompt medical attention. 'I • ESTIMATED SLUMP AT UNLOADING DEPART START -. Keep children away from cement powder and all freshly,mlxed cement products. ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK INCHES r 39G `. T w- /`}.�• FINISH / NOT RESPONSIBLE FOR ULTIMATE DUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDEDARRIVAL WAITING AND/OR UNLOADING AFTER LEAVING PLANT. READY 4 Stand-by and/or dumping time In excess of 4 minutes per yard will be charged. TIME HOUR TO UNLOAD DELIVERY X1117800'5. MAIN STREET SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 rK'btW E N G IE E R I N G & TES. NG, INC. iwr. T1"9MP .."�.'•. �I'���,�- •'_fit 0— (24 Hour) Cell: (310),713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTORS DAILY REPORT Job No. o 1 D � __i Dat _ l6 -t� Time TYPE OF INSPECTION REQUIRED ❑ Reinforced concrete ❑ Structural. Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire Proofing [WEpoxy p Reinforced Masonry ❑Asphalt ❑ Other 7 Job Addressp j f / p r, Ito Job Name / A/ S F 2 ' 'r Permit No D 103 ��� Issued By Type of Structure ,{`'i j 1 j If (J'T!i317 fI1,/1Fi-)In°i,r' 0 Architect k p "� L C Ifs` Material Description (type, grade, source) Engineer Contractor Inspectors) Namere P) Subcontractor ' TESTS PERFORMED TYPE OF SAMPLE ` SLUMP QUANTITY:IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION�SUMMAFIY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. J/ Q bS e YVCr �-j r' )') e � / .a ({ � , i . ' e?. <J C_cJ n IS f3 f (� G' 7 x) ") C ! ,`, 1'j 41,Q— / y rf (f a d b .. 11. -- .2 SOU c/ � � ct �ry�-. I a A f i' 2 .)'CJ )'y t` ' _ _ ' ! A ? n <1.�P /: tc/ e rc '' l c It i) Cd 0fl.?0,Y d I'l'or - 0 (`'C f9 }"7L'C l )tGL' 1z.°.tf !. r %t �'.' )7 t'' ` 1 tr 00 17 C c" ' �. Y QUALITY CONTROL CHECKLIST CHECKED IN WITH CITY Q REVIEWED APP. PLAN & SPECS Op REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES C5/ON TIME TO JOB CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO. OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGEALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED INSPECTOR 42 _ C 50966, � �g,7 �rer, . SPECIALTY NO AGENCY a CONTINUED ON NEXT PAGE F-1 PAGE 2 OF I TIME IN TIME OUT I REG. HOURS 1,01. HOURS SAMPLES All Inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. Approved b 1 ! / ✓ — APP Y 1. " Project,Superintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, 0001 A ., 0/17800 S. MAIN STREET SUITE 303 GARDENA, CA 90248-3553 El 1236 W. BROOKS STREET ONTARIO, CA 91762 ENGI' E E R I N G & TES NG, INC. kt (24 Hour) Cell: (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT Job N!o'1?C3 Date J `^ 7 Time ,Q v TYPE OF INSPECTION REQUIRED ®°Reinforced concrete ❑ Structural Steel Assembly E] Quality Control ❑ Post Tensioned Concrete E] Fire Proofing ❑ Epoxy ❑ Reinforced Masonry C]Asphalt E]Other 'City JobAddress . i,t j r xj •i�rt l� n a 4 Job Name �y /�,r .l.t yam" Permit Noll / 3 ,^/� Issued By Type of Structure C Architect ! i' k lr / i _ �1~i�} Material Description (type, grade, source) ?' ?3+» %� }! Engineer �n I > t z L!/?c iS�a1) T"roy / rir � li , Xr'�'` =i� rvoCa;, Contractor j J Inspector(s) Name "�! J /} Subcontractor f ' (J� / 'j l h,�1yt t(�^ /Y TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES �) � X � � > r � / ~J� �� � �' 4 � fle �. . f 1J��1� •+�'r'` %'�• .%, f;'r FI ' !:' S• INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT NO'S OF TEST SAMPLES TAKEN: STRUC/T, CONNECTIONS (WELD MADE'1H.T. BOLTS TORQUED) CHECKED; ETC. 'ii r) 4<1(_'C? 1)'.7 f'' ;�7 T �: J_1 C ! `!" }7 c -n / fir P l '() h OF� l�' 14r� )' {.% : l 7, � �+ t' f.'.'� 1�� � �� q 'c U l! l `(+ i? C�' ,� r' ((� tr? � i � Y�it t;r�� ('�C,% h `' •Y't�ti%.'r!y :h �f-1'1 r =' >f j��+.�' t�� / �1 ,yt , ,/ 1 ry y� // �r# t ',Lj (.. ('F �i"�' ,!;3 � T e- ' 'n. `, rr /'i`� "il f �i bt � �f. ' "� y'e-3 d c ���i C, -!,I i . I ;�J �' � rt I..--�. v l b):'o ! 100 � (�1,% A �r+.(i 7T��c Ci^lt''1:4�'L�.�h��i �✓i ,•il 7J/ •'}� (`!'r�tt� 1.,� •��, • `,f C �� k.. ! � Cr F�.� C< AI -C V ! } e .r'3 0 0 C 4 , r ? 73r � ` r ^!- �" ,+'",l i �, r4i"' `✓ r( .h ,"' 1 z �tt, li t,o 3 d�r1:i1 J71 b e �� C r k0 ?� 7 5 4,7 i) Q a J 0 �J , - �'' r '" 7 0 V (' O� �� � r� f 7 � t� 0 JCom fl t'? }'f"1 7 -. •y �Y f"U(" p 11ev)� C. !.t •ri I L.,.: -�(. l ��� L " ... i i tJ k. YJ 9 t-7 Rl�" 1 1) 1 hg 1- )1 r QUALITY CONTROL CHECKLIST Q�CHECKED IN WITH CITY REVIEWED APP. PLAN & SPECS 0,REVIEWED PREVIOUS REPORTS © CALLED IN SAMPLES ON TIME TO JOB CHECKED PERMIT E] 'OBTAINED APPROPRIATE NO.OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. 7 SIGNATURE OF REGISTERED INSPECTOR _ 3 %,•ate SPECIALTY NO AGENCY CONTINUED ON NEXT PAGE ❑ PAGE I OF —1 TIME IN I TIME OUT I REG. HOURS I O.T. HOURS SAMPLES All Inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. Approved b� J ' APP Y Project Superintendent . WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0001A j 17800 S. MAIN STREET SUITE 303 ~+� . :GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 Aidw �'EQN GI EE R I N G ES NG, INC. (24 Hour) Cell: (310) 713-5008 Office: (3 10) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT JNo.U3 Dat ©3 Time TYPE OF INSPECTION REQUIRED ❑ Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned, Concrete,, ❑ Fire.Proofing. )KEpoxy ❑ Reinforced Masonry' ❑ Asphalt ❑ Other Job Address ' ` L A C'tZ V 1 ��t- C Job Nam PeDn)t,N,p , 4 Issued By� Type of Structure G M U Architect , L. �� ,� 1 Gi`�YzA f-�5 Material Description type grade, source) f� til i ar 5� t ZZ Engines ,3 . Z A:5�f-14Pfi _s 4 . �)S A�� C� .o Contractor Aj tE 4 P iv c Inspector(§,) Name 13-n ©G AJv Subcontractor . /. M / C.. TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY —LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. 446- 6- 4C_X QUAIA(! A/ e t5 1A : P_ (Q /M tti , t rt z. LIE 10-42C t S• � _ v . C. � -li c �i ,•V S ii• � ...Z �`% /-� G � d iv 5 �iLu�id e1/ V IN WITH CITY REVIEWED APP. PLAN & SPECS ®'REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES QUALITY CONTROL CHECKLIST pON TIME TO JOB Q CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO. OF SAMPLES ❑ OTHER ,E-6N . CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTE THIS WORK TO,/COMPLY WITH THE APPROVED PLANS, SPEC APPLICABLE SEWONS OF THE GOVERNIN.G'BUILDING LAWS. Mf�.�vl CONTINUED ON NEXT PAGE ❑ PAGE / OF / TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES Z^ - All Inspections based on a minlmum of 4. hours and over 4 hours - 8 hour minimum. i -5 s-6 / — Co 7 /C-/ 4J Approved by e 1 NO AGENCY U/ ( f P_ro ect Superintendent �-- WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY A 0001A t a C� E�� 17800 S. MAIN STREET II II SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 r1kLw- EN G I E E R I N G & TES NG, INC. (24 Hour) Cell: (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT Job No. f Date Time TYPE OF INSPECTION REQUIRED [Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Epoxy ❑ Reinforced Masonry ❑ Asphalt ❑ Other Job Address J a City i Job Name J/} }�� r —y I� 1 ' - :z Per"mit No o Ll Issued By 7 J Type of Structure / / -'�t��i)715 d SJL? � jai). �):�Jf��' Architect L �fha),les Material Description (type, grade, source) X G. r Engineer ' h h3 C'r c a/ -'� O -5 e Contractor t r 10)70 &. n i X 5 f e'a` -;. Inspector(s) Namep" S1.ubcontractor TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES 4j11{ 1 'I ���1A'1 3 7-P 15(•'o g%:% %r;� !%�L INSPECTION SUMMARY - LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. /�1 C f r j b-5ei`vint' I'op �7dir! GCliifQllJ.-f41• ) (f. �1 �_s)'C'�`Jz)r7C�'� ,'1lo �r1,�1C f :f" ! Ga !�C. 3''0 1 C t` s F CS. I On f '-n e�kc stcIr ]' )r /0 rl :rel -)c 4 AGo2 J II (?i 1?C:CJGrI?C� a`� --)e 7• j✓,.'.. }1 1 -_ !I ,a .j, �: C, 1'"�r C` �` C" 9o;!7P f) i!(/f-) /+ `, f���.. �p r} Y} -.rl�• J ✓='Y} l-.M/wtr `�f•y [.3%!/'t �•) 0957A. )/(. fVtr( r yy . !)e') €?tai,' t f_Y rf `" rl t`iC- (�l'/.?1l ):'l " ' tc ! ' l ,l"1 ' o ;K l (t / (,")V �� 1 t �, r `3 .l,/ -t C �"'/r t' J t .�� r"" .;;',',?:f �' ✓ , ;' / 3'{' �'r� ;�� L` l` '" r'.. ri fir r'i l`�� p ��. , +? �� r� �! (.+} ,G'1.17 . QUALITY CONTROL CHECKLIST © CHECKED IN WITH CITY 0 REVIEWED APP. PLAN & SPECS 0 REVIEWED PREVIOUS REPORTS Q CALLED IN SAMPLES 0 ON TIME TO JOB CHECKED PERMIT El OBTAINED APPROPRIATE NO.OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE [II HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED INSPECTOR SPECIALTY NO AGENCY PAGE 9 TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES All Inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. Approved by �(. Project Superin endent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0001A APR 22 2003 11:27AM HP LASERJET 3200 p.2 AEr-22-03 09:48A B&B ASSOCIATES. 2133531458 P.01 2 AWAL-1 19OC� --Pt Ain NN PosWr Fax Note 7671 u 'Mango Pharm -pa% 81w TF 17800 S. MAIN STREET SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 EN G I E E R I N G & TES NG, INC. (24 Hour) Pager: (310).75871038 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax:' (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT Jo NZ -/, jy Dated -12-6 Ttme7-,`r, TYPE OF INSPECTION REQUIRED ❑ Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Epoxy Q'Reinforced Masonry ❑ Asphalt ❑ Othe�r Job Address -,8 a -7) l � f W y // City / 14 � (� /N7A f/ Job Name Vl NS 2/7-5- Permit No ,. , - 0 20r-z- Issued By ' z�r-ti Type of Structure STU �- Architect 'Material Description (type, grade, source) Engineer x ' 3 '4ssac�aT� s' � C !/� '2'.5-6D 'anr 1�/.(dD9 4i AV J A Contractor ^� / / C7 'r 'V a Inspector(s) Name �/-17G.� (_211NG-G%2 Subcontractor, %?Arn , /1r. �• TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY —LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. e4_ S- G/,-ekl,41G Ca -w/ rX'z C7'7Gii/ v TG/N7' '1O A 47, Hca _7_AJ STA/ /_ .477G N QF � �`i Oc_13A i 4,,/� 41I X LI f !� C.�. ,,U_ '< e . -/->,d/cr .r! WA 5' !1 ! l f s.�c. / He %� RV lloec_L 1417 jlr Ae- ✓1 R 7%r ,J . ll%'fI")IF X11 -m 47,c Z U .s�` -?ll CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. f SIGNATURE OF REGISTERED INSPECTOR 5� 6 1�6 -6741 SCG SPECIALTY NO AGENCY WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - CONTINUED ON NEXT PAGE ❑ PAGE ) OF I TIME IN I TIME OUT I REG. HOURS O.T. HOURS SAMPLES /'/' o a 1 16 . vc d' Z All inspections based on a minimum of 4 hours and over 4 hours - 8 hour minimum. [/! Approved byy A,' Project Superintendent COPY 0 ®17800 S. MAIN STREET SUITE 303 GARD.ENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 1 E N GSI E E R I N G & TES NG, INC.. (24 Hour) Cell: (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409, REGISTERED INSPECTOR'S DAILY REPORT Job No. I Date - Time TYPE OF INSPECTION REQUIRED fp•Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire Proofing , { t . , .. - r, • a . ❑' Epoxy ❑ Reinforced Masonry 'D'Asphalt ' t ❑ Other Job Addres s 0 . �5' to / � % A City I—A 6 /,V7% Job Name V3, Permit No tt19 Issued By Type of Structure Architect Material Description (type, grade, source)Engineer ger. 7? d B A .55 GY' 1.477, " Contractor" • ;P . n e✓ r Inspector(s) Name }. f-� f_ A a� E`2 Subcontractor TMA TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET,` ADDITIONAL REMARKS ON SAMPLES 7' 4 i' � : 7 7f l/- 5;b6 :5 ,r INSPECTION SUMMARY —LOCATIONS OF WORK INSPECTED, TEST SAMPLES. TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. el r- R :5 C,,6 1---'4ug t'� ? �� / . car '��l-' �� ,tQ���i.�• � �� </.0 5'. .�/��y ;�� v ��c� i,7�r t r_, %c �f11ir 4 f r 4 4 c' VC ` L? F= !'?il f ;C !/ 7 ! L /i C r > % : s 4 QUALITY CONTROL CHECKLIST ❑CHECKED IN WITH CITY QREVIEWED APP. PLAN & SPECS ❑ REVIEWED PREVIOUS REPORTS [A -CALLED IN SAMPLES Q,ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO. OF SAMPLES ❑ OTHER "rmrrunriun yr wmruruvue I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. yrySIGNATURE'OF REGISTERED INSPECTOR -- ef SPECIALTY NO AGENCY CONTINUED ON NEXT PAGE jj PAGE % OF_L TIME IN TIME OUT REG. HOURS O.T. HOURS I SAMPLES All Inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. Approved by f PFoject Superintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0001A 17800 S. MAIN STREET SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 rpiaw E N G I E E R I N G & TES NG, INC. (24 Hour) Cell: (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT �' o a Daly r7,r Tim )p11//0 A). TYPE OF INSPECTION REQUIRED ❑Reinforced concrete ❑Structural Steel Assembly ❑Quality Control p Post Tensioned Concrete ❑ Fire Proofing Epoxy ❑ Reinforced Masonry ❑ Asphalt ❑ Other nn / Job Address X /r 1. o e +: `.. 1.,t G 4pity�viAI7—,^� Job Name n Permit o� _ /4(q Issued By l l Type of Structure ' Arrchite r� r-�P P,CC 5 Material Descri tion ( p, , grade, so rcg I r�i �5d 1.4:'gXY Engineer ` " Coritractor - Inspect r(s) Nam Subcontractor TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY - LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT NO'S OF TEST SAMPLES TAKE): STRUCT, CON,N/ECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. TNf OPILO`!lll 1i r 6F Al1 G 6 r- X56> lar aS "t UL 1'I�L-" e'S� ►G1.Ii > , 1 %'+�Si t/ ; li�lj �f 'Y� t SG' G�- ,XY L f/A5 Y QUALITY CONTROL CHECKLIST ❑ CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN & SPECS ❑ REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES ❑ ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO.OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE . I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE,NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, JSPECIF CATIONS, AND APPLICABLE SECTIONS 0 THE'JGOVERNING BUILDINC"LAWWS. SIGNATURE OF RErGIEREp INSP rOR c� .y -,j SPECIALTY J/C�'/��'j NO�%/1/ AGENCY C/•/) CONTINUED ON NEXT PAGE ❑ PAGE / OF TIME -1N I TIME OUT REG. HOURS O.T. HOURS SAMPLES All Inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. Approved by N Project Superintendent WHITE OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 6 J. � 0001A Aw- L,ET°TL'R OF 7~RANSIV/IT'TL4 ; '� K L CHARLES & ASSOCIATES Architecture . Planning 12631 East Imperial Highway, Building E, Suite 111, Santa Fe Springs, CA 90670-4758 562.863.1981 Phone, 562.864.8784 Fax e-mail address: klcassoc@gte.net Date: January 29, 1999 Project Name: STAPLES #2175 La Quinta, CA Project Number: VC - 98 - 320 To: City of La Quinta Building Department 78-495 Calle Tampico La Quinta, CA 92253 Attention: Greg Butler We are sending: Prints Description: Two revised Site plans for the above -referenced project Shipped Via: Golden State Overnight These are: For your review and comment Comments: Greg, please replace the site plan sheet CIA with the enclosed plans. I'm sure you will find these easier to read. Thank you. Please contact our office if you have not received the item or items listed above. If you have any questions or comments, please direct them to our Keith Charles at your convenience. Thank you. Sincerely, Jamie Smith - Administrative Assistant K L Charles & Associates c.c.: files Keith Charles - K L Charles & Associates SUPERIOR READY MIX CONCRETE, L.P. 1508 W. MISSION ROAD • ESCONDIDO, CA 92029 PHONE: (760) 398-1222 • (760) 745-0556 ��- Weighed at 86-160 Avenue 54 Coachella, CA 92236 DELIVERY TICKET 18502 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commoditywa weighed, measured, or counted by a weighmaster, whose signatur is on this certificate, who is a recognized authority of accuracy, a prescribed by Chapter 7 (commencing with section 12700) c Division 5 of the California Business and= Professions Code administered by the Division of Measurement Standards of th California Department of Food and Agriculture. DATE- CU(STOMER NO. ORDER NO. CUSTOMER P.O. OR JOB N0. _ PL7ANT_NO� DELIVERTIT C1KEt,NO. CUSTOMER NAME SPECIAL: INSTRUCTIONS -y fhfl•f?'';d-� i�-�,,';'-4 ms_ IN FRC)NT GIF V0N3 JOB ADDRESS HW"( 3.11 (VO1+S)LA Glf..1IN1's=1 DESIGN = - ..W ROCK (LBS.) „ :Y." ROCK (LBS_)_. _LBS SAND _LB.S QEMENTSACK4WATER, .��ADO_MIX_(LBS.)— 1-37 P, l\ SUPERIOR READY MIX CONCRETE, LP. W_ EIGHMASTE I TRUCK _DRIVER DEPUTY 4 �!(. �-Ih'1ES 1=1�,. C 1 E CUBIC YARDS TOTAL C/Y DESCRIPTION V" V '" PRODUCT CODE UNIT PRICES TAX AMOUNT 4*6Qi::) '--'511 l.ai_lN).:rR,r"~.T 176,A. YP YARDS TOGO In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The STAND-BY TIME THIS TICKET purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No PREVIOUS STAND-BY cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or ° stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. tSome imperfections and popouts may occur for which supplier is not responsible. _11-1 PLANTS` OUT 1C)_,C UNUSUAL INCIDENT OF NOTE ON THIS DELIVERY 'RECEIj CONDITION BY: MAXIMUM U- SDI' 1GOOD SLUMP ` IN t p� X,rirr� -i' •WATER ADDEDAT"CUSTOMER'S CUSTOMER SIGNATURE \ (,I j ON JOB UNLOADING CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid REQUEST GALLONS contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture �' • ESTIMATED SLUMP AT UNLOADING DEPART 1� ✓^� START�� gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention. Keep children away from cement powder and all freshly mixed cement products. ` ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED AFTER LEAVING PLANT. INCHES WAITING AND/OR UNLOADING ARRIVAL` �"»� ! Y READY FINISH - - Stand-by and/or dumping time in excess of 4 minutes per yarn will be cnargeo. TIME HOUR TO UNLOAD DELIVERY SUPERIOR READY MIX PLT 74 05/13/03 10:39 484 12 2 15.069 8.00 837P NORM TRIM WATER = -15.0-LBS/YARD K__ ITEM MIX DESIGN M.C. DESIRED ACTUAL SSD CORR. --------------------------------------------------------- -SSD- .AMOUNT AMOUNT AMOUNT PEA 2920 LBS �0.0% 2920 LBS 2780 LBS 2780.00 LBS SND 10440 LBS 3.5� 10800 LBS 10940 LBS 10570.05 LBS 3/4 10960 LBS 0.0% 10960 LBS 10880 LBS 10880.00 LBS WA1 2360 LBS 0.0% 1875 LBS 1890 LBS 2259.95 LBS CM1 4470 LBS 0.0% 4470 LBS 4510 LBS. 4510.00 LBS FLY 790 LBS 0.0% 790 LBS 750 LBS 750.00 LBS 322 210.0 OZS 0.0%` 210.0 OZS 210.0 On 0.0bOn _______________________-_______________________________________ YOB= 0.00 WAT/CEM RATIO = 0.45 F,117800 S. MAIN STREET `,SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 �'E'N GSIE E R I N G & TES NG, INC. (24 Hour) Cell: (310) 713-5008 'Office: (310) 851-8685 "Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT . . Job No. 140.2-6340 Date -.07 Time a•jA-.;4 TYPE OF INSPECTION REQUIRED ❑ Reinforced concrete p Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ... ❑Fire P.. roofing , Epoxy 5,05inforced Masonry '' ❑ Asphalt' p Other Job Address City -' �' - ! -,,ree Z4 u,a, -'A' Job Name r /.� l ; 21 17 S' Permit No O 6 Y -1Y9 Issued By Type of Structure Architect 14 Material Description (type, grade, source) �/M S[� Engineer /p ¢ sy .3SGG 1A T,!5 5 - Contractor Contractor �6 445 ALJ IX Inspect r(s) NameSubcontractor TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY -LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION.ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. el Fel 4 lA E�iF,rrr L.,v8- 41-L.,��/- N/�'� E s / "14 .c. . `7 i5 ' � �C/j1��i�`: !J � ['" iCJ�i /t° ✓QGfJ �4. S P �I � L. //:/C- �y i _ s G✓!a e,, GL �� r'/�/r a/4 X��S " ZEE �L<1C . y �P�'�1,r12 Z)6-4, f c'C.S �1 7:. QUALITY CONTROL CHECKLIST El CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN & SPECS E]REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES C] ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO. OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE'OF REGISTERED INSPECTOR SPECIALTY NO AGENCY CONTINUED ON NEXT PAGE ❑ PAGE �_ OF TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES 16 ' !c> / t- "e_o %-- All Inspections based on a minimum of 4. hours and over 4 hours 8 hour minimum. Approved by 11A --- v ' Project Superintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY OOOtA 17800 S. MAIN STREET SUITE 303 GARDENA, CA -90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 E N G I E E R I N G & TES NG, INC. (24 Hour) Cell: (310) 713-5068 ``Office: (310) 851-8685 Fax: (310) 851-8692. Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT1,02-04No. 30 �1,2-63 rme^QA1 TYPE OF INSPECTION REQUIRED grReinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned, Concrete .• •. 7 ❑ Fire Proofing ❑.Epoxy. ❑ Reinforced Masonry" ` ❑Asphalt ❑ Other JW ' / '/ -7 �.✓� if � %�� Clry,/,? epLi/NT%i Job Nana Permit No Issued Be Type of Structure .SfG.P�' � •moo r?E"� Architect �C . �../ . d„1- 4.,,e Material Description (type, grade, source) /4 /G/0 � J 07 Engineer 9, Assoc f� %C S Contractor Inspector(s) Name iI DLA' srNE'E� Subcontractor �/'h/�C TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. Al I`ir�p L✓ JD��' t. 41m 1Aj r -?"%C A16 /�S .2'A/ E X ls7-1,v 9 .S'Gfar7, �.4 / !2 eta v1c4 5 t�✓ �� 1�c�- J �;PAya"o'z' 4Izz—(1 2'1`i. O,C, 4,OUP AGTE�'NFtt7El�, iw� r�s2l /A+ d! 7 -a -Z S,00 QUALITY CONTROL CHECKLIST HECKED IN WITH CITY ❑ REVIEWED APP. PLAN & SPECS E] REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES gr "ON TIME TO JOB ❑ ,CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO.OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE�_ OF1 I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST Al' MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. '/ /'01'& IZ�'--'A�'f�wo . SIGNATU�E'OF REGISTERED INSPECTOR SPECIALTY NO AGENCY TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES All inspections based one minimum f . hours and over 4 hours - 8 hour minimum... Approved by Proles Superintendent . WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY a 0001A E17800 S. MAIN STREET SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 1 ENGI EE`RING & TES NG, INC. (24 Hour) Cell: (310) 713-5008 Office: (310) 85178685 y Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909).460-7409 REGISTERED INSPECTOR'S DAILY REPORT Job No. Dat TYPE OF INSPECTION REQUIRED [@'Reinforced concrete ❑ Post Tensioned Concrete ..7 ❑,Reinforced_Masoriry ❑ Structural Steel Assembly ❑Quality Control ❑ Fire Proofing 2 „ . ❑ Epoxy ❑'Asphalt ' ❑ Other iW / Job Address 7- f . '21 / !`T city Z- e) L'n14 Job Name vbNS .2l 75 Permit Noµ'/ 465-/ l ^ Issue Bry L /T Type of Structure SrcnN r2�lN�s�c Architect it�.. C`la���'fs Material Description (type, grade, source) Engineer Contractor — 7 Inspector(s) Name Subcontractor TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY 'LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS; PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE a IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. (' NS.t�u�G'T/®N I!�!0 /2 TD ,vs o,�5c;t—lo / . 7 G�A�G �� E'�c�•.y,ci i�,R �.� • � � fr � P,G'�o 1/'G" � f�� {'C.su c !� � ; � 'f cocr,�? �' �� .�" = � � - �.�' QUALITY CONTROL.CHECKLIST ❑, CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN 8 SPECS E] REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES ©-ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE No. OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT I HAVE.INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH -THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE* REGISTERED INSPECTOR SPECIALTY NO AGENCY TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES All inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. A— Approved by 1 L { It tj lbo i arit WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY _4; 0001A 17800 S. MAIN STREET SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 4 tItkw E N G:I. EER ING & TES` NG, INC. (24 Hour) Cell: (310) 713-5008 Office: (310) 851-8685 " Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT JOb I:2o 0 O Date� J U -1Time X7.� r - TYPE OF INSPECTION -REQUIRED 501Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire_ Proofing E] Epoxy Reinforced -Mason °' "' t 'Asphalt; Y " ' < � ' C] -Masonry "'. ^ "❑� p p Other Job Address I y /!, City 1-4 6) TA Job Name V4A 5 ,2 / Perm t N� .. / y Issued By�, �y Type of Structure L Architect ♦ /j Material Description (type, grade, source) Engineer 35 5GC,, 47;4 - Al I Y D)41 1� S�SDo /�SZ Contractor ���l�c /i/ Inspectors) Name Subcontractor TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES ���'X/L" `4 2SEWSa/" 41 INSPECTION SUMMARY - LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE 8, (DENT. NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC.. t9� r�n� G Ai ♦ia1�' %�� �'/,G/i fGaT/.rJ�'S - v i/Si-/,JG Oii/ 6,,5- Z ! A - ,c-7JE` 13 S"' . C6,41 5A c_ Z A- :mew oJ WA < r16!iA,7 PL./ <,v.e2� f3 ,-,-r'-A-.0 16 AZ- 111A, . y i/,A r10 se i.•N , (v G 2 L'/ u 2 5 a ` 7 ?37;;> k/E 2E' PG/ -i CE -i QUALITY CONTROL CHECKLIST ❑ CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN & SPECS ❑ REVIEWED PREVIOUS REPORTS ❑a +CALLED IN SAMPLES QON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO.OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE'OF REGISTERED INSPECTOR 'CSI" r4l 4 / 114 : 4 9 SPECIALTY NO AGENCY CONTINUED ON NEXT PAGE ❑ PAGE- / OF I TIME IN I TIME OUT REG. HOURS O.T. HOURS SAMPLES ^ • -.1 ,. Jl�d- . --- it All inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. APProved by 1. Prosed Superintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY ODo1A SUPERIOR READY MIX CONCRETE, L.P. 1508 W. MISSION ROAD • ESCONDIDO, CA 92029 PHONE: (760) 398-1222 • (760) 745-0556 • +-t+ Weighed at 86-160 Avenue 54 Coachella, CA 92236 DELIVERY TICKET 164615 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business ands Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. DATE_ _ _ _ CUSTOMER NO- ORDER NO. CUSTOMER P.O. OR JOB NO., PLANT,NO. DELIVERYTICKET,NO.. _ v/ 9/03 082489 129 7 L 7Lt.,=, 111 CUSTOMER NAME_ _._ ^, _ SPECIAL'INSTRUCTIONS_'Z-,,, I MAC C13NSTRUCT I ON INC JOB ADDRESS _ _ __. 78-271 HWY iI1(VONS)LA AINTA DESIGN__ ROCK` BS )�, ,��'_ROCK (LBS.)—. ,_LBS. SANDY ,_,_,LBS. CEMENT__ ,SACK._ ADD MIX (LBS.), __ 1-%" _WATER_, D837P SUPERIOR READY MIX CONCRETE, L.P. WEIGHMASTER _ TRUCK DRIVER AL_ONSO NESSITT i DEPUTY 650 CUBIC YARDS TOTAL C/Y DESCRIPTION �' ` PRODUCT CODE UNIT PRICE TAX AMOUNT y. C) 9. O 4500 PSI CONCRETE D837P YARDS TOGO 8-c io In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The STAND-BY TIME THIS TICKET purchases shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials PREVIOUS STAND-BY shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some • imperfections and popouts may occur for which supplier is not responsible. . `t • tyt-� PLANT OUT UNUSUAL INCIDENT OF NOTE ON THIS DELIVERY MAXIMUM RECEIVED IN GOOD CONDITION BY: SLUMP 74 (")9 • 24 I N X • WATER ADDED AT'CUSTOMER'S /CUSTOMER SIGNATURE ON JOB UNLOADING- CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid REQUEST GALLONS contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixturell • ESTIMATED SLUMP AT UNLOADING DEPART START 1 gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention. Keep children away from cement powder and all freshly mixed cement products. �` ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK INCHES ARRIVAL I D vvvJ FINISH NOT RESPONSIBLE FOR ULTIMATE DUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED -WAITING AND/OR UNLOADING AFTER LEAVING PLANT. READY Stand-by and/or dumping time in excess of 4 minutes per yard will De cnargea. TIME HOUR TO UNLOAD CUSTOMER t • 4.4.4- Weighed at 86-160 Avenue 54 Coachella, CA 92236 SUPERIOR READY MIX CONCRETE, L.P. 1508 W. MISSION ROAD • ESCONDIDO, CA 92029 PHONE: (760) 398-1222 • (760) 745-0556 DELIVERY TICKET 1.84,65 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business and= Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. .DATE CUSTOMER NO. NO. CUSTOMER P.O. OR JOB NO. PLANT,NO._ DELIVERY,TICKET,NO. 5/ 1)/03 [C-)82489 [ORDER 74.; %i { 1 .CUSTOMER NAME SPECIAL' INSTRUCTIONS "`�lT"8""`-'•`�'�i'` 7' t I MAf : C0NSTRUr_T r>ihl ; INC JOB ADDRESS 76-..:'-T'i l 4WY J I I Vi NS,) LA GI�IN'rA ; DESIGN (LBS .),�, �%'.ROCK(LBS.) LES. SANDy _LBS. CEMENT- SACK,_„ -WATER_. ADDMIX.(LBS.) _yd_ROCK D8- 37P `\ SUPERIOR READY, MIX CONCRETE, L.P. WEIGHMASTER��r TRUCK _DRIVER t lo,� � DEPUTY 650 AL.DhtSO NEOlAIT`� �� .• _.�:. CUBIC YARDS TOTAL C/Y DESCRIPTION �! PRODUCT CODE UNIT PRICE TAX '•- -AMOUNT rt*C?Cl 'i='S 1 hiC C{ ._ . D . a7P l t YARDS TOGO In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines,TOTAL THIS ORDER meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The purchases shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials ST AND -BY TIME THIS TICKET P REVIOUS STAND-BY shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof' No cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume - responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or' stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some `i t'''' imperfections and popouts may occur for which supplier is not responsible. ` OUT i PLANT UNUSUAL INCIDENT OF NOTE ON THIS DELIVERY MAXIMUM RECEIVED IN GOOD CONDITION BY: ' i'"SLUMP `�"'C j 4 ()9 -24 r I N �yY STOMER'S,..� X .i,l•'kfj-!i' • WATER ADDED ATC r - ! /CUSTOMER SIGNATURE ON JOB UNLOADIN ' CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid • REQUEST GALLONS contact with skin and wash exposed skin areas promptly with water. If any cement. powder or mixture I • ESTIMATED,SLUMP AT UNLOADING DEPART START ) gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention. Keeo children away from cement powder and all freshly mixed cement products. C f A �^ ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK INCHES ARRIVALi FINISH NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED . WAITING AND/OR UNLOADING AFTER LEAVING PLANT. READY Stand-by and/or dumping time in excess of 4 minutes per yard will be cnargeo. ITIME HOUR TO UNLOAD DELIVERY SUPERIOR READY MIX PLT 74 05/09/03 09:28 2 18.50 650 9.50 837P 9.50 TRIM WATER = 0.0 LBS/YARD ITEM MIX DESIGN M.C. DESIRED ACTUAL SSD CORR. ----------- -SSD- ----------- ____________________-_____________-_____ AMOUNT AMOUNT AMOUNT PEA _ 3460 LBS 0.0� 3460 LBS 3500 LBS 3500.00 LBS SND 12380 LBS 3.5% 12820 LBS 12780 LBS 12347.83 LBS 3/4 13020 LBS 0.0% 13020 LBS '12960 LBS 12960.00 LBS WA1 2805 LBS 69.0% 2370 LBS 2365 LBS 2797.17 LBS CM1 5310 LBS 0.0% 5310 LBS 5260 LBS 5260.00 LBS FLY 940 LBS 0.0% 940 LBS 995 LBS 995.00 LBS 322 250.0 OZS 0.0% 250.0 OZS 250.0 OZS 0.00 OZS -------------------------- YOB= 0.00 WAT/CEM RATIO _____________________________________ =0.45 17800 S. MAIN STREET SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 I,� �Jtw ENGI EERIN`G & TES NG, INC. (24 Hour) Cell: (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 . Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT JAN �,� ote,-G3 TFI t f TYPE OF INSPECTION REQUIRED Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control 7100D Post Tensioned. Concrete ,a . ; ❑ Fire Proofing., ; .ErEpoxy Reinforced Masonry ❑ Asphalt ❑ Other Job Address7,62 Gy 7/ !JW /// Clty 1-4.4VU„Ai7-4 Job NamePermit VDAis .2 / 7Y No E?. 4 ' /41 Issued By _ ef/ Y Type of Structure ✓ 7G2r<mO��� Architect Material Description (type, grade, source ) ' Engineer �S- Contractor .' Inspector(s) Name D4 cz� // Subcontractor TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY —LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS. (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. .mss EG JGAJ *70 7j. 6 HS6-t 1114 '7-/d)” dd -3y! " �i t c 7-,,L 2e- --u S4_Cu le¢- W N6 W c GG.UrhA T- BLace WA -5 RCC,—S5;62) T r4C11 /7A7E 1NS57AL4 A'r77e), 7'a C X157Zi Z /NE^ d A" .7"6 6U7-14 UF' e;5- ;5—"% -/-v Jc - / v . 3 QUALITY CONTROL CHECKLIST ❑CHECKED IN WITH CITY E] REVIEWED APP. PLAN & SPECS E3 REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES ON TIME TO J06 t'• ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO. OF SAMPLES ❑ OTHER E' CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGEALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONSOFTHE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED INSPECTOR SPECIALTY NO AGENCY 'ONTINUED ON NEXT PAGE O PAGE % OF TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES °x,-00 3.'dGJ -_61 -_­...r.r All Inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. Approved by i ? t/ Proles Superintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0001A M E�/l7800 S. MAIN STREET i SUITE 303 f ' / GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO; CA 91762 E N GI E E R I N G & TES NG, INC. <,(24 Hour) Cell: (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT a.7 No. Date I.5te -G.3 Time1 TYPE OF INSPECTION REQUIRED ❑QrReinforced concrete ❑ Structural Steel Assembly p Quality Control ❑ Post Tensioned Concrete p Fire Proofing,;, 0 -Epoxy ❑ Reinforced Masonry '" 'p Asphalt p Other 1 City Z_ R (::V7_4 Job Address 9.2 .741S Aw /I/ �i Job Name !//1' NS -2 ! S Permit No 40.265 = / 5/ I Issued By G r c� Type of Structure Architect Material Description (type, grade, source) 45?�b K 6 .4 l�, Engineer . ,.��-fp 55GL/moi t / Contractor Inspector(s) Name q L Etar��uC"E/Z Subcontractor TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY -LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE 8, IDENT NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. L rn� /Pad �= yGs' $NJ� ,�iyE / P �"� •,��~ �e /L'EiYi N A CC o rn G /.S // ic'. Df "A/Z `- 14 A.0D - �- 7`� E' /r 0'c ave .HA2 A �,r�.� QUALITY CONTROL CHECKLIST'I]CHECKED IN WITH CITY ❑-REVIEWED APP. PLAN & SPECS I=] REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES ' ON TIME TO JOB I] CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO.OF SAMPLES ❑ OTHER �crt��r��r,nvn yr wmr�innt,� I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE -OF REGISTERED INSPECTOR SPECIALTY NO AGENCY CONTINUED ON NEXT PAGE ❑ PAGE OF�_ TIME IN TIME OUT I REG. HOURS O.T. HOURS SAMPLES All Inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. . WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0001A a ».�."_�;t,,'..'s't�'i7i'�L`�ltJ i'^ � "� Y""'v'.yYM+ac-" arMi��„^yt�;.pw+er-+r•.-a.,.... ;.-++.-.+. P 7800 S. MAIN STREET SUITE 303 ' GARDENA, CA 90248-3553 E N G I E E R I N G �1236 W. BROOKS STREET &TES N G, INC. • ONTARIO, CA 91762 l.'.'�iX r •snwtiamv-�> .vim-. ,� (24 Hour) Cell: (31.0) 713-5008 Office: (31 O) '851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT JOo.�'- 6366 Dat„ ?7-03 Tme'%!/E3 TYPE OF �einforcecl concrete E] Structural Steel Assembly C] Quality Control INSPECTION ❑Post Tensioned Concrete E]Fire Proofing ❑ Epoxy REQUIRED [Reinforced Masonry ❑ Asphalt ❑ Other Job Address 9-2 -7/ ! /� //� ��ty Z 4 "w Job Name 217S- Permit No 0:2 0-5-- /9 c Issued By 42 s Type of Structure Architect / �EM GAJ E � �L �ffA/11�s Material Description (type, grade, source) Engineer �a ,`iSsGG/AYES .' Contractor Inspector(s) Name Subcontractor TCCTQ nonv^nam Gr% r TYPE OF SAMPLE I ''SLUMP I QUANTITY IN SET • ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY -LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT NO'S /f OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. G. , 121U—lAhdWS/_/!/S EGTio,,J O,-- 1)V45,n/Q h/ALC' �IC-126CT/Oli/ 0./ J . :5fl/E_✓ F4GC/,1 LE Z)G 2 �j a L TS !JN � L/n/� � �v O• / , � aoE 1a2lLU�v . /mem CA.) A /U75 We'i2E" /7E !�< s ��'� . 73 771le- A 6,-7-,,/ QUALITY CONTROL CHECKLIST ❑ CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN & SPECS CpItN TIME TO JOB ❑ CHECKED PERMIT CERTIFICATION OF. COMPLIANCE.,,,,.,-^ I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE.APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE, SECTIONS OF THE GOVERNING BUILDING LAWS. ' SIGNATURE F REGISTERED INSPECTOR SPECIALTY NO AGENCY WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - ❑ REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES ❑ OBTAINED APPROPRIATE No. OF SAMPLES ❑ OTHER CONTINUED ON NEXT PAGE ❑ PAGE OF�_ TIME IN TIME OUT I REG. HOURS O.T. HOURS SAMPLES 'Uo / 7 -'oz)l 211F 1 7 All inspections based oh'a minimumA 4. hours and over 4 hours - 8 hour minimum. .'Appioved try e Project Superintendent INSPECTOR'S COPY 0001A 17800 S. MAIN STREET SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 EN G I E E R I N G & TES NG, INC. (24 Hour) Cell-- (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT Jo as z)36U Date-_ 2x_65 Time IC ex TYPE OF INSPECTION REQUIRED ❑ Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire Proofing ,i ; ❑ Epoxy I 6 -Reinforced Masonry" ❑ Asphalt ❑ Other Job Address 7 n2 .7( _ 'V // / City /• A L•Issued Job Name ' `61k/S ;Z ('7 S Per i - j By Type of Structure Architect Material Description (type, grade, source) Engineer "e7 A ss 6CI'A 7r._5, U Contractor Inspector(s) Namee Subcontractor TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY - LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. �/ C dM -div 1Ga�S -Tit/ S � r T161&1 © r MA• 5e5 /V nom'' t/ GIA L 4- 4e C 77 e N /In C."6itlG/�E r`E' ee/U7-rA7 7—e. !`_'/QAC 1�U� GG7 /Nla A- 11N� %'LfiC'�:� '�'/��' ,�1'�'iv .c'{. !i'CE:�F•ti7" �i"� � y W � .3 5-rrF�,��.r�':, �2.�• �J. C, • i 3 QUALITY CONTROL CHECKLIST ❑CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN 8 SPECS ❑ REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES Q ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE No. OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGEALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATOR`- REGISTERED INSPECTOR e-) F./ SPECIALTY NO AGENCY WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK CONTINUED ON NEXT PAGE ❑ PAGE / OF—L— TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES All Inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. Approved by Prosect Superintendent INSPECTOR'S COPV 0001A 17800 S. MAIN STREET SUITE 303' GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 E N G I E E R I N G & TES, .NG, INC. (24 Hour) Cell: (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT. 6Q Dates.,Z 3 TilYte7/u"c TYPE OF INSPECTION REQUIRED p Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑Post Tensioned Concrete ❑Fire Proofingp"Epoxy @ �einforcetl misonry ' ❑ Asphalt Other Job AddressCity. 78 ;?-71 w gc...vr�4 Job Name VOU VS 7 Permit Issued By.// � C� — A@ 4. Type of Structure .5,. Architect - Architect 1,/- da�rA/� Gy.�� Material Description (type, grade, source) A��6✓� Engineer°'y?P i3 �J /�!` Contractor �fNQ�Ai l� Inspector(s) Name f/Y fi Subcontractor RA -w /dc- '?_� //' ,r y TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES 7 / se, g p 1 ' a - yv*. INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. ��T/N,a�S .,�t�S c�'CT/4� G.� �l �9'tA.SQ.tf/�' •t�Y�T" ��� .����i�%' "P'�cr�.f�,�" ,4Vf+5 NAOU C,44 V1619,477DA1, 4150,*,V/.9 A7e_z ,PdX✓o 6-A' fS7'fA/ Z�L 414_ w Gtl4t e— eAJ 6' CID 4-r x F' ct }f>,•�a � D04<1 z 5' c>a1 -el 3 4/.j ++.2C;_ i 7A S,oasQ 6�ff—C790 4 -'ye r lA/464. A -r A4 tf 7Q� QUALITY CONTROL CHECKLIST ❑ CHECKED IN WITH CITY ❑ REVIEWED APP. PIAN & SPECS ❑ REVIEWED PREVIOUS REPORTS ❑CALLED IN SAMPLES Q" ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO. OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE_ OF i I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND TIME IN TIME OUT REG. HOURS I O.T. HOURS SAMPLES THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. /o / 7f a0 el.•,�,"�,, All Inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. r SIGNAATa-UyR�E''�OF REGISTERED INSPECTOR % f .-C e_ Approved by SPECIALTY NO AGENCY 4 Protect Superintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY OOOtA B ,w .. SUPERIOR READY MIX CONCRETE, L.P. 1508 W. MISSION ROAD • ESCONDIDO, CA 92029 PHONE: (760) 775-8272 • (760) 745-0556 Weighed at r 38-155 Monroe Street 2 =✓ /! F. Indio, CA 92201 J G - DELIVERY TICKET 223275 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5,.of the California Business ands Professions Code, administeredyby the Division of Measurement Standards of the California Department of Food and Agriculture. DATE -_ _ CUSTOMER NO. ORDER NO. CUSTOMER P.O. OR JOB NO. PLANT NO. DELIVERY TICKET - 5/22./03 171300 9Ly9 71 712.2488 CUSTOMER NAME SPECIAL'INSTRUCTIONS _7���;.�e,,��`8,;�C RAMIREZ MASONRY,INC. JOB ADDRESS- ( :3005) HWY III & WA,SI3INGTON ST . (VONS) LA QUI NTA DESIGN _ - _ - _ %" ROCK (LBS.) _'/." ROCK (LBS,): _LBS. SAND ,"LBS _CEMENT SAQK— —WATERS =ADD_MIX_(LBS.)— D866P I SUPERIOR READY MIX CONCRETE, LPJ��EGHMASTER TRUCK DRIVER `�-- DEPUTY 450 FRAANCOIS PIENIADZ CUBIC YARDS TOTAL C/Y DESCRIPTIO,f�K PRODUCT CODE UNIT PRICE TAX AMOUNT 1 2tA6 ! /81PUMP PI T K 866P YARDS TO GO In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materialsSTAND-BY TIME THIS TICKET PREVIOUS STAND-BY shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume JA n responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some imperfections and popouts may occur for which supplier is not responsible. PLANT 71 OUT 09a.31 UNUSUAL -INCIDENT OF NOTE ON THIS DELIVERY MAXIMUM 5.00 RECEIVED IN GOOD CONDITION BY: SLUMP IN A4, X • WATER ADDED AT CUSTOMER'S 1 ,CUSTOMER SIGNATURE / r ON JOB 'S UNLOADINQI;(,�,� CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin Injury. Avoid REQUEST GALLONS contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture I • ESTIMATED SLUMP AT UNLOADING DEPART START gets Into the eyes, rinse Immediately and repeatedly with water and get prompt medical attention. Keep children away from cement powder and all freshly mixed cement products. ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK INCHES ARRIVAL FINISH VVV NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED • WAITING AND/OR UNLOADING AFTER LEAVING PLANT. — READY Stand-by end/or dumping time In excess of 4 minutes per yard will be charged. TIME HOUR TO UNLOAD DELIVERY ]t a17800 S/: ViAIN STREET SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 .(24 Hour) Cell: (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 QNEGI E E R I N G E S N G , INC. Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT Job 2 Date Time TYPE OF . ' INSPECTION. REQUIRED ❑ Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire Proofing E]Epoxy g3 -Reinforced Masonry ' ' ' ` ❑Asphalt ❑Other Job Address City . Job Name/ %y VWAd3 21-7S—. Permit No to'�'0 " Issued B r Type of Structure - Architect Material Description (type, grade, source) I-: r. A� Engineer !-ass z• 14 r " 0 -,� Contractor Inspector(s) Name'./J Subcontractor R, A TESTS PERFORMED OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES �TYPE a• ' ,•P 7 -- INSPECTION SUMMARY - LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS'(WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. .nn�7:r cJ/L7-26 Ale %?p, Z- r, QUALITY CONTROL CHECKLIST ❑ CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN & SPECS ❑ REVIEWED PREVIOUS REPORTS , 2 -CALLED IN SAMPLES Ea -ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO.OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGEALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH.THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED INSPECTOR SPECIALTY NO AGENCY CONTINUED ON NEXT PAGE ❑ PAGE / OF�_ TIME IN I TIME OUT I REG. HOURS I O.T. HOURS I SAMPLES All inspections based on a minimum of 4. hoArsi and over 4 hours - 8 hour minimum.] ; ►y�) P + ,r Approved by Project Superintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0001A u 7800 S. MAIN`STREET I� SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 E NG I E E R I N G & TES NG, INC. (24•Hour)'Cell: (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT . Job No. Date- P`lLcy- TYPE OF INSPECTION `.:REQUIRED ❑ Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete . �, : ,❑ Fire Proofing r r :r •. ,x ❑ Epoxy • [arReinforced-Masonry- ' ❑ Asphalt ❑ Other Job Address / City ' k -7//1 -, // G�iy7-4 Job Name / VOAIS �-7/75 Permit No r':7 rs 5, - /6( Issued By Type of Structure SrGr� i�r� i� E" Architect L fr�4 /1c�-S Material Description (type, grade, source) Engineer Contractor r /`� •GE ir/i � Inspector(s) Name/' // �r Ff A 7J Subcontractor /w A- SG A ' TESTS PERFORMED ' TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES 7— r x, ,/ INSPECTION SUMMARY —LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT NO'S OF TEST SAMPLES TAKEN: STRUCT,�C•'ONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED;; ETC. /j •.. /. • Q n! '3'�//C/" r ../ u c .�6 • .R! i �9 t - J? %�/c: iif"' /U i?J 41 r` /•'/) Gr A r .. n e r , , .- 7 •rind /YiC-' 7— L.1 P / o , !2F %A S • M A r c Q /r'F F /ter- Ss "T T/ :� UG `fLl /ti F r /F rt QUALITY CONTROL CHECKLIST ❑ CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN & SPECS ❑ REVIEWED PREVIOUS REPORTS / .CALLED IN SAMPLES ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO.OF SAMPLES g OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE'OF REGISTERED INSPECTOR 1,-20-N </T SPECIALTY NO AGENCY CONTINUED ON NEXT PAGE ❑ PAGE OF_� TIME IN TIME OUT REG. HOURS I O.T. HOURS SAMPLES A ' /7 n,,, 3 t< All Inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. - A r Approved by WHITE - OFFICE COPY. -CANARY - ACCOUNTING COPY, PINK.- INSPECTOR'S COPY, 0001A E7800 S. MAIN STREET SUITE 303 , GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 4k," E N G I E E R I N G &TES NG, INC. (24 Hour) Cell: (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT Job Np -63463 I Date- , Time "., TYPE OF INSPECTION REQUIRED O Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Epoxy p'14einforced Masonry ❑ Asphalt ❑ Other / / Job A-. -7 7 `YW ��� City' .L A •Gt> /a Job Name �, r . • r s � %� Permit o 5 .. S� %t Issued By C?r Type of Structure -^ Architect Material Description (type, grade, source) Engineer A Contractor /`r�c,� ,•vim Inspector(s) Name /7 Subcontractor —� TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES 3 7 '?" 7 1 S '�" er' S' CIA i;CA s -sun/ 61Aec T • .x INSPECTION SUMMARY -LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE 8, (DENT. NO'S OF TEST SAMPLES TAKEN: STRUCT CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. Al 14 t:s N. c-- a Qf= A d'>fc`C•uT PG>U!ga laitJG/ !i✓i%4N /�E ['fi��r�.! �" i u V Z? 0 r, Aly si~G� r-u�::'t PLAe'fAr-7Z-A. !, / � s a //,E;-.�F�.. �c'.ri� �/ ✓,. Clr SCS%iv /�hlG .�`/`ry /f J QUALITY CONTROL CHECKLIST ❑ CHECKED IN WITH CITY REVIEWED APP. PLAN & SPECS ❑ REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES U' ON TIME TO JOB ❑ CHECKED PERMIT [?-OBTAINED APPROPRIATE NO.OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE / OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED INSPECTOR SPECIALTY NO AGENCY TIME IN I TIME OUT I REG. HOURS O.T. HOURS SAMPLES WrJ I 777,j All inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. Approved Project Superintendent , n; . WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0001A 17800 S."MAIN STREET SUITE 303 GARDENA, CA 90248-3553 ❑1236 W. BROOKS STREET. ONTARIO, CA 91762 1 ENGIE E R I N G & TES NG, INC. r' t r• r (24 Hour) Cell: (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT Job No. Date a Time4-i ue TYPE OF INSPECTION REQUIRED ❑ Reinforced concrete ❑ Structural Steel Assembly ❑Quality Control ❑ Post Tensioned Concrete , ❑ Fire Proofing. t , r, ❑ Epoxy Reinforced Masonry.' '' I Asphalt ❑ Other Job Address City jO -7 ZA eD.. 4, l77A Job Name�� ( VQ 'ri Permit No A 2,-,< —I e1 Issued By,y Gr / Type of Structure r7 -11W 57 /-?,gEm 6 7/7 -Z Architect / G? /i Material Description (type, grade, source) Engineer J Z5 n 7 Contractor . / x, Inspector(s) Name " Subcontractor ' TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY - LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & [DENT NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. �- � y-- L/�-/ 7--' /-cu> _ . -c - e,- n, I L-IA.c F' - .� /c.s �nv.a - n, w / Al/. l t% . .tJ// tI i % h�/1 i ✓ C $ / �,/s/I�' 7 7�/�E.` /!N 7?-iu 4 -OUI A)i h% 41 /' 1) -1-41,1-n AlrlJ T ,?Iq, S / t l-' icJ,C LGA, LI iCi e-- .zi .A 14. r _ i i QUALITY CONTROL CHECKLIST ❑ CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN 8 SPECS ❑ REVIEWED PREVIOUS REPORTS 2 - CALLED IN SAMPLES 010N TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO. OF SAMPLES LJ OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH, THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE'OF REGISTERED INSPECTOR Ply, �111- 4-y SPECIALTY NO AGENCY CONTINUED ON NEXT PAGE ❑ PAGE OF TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES / i-71, G 7xv All Inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. Approved by �! Protect Superintendent . WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0001A 17800,S. MAIN_ STREET SUITE 303 . GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA:91762 (24 Hour) Cell: (3 10) 713-5008 Office: (310) 8Sl-'8685 Fax: (310) 851-8692 . 'EVGIE E R I N G & N G, INC. Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT I Job No. Date Time _ TYPE OF INSPECTION REQUIRED ❑ Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire Proofing- Epoxy ❑ Reinforced Masonry El 'Asphalt- "` ❑ Other Job Address 7,122-7 W /` City 04"I 7' Job Name/ Permit No Issued By Type of StructureArchitect Material Description (type, grade, source) is S 644 Engineer Contractor Inspector(s) Name,� n L�' � 4 A/ECCK Subcontractor �p I/=)I6Y1 !/� � I?-J14Ae,,, V TESTS PERFORMED ' TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY —LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. 'INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE 8, IDENT NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. 4 .•9 e �1i is �v� LL.rG.v S !'ir9 lF� 7"7 G Al l O X 4 7 ✓NSTA�+._G�PI Pfd�r GK �7' r-2'." /�Ei��i' CtcJeFL S r r QUALITY CONTROL CHECKLIST ❑ CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN & SPECS ❑ REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES ❑ ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO. OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL CONTINUED ON NEXT PAGE ❑ PAGE OF OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS; AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIG14ATURE'OF REGISTERED INSPECTOR J 1P� 96, / 5/, l - je?/ JCC' SPECIALTY NO AGENCY TIME IN I TIME OUT I REG. HOURS I O.T. HOURS I SAMPLES All inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. Approved by ` Proiecl Superintendent . WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0001A ®17800 S. MAIN STREET SUITE 303 - " •• ` ` GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 EVvEIG, EERING &INC. (24 Hour) Cell: (310) 713-5008 —Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT Job No. Date TYPE OF INSPECTION REQUIRED [a'peinforced concrete ❑ Structural Steel Assembly El Quality Control ❑ Post Tensioned. Concrete ❑ Fire. Proofing ❑ Epoxy. Q Reinforced Masonry' '�" °r ;``p `AspFiait' z. A ' "p Other Job Address 7 ! ! City ZU / Job Name /� y ' Permit No Issued By Type of Structure r Architect r. A6 /JA Material Description (type, grade, source) Engineer 1 1A 7 -of I S7- Contractor 1 Inspector(s) Name 1-14 71rrl� i. t Subcontractor ? A�'. TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES � t '7' INSPECTION SUMMARY - LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. �QAJ 7./ All Dia <: S ia.G � 7 .� >~' . C7 rj i i2E l'' ✓�' �� V i �f•,.t/T`r /ii rw •, dry 6A/ 1'7 �f 1✓'�F%T7•' e,-v'w Y'rin T/N 4a z YD 1A ;7)11___)) TTn 7-7//13 '- s:t: P1,V,4 e A i-1-7-19 n _. A - : ' .0 i- T` /.tA f/t//r*F : "/!/ -166- //v.(_' FAST P Q a AJC V rctri?�' )A.14< -r—/j 0 1 rriAJ A z-r,U ,4 ,4,, // ,'7 ! i/z Aa— -' leF ' /�. > Al e. /7A i e) / !.._ r i A/"a9/7/,X )m 4l / Al Q IC' /'1 / /Ath ),t/,d e /ti -r -,.-,C 4 i, P-' t 1--1ACe-&Fe-R.7"" 7) / A ti- .,I Z_ AI7_;4A 11A1 / LrJ 4 .y i Xt r r 7) :;? -3 / . 4 ,4U e- IVI 7- (4,,-, v G_ 1 ',7) X-? r- --srt i'i A /.•i rn < AC, ('.- 1;,i /7 Z/ / s L/ .[-7) 1--41 Al IV I C A,- ) / 1?/t A 7•i ,rJ n g QUALITY CONTROL CHECKLIST ❑ CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN& SPECS ❑ REVIEWED PREVIOUS REPORTS '❑ CALLED IN SAMPLES ❑ ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO.OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE El PAGE OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGEALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED INSPECTOR SPECIALTY NO AGENCY TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES All Inspections based on a minimum of 4. hours and over 4 hours - 8'hour minimum. WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0001A 17800 S. MAIN STREET SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 &E N G I E E R I N G & TES NG, INC. (24 Hour) Cell: (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT . Job No. -o J Date 3 G-4-,-, Time � "r TYPE OF INSPECTION REQUIRED E] Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire Proofing L ❑ Epoxy poReinforced Masonry `" ❑ Asphalt ❑ Other Job Address City "? F 2-71 //w, j// 44 .: , -rA Job Name I.//e '4 t -�?_ / -7 'r" Permit No /s'� - % Issued By Type of Structure Architect Material Description (type, grade, source) Engineer ag A7 a 45 5"a m Contractor Inspector(s) Name , Subcontractor TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY - LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT NO'S SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. //•}-•�O^F''-TEST f .L. ,tt < Ie P'-7 ... i .• J of x' 0 1.4 l.. ! A 1 /7 n A 7 C' Y' ./!1 " '9r //s A Li 7, 7 Sr / CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN & SPECS ❑ REVIEWED PREVIOUS REPORTS C]CALLED IN SAMPLES QUALITY CONTROL CHECKLIST ❑ G]�ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO.OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED INSPECTOR RM ST- 4/41 If/ SCC SPECIALTY NO AGENCY ;ONTINUED ON NEXT PAGE ❑ PAGE / OF TIME IN I TIME OUT REG. HOURS O.T. HOURS SAMPLES All inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. Approved by (/ ` Prolebt Superintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0001A 2/17800 S. MAIN STREET SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 EN G I E E R I N G & TES NG, INC. (24 Hour) Cell: (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 . Office:. (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT Jo®A-U 36 Date �..�3 rme7�u TYPE OF INSPECTION REQUIRED [].Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tehsioned 'Conc,rete •.. E]..Fire Proofing �, ,.: •. ❑Epoxy. Ar :., �Reinforced'Masonry ❑ Asphalt' ❑ Other Job Address7 U � i twat / /! City ZA Q , , A< / .,q Job Name (/./) 't/ :2/-7 Permit No 010s--iN Issued By �l7~ Type of Structure Architect Material Description (type, grade, source) Engineer LLE 53�C's6l TD'S Contractor Inspector(s) Name Subcontractor TESTS PERFORMED OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES yTYPE /J 5'6'a .S INSPECTION SUMMARY -LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. r,;— ✓ 4 Q, A-n/%i , c3 , sr, rai ry v i . !a .7-4 , �, G i�.rE' `l.J��i r�.�1s�! A A Z) Q. ! .t:'; r/ '- 4 /, 7 Af: ( n_-)/L15d e / 1:+ 4e, A /.r./ A As"v i. A -'k -9 J// % /I A 7—/,, Al, QUALITY CONTROL CHECKLIST ❑ CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN & SPECS ❑ REVIEWED PREVIOUS REPORTS &CALLED IN SAMPLES ©-ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO.OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGEALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. CONTINUED ON NEXT PAGE ❑ PAGE OF I T TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES 46 06 1 %tib', ` ©U All inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. SIGNATURE'OF REGISTERED INSPECTOR $ —6 9 6IV& 'r: � � � Approved by SPECIALTY NO AGENCY Project Superintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0001A kill ';w SUPERIOR READY MIX CONCRETE,.L.P. 1508 W. MISSION ROAD • ESCONDIDO, CA 92029 PHONE: (760) 775-8272 • (760) 745-0556 Weighed at 38-155 Monroe Street Indio, CA 92201 a— DELIVERY TICKET 224448 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weigh master, whose signature Is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business ands Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. DATE CUSTOMER N0. ,ORDER NO. CUSTOMER P.O. OR JOB NO, PLANT, NO. , D_ ELIVERY_TICKET,NO. 6/ 9/03 171300 335- 71 7123650 _CUSTOMER NAME�� - SPECIAL INSTRUCTIONS _c:QniP - AA RAMIREZ MASONRY,INC. JOB ADDRESS. (3005)HWY 1.11 6: WASHINGTON ST.(VONS)LA QUINTA DESIGN__ _ _ _ _ - JW_ROCK .(LBS.)_, _ 4'."ROCK (LBS.)_ LBS. SAND ---I _.LBS._ CEMENT_•..SACK_ WATER-1—ADD-MIX (LBS.)_ D666P SUPERIOR READY MIX CONIQRETE, LIP WEIG.HMASTER)_. ` _TRUCK _ _DRIVER p. ✓ DEPUTY 663 SAL. SANTOS CUBIC YARDSI TOTAL C/Y DESCRIPTION r�"'� PRODUCT CODE UNIT PRICE TAX AMOUNT 1.00 LATE DELIVERY PER YD LD5 1.00 SHORT LOAD 5 LOAD SL5 YARDS TO GO 0.0 �1 � �Q� (CrA 4,4/1 In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The STAND-BY TIME THIS TICKET purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No PREVIOUS STAND-BY cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume I responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some 1"Usmil' imperfections and popouts may occur for which supplier is not responsible. PLANT OUT UNUSUAL IN a -@f NT OF NOTE ON THIS DELIVERY MAXIMUM j. RECEIVED IN GOOD CONDITION BY: 5 ^ 00 SLUMP 71 14.36 4)• 304). I N X -COMER • WATER ADDED AT CUSTOMER'S��j e SIGNATURE CAUTIONI Cement powder or freshl mixed concrete, grout or mortar may cause skin injury. Avoid REQUEST GALLONS ON JOB UNLOADING contact contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture . ESTIMATED SLUMPATUNLOADING DEPART i START ' gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention. •- Keep children awav from cement powder and all freshly mixed cement products. ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S SK A•. INCHES y C NOT RESPONSIBLE FOR ULTIMATE DUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED . WAITING AND/OR UNLOADINGVI A.� FINISH AFTER LEAVING PLANT. READY Stand-by and/or dumping time in excess of 4 minutes per yara wm ae cnargea. TIME HOUR TO UNLOAD CUSTOMER 17800 S. MAIN STREET SUITE 303 ' GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 1 "ENGI EER.ING & TES NG, INC'."' (24 Hour) Cell: (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT , JO I`& -0,16 o Date ✓U _G 3 6 Time, TYPE OF INSPECTION REQUIRED ❑ Reinforced concrete E] Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Epoxy [� einforced Masonry ❑Asphalt ' ❑ Other Job Address 7 e V. -7 w �� � City / C/ t ,tr7—A Job Name Uti5 ;Z/ 75- Permit G5. / , / Y�f7�� Issued By d /T Type of Structure s? �. ;FcwrC/ 2).6 L Architect `', ! E Material Description (type, grade, source) Engineer /-7 /1S5 -0C /47,6.- 1TEContractor [!�� Contractor Inspector(s) Name /1�VGz C•, Subcontractor 1k714S<, IR TESTS PERFORMED TYPE OF.SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY -LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT NO'S OF TEST SAMPLES TAKEN: STRUCT CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. Gre,A.—r/.viau57 L . sp,:5-c-Aiwa o.c- M A Sv.ue S�-�eGT>'QA/ 4,;,cJG`' e�. Giu//J G AivC�7. GSA / L/.�r/,rE 13 S - r / Ctu.vT/2dG ^�GrNT TU �� I. �!Y `tom L/F'7j i LGC.47�1r �! !"7�iCC� �loG c� 12 G� GSE% /3UC 7 M �' E7��7EivTS, Y �iTNCSS� '`"5l- k,W s ,circ 7-1 41y 7- QUALITY CONTROL CHECKLIST ❑: HECKED IN WITH CITY ❑ REVIEWED APP. PLAN & SPECS ❑ REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES Q ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO. OF SAMPLES ❑ OTHER %.rmiirivmirun Ur VUmrILuuvt,t I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED INSPECTOR S2:4 I ed -9!1 / SCC SPECIALTY NO AGENCY CONTINUED ON NEXT PAGE ❑ PAGE �_ OF I TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES t'o i GQ �e�i � CJU d All Inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. Approved 1�V Aop by �. Project Superintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY OOO1A s El ,l'I800 S: MAIN STREET; � SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 E N GSI E E R I N G & TES NG, INC. �.-. .rod' -r:4 -"ay . •` .t .1n T,��>tK'f•>'i.•"`�- -t. 1T �` (24 Hour) Cell: (310) 713-5008 "Office: (310);•851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORT Job 15 -7 --.No. -1 Da `5-b3 TmeMDAI TYPE OF INSPECTION REQUIRED ❑ Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ;,; i 4 : , �- ❑ Fire Proofing ., ; � ..+1 ,, . _. ; �; [vyEpoxy: (Reinforced Masonry + ❑ Asphalt ❑ Other Job AddressCity T� / r / l A. Qa Job Name / Permit No Issued By el Type of Structure -Architect u:,;�e-e /CLE s Material Description (type, grade, source) Engineer / L7 Contractor ?N/,,e AJ Inspector(s) Name �` //jj Subcontractor /!?C to A S6 ,u l2 TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES � vxG // �- •• � s'�: B/-'" /� C�/'Gca.'T o�.7 Gu /n'S3_' 3%r^- � .a�!> �1jr• INSPECTION SUMMARY - LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE &'IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. 1A5 S C7Z-AJ rnr' 4 iYl q <eA., W,4 z4 -nu S-7 PUC g-'/Git%. AG✓.A,[` .I . 0 lA.i�" ` )r oA4.4AJ Ae ,4,VD f9.: / Z/R.J- R -t-7 l l�i,ru �ato4 -rC C."iia tic./ Z:2,0 77e /Q 6,14 S"Swe ;1D �i ML G/t !!_ G (/1 i9/T� iie5.t/ v�.s o L''O 1C�/!�L/i CF'> . Gt//>•uE~ss �PCiX 4-&_F -T-A: 7Z7Y,i5Tliva WA-ZL /Gic��" 1Q00 - 0Z / Ur16572 WA --S r. 11 /S' . QUALITY CONTROL. CHECKLIST ❑ CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN & SPECS ❑ REVIEWED PREVIOUS REPORTS . ❑ CALLED IN SAMPLES 90N TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO. OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGEALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. CONTINUED ON NEXT PAGE ❑ PAGE OF TIME IN I TIME OUT REG. HOURS O.T. HOURS SAMPLES 1d . U J 9' 2— 'l All Inspections based on a,minimum of 4. hours and over 4 hours - 8 hour minimum. SIGNATURE' • F REGISTERED INSPECTOR / _ L 5!✓�'i/_/5//i.`�f'�� ^•�-�� Approvedbyf !'� �• A/�, / ♦ SPECIALTY NO AGENCY \ r V tProjecVSUperintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0001A ®17800 S: MAIN STREET SUITE 303 -Ar- GARDENA, CA,,90248-3553' 1236 W`. -BROOKS STREET ONTARIO, CA 91_f6,' , ( wE N G•I. EE R LN G & TES NG, INC. (24 Hous) Cell: (310) 713-5008 Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (9 09) 460-7409 REGISTERED INSPECTOR'S DAILV REPORT b No. D2 Tim TYPE OF INSPECTION REQUIRED ❑ Reinforced concrete ❑ Structural Steel Assembly C -]Quality Control ❑ Post Tensioned Concrete. ,❑ Fire Proofing.' s; •,... , . r,• , .y ; . •. ❑ Epoxy. . " �Keinforced Masonry`' ❑ Asphalt ` p Other Job Address/ City / 4 / N 7—* Job Name ,{j��5 Permit N��I/y IssuLed•ByA' Cr Type of Structure/ Architect Material Description (type, grade, source) �^ 7a'dc t /O.4i Engineer/ I 7 i50CI.47Z:S %i fs G G /1�9 ,? 52.7o pu /� /l�1 I �( 'Contractor f�'.r c�,E'iv X - Inspector(s) NameSubcontractor <IDGL-• � � _ f � -. TESTS PERFORMED p TYPE OF SAMPLE SLUMP QUANTITY IN SET „ �;;:). 3•� r ADDITIONAL REMARKS ON .SAMPLES t INSPECTION SUMMARY - LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T.• BOLTS TORQUED) CHECKED; ETC. .�O�F L�n 7'/et/io/f __ „av 'CWejA/ ,O,C- 4 MA1 'ejXJ L 91,4eL e44.j5'7-M&f 1d S c1f-1 r 4 1 1 u. -771Z' P 6 72,,., ,5A:;�,viAJ19 DA/ (7- ZGvac �-- 0,.� L/ f Ctlw,J7`/i!/�ok.S '?"`h�Si•'E�7/D�/ t`.J�' � �� Llf=7" %GL�'T ©rL � f D � • oQ <2o'K/i►r it y' -EC � CO. •,a 5" car / f'/ � /'� ' A r•" S en e- !:7 /1-17n�1 4LIr'-,� JO/_ /. 1ti=/ /u 4 AJi c [ v R -7--/41 XJ QUALITY CONTROL CHECKLIST ❑ CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN & SPECS ❑ REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES ®!GN TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE NO.OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGEALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. CONTINUED ON NEXT PAGE ❑ PAGE OF- TIME IN TIME OUT I REG. HOURS O.T. HOURS SAMPLES ' All Inspections based on a minimum of 4. hours and over 4 hours 8 hour minimum. • SIGNATURE'OF REGISTERED INSPECTOR SD / 1/h .F S� Sli ��i/J '-�7 .��� APProved by SPECIALTY NO AGENCY v v PFoj&bt S"upefintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0001A E 17800 S. MAIN STREET (24 Hour) Cell: (310) 713-5008 SUITE 303 Office: (310) 851-8685 GARDEN A, CA 90248-3553 Fax: (310) 851-8692 ENGI EERI.NG yam` & TES NG, INC.. 1236 W. BROOKS STREET , Office: (909) 467-0104 ONTARIO, CA 91762 Fax: (909)460-7409 REGISTERED INSPECTOR'S DAILY REPORT Joh �o.n.3eQ Date©� Time TYPE OF ❑ Reinforced concrete ❑Structural Steel Assembly E] Quality Control INSPECTION p Post Tensioned Concrete ., ;. ❑ Fire Proofing I .. ❑ Epoxy ,[--� REQUIRED ©oReinforced Masonry ❑ Asphalt p Other Job Address 76 -7 G4 /`/! City Z/4 0 U /A., 4 Job Name ! Permit No y f6` Issued By y Type of Structure Architect "`Gr2 6� �C. � - in /a ti f• �. 1� . L • .,�. t-A,s' fc' C cd�' Material Description (type, grade, source) Engineer 1� Su t8 f� 2 -,,� Contractor Inspector(s) Name/ �j Subcontractor1 7.ZGL-;'6.1 e,4Alr kPAem//?e-Z� i?1A-5G/s:/�r� TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES 3 ` x < �' / 5c r �� y �'/�Gk� .7 aur i'�,g �•� ! ;.<g, � /Y1/X INSPECTION SUMMARY - LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. /�G,�rr/i/til t+.t S ,r i✓5/fF`Crdc:nr.14.57-' %� .9'►1�54 /t!/�'9/��rli'�ou/� / /r 7 A —(f L ✓AJ A— i-' .14..s 7 - Z//' -.'r Fi Li.wc�'� •f� GO, L/OJti �'7�/,� -F6,01 < -Ae' i�j'd S AC_64M -C.s/it-D Pb 0768,',41/ 11C'41— 6,116?/c,477041If ,v QUALITY CONTROL CHECKLIST❑,DECKED IN WITH CITY ❑ REVIEWED APP. PLAN & SPECS ❑ REVIEWED PREVIOUS REPORTS El CALLED IN SAMPLES Ia ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE No. of SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE I OF I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGEALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED INSPECTOR SPECIALTY NO AGENCY TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES All Inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. Approved b y ✓ Project Superintendent . WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY OOOtA t E"17800 S. MAIN STREET SUITE 303 GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 1 E N G I E E R I N G & TES NG, INC. (24 Hour) Pager: (310).758-1038 j Office: (310) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax:* (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORTJoNo. .o G Dates.^�� G3 Time TYPE OF INSPECTION REQUIRED ❑ Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire Proofing R -Epoxy ©Reinforced Masonry ❑ Asphalt ❑ Other Job Address/ /� / City I fc� , r . Job Name ��Permit Vo/v SZ/75- No 4 4.4' ' �l Issued By Type of Structure ST"c,r� r, Architect G�1-/Alee -f-- Material Description (type, grade, source) Engineer Contractor ti/ x Inspector(s) NameSubcontractor 1,143, 6G g �'ve /Z e' Z /01A 5oN,2 TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY —LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T• BOLTS TORQUED) CHECKED; ETC. 5 /-_;E G T/O 4/ V Thc u s Tit/ (,,/1,v DG 4J O /eV C- 7`en T'NE` %c e q 2 Or /(/G''GJ 7-rC4 5 At fin./` 4115 4,W4Eg Lei f/i/L-••CC5 it ►/C.Q 7- 4/ W.OlflZ Alie T/ /�l7 %[JL /"iiT E �G X W y t,/.SL /�. r,41C' O rz-',V.IAJ a WAS r'�/GA/ � /CGE?� -/A/ CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS x� WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS; AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. r SIGNATURE OFfREGISTERED INSPECTOR SPECIALTY NO AGENCY,, CONTINUED ON NEXT PAGE ❑ PAGE OF TIME IN I TIME OUT I REG. HOURS O.T. HOURS I SAMPLES 6 '4-j 1 /-7.'o& 5:- -3 All inspections based on a minimum of 4 hours and over 4 hours - 8 hour minimum. Approved by / U v Project Superintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 17800 S. MAIN STREET.. . SUITE 303' ' `•` ` ' ; ' • GARDENA, CA 90248-3553 1236 W. BROOKS STREET ONTARIO, CA 91762 E N G I E E R I N G & TES NG, INC. (24 Hour) Cell: (310) 713-5008 " ! ••• • " •Office: (311 b) 851-8685 Fax: (310) 851-8692 Office: (909) 467-0104 Fax: (909) 460-7409 REGISTERED INSPECTOR'S DAILY REPORTJob No. !a Date S--Y,;-c-3 rme TYPE OF INSPECTION REQUIRED Reinforced concrete ❑ Structural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire. Proofing [j]„ Epoxy p -Reinforced Masonry [j Asphalt ' p Other Job Address City X7,5 27/ �1 /// /,I &✓ ,IAj 7 - Job Name VeAJS" .i / %S^ Permit No 6 69`— /'1 Issued By G?/T Type of Structure Architect Material Description (type, grade, source) Engineer , Contractor Inspector(s) Name �/7b�cs` Subcontractor TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY - LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT, CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED; ETC. �- ..1��-- i 4D7 4 KJ - //�! / -A14 7-4 Q, (1 l AN ! P-7) ooT�nJ6 f /A .vSs4�� T/i� L-• L itis QUALITY CONTROL CHECKLIST ❑ CHECKED IN WITH CITY ❑ REVIEWED APP. PLAN & SPECS ❑ REVIEWED PREVIOUS REPORTS ❑ CALLED IN SAMPLES ❑ ON TIME TO JOB ❑ CHECKED PERMIT ❑ OBTAINED APPROPRIATE No. OF SAMPLES ❑ OTHER CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED INSPECTOR SPECIALTY NO AGENCY CONTINUED ON NEXT PAGE Cl PAGE Z OF / TIME IN TIME OUT REG. HOURS O.T. HOURS SAMPLES e" ""cac, / ''.• /v, P -- All Inspections based on a minimum of 4. hours and over 4 hours - 8 hour minimum. i r Approved by 1 Project Superintendent . WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY 0001A I T • F'i + Weighed at 86-160 Avenue 54 Coachella, CA 92236 SUPERIOR READY MIX CONCRETE, L.P. 1508 W. MISSION ROAD • ESCONDIDO, CA 92029 PHONE: (760) 398-1222 • (760) 745-0556 N DELIVERY TICKET `, 18746 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, •Nho is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business and- Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. ,DATE CUSTOMER NO, ORDER NO. CUSTOMER P.O. OR JOB NO. _ PLANTNO. _ _ _ DELI VERY-TICKET,NO. 6 / 1 `i 03 17130i t 355 74 7483393 ,CUSTOMER NAME SPECIAL INSTRUCTIONS RAM I REZ MASONRY. I RIC. JOB ADDRESS ( 3005) HWY 1 1 1 & WASH I R(.33 -TON ST. ( DONS) LA QUI NTA ,DESIGN _ -� %" ROC (LBS.)_ V4" ROCK (LBS.), , _LBS. SAND —LBS. CEMENT —SACK" ,_WATER_ .W—ADD MIX (LBS.)_ _ D866P SUPERIOR READY MIXCONCRETE,LP.T—WEIGHMASTER _TRUCK i DEPUTY 405 BUDDY 0' B ANNON CUBIC YARDS TOTAL C/Y DESCRIPTION PRODUCT CODE UNIT PRICE TAX AMOUNT fr. uv 6. QQ ;_,:,UQ 1 -'SI 3/811 PUMP MIX D866P 1.00 EHORT LOAD 8 SL8 YARDS TO-GO- OGO- 0 (x-) 0 In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The STAND-BY TIME THIS TICKET purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials PREVIOUS STAND-BY shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some t-' , imperfections and popouts may occur for which supplier is not responsible. "' "' OUT UNUSUAL INCIDENT OF NOTE ON THIS DELIVERY MAXIMUMPLANT RECEIVED IN GOOD CONDITION BY: SLUMP 14�— 74 13:28 IN X ,/ • WATER ADDED AT CUSTOMER'S CUSTOMER SIGNATURE ON JOB UNLOADING\f CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid REQUEST GALLONS contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture • ESTIMATED SLUMPATUNLOADING DEPART , 1� START gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention. _ Keeo children away from cement powder and all freshly mixed cement products. ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S INCHES RISK ARRIVAL FINISH - NOT RESPONSIBLE FOR ULTIMATE DUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED •WAITING AND/OR UNLOADING �- AFTER LEAVING PLANT. READY Stand-by and/or dumping time in excess of 4 minutes per yard will oe charged. TIME HOUR TO UNLOAD CUSTOMER ` SUPERIOR READY MIX CONCRETE, L.P. • Weighed at -38-155 Monroe Street Indio, CA 92201 1508 W. MISSION ROAD • ESCONDIDO, CA 92029 PHONE: (760) 775-8272 • (760) 745-0556 DELIVERY TICKET 224632 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business and. Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. ,DATE CUSTOMER NO. ORDER NO. CUSTOMER P.O. OR JOB NO. PLANT NO.— DELIVERY TICKET, NO. 6/11/03 171300 435 71 7123834 CUSTOMER NAME_ _ _ _ SPECIAL INSTRUCTIONS_ Gly" td.:_ RAMIRE2 MASONRY,INC. JOB ADDRESSw. (3005)HWY 111 & WASHINGTON ST.(VONS)LA 0U'INTA DESIGN_ .. _ %'_'ROCK (LBS.), , `_Y..;,ROCK (LBS,),_ ,-,,,,-_ LBS. SAND______ , __LBS, CEMENT_ � ._SACK, _ WATER:_ _ ADD MIX (LBS.). D866P SUPERIrOPREADY,MIX CONCR 'f E, L.P. _ 'WEIGHMASTER TRUCKl� _DRIVER_:_ DEPUTY 474 GORDON FINLEY CUBIC YARDS TOTAL C/Y DESCRIPTION PRODUCT CODE UNIT PRICE TAX AMOUNT 5. 0 .rd 2500 P51 3/8', 1..00 SHORT -LOAD 8 SL8 YARDS TO GO In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The STAND-BY TIME THIS TICKET purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No PREVIOUS STAND-BY cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some • imperfections and popouts may occur for which supplier is not responsible. PLANT 71 OUT 13.26 UNUSUAL INCIDENT OF.NOTE ON THIS DELIVERY I MAXIMUM 6.00 IN GOOD CONDITION BY: SLUMPX (tel v IN J. -ACEIVED //O(.n+j , • WATER ADDED AT CUSTOMER'S CUSTOMER SIGNATURE ON JOB UNLOADING�,s� r t CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid REQUEST =L GALLONS contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture•ESTIMATED SLUMP AT UNLOADING DEPART START ,�X gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention. Keeb children away from cement powder and all freshly mixed cement products. 0? ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK INCHES NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED . WAITING AND/OR UNLOADING ARRIVALS— - FINISH AFTER LEAVING PLANT. READY Stand-by and/or dumping time in excess of 4 minutes per yaro Will be cnargea. TIME HOUR TO UNLOAD CUSTOMER ' Rt SUPERIOR READY MIX CONCRETE, L.P. Weighed at 38-155 Monroe Street Indio, CA 92201 1508 W. MISSION ROAR- E'SCONDIDO, CA 92029 PHONE: (760) 775-8272 • (760) 745-0556 DELIVERY TICKET 223875 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted bye weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business andL Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. DATE CUSTOMER NO._ CUSTOMER P.O. OR JOB N I P1 ANT DELIVERY TICKET NO. 6/ 2/03 I.CUSTOMER,NO.---,I,ORDER 082489 46 71 7123078 NAME _SPECIAL'INSTRUCTIONS_( Q.1t( _C_USTOMER_ IMAC CONSTRUCTION INC JOB ADDRESS 78-271 HWY 111(VONS)LA OUINTA .DESIGN - ',ROCK (LBS.), _�" ROCK (LBS.) �LBS_SAND �L,B_S._CEMENT SACK_ _ WATER_ �ADD_MIX-(LBS.)- - D837P i $UPERIOR.REAOY _IX CONCRETE, W IGHMASTER„! TRUCK _DRIVER 209 JORGE ORTIZ p DEPUTY CUBIC YA DS TOTAL C/Y - -- - DESCRIPTION PRODUCT CODE UNIT PRICE TAX AMOUNT . 5 6 Yl�RDS TQQ C�CS�,O In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The purchaser shall in no event accept deliveries of materials not in accord with the agreement, of the parties, but such materials STAND-BY TIME THIS TICKET PREVIOUS STAND-BY shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof.'No cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume TOTAL AMOUNT responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some imperfections andpyo outs may occur for which supplier is not responsible. OUT 05:19EI PLANT 71 UNUSU L)7ENrT OF NOTE ON THIS DELIVERY MAXIMUM 4.00 D IN GOOD CONDITION BY: SLUMP � G o o IN X U • WATER ADDED AT CUSTO EBS. USTOMER SIGNATURE CAUTIONI Cement owder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid contact with skin aid wash exposed skin areas promptly with water. If any cement powder or mixture gets Into the eyes, rinse immediately and repeatedly with water and get prompt medical attention. Keep children away from cement powder and all freshly mixed cement products. REQUEST GALLONS ESTIMATED SLUMP AT UNLOADING ON JOB DEPART UNLOADING START ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED INCHES *WAITING AND/OR UNLOADING ARRIVAL 60 `-' FINISH T LTJ AFTER LEAVING PLANT. READY Stand-by end/or dumping time In excess of 4 minutes per yard will be charged. TIME HOUR TO UNLOAD CUSTOMER ` TRUCK USER LOG! jjCKET NUM TICKET, LN JR TIME_ _ DATE 209 GERARDO 60262 60823 05:22 06/02/2003 LQAD_SIZE __MIX CODE SEU LOAD_ III) 9.50 yd D837P D 61713 MATERIAL DESIGN OTY REQUIRED_ BATCHED _VAR2�-VAR_-' MOISTURE ACTUAL WATER 1 ROCK 1371 lb 13090 lb 13000 -90 -.69% 0.50% M 7.75 gl 3/8 ROCK 364 lb 3468 lb 3460 -8 -.23% 0.30% M 1.24 gl X 322-1\1 26.32 oz 250.04 oz 252.00 1.96 0.78% CEMENT 559 lb 5310 lb 5285 -25 -.47% CHILLED 0.0 lb # 0.0 lb 0.0 0.0 0.00% FLYASH 99 lb 940 lb 935 -5 -.53% SAND 1304 lb 12859 lb 12800 -59 -.46% 3.80% M WATER 295.0 lb 2177.0 lb 2176.0 -1.0 -.05% NON -SIMULATED NUM BATCHES: 1 LOAD TOTAL,37672 \h WATER/CEMENT: 0.451T DESIGN WATER: 335.8 gl ACTUAL WATER: 325.9 gl TO ADD: SLUMP: 4.00 " ADJUST WATER: 0.0 g} /load TRIM WATER: -LN gl /yd `. 56.15 gl 260.74 gl 9,9 g} WATER IN TRUCK: 0.0 gl � � . ° � 56.15 gl 260.74 gl 9,9 g} WATER IN TRUCK: 0.0 gl SUPERI • Weighed at 38-155 Monroe Street Indio, CA 92201 1508 W OR READY MIX CONCRETE, L.P. MISSION ROAD • ESCONDIDO, CA 92029 PHONE: (760) 775-8272 • (760)745-0556 ao.9 DELIVERY TICKET 223882 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business and+ Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. ,DATE____ - �-------..-- CUSTOMER NO. ORDER NO. CUSTOMER P.O. OR JOB NO. PLANT,NO,_,.,.,DELIVERY.TICKET,NO.. 6/ 2/03 1082489 46 71 7123085 CUSTOMER NAME _ _ _ _ _ SPECIAL "INSTRUCTIONS x IMAC CONSTRUCTION INC JOB ADDRESS 78-271 HWY 111(VONS)LA QUINTA ,DESIGN_ (LBS.)_ _-Y." ROCK (LBS.)— —LBS._SAND— —LBS. OEMENT— SACK— „WATER ADD MIX_(LBS.) __ —t15•_ROCK D837P SUPERIOR READY, MIXOONC" —Co G. / /� DEPUTY „TRU_ CK 450 _DRIVER FRANCOIS FIENIADZ CUBIC YARDS TOTAL C/Y DESCRIPTION — PRODUCT CODE UNIT PRICE TAX AMOUNT _.a_ 9.0 PS-1 L._ v 37P YAR S TS�OO GO� In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials STAND-BY TIME THIS TICKET shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume PREVIOUS STAND-BY responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some ' ' • imperfections and popouts may occur for which supplier is not responsible. PLANT 71 OUT 05:42. UNUSUAL 119CIDENT OF NOTE ON THIS DELIVERY X �RECEIVED IN' OOD CONDITION BY: . MAXIMUM 4.00 SLUMP I N • WATER ADDED AT CUSTOMER'S o CUSTOMER SIGNATURE ON JOB DEPART -UNLOADING' y START h� CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin Injury. Avoid contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture gets Into the eyes, rinse immediately and repeatedly with water and get prompt medical attention. Keep children away from cement powder and all freshly mixed cement products. ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK REQUEST GALLONS • ESTIMATED SLUMP AT UNLOADING INCHES NOT RESPONSIBLE FOR ULTIMATE DUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED .WAITING AND/OR UNLOADING ARRIVAL FINISH AFTER LEAVING PLANT. r READY Stand-by and/or dumping time in excess of 4 minutes per yard wrri oe cnargec. TIME HOUR TO UNLOAD CUSTOMER; TRUCK USER LOGIN TICKET NUM TICKET ID TIME DATE ziT, U2--7- NOY LOAD SIZE MIX CODE SEQ LOAD ID 9.50 yd D837P D� 61720 MATERIAL DESIGN QTY REQUIRED BATCHED _VAR_ %- VAR _MOISTURE - ACTUAL WATER 1 ROCK 1371 lb 13090 lb 13160 70 0.53% 0.50% M 7.85 gl 3/8 ROCK 364 lb 3468 lb 3440 —28 —.81% 0.30% M 1,23 gl 322—N 26.32 oz 250.04 oz 250.00 —.04 —.02% ' ' CEMENT 559 lb 5310 lb 5290 —20 —.38% CHILLED 0.0 lb # 0.0 lb 0.0 0.0 0.00% FLYASH 99.1b 940 lb 935 * —5 —.53% SAND 1304 lb 12871 lb 12820 —51 —.40% 3.90% M 57.66 gl WATER 295.0 lb 2164.6 lb 2164.0 —0.6 —.03% 259.30 gl NON—SIMULATED NUM BATCHES: 1 LOAD TOTAL:37825 ]h WATER/CEMENT- 0.450T DESIGN WATER: 335.8 g\ ACTUAL WATER: 326.0 g\ TO ADD: 9.8 g\ NATER IN TRUCK: 0.0 gl SLUMP- 4.00 " ADJUST WATER: 0.0 gl /load TRIM WATER: -1.0 91 /yd - m SUPERI • Weighed at 38-155 Monroe Street Indio, CA 92201 1508 W 1 OR READY MIX CONCRETE, L.P. MISSION ROAD • ESCONDIDO, CA 92029 PHONE: (760) 775-8272 • (760) 745-0556 DELIVERY TICKET 223899 ..,/ WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 .(commencing with section 12700) of Division 5 of the California Business ands Professions Code. administered by the Division of Measurement Standards of the California Department of Food and Agriculture. ,DATE CUSTOMER NO. ORDER NO._ CUSTOMER P.O. OR JOB NO. PI ANT ,NO.� DELIVERY 71CKET,NO. £�/ 2/03 082489 46 71 7123102 .,CUSTOMER NAME ,SPECIAL'INSTRUCTIONS, C7Ei..: #.�._4a4 IMAC CONSTRUCTION INC JOB ADDRESS 78-271 HWY 7.1,1(VONS)LA QUINTA DESIGN —�b'_ROCK (LBS.) Y.'_ROCK (LBS,)_ _LBS.-SAND_� ,.,_,LBS._CEMENT� SACK_ _WATER, ADD MIX (LBS.)— D837P SUPERIOR READY,MI_CON_RETE,LP.`,/!_WEIGHM TQ.s.-_ (/SCJ ✓ DEPUTY I.TRUCK 209 _DRIVER JORGE ORTIZ CUBIC YARDS TOTAL C/Y DESCRIPTION P - 4 PRODUCT CODE UNIT PRICE TAX AMOUNT a. J t U a �. YARppS T GO ' In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials TOTAL THIS ORDER STAND-BY TIME THIS TICKET shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume PREVIOUS STAND-BY responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some ' AMOUNT' imperfections and popouts may occur for which supplier is not responsible. PLANT 71 OUT 07:05 UNUSUA INCI!!vET, OF, TE ON THIS DELIVERY ` RE E VED IN O ONDITION BY: I MAXIMUM 4.00 SLUMP IN -� X / - • WATER ADDED AT CUSTOMER'S _ L CUSTOMER S GNATURE ON JOB DEPART UNLOADINCa�s / START CAUTIONI Cementtppwder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid contact.with skin an wash orskin areas promptly with water. If any cement powder or mixture gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention. Keep children away from cement powder and all freshly mixed cement products. REQUEST GALLONS ESTIMATED SLUMP AT UNLOADING ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED INCHES . WAITING AND/OR UNLOADING ARRIVAL FINISH AFTER LEAVING PLANT. READY Stand-by and/or dumping time in excess of 4 minutes per yard will be charged. TIME HOUR TO UNLOAD CUSTOMER TRUCK USER LOGIN TICKET NUM_ TICKET ID TIME DATE 209 ocn,,nuu 60286 60847 07:10 06,02/2003 LOAD SIZE MIX CODE— SE{} LOAD ID 9.50 yd D837P D 61737 MATERIAL DESIGN OTY REQUIRED BATcHED VIAR ----- L_jkAR MOISTURE ACTUAL. WATER 1 ROCK 1371 lb 13090 }b u 10�0 -90 -.F, . 9% 0. 50% M 7.75 gl 3/8 ROCK 364 lb 3468 lb 3.440 -28 -.81% 0.30% M 1.23 gl 322-1\1 26.32 oz 250.04 oz 252.00 1.96 0.78% CEMENT 559 lb 5310 lb 5295 -15 -.28% ' CHILLED 0.0 lb # 0.0 lb 0.0 0.0 0.00% FLYASH 99 lb 940 lb 940 * 0 0.00% SAND 1304 lb 12871 lb 12880 9 0.07% 3.90% M 57.93 gl � WATER 295.0 lb 2164.6 lb 2164.0 -0.6 -.03% 259.30 gl ^ NON -SIMULATED NUM BATCHES: 1 � LOAD T8TAL:37735 lb WATER/CEMENT: 0.449T DESIGN WATER: 335.8 yl ACTUAL WATER: 326.2 yl TO ADD: 9.6 gl WATER IN TRUCK: 8.0 yl | 14---- I . 341',8 SUPERI 1508 W. PH Weighed at 38-155 Monroe Street Indio, CA 92201 OR READY MIXCONCRETE, L.P. MISSION ROAD • ESCONDIDO, CA 92029 ONE: (760) 775-8272 '(760) 745-0556 DELIVERY TICKET r 2239J9 WEIGHMASTER CeRTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured., or counted by weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business ands Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. DATE _ CUSTOMER NO. __ ORDER NO.__1 CUSTOMER P.O. OR JOB NO.---__ _- PLANT,NO.. _ G/2/03 082489 46 IDELIVERY-TICKET,NO.-- 71 7123112 ,CUSTOMER NAME_ _ _ _.. _ _ _ �. _SPECIAL INSTRUCTIONS _7 �( - IMAC CONSTRUCTION INC _JOB ADDRESS_ 78-271 HWY 19.1(VONS) LA QU INTA .DESIGN=_ W_'ROCK (LBS.). ` ,1/." ROCK (LBS_)" LBS. SAND-1—LBS. CEMENT____- SACK _ WATER_ ADD MIX (LBS.) D837P SUPERIOR READY,MIX OONRETE, L.P.WE IG M STER TR_ UCK _DRIVER l^ ^� DEPUTY _ 450 FRANCOIS PIENIADZ CUBIC YARDSt TOTAL C/Y DESCRIPTION PRODUCT CODE UNIT PRICE TAX AMOUNT J c! IO Y U d YARDS T,,QQ O In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters, septic systems, or ariy,other property. Materials hereby sold become property of purchaser at point of origin. The STAND-BY TIME THIS TICKET purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials shall be refused by the purchaser'and returned to the seller with a written statement of the reason for the refusal thereof. No PREVIOUS STAND-BY cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some . imperfections and popouts may occur for which supplier is not responsible. PLANT 71 OUT 07:45 UNUSUAL INCIDENT OF `NOTE ON THIS DELIVERY 6S MAXIMUM 4.00 RECEI IN G0CO[JDITION BY: SLUMP IN . X Val�•-�° • WATER ADDED AT CUSTOMER'S *4 CUSTOMER SIGNATURE CAUTIONI Cement powdepor freshly mixed concrete, grout or mortar may cause skin injury. Avoid contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture REQUEST GALLONS ON JOB C� 1 t 1 UNLOADING�� V Into the Immediately •ESTIMATED SLUMP AT UNLOADING DEPART START gets eyes, rinse and repeatedly with water and get prompt medical attention. Keep children away from cement powder and all freshly mixed cement products. ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK INCHESARRIVAL r A ' `" FINISH V NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED .WAITING AND/OR UNLOADING l AFTER LEAVING PLANT. READY Stand-by and/or dumping time In excess of 4 minutes per yard will De cnargea. TIME HOUR TO UNLOAD CUSTOMER n PA/ 15 0'1- :831UM WISI PeOl/ 15 01 :83AM lSnfGU - , N't :dwnis ro :x3ndi NI 831UM 16 P6 :aau oi 16 GVRE -831UM iunnu 16 FSEE :83AM NSIS3a 16wo :IN3W33/831UM ql 49901U101 Gual T -S3H31US wnN (13lu-inw i S --NON '1 8L E, %9T 10 17 "2 0,9912 q 1 9 °+791;' q 1 0 &E! 83-LkJM T h L L _rQ W %1716 *2 % 47 ' ' - T C- 0478a Tq I TL92T q 1 17 0,,pT CINUS '1.00 " 0 0 0476 q I 0i76 q 1 66 HStJA-IzJ %O(A "171 0*0 0 "0 q 1 0,0 # q 1 0 * IZI U3-1-1 I H3 %6T"- OT.- .00FL-1 qT O,jFS ql 6gg 1N3W33 %C70 '70 , . 00 'Or;F Z 470 '09;3 Z 0 acl9p- N-<,Z.c F3 gP T w %IZIE 10 %TS " 6 047472 qj q9t,2 qT 47 9,p A30H 9/F I F3 C L° L w %or., "0 %66"- 02' T- 0,362T q 0602f q TLET �iood I 831UM -itini3ki 38ff�.LY—OW "d --A —H--) - C -t F9 01381m3d A103 f d IU183.LUW 9i7LT 9 . a :J1_C-6(I PA 0g'6 di atio-i 03S —3 Cf -d*5-**Ti—W'-- 3Zi5. atjUl FOO,=7/470/90 947 : LO 91--:.909 96209 OUHU839 0 3 1 GI 13A3I1 ON 13A3I.L NI90-1 d3sn imuj- dr '1.2 .`�'P°:)�'s�,i�i�•p>pe `�r ��'�'���'� .�'•f.`..�:�r :ry1±,;;�:�•.,,....�u.n.i; x:3;�- �SUPEIOR.;READY N61X CONCRETE L P �Lvv qY. TICKET* .......... ,. like r. o 4 ? , u .,�� �. 4211 15Q W.MISSION ROAD. ! _ESCONDIDO, CA 8ZOZ9;wEtraHM�sTER CERTIFICATE'! I'HONE: 7775.8272 •"(760) 745.0556 :THIS Is To".*'FTIFYthatMetotlowlnydeacribidcommodltywa wet ne0,,measured.orcouMetlb awalphmastsr,whoetslpnatur ' •ip Y,- ` : t : ` _-? = is on this a ilicata. wholes recognized authority or accuracy, a ' : r.rescAbad:b Chapter 7 (commencing with ssctlon 12700).t WBro .fid M': t ".`""tri' x' ; ° °'' Dlvlslon 6 of the Callfornle Buelnase. anC Professions Codl /� '` ;: `; `y. suremert..Standards of th 8-155: nroe.$treet.,:, ihy5. ,Se:. admlMKeied by the Divililon o1: Mea :, a . Ilf mte mrnt.or Food arM Apllcuhuro:>.. - Indio CA 8229'1 • .:. � � � � k,�. - _ , . .. n ... .. 1'....j� n J`�::-�v:s':: ~'435...71.23423. t 3W0S):HWY .•211 .&. ,WASHINGTON, . ST:. (VOLAS) L:A- ,0.• .' ..... : - D"6P PUTY :.4g6: JO>IlFAT1iAN. GtYTYiER' LI . ,y_ . „ - .-.:.. ...E PSR YD D5 1 . HORT. LOAD. �' < : ' ,LOAD: l.4 : s.._ '.''':�. ♦-Fn the avent:ot dilver'.. beyond curb 1106, this company. will .not.aeaume liability for dame O to s�ajc dr�eway, utility it The TOTAL Tti19'OADER . . rnetsrec eeptio.ayetbms, or'any other =prrty, MB s hereby sold_ tieoome properly Pur STAND 8Y TIME TFI18 maw Purchaser �haR nno bveM accept deltverles of materials not in accord with the agreement of the patties, but such materials Pp;EvlouB STANo•Bv shaikbe wtu¢ld by.the purchaser and retuhleCIAo, the seller, with a written statement of the reason top the refusal thereof. No ager concrete has been loaded In catder's trucks at our plant.: Customer is to provide for and assume . . • canoelMicti accepted... : ,espprrolbiBty.tor area :or container for cleanout 0t concrete truck chute. Any r!�d arge to wateroouroee, street putters or eformdralne Ia'a.Vlofallon of law. C000pat0 Is,a structural building• material, waryonly tp mee0.ASTM standards. Some x p t Imperfsctlons artd1popot�'may oolcu for?ertdch supplier 1s not responsible PLANT OUT UNUSUAL FNCIDENT OF NOTE '14 TFIt$: 9LIVE011 MAXIMUM, 5.00 71: 14: Z0 RE tY IN OOOD CQNOITION BY:. .. SLUMP" 0000 AT CUSTOMER'S CU TOMER $IONATURE' . .> . ::':•::`.:si GALLONS ON JQ8 UNLOAOIt CAY710lY.Camant powdar•or:InMly mtxad oc idrete: grout or mortar may cause akin Injury. Avoid , REQUEST: /) f : eoritadtwllh skin and wNh.sapoiad skin areas promptly with water, If any csment powder dr nll><ture . ESTIMATED SLUMP DEPART START pits into the ayat, rinse immediately and reDs�stadly with water and pet pioMpt medical atNMlon. j: ;�! i� ;: a .INCHES f' %S. Kriati ohild(an adua}Y from cement Rowtl�r tirM all Irosnq mliiad cam'snt products "- .<. t": FINISH., ANY WATERADDRO.TO MIXON TNI dOB Wftt.ilt TTN! PURCNASER'a RISK... ;;,, ARRIVAL..' 71eIBLtt POR ULTINATI QUALITY OF CONCRETI 1F ANY INAREDIQNTa AAS ADDED :'i yyA1TINO ANO/OR UNLOADINQ READY. �, ; •.; ;; > : ;:' .. ' ' NOT RlePO, 1 - -. A#TfR L1AVIp0 PLANT: C �t >I f 4 minutae er era will oe cnarpeo TIME ! HOUR, Tel UNLOAD Stanp•by andlor dumping time In exasee o P.q.r Yr,.. a. ... :'r.:` :. t1=, .....,. :..:..... �,... -... CUSTQM ....:{.'. 1 SUPERIOR READY MIX CONCRETE, L.P. 1508 W. MISSION ROAD • E'SCONDIDO, CA 92029 PHONE: (760) 775-8272 9 (760) 745-0556 Weighed at 38-155 Monroe Street Indio, CA 92201 DELIVERY TICKET 224994 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a welghmaster, whose signature Is on this certificate, who Is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business and= Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. DATE NO. 1,ORDER NO.CUSTOMER P.O. OR JOB NO, PLANT NO. — DELIVERY-TICKET,NO.— 6/ 4/03 tCUSTOMER 171300 231 71 7123297 CUSTOMER NAME-- SPECIAL INSTRUCTIONS_4L 1`1C. 0_,m* ... _._-. _ RAMIRE2 MASONRY,INC. JOB ADDRESS (3005)HWY 111 & WASHINGTON ST.(VONS)LA OUINTA DESIGN _ _• ROCK (LBS.) `35'_ROCK .(LBS..)�..� LBS. SAND .__LBS..CEMENT•_Y•._`SACK_ WATER -1--ADD MIX (LBS.) D866P SUPERIOR READY, MIX CONCRETE, L.P_(_ WEIGHMASTER _TRUCK _ � _DRIVER_— DEPUTY 246 .TOE GANT CUBIC YARDS TOTAL C/Y DESCRIPTIONS PRODUCT CODE UNIT PRICE TAX AMOUNT '9 . 7 . tm 5U 3/61, PUMP M bb 4. YARDS_ TO GO 0.00` In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The STAND-BY TIME THIS TICKET purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No PREVIOUS STAND-BY cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some • imperfections and popouts may occur for which supplier is not responsible. PLANT OUT UNUSUAL INC16ENT O NOTE ON THIS DELIVERY MAXIMUM 6.00 71 11:31 •.,�/' RECEIVED IN OOD CONDITION BY: SLUMP ( ©v /� IN ' X \ STOMER SIGNATURE •WATER ADDED AT SPOMER'S ON JOB UNLOADINT / / CAUTIONICement powder or fres y mixed concrete, grout or mortar may cause skin injury. Avoid contact with skin and wash expos skin areas promptly with water. If any cement powder or mixture REQUEST GALLONS of ?P gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention. •ESTIMATED SLUMP AT UNLOADING DEPART START Keep children away from cement powder and all freshly mixed cement products. ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK INCHES � ARRIVAL FINISH NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED -WAITING AND/OR UNLOADING AFTER LEAVING PLANT. READY Stand-by and/or dumping time in excess of 4 minutes per yard wm oe cnarged. TIME HOUR TO UNLOAD CUSTOMER p .:i' !,!-'•k.F,:' ',ry: .7;•:Po =:Y?:: :a.L� ::f ^?,:%1'iY,:,- :n• -;.'ti, -NE '4 _�r.�-••:, �:'t:--.e..Y. i:.... 'iA•': ,-�... .>L. :..pan, ;y;�'.. 'a�s E'i3�: »n •'. r* . r:,a 4 .. ';.�, t 7:;W , •,4'M. bl,., CI E. w:lni `,:? .; _ '�' """'w"'�vt' :'ate•, ?' .', SUPERIOR .READY MIX. C,OICRE�' L P �Etw ,:.. t 15.08 W MISSION RQAD e�� SCO ERl( �$'i!CKET .I•.,I ND�O, CA 92029 ..+i,,y °� _','�..2 PHONE: 7:y..:Y:4.: t:� i;t," 6 4 �3. 60) 775-8272* (7fi0).745-0556 =``' :w loN`A T E . . M . S ER CERTIFICATE t*; •>.u1t f3 O CERTIFYthe -.t,I :i.':&.:±i`:: .;,u . *.. t!!le(otlowln .dettrlbatla r. , . _ 0 orrimdalIT tl Q. 8f . - ,.:sSt;'�.= "'ir::h•:�7-� - Y wei hRUat r tdh x. -this e r MI 11 !!. e I aro ,r"IRuth ofaeiu a. q'; :;,,;y: >.:r, .. _. I:ty....�,•':i"..';=i:H�' �Cllbpd.b Che pts rat ='rt, x,l:, Y. , ti: `:Rya: ya: �.7 :.. Y. P faommenaln :w anti n: Indo, CA 92201 <; <,.. _ti, . �:. _,;.;w,rta ;'.:., „';:,. r'' r' 4 si°`s: ��•'4i'}'..s . r...-.... iglEgng of the II' '•Y_ * "-C2I .Ofll{i: BYfI �Nli�lli C � @ Ihea11 ahtl= Prof -•? x i ° fit' islon `MIQt:.: ti ,,:: �'tf .:lf .q. tJ� - ,.•bY. tM DiV of, M�a>lyfiYl7!!1l Sfarldarda 0 r Rua wa amin.DapartmentolFcadu� 5/'29/03 371300 219 RAMIREZ MASSQNRY, NC. ry i + d�� �7qq Fh hitA v L#a .:�.{t:?l*f:"'. '+r-T,,,Y�kr�Sr,•� } `� ..i.�:•I i:." 91 :y e',I WASH IiGT0A1, ST. (V, a;,x Tm D866P 7777 d DEPUTY 647 ... DAVID r -A 5; H�SE.SAU.IR �.:: v >a; -� = rk:. v;.[JI r x>li,c c crgt'7.^'�' •?� ° �' I �1 �•i[� ��r.':2•:?:; �:'r,;: f•...•a �qq,�. '10 v\�f!. "JJ��.t _ ��,,I I_.:•, . i --."ti• - .:'y': r.r!r:.i'�.�•a:v-3:: d;:�::. `�'t.A',r:FL'I: . -:}tri: •.,<�_ .:c�s`:�-.,1,.: ..�:.. .,r�;s;f��..�;.�7G..: j:j -:x:.:� ' In the event of deliver Meters, se tic e y beyond curb tine, this company will not aaaume liability for dam age efdeweHc,_drivewa , utlli tfr>as; P ystelna, or any other property. materials hereby sold become 0opery of purchaser of y TOTAL THIS ORpEp purcheaer.shell in no ,event accept deliveries of materials not In aocord,wNh paktt of.or m The shall be refused by the purchaser and returnetl to the seller.wlth a written.a� ern the. partes, but Such..me0srtela... STAND-BY T1tNE TM18 TtCKE7.,': cancellation a. R efllent ot.U1B.Ma1804_totV1e.rehi there0l. PDQ.-, f'REVlOU38TAND�SY ." for a er o tal has beert.loadeq M carNera trudcs,ai our Pte..... grW,easume-,. t. r plant Customor. to -to for esponslblBty for aree,or container for dean out "of.00ntxete truck Otwte,.AnY discflarpg yva�rcouises, freest. etotlndrairrs Is a violation of law. Concrete is a structu'al.bufldlrip matsral_tvarrantasrf,gjly [o meet IJP orr'. m POPa+te ma PerfecUo(ls.and y ocxur for wltigh.SuppBer Is not resPonr�ble. ' &'A 'f ,•F�dp :MOUNT UNUSUAL I ID NT OF AOOTI*,,QN.Ti�ll$ DELIVERY ' f R O I OOP loNDITIQN BY: a;(y MAXIMUM 0®'' PLANT OUT ;I SLUM ,:�-,1R�',;:'S%ci;� �i�?�¢�f;!'.r%�:ia�. 'e:3';•a.?'-r :i art, MATER ADOEO T TOMER$` r7'': -:%...'ltir'tLc.. e:+:•,•sv'u II :'[:. 2.'• I, CAUTIONICementpowderor reahl'q=:a'w;::!:•tlter.vr mixeticonyreter grout or moHly-r¢Y aauq;,alIn.Ir4jurY.;Avold contact with akin and w4ah pppased akl '-:.....':..:` :... ":- -.. REQUEST ';.{ { .tti+.-ara4a P. vyr, "h QA ONe ON JOE' y i rom; wa len caritant _ wdr mlittu ?'.;:. C:; t ,'hiyS,it pNa ,IMO MF eyes, rinse lmmedly»ly and reppt4dly wlSt wspar_Ond pN p�pmpt �Gl anti( • ESTIMATED SLUMP AT UyLQA IN,p, DEPART•. u�Lono Keep CARdren'ewav from a"i o. wgpf and all lnlghly mixed roman , uaK a; ,�..., , ' --:-' START t.t?!od :1: 11 ` i ;ly t'?•. ANY *i D-7' II!X ON Tl1l.�OS WILL _iE,AT,TIIE,FIIR.CNAf1:IN E�9 NOTRBtPONeI11LEFOR}rLml lOtJAUT11OPCOI¢C TFF�r NYI REDIEKT ARE.1 a' , ARRIVAL AKER °�}!NT n^. 7+::.' "`y r AO WAITIN :LC b z,... / , LlAWN®, �,, t;gri^i�: x;• € yEr.. `s, t'y?;r �'„!l.f. }; jf a.��•. Q AND/OR UNI.QAPIN.Q,.� FINISH Stena -by and/or dtxn .�Jr '•. P. time in ;.:r:,:,, D A; . 4.: rx,r ' 1,1.4'In aa.P!► a►dwmy,. r, '1 RE .-f r+•rG-.= r.y�-:n-.K...?':: k,a:•a,y,....,; .,y.., k'.!.::y _A Y. �i�,".: •:t},T:.: WER .. _ ...: .,- e.,an .. .,., ...+-;,>i .r,: .:•�-... ,. •�• ::f±}+i �.,I ,�,�. y� gt `.1°.�1: T HOU it 0 UNLOAD - 1 d :•i !r �p -' n ' -CU — a+r .tk wx4. �,r-.&,..n 4..i . <r......tiiAii�pv'���giV�l�'. _: a` .... _... :: F�•. ri+ 'i.l t�y, „rM.S, •v'�7`;;" �F.,yR:,:,}.`ri.,'.. :.... ... .. ..I I'r'u. .Rsi i.:. "v.:)i•�7r .._. .aid���.. SUPERIOR READY MIX CONCRETE, L.P. 1508 W. MISSION ROAD • ESCONDIDO, CA 92029 PHONE: (760) 775_8272 • (760) 745-0556 Weighed at 38-155 Monroe Street Indio, CA 92201 .. 5/20/0.1 I 1.171.3-+0 �BRsm.�... _ RAMIREZ MASONRV,INC. ( 3005) HWY D866P 2.72 ASH I NGTON ST w ( VOWS )1 OU I NTA ,� r ,.., DEPUTY DELIVERY TICKET 223.115 I THIS IS TO CERT FY that thefooll ingdescribed CERTIFICATE escrib commod weighed, measured. Or counted by a we ghmaste�r, whose SiG ison this certificate, who is a recognized authority of accur. Prescribed by Chapter 7 (commencing with section 127 Division 5 of he California Business and Professions atlministered by the Division of Measurement f andards California Department of Food and Agriculture. 71. SCOTT 6L.Emx In the event of ded11 v beyond Curb meters, septic system , Ill 1111i company will not assume liability for damage to sidewalk utility ones, Purdlaser shall in no event property MaterieL� y sold become property accept delNeries TOTAL of pu at Point of matertaLs not in accord with the Point of origin. The tuna ll refused pt the purchaser and s be ed t0 the seller with a written agreement of the Parties, but such meOerials cancellation accepteared after concrete has been loaded statement of the reason for THIS.OFIDER STAND-BY 711E TMS TK3TT stwmdrains afofin ca~s the refusal thereof. No truck violation n �fOf dean t at our plant Customer is to provide for and assume ImpelTectlor� ntxetetrat �Y discharge to watercourses. g mous STAND-BY and led material street gutters or poPouta may occur for which supplier Is not fie. w rranteed only to meet ASTM standards. Some • • UNUSUA,UNCIDENT OF NOTE ON • THIS DELIVERY RE VED IN GOOD CONDITION BY: MAXIMUM PLANT 7 0� X t:i-1._.• SLUMP 1. CUSTOMER SIGNATURE • WATER ADDED AT CUSTOMER'S CAUTIONI Cement powder r fresh; mixed concrete, grout contact Or mortar may cause skin injury. Avoid i- with akin and w ox sed skin areas geU into the • Promptly �h water. If any cament REQUEST GALLONS p0M'�r nt mixture y.a Arne Immediately sfttl ropeatsdly with water KEEP ON JO® and chitdfen away from fx►man4 powder afxl all freshly mixed dements prompt med{pl attention. • ESTIMATED SLUMP AT UNLOADING ANY MATER ADDED TO MIX ON DEPART THE JOS WILL BE AT TME PU�q� SEWS RISK NOT RlSPONSIBLE FOR ULTIMATE OUALIT'Y OF CONCRETE IF ANY INGREDIENTS ARE ADDED f J INCHES AFTiR LEAVING wwarr ; . WAITING AND/OR UNLOADING Stafld-by and/or dumping time In Excess Of 4 mfnutp per ARRIVAL yard wnu be charged. READY TIME HouR TO UNLOAD I 712329 OUT IN UNLOADING START T !: 1' FINISH X� w H. nom- .I Vim, e. Y O. �4 „. �E�ADY MIX DELIVERY Vv.Y'AIIISSIOIV ROA" `.. CONCRETE,. L.�:. � TICKET:, D. ESCONDIDO, CA 92029 2229-79. -: F'HON: (760)775-8272• (760 745.0556 w �. EIOMMASTER CERTIFICATI? t TNi9 ! TO CERTIFYMttther I ..::r.''h �w�,r^� i3,s�:�j-.<<rtf,QI OMiI1lB dWribedCOnlTOdl ii • e ire'' i '"Y;"7+61 Ir "t` ' ,7ftMred,Of COU 9 �. S N: _ r .. '.a . nHd b' fl �m n r tiYl =,7aT� Y M •!B ut"r, whoa" al rit . !!Sym.` ✓O'-� ' h B -� $J 11011ro:.;tc"7: a:< �� ncate. who IF t n �Oa. Sir86t`e'$; ' ..A. t: feuH cmenlzed duthorlty otac0uroq A Oedhtpter.7 C'Olh 1110: ,.Qy9 r: :;� kb q.•.. ; ; ; ; ' c'x?`s't:-. Division ( rrrenclnB wlth'aeGtlon 12700 Sion S o1 fhs'CaOfarnla Buu' neve sna Plot "&I an C< irn: x, ad Inlate �.: rod.. tti" .Divi a , by vlbn 6t me"ment� Sian Callrorft 0*rtm"nt t ure dards' Of o Food and 7larkvituit. •.. 59- 71 7 I' 22 1.93 1A1lIIRE' 90�1FiYIdC-F;` :. ;�.it (3805)HWY ` 1.11 '� . WASHIfTON S'T. <`Vt?1�33.I.A ®UidTA `}+ 472; '.. CEC I.L..;POWERS Low i :•�' :v'�� fila', 'rctr,:.: �.,F!�'' th. avant at b�yortd-u I" this 00....af1y . : r to v+dar�x,. dnr.way ual�y I .a ; rt5iiih :•:a pHoa ;.'of aryl tdllir Miarlaa lar�r ao�; t»ooma TOTAlT1Qp.01lDOZlI.. . '. pihah"it.-she rio want proAartf� WopaMY of pwotiaw at point of ortptn. TM . bY Coapt da vd arias of ntr rlala not In amid OrNh ft -,q pr�atnpnt dt:MrPartip,:lwt auah'matarhta' dTANO�v Tt1�TFN9110itsT 61 ratuaad 10tedo ppuu rand rntlmali to 4tia,aoor tMtft a w mn etft"nt of -ow ntrdon to Cha irstWaa! tharaof. Fio - I n pt�.itter' ncrsta,ha titren'toadad In wlrrlar'ti to a_at.our phM 'Cr rtar b to.prorfda tot and aaouma .04VIOUS STAND+sy, nap►otblllq!'tbr;area:or oorltalnar tor'.ctoan out'o1-'1�orroratti truck chuff. Any''dlaaflat� tc:oeatan�oalraaa, atraat tiara or �tnrft lra:vlolatlon of law. Cono►ste �.-a.etruatural`bulfdlnp ntatanal warolMpd only m 1rlaat ABThiI atdndard .Some . 1 :l aotbm qnd pCOLli-MillY 06mir f&Whlrh elippller.� not roBponafbla. :.uNUEU�1f. ! ID T NOT% aN THIS DELIVERY MAXIMUM ' PLANT i� OUT.. +' R EIV D CON6iTION BY :: SLUM 7 ®® ®% �1 $.. P 6 VVATEA ADDED AT BTOMER'S I W Y CUSTOMER SIGNATUR 7... C S•- p 4:5iv M'4 kr w'�i .:': �. �:. .. 4 :n�J� --------------- CAUTIONI Osnisrlt Powdei or .4i..1yiMit"d bononite b �' . u or mortis may'oauvf,dkln Injury, Avoid `REQUEST RE :ON JOO odgttrot wkttakln'aftd'w&h ti><poaed ircln ar"ai Oromptiy w&i� wares: If lily 8im�rlt pogvdar or mllctun 4' _ UNLOAD I . . gtiti Into the iyti, rinia Iminedlatily orttl ripm. 1I wq.h wit,jr mrid'pi�`d pnipt mblodl attpntlon: ' �BTIMATEDSLUMPAT UNLOADING D�PAAT _. ,START .. Kiip oAlldMn bxuv from otitiant powder iind'all fWahly nils< tl"oiiiitint'protfuots ;'',: tis: '. j- . F.;1 , , AIlli WATER ADDmb TO'MtX OM Ti4t,J0� MRp. ��fi1T T!1!'PURCIIABtIR aRISK INCHn Nb1RtBl•ONa7aL$POS.ULTf111AT�OIJALITYfCbtiC�iE�E;IRAl1Y1a�RaDOEIIT8AREADDED yyyA� D o AFTER LtAVINO PLAdT.'" z.�;;°; ;;ae (jt,i;;,-ty. ;, N a... ITINO AND%OR UNLOAD, ,Np ARRIVA FIN18W btand�by vnd/dr dutnpinp tile! Iri axe of = ' ''^ �E '•:!t! cs r R H ^ 2 I rnMutlN Piyardvwn W`enirpd, i = ,;; ADY xr... a. ..y..s'v.I':`'F,; �;- b,•aS' r. _aTM W95LHIT0CINLOAD CUSTTAMFR:-.....:k:'-., .,-•2 .. - . �:. $;t�'1ki. a . .. - .. _� . .. ..:. > . SUPERIOR READY MIX CONCRETE, L.P. • Weighed at 72270 Varner Road Thousand Palms, CA 92276 (760)343-3418 MAIN OFFICE 1508 W. MISSION ROAD • ESCONDIDO, CA 92029 PHONE: (760) 745-0556 DELIVERY TICKET 134590 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business ands Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. DATE. CUSTOMERNO._ _ _ _ CUSTOMER P.O. OR JOB NO_ � ,_ PLANT,NO. DELIVERY TICKET, NO. C15/ 9/03 66246'.4 I_ORDERNO.._ 12-4 7*3 I 7aA575R CUSTOMER NAME SPECIAL INSTRUCTIONS ' NAC CONS1; Rue'riou me JOB ADDRESS - 78_271 HWY 111(VONS)LA RauINTA � DESIGN _ _ _ %" ROCK (LBS.) - _ W ROCK (LBS.) _ _ _LBS., SAND _ _ ,LBS. CEMENT SACK _ ,__WATER . ADD MIX (LBS.) SUPERIOFRREADY MIX CONCRETE, LP. _ WEIGI-IMASTER TRUCK - DRIVER (� �I _ �. DEPUTY �1�ta°I GABRI EL H9=:ALLI STE1R `-.,CUBIC`4RDS �. ITOTAL C/Y DESCRIPTION '—' PRODUCTCODE UNIT PRICE TAX AMOUNT 9, 1' -.loo 4500 PSI CONCRETE YARDS TO GO 28.50 In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials STAND-BY TIME THIS TICKET PREVIOUS STAND-BY shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some imperfections and popouts may occur for which supplier is not responsible. PLANT. OUT 4' UNUSUAL INCIDENT OF NOTE ON THIS DELIVERY MAXIMUM RECEIVED IN GOOD CONDITION BY: SLUMP 4. 00 73 //%' `//'J-'-: / IN � 1y/ /i-+ X • WATER ADDED AT CUSTOMER'S rA*V CUSTOMER SIGNATURE ON JOB UNLOADING/ CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid REQUEST GALLONS contact with skin and wash exposed skin areas promptly with. water. If any cement powder or mixture * ESTIMATED SLUMP AT UNLOADING DEPART START gets into the eyes, rinse immediately and repeatedly with watr and get prompt medical attention. , Keep children awav from cement powder and all freshly mixed cement products. AT THE PURCHASER'S INCHES ANY WATER ADDED TO MIX ON THE JOB WILL BE RISK ARRIVAL FINISH ✓ r NO TRESPONSIBLEFORULTIMATEQUALITYOFCONCRETEIFANYINGREDIENTSAREADDED -WAITING AND/OR UNLOADING AFTER LEAVING PLANT. READY Stand-by and/or dumping time in excess of 4 minutes per yard will oe cnarged. TIME HOUR TO UNLOAD CUSTOMER n Aar- ,_' SUPERIOR READY. MIX CONCRETE, L.P.DELIVERY TICKET -� MAIN OFFICE ` 1508 W. MISSION ROAD • ESCONDIDO, CA 92029 t t WEIGHMASTER CERTIFICATE • PHONE: (760) 745-0556 _. • THIS IS TO CERTIFY that the following described commodity waE • weighed, measured. or counted by aweighmaster,whose signature Weighed at is on this certificate, who is a recognized authority of accuracy, a,- 72270 :72270 Varner Road%prescribed by Chapter 7 (commencing with section 12700) of "+� ` " ` 1 Division 5 of the California Business and= Professions Code, Thousand Palms, CA 92276 administered by the Division of Measurement Standards of the t (760) 343-3418 'r California Department of Food and Agriculture. DATE;.—--- NO. _ 1 ORDER NO. CUSTOMER P.O. OR JOB NO.—-„;-- _ PLANT.NO. ^ DELIVERY TICKET, NO. -_ ..___. _CUSTOMER_ Qh82489� 121.113 73 7385753 CUSTOMER NAME _ SPECIAL INSTRUCTIONS INAC CONSTRUCTION INC JOB ADDRESS 7x3,_271 HWY 1t1iV0HS)LA QUINTA + D�E�S�IyG�N�� 1. .._.. :, - i'e" ROCK (LBS.)_ __V," ROCK (LBS.) . LBS. SAND, LBS. CEMENT_ ,_SACK_ _WATER .ADD MIX (LBS.)..... , ;I t�7 P SUPERIOR`READY,MIXCONCRETE, L.P. WEIGHMASTER TRUCK/ _DRIVER #G;ASRTLlCALLTaTET' ' r *r WDEPUTY �•' }�• -^---' '-,CUBIC YAIjOS r- TOTAL C/Y DESCRIPTION PRODUCT.CODE UNIT PRICE TAX . ' AMOUNT 9X50 143 0411 r $500 PSI CONCRETE '7P, YARDS TO GOA `2x3.50 In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin./The purchaser shall in no event accept deliveries'of materials not in accord with the agreement of the parties, but such materials STAND-BY TIME THIS TICKET PREVIOUS STAND-BY shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume '%responsibility for area or container for clean out of concrete'truck chute. Any discharge to watercourses, street gutters or •stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some imperfections and popouts may occur for which supplier is not responsible. OUT PLANT' `:UNUSUAL INCIDENT OF NOTE ON THIS DELIVERY MAXIMUM< . RECEIVED IN GOOD CONDITION BY: SLUMP 4.00 W 09:39 IN X ��if Fj, b "'--'�^•. •WATER ADDED AT CUSTOMER'S t "'o-4CUSTOMER SIGNATURE ON JOB UNLOADING CAUTION] Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid REQUEST GALLONS contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture . ESTIMATED SLUMP AT UNLOADING DEPART START gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention." Keep children awav from cement powder and all freshly mixed cement products. ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK INCHES �' ,r �F� ARRIVAL FINISH NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY'INGREDIENTSARE ADDED • WAITING AND/OR UNLOADING AFTER LEAVING PLANT. READY Stand-by and/or dumping time in excess of 4 minutes per yard will be cnargea. TIME HOUR TO UNLOAD `'., r DELIVERY T SUPERIOR READY MIX CONCRETE, L.P. MAIN OFFICE 1508 W. MISSION ROAD • ESCONDIDO, CA 92029 PHONE: (760) 745-0556 Weighed at 72270 Varner Road Thousand Palms, CA 92276 (760)343-3418 DELIVERY TICKET 134610 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY I hat the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business ands Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. DATE _ CUSTOMER NO. _ NO.____ CUSTOMER P.O. OR JOB NO.-.--. _. _ _ PLANT,NO. DELIVERY TICKET NO. `.i / ` % b :s JORDER 082489 1 '3 7.3 I 7385773 CUSTOMER NAME _ _ _ _. _ _ ._. _. __ _ __ _ SPECIAL INSTRUCTIONS849 —4;2 _ IMAC CONSTRUCTION RUCTION INC JOB ADDRESS 7i3— :i HWV III(VONS)LA QUINTA .,DESIGN_ _� _ �e'_ROCK (LBS.). '/.".ROCK (LBS_),.._ _ LBS. SAND .LBS. CEMENT._ _„ „_ SACK— WATER. - _ ADD MIX (LBS.) t E)837P r 1, I. SUPE?R'AEADY MIX CONCRETE, L,P.,_WEIGH tER_� TRUCK V _ _ __. .� _DRIVER_ 9DEPUTY 675I dANTONIOANTONIOANTONIO_ M O� I CA CUBGYJIRDS'� TOjiAL C/Y DESCRIPTION PRODUCT CODE UNIT PRICE TAX AMOUNT :98. 00 4,504) 11�C?NCIRFTE D8371? YARDS TO GO_r 5-0 _ In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume responsibility for area or container, for clean out of concrete truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some TOTAL THIS ORDER STAND-BY TIME THIS TICKET PREVIOUS STAND-BY -imperfections and popouts may occur for which supplier is not responsible. OUT 10:47 0•47 PLANT 73- UNUSUAL INCIDENT OF NOTE -ON THIS DELIVERY RtCEIVED IN GOOD CONDITjIt, N BY: MAXIMUM .00 SLUMP 4.00 - •.N_. IN ,,� SII[/) X • WATER ADDED AT CUSTOMER'S REQUEST IQ, GALLONS • ESTIMATEDMPAT,UNLOADING INCHES • WAITING AND/OR UNLOADING TIME HOUR CUSTOMER -S1 NATURE CAUTIONI Cement powder or,ireshly mixed concrete, grout•or-mortar may cause skin injury. Avoid contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention. Keeo children away from cement powder and all freshly mixed cement products. ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED AFTER LEAVING PLANT. Stand-by and/or dumping time in excess of 4 minutes per yard wut oe charged. J:. ON'JOB DEPART ARRIVAL I� / /iJ f f READY 1 TO UNLOAD UNLOADING START i- FINISH �# CUSTOMER T SUPERIOR READY -MIX CONCRETE L.P. MAIN OFFICE 1508 W. MISSION ROAD •'ESCONDIDO, CA 92029 • PHONE: (760) 745 -0556 - Weighed at - — 72270 Varner Road Thousand Palms, CA 92276 t /� (760) 343-3418 DELIVERY � 4 6110ET WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate; who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business ands Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. DATE„� ` „ ,CUSTOMER NO. - ORDER NO. _, CUSTOMER P.O. OR JOB NO. PLANT, NO. DELIVERY TICKET NO Y•--;4- , - / p�7 y r5/ -9!03 �7 �y y 4108G489 121791 ! '9 y 7e7� . CUSTOMER NAME _ ,f r SPECIAL INSTRUCTIONS ^ .IMA4: CONSTRUCTI11H INC � L JOB ADDRESS F13sY 111(VON-S-)LA QUINTA DESIGN �• _%" ROCK (LBS.). �'/'�ROCK (LBS.)., ALBS.. SANDS LBS. CEMENT,•_„i SACK_ -WATER_ ADD MIX (LBS.)._ SUPER/R_ °READY MIX CONCRETE, LP._r WErIGHMA TRUCK V DRIVER ___ v DEPUTY` f ���o ANTONIO MID3ICA CUBIOYARDSII T(5TjAL CFY DESCRIPTION PRODUCTCODE UNIT PRICE TAX AMOUNT 3.5+,f :rc'+"t- . iG V �� �A;0.,�_ R.v��`... �.� ..�.,�. �� 08:37P ; r 9i71 r+ YARDS TO GO In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters; septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The STAND-BY TIME THIS TICKET purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials PREVIOUS STAND-BY shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide forand assume responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or ',stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some -imperfections and popouts may occur for which supplier is not responsible. PLANT OUT UNUSUAL INCIDENT OF NOTE -ON THIS DELIVERY MAXIMUM400 I I I R9CEIVED IN GOOD CONDON BY: SLUMP ~ •� ~ •�� , IN -. �. . 4. / i .den.. X � jam" ,.� •WATER ADDED AT CUSTOMER'S CUSTOMER.SIGNATURE ON JOB UNLOADING CAUTIONI Cement powder or freshly mixed concrete, grout or -mortar may cause skin injury. Avoid REQUEST GALLONS contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture e 4 1 - gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention. • ESTIMATED SLUMPATL NLOADING =' DEPART START � r Keep children away from cement powder and all freshly mixed cement products. • ` ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK t ?� INCHES ARRIVAL +�' FINISH ? t)t�l NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED •WAITING AND/OR UNLOADING ' AFTER LEAVING PLANT. READY Stand-by and/or dumping time in excess of 4 minutes per yard will be charged. .M, TIME HOUR TO UNLOAD '� DELIVERY ' . - 01 10:46 05/09/03 � BATCH SETUP ' ^ / . � ^ 9.50 yd D837P � 4500 PSI ` n 675 ANTONIO 164885 4.0 0.00 0.00 TRUCK . USER LOGIN . ' TICKET NUM TICKET ID TIME DATE ~.~ "SS" 164885 1649o5 Tm:*S LOAD SIZE MIX CODE SEQ LOAD ID, �2�— ER L_ DESIGN OTY REQUIRED BATCHED VAR % VAR MOISTURE ACTUAL WATER 3/8 364 lb 3458 lb 3460 2 0.06% 322N . 26.32 oz 250.04 oz 250.00 -.04, -.02% CEMENTx� 559 lb 531@ lb 5260 �50 -94% FLYASH ' . 99 lb 940 lb 955 * 151.60% W/C SAND 1304 lb 12811 lb 12840 29' 0.23% 3.42% E 50.83 gl WATER 35.0 ol 272.3 gl 274.7 2.4 0.88% 274.64 gl NON -SIMULATED NUM BATCHES: l LOAD TUTAL:37883 lb WATER/CEMENT: 8L446T DESIGN WATER: 332.5 gl ACTUAL WATER: 325.5 gl TO ADD: IN gl WATER IN TRUCK: 0.0 gl SLUMP: 4.00 " ADJUST WATER: 0.0 gl /load ` TRIM WATER: -1.0 gl /yd ' T , SUPERIOR READY MIX CONCRETE, L.P. MAIN OFFICE 1508 W. MISSION ROAD • ESCONDIDO, CA 92029 • PHONE: (760) 745-0556 Weighed at 72270 Varner Road Thousand Palms, CA 92276 (760)343-3418 DELIVERY TICKET 134603 WEIGHMASTER CERTIFICATE THIS IS TO CERTI FY that the following described commodity was weighed, measured or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business ands Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. ,DATE �. _ w _ - _ CUSTOMER.NO. �R. ORDER NO.�- CUSTOMER P.O. OR JOB NO. ._ .� .� -. _. , PLANT NO. _ DELIVERY, TICKET NO.___ 5/ 9/03 0.8'2489 71 7. .CUSTOMER NAME— — _ --„- _� _ _____�__ _ __� _ _� �_ _� ,SPECIAL INSTRUCTIONS _.,n INAC CONSTal�flCTIOU INC 408ADDRESS_ 78--:c 71 Setif 11.104aL NS) LA Q4. INTA DESIGN _ - _ _ _ %" ROCK (LBS.)_ 3/" ROCK (LBS.)., ..,. _„ _ LBS. SAND - _.. __ LBS. CEMENT _ SACK, WATER.. _. ADD MIX (LBS.). Q � P SdPERIOnFIDY IX-GONCRETE, L.P. WEIGHMASTER_ ._ _ TRUCK _ .,DRIVER lDEPUTY �TOMY VA -3011F.? CUBIC YARDS TOTAL C/Y DES�iR�PTION �. PRODUCT CODE UNIT PRICE TAX AMOUNT 4506 PSI CONCRETE I:837P YARDS TO GO _1; In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters, septic systems, or any other property.. Materials hereby sold become property of purchaser at point of origin. The STAND-BY TIME THIS TICKET purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No PREVIOUS STAND-BY cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some ' imperfections and popouts may occur for which supplier is not responsible. PLANT OUT UNUSUAL INCIDENT OF NOTE ON THIS DELIVERY MAXIMUM RECEIVEDN1OODCONDITION .BY: SLUMP ». k J✓ I N i (� X WATER ADDEQAT CUSTOMER'S b 'CUSTOMER SIGNATURE - ON JOB UNLOADING' ' CAUTIONI Cement po�der or freshly mixed concrete, grout or mortar may cause skin injury. Avoid REQUEST GALLONS contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture •ESTIMATED SLUMP AT UNLOADING DEPART START gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention. Keep children awav from cement powder and all freshly mixed cement products. ---'—q R �' ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK INCHES ARRIVAL 1 FINISH NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED • WAITING AND/OR UNLOADING AFTER LEAVING PLANT. READY �� Stand-by and/or dumping time in excess of 4 minutes per yard Will be cnargeo. TIME HOUR TO UNLOAD CUSTOMER n r-� r, �; . 1 r�. r,^,;a';•-t tr.'r.:r��' •=4�r�ht'pC�itl�in" Ts' • SUPERIOR READY MIX"t NCRETE'L.P. _ MAIN OFFICE DELIVIR � � 3ET 1508 W. MISSION ROAD • ESCONDIDO, CA 92029 _ WEIGHMASTER CERTIFICATE • 'PHONE: (760) 7.5-.0556. THIS IS TO CERTIFY that the following described commodity was weighed,measured, or counted by a weighmaster, whose signature Weighed at is on this certificate. who is a recognized authority of accuracy, as 72270 Varner Road prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business and. Professions Code, Thousand Palms, CA 92276 / administered by the Division of Measurement Standards of the (760) 343-3418 v .. California Department of Food and Agriculture. DATE CUSTOMER NO. ORDER N0. CUSTOMER P.O. OR JOB NO. � ,•• _ PLANT,NO._ DELIVERY TICKET,NO. / 13 /4? 0824,89 73 CUSTOMER NAMES a - ,SPECIAL INSTRUCTIONS,�—i" $4��T� rZone# f r- iMAC CONSTRUCTION INC JOB ADDRESS 76271 HWY 1114'VOUS)La's QUINTA ,DESIGN. _ �)b'_ROCK, (LBS.)„ '/."ROCK (LBS,).,` , LBS. SAND ,"„LBS. CEMENT— ,_,_SACK - WATER,. _..—,ADD MIX (LBS.)— LBS.)—SUPERIORRADYYMIX-CONCRETE,L.P.--WEIGHMASTER SUPERIOR READYMIX-CONCRETE, LP. --WEIGHMASTER ��1t% TRUCK, _DRIVER— �..-�^^✓' ti DEPUTY � i TONY VA SQUiZ— CUBIC YARDS TOTAL C/Y DESbRIPTION _ _ PRODUCT CODE UNIT PRICE TAX AMOUNT 43)). 50 !28.50 L:15611 f PSI 4sONCIRETE ,, D837P T,. YARDS TC GOC 19.0410 In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters, septic systems, or any other property.. Materials hereby sold become -property of'purchaser at point of origin. The STAND-BY TIME THIS TICKET purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties„but such materials shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No PREVIOUS STAND-BY cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or 1 stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some ' ' imperfections and popouts may occur for which supplier is not responsible. PLANT UNUSUAL INCIDENT 9F, NOTE ON THIS DELIVERY MAXIMUM OUT RECEIVED INS OOD CONDITION BY: 4. W111 SLUMP IN �1 X Y,. �?i V • WATER ADDED.4,T CUSTOMER'S P' I CUSTOMER SIGNATURE \ f� ON JOB UNLOADING CAUTIONI Cement powder or freshly mixed concrete, grout or mortar.may cause skin injury. Avoid REQUEST' GALLONS contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention. • ESTIMATED SLUMP AT UNLOADING DEPART START Keeo children away from cement powder and all freshly mixed cement products.,, f, ..r ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED INCHES . WAITING AND/OR UNLOADING ARRIVAL ! I y FINISH AFTER LEAVING PLANT. READY !, Stand-by and/or dumping time in excess of 4 minutes per yard'wm oe cnargea. I TIME HOUR TO UNLOAD. DELIVERY ` 01^':1^ :22 05/09/03 BATCH SETUP ' ' 9.50 yd D837P , 4500 PSI . 0.00 0.0@ 164878 4.0 TRUCK USER LOGIN TICKET NUM TICKET ID TIME DATE 681 0= 164879 164949 TUT_2_�d 05109/07 LOAD SIZE MIX CODE SEQ LOAD ID MA�ER L_ DESIGN OTY REQUIRED BATCHED VAR % VAR MOISTURE ACTUAL WATER CEMENT 559 lb 5310 IL b 5325 15 0.28% FLYASH 99 lb 940 lb 955 15 1.60% W/C SAND 1304 lb 12842 lb 12880 38 0.30% 3.66% A 54 55 g1 NON—SIMULATED NUM BATECHES: I LOAD TOTAL:37956 lb WATER/CEMENT: 0.442T DESIGN WATER: 332.5 gl ACTUAL WATER: 330.2 gl TO ADD: 2.3 gl WATER IN TRUCK: 0.0 gl SLUMP: 4.00 ^ � ' ADJUST WATER: 0.0 gl /load � � TRIM ' ^ WATER: -1.0 gl /yd ` � T SUPERIOR READY MIX CONCRETE, L.P. MAIN OFFICE 1508 W. MISSION ROAD • ESCONDIDO, CA 92029 PHONE: (760) 745-0556 Weighed at 72270 Varner Road Thousand Palms, CA 92276 (760)343-3418 DELIVERY TICKET + 134621 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. DATE , _ CUSTOMER NO. _ ORDER N0._ CUSTOMER P.O. OR JOB NO.. -----I PLANT,NO. �__ DELIVERY TICKET.NO. �• _.. 5/ 9/03 082489- 12, 73 7385784 NAME SPECIAL'. INSTRUCTIONS:__849—G2,__ —. .CUSTOMER .I.KAC CONSTRUCTION INC JOBADDRESS- DDRESS-72$-•i71 73--271HW Y i 1 I C VOUS y c. A Q U T 9'T A ,DESIGN . Ye':ROCK (LBS.)_ 3(."- ROCK (LBS,)—. LBS. SAND . W_ _ __•LBS. CEMENT_ SACK,_ _WATER . _ _ ADD MIX (LBSJ_..�_. SUPE (OR READ IX CONCBKTE, LR_ _WEIGHMgF/ASTER _ _ , TR_UCK„ __ _.� _ _ --DRIVER_ ^ _ DEPUTY a,2 CARRIEi. HCALL,I!3TER CUBIC YARDS TOTAL C/Y "DES_CRIPTION �`�--•--��' PRODUCT CODE UNIT PRICE TAX AMOUNT 4!500 PE;I CONCRETE U837P YARDS TO -GO' OGO_4!1.6'• - 0 .- 00 In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials STAND-BY TIME THIS TICKET PREVIOUS STAND-BY shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. Concrete is. a structural building material warranteed only to meet ASTM standards. Some imperfections and popouts may occur for hich supplier is not responsible. OUT PLANT UNUSUAL INCIDENT,OF NOTE ON THIS DELIVERY MAXIMUM D 600D CONDITION BY RECEIVEDN : 4.00 SLUMP 73 11:26 I N l.�''t/•. • WATER ADDED AT CUSTOMER'S X r„� f,� CUSTOMER SIGNATURE ON JOB UNLOADING r ,t CAUTIONI�Ceff�ent powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid hNs1cin wash exposed skin areas with water. If any cement powder or mixture REQUEST GALLONS contact witand promptly • ESTIMATED SLUMP AT UNLOADING DEPART START gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention. Keep children awav from cement powder and all freshly mixed cement products. ADDED THE JOB WILL BE AT THE PURCHASER'S RISK INCHES Gr ANY WATER TO MIX ON ARRIVAL /' FINISH NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED. • WAITING AND/OR UNLOADING AFTER LEAVING PLANT. t READY Stand-by and/or dumping time in excess of 4 minutes per yard will be cnargeo. TIME HOUR TO UNLOAD CUSTOMER SUPERIOR' READY„ MIX'CONCRETE, L.P. " J MAIN OFFICE Weighed at • 72270 Varner Road " Thousand Palms, CA 92276 (760)343-3418 1508 W. MISSION ROAD • ESCONDIDO,-CA 92029 PHONE: (760) 745-0556 DELIV�� 4 �12 �ET. WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the followi ng described commodity was weighed, measured, or counted bya weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business ands Professions Code. administered by the Division of Measurement Standards of the California Department of Food and Agriculture. DATE CUSTOMER NO. RIDER CUSTOM_ERP.O.ORJOBNO. PLANT,NO._ DELI VERYTICKET,N0.--- .__5/ 5/9 /03 082489- 89- 129 = 173 7365,784. ,CUSTOMER NAME_ _ _ _ _ _ _ I,— SPECIAL INSTRUCTIONS_ INA, C61HSTRUCI 100 INC ` �) � -< JOB ADDRESS 713-271 11WY 11.i (V0I4S,) LA rjur.NTp ,DESIGN _'A"ROCK (LBS.), _W, ROCK (LBS.)— LBS. SAND-1—LBS. CEMENT ,SACKT —WATER_ ADD MIX (LBS.)—._. D83 v SUPERIOR READY IX CONCR TE, LP. )_WEIGHM STER' TRUCK _DRIVER --_ DEPUTY ba CABRIEL. HCALL.ISTER CUBIC YARDS TOTAL C/Y DESCRIPTION i""""'--^' PRODUCT CODE UNIT PRICE TAX AMOUNT YARDS TOyGO In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The STAND-BY TIME THIS TICKET purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials PREVIOUS STAND-BY shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. Concrete is -a structural building material warranteed only to meet ASTM standards. Some • imperfections and popouts may occur for which supplier is not responsible. PLANT OUT UNUSUAL INCIDENT`OF NOTE ON THIS DELIVERY -MAXIMUM RE ID 4N CONDITION BY: SLUMP ` I '�' IN t X ,�, •�"t✓` A,- r1 • WATER ADDED AT CUSTOMER'S CUSTOMER SIGNATURE ON JOB UNLOADING CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid -§kin REQUEST GALLONS contact with and wash exposed skin areas promptly with water. If any cement powder or mixture gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention. • ESTIMATED SLUMP ATUNLOADING -" DEPART START Keep children away from cement powder and all freshly mixed cement products. ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK d'+ * _�r INCHES ` �, •-�, NOT RESPONSIBLE FOR ULTIMATE DUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED '• ARRIVAL FIN ISH AFTER LEAVING PLANT. WAITING AND/ORUNLOADING READY Stand-by and/or dumping time in excess of 4 minutes per yard will oe cnarged. TIME HOUR TO UNLOAD DELIVERY " ' 01 11:25 05/09/03 : 682 GABERIAL 164896 m ' BATCH SETUP ^ ^ 4.@ 9.50 yd D837P 4500 PSI 0.00 0.00 .) ' ^ .. . . � � ^ ' � TRUCK USER LOGIN TICKET NUM TICKET ID TIME DATE LOAD SIZE MIX CODE SEQ LOAD ID MA�ER L. DESIGN OTY REQUIRED BATCHED VAR % VAR MOISTURE ACTUAL WATER 3/8 364 lb 3458 lb 3460 2 0.06% CEMENT 559 lb 5310 lb 5300 -10 -.19% FLYASH 99 lb 940 lb 955 15 1.60% NON -SIMULATED NUM BATCHES: -1 LOAD TOTAL:37821 lb WATER/CEMENT: 6.444T DESIGN WATER: 332.5 gl ACTUAL WATER: 315.1 gl TO ADD: 17.4 gl WATER IN TRUCK: 0.0 gl ` � ' T: SUPERIOR READY MIX CONCRETE, L.P. MAIN OFFICE 1508 W. MISSION ROAD • ESCONDIDO, CA 92029 • PHONE: (760) 745-0556 Weighed at 72270 Varner Road Thousand Palms, CA 92276 (760) 343-3418 DELIVERY TICKET 1.84828 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity waf weighed, measured, or counted by aweigh master. whose signature is on this certificate, who is a recognized authority of accuracy, w prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business ands Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. DATE _ -_ CUSTOMER NO. _ ORDER NO. CUSTOMER P.O. OR JOB NO..w ,., PLANT,NO.___ DELIVERY TICKET NO.. 5/ �?/�F 3 0.28 4.a 19 12 73 73a5791 .. ,CUSTOMER NAME _ _ - _ _ _ _ _ _ _._ _. _ Y� _ ..,� __. _ _ _ ...SPECIAL INSTRUCTIONS._ { f$'S1;�3- L IMAC CONSTRUCTION INC JOB ADDRESS,_ 78--271 HWY 111(VONS)I-A QUINTA DESIGN___ ____� _ ROCK (LBS) ,W,.9L'_ROCK (LBS,)__. _._LBS, SAND_,_..—.LBS.._CEMENT_� 3A7ATER-,.. - .. ,..ADD .MIX .(LBS.).- _.�. r18- ,37P ,r SUPE FliIO'R-'rREADY _—_V _ DRIVER l, DEPUTY frSI Ti ONV VASQUEZ CUBIC YARDS TOTAL C/-YDESCRI� PTION PRODUCT CODE UNIT PRICE TAX AMOUNT '.! .'5�, �7.00 ' 54� tflb PSI 43'O CRIETE r 08371? .• YARDS TO GO— -- 0.--00 In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The purchaser shall in no event accept deliveries of materials not in accord`With the agreement of the parties, but such materials STAND-BY TIME THIS TICKET PREVIOUS STAND-BY shall be refused by the -purchaser and returned to the seller with a written statement of the reason for.the refusal thereof. No cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some imperfections and popouts may occur for which supplier is not responsible. OUT,: PLANT UNUSUAL INCIDENT OF NOTE ON THIS DELIVERY MAXIMUM y t IN GOOD CONDITION BY: {j' 00 SLUMP 4. 73 12:04 6•04 I N A IRECEIVED + LI 6 X • WATER ADDED AT CUSTOMER'S E' \CUSTOMER SIGNATURE ON JOB UNLOADING CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid REQUEST GALLONS contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture medical N •ESTIMATED SLUMP AT UNLOADING DEPART START gets into the eyes, rinse immediately and repeatedly with water and get prompt attention. Al � f'^ (7 Keep children away from cement powder and all freshly mixed cement products. INCHES ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK ARRIVAL FINISH NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED •WAITING AND/OR UNLOADING ,.✓ AFTER LEAVING PLANT. READY Stand-by and/or dumping time in excess of 4 minutes per yard will be cnarged. TIME HOUR TO UNLOAD CUSTOMER SUPERIOR READYNIX CONdRETE, L.P. y_ DELIVERY TICKET MAIN OFFICE 13-4628 1508 W. MISSION ROAD • ESCONDIDO, CA 92029 WEIGHMASTER CERTIFICATE PHONE: (760) 745-0556 THIS IS TO CERTIFY that the following described commnditywas weighed, measured, or counted by a weighmaster, whose signature Weighed at is on this certificate, who is a recognized authority of accuracy, as 72270 Varner Road - prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business and+ Professions Code, Thousand Palms; CA 92276 administered by the Division of Measurement Standards of the (760) 343-3418 California Department of Food and Agriculture. DATE CUSTOMER NO. ORDER NO. CUSTOMER P.O. OR JOB NO. PLANT,NO. DELIVERY TICKET. NO.. � ! 9i 01 k082489 1 c .77 7:3 1 7385791 NAME,— - SPECIALINSTRUCTIONS�,'r;,��� J - .CUSTOMER I NAC 0SUSTk31: CT U3M mc. JOB ADDRESS~ '17th-' 1 € WY 111.(Vl7HS)LA. QUINJTA t. _;DESIGN 3W ROCK (LBS.)�„'/.'�ROCK (LBS.)..— ___-_LBS. SAND.—„ _LBS. CEMENT. —SACK WATER„ ADD MIX (LBS.) :.D8 37Fr - SUPERIOR READY MIX CONCRETE, LP. —WEIGHMASTER t .r• w. .1 0 <_ . DEPUTY TRUCK C a:1 ,DRIVER TONY Y tJAS+ UEZ CUBIC YARDS TOTAL•C/Y J- •DESCRIPTION } .-,•.� /' PRODUCT CODE UNIT PRICE t '"TAX" ' ;;•'%111,+= AMOUNT , 4543US -PSL C'1 ACIUC ii.� . [68,37P YARDS TO GO In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER _ meters, septic systems, or any other property. Materials hereby sold, become property of purchaser at point of origin. The purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials STAND-BY TIME THIS TICKET PREVIOUS STAND-BY shall be refused by the -purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some imperfections and popouts may occur for which supplier is not responsible. ; PLANT OUT. . UNUSUAL INCIDENT OF NOTE ON THIS`DELIVERY MAXIMUM RECEIVED IN GOOD CONDITION BY: /n SLUMP Itw � +.� L IN �t X� • WATER ADDED AT�CUSTOMER'S i (CUSTOMER. SIGNATURE 1 ON JOB UNLOADING 4 CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid •REQUEST contact with skin and wash exposed skin areas promptly with water. If any cement powder or mixture •GALLONS ; ESTIMATED SLUMP AT UNLOADING DEPART 1e* START +��+" � ++ gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention.. ' "% tr r %.- ..:� +•�`'t A" t - Keep children away from cement powder and all freshly mixed cement products. TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK "• _ ,� - A " - INCHES ANY WATER ADDED t ARRIVAL �� FINISH NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INOR)EDIEN_TSARE ADDED • WAITING AND/OR UN O DING tI AFTER LEAVING PLANT. f " ^ VHOUR READY , Stand-by and/or dumping time in excess of 4 minutes per yard will be cnargeo. + , , TIME TO UNLOAD ' t' 't 1 a DELIVERY `' ^ ^ � 01 12:04 05/09/03 BATCH SETUP ' � ' - � 9.50 yd. D837P , ^ ^� 4500 PSI 681 TONY 164903 0.@0 0.00 4.0 / ` TRUCK USER LOGIN TICKET NUM TICKET ID TIME DATE ..^ "S= ' 16413 1649/ 05/09/07 LOAD SIZE MIX CODE' SEQ LOAD ID 9 50 u � %�— MA�ER L_ ,Ad DESIGN OTY REQUIRED BATCHED VAR % VAR MOISTURE ACTUAL WATER 322N 26.32 oz 250.04 oz 250.00 –.04 –.02% C 559 lb 5310 lb 5260 –50 –.94% FLYASH 99 lb 940 lb 940 0 0.00% W/C SAND 1304 lb 12868 lb 12900' 32 0.25% 3.88% E 57.69 gl WATER 35.0 gl 265.5 gl 261.2 –4.3 –1.62% 261.22 gl NON SI BATCHES: 1 L00 TDTAL:37776 lb WATER/CEMENT: 0.448T DESIGN WATER: 332.5 gl ACTUAL WATER: 318.9 gl TO ADD: 13.6 gl WATER IN TRUCK': WLN gl SLUMP: 4.08 " , ADJUST WATER: 0.0 gl /load ` , TRIM WATER: -1.0 gl /yd SUPERIOR READY MIX CONCRETE, L.P. MAIN OFFICE 1508 W. MISSION ROAD • ESCONDIDO, CA 92029 • PHONE: (760) 745-0556 Weighed at 72270 Varner Road Thousand Palms, CA 92276 (760)343-3418 DELIVERY TICKET 134699 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by aweigh master, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business and= Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. DATE ., ,CUSTOMER NO..J ORDER NO. _ CUSTOMER P.O. OR JOB NO._ _ _ _ _ _ PLANT. NO. _ _ DELIVERY TICKET, NO. 50/ 1-3/03 1131►824139. 129 73 738"5802 CUSTOMER NAME., _ __ _ _ SPECIAL INSTRUCTIONS -,849—G 2 — --' IMAC'. >i-011STRUCE'IONI INC JOB ADDRESS- 78-272, HWY 111.(Wa NS)LA 1;UIRTiA ,DESIGN. _ _ _,. _ _ _­ _ - __ _ W' ROCK (LBS.)-_. __?/.".ROCK (LBS.)—,,. ,.. _LBS.. SAND _ _ LBS. CEMENT _. SACK WATER _ ADD MIX (LBS.).. _ _... D837P 1, SUPERIOR READY MCON WEIGHMASTER_ _ _._ .� ,TRUCK _ _ _ ry DRIVER. _ RET/L}.P. _ ' itDEPUTY 647 DAVID HASFLRA1JER- �. CCb aICvYARDS TOTAL Clq'~� DESCRIPTION PRODUCT CODE UNIT PRICE TAX AMOUNT . 5. *50 62.t`�!0 ' 500 PST CONCRETEC�83!fir � t YARDS TO GO' In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway, utility lines, TOTAL THIS ORDER meters, septic systems, or any other property. Materials hereby sold become property of purchaser at point of origin. The purchaser shall in no event accept deliveries of materials not in accord with the agreement of the parties, but such materials STAND-BY TIME THIS TICKET PREVIOUS STAND-BY shall be refused by the purchaser and returned to the seller with a written statement of the reason for the refusal thereof. No cancellation accepted after concrete has been loaded in carrier's trucks at our plant. Customer is to provide for and assume responsibility for area or container for clean out of concrete truck chute. Any discharge to watercourses, street gutters or • stormdrains is a violation of law. Concrete is a structural building material warranteed only to meet ASTM standards. Some imperfections and popouts may occur for which supplier is not responsible. PLANT OUT UNUSUAL INCIDENT OF NOTE ON THIS DELIVERY MAXIMUM • RECEIVED INNDITION BY: SLUMP s2 �60 7-t -_ 13:a6 I N X 1 :/�/l-� 1� CUSTOMER SIGNATURE • WATER ADDED T CUSTOMER'S Jr CAUTIONI Cement powder or freshly mixed concrete, grout or mortar may cause skin injury. Avoid contact with skin and viash exposed skin areas with water. If any cement or mixture REQUEST GALLONS ON JOB UNLOADING ,4.e �( ('�% promptly powder gets into the eyes, rinse immediately and repeatedly with water and get prompt medical attention. Keen children awav from cement powder and all freshly mixed cement products. . ESTIMATED SLUMP AT UNLOADING DEPART START ANY WATER ADDED TO MIX ON THE JOB WILL BE AT THE PURCHASER'S RISK INCHES ARRIVAL FINISH NOT RESPONSIBLE FOR ULTIMATE QUALITY OF CONCRETE IF ANY INGREDIENTS ARE ADDED • WAITING AND/OR UNLOADING AFTER LEAVING PLANT. READY Stand-by and/or dumping time in excess of 4 minutes per yard will be cnargeo. TIME HOUR TO UNLOAD CUSTOMER 01 13:26 05/09/073' BATCH SETUP ' 5.00 yd D837P ' 4500 PSI ' . ` 647 DAVID 0.00 0.00 4.0 TRUCK USER LOGIN TICKET NUM TICKET ID TIME DATE � ._. ""�" ' 16491� 16*984 17:2-S 05/09/ma LOAD SIZE MIX CODE SEQ LOAD ID 5 00 d UdJ/P I-- MA�ER L_ DESIGN QTY REQUIRED BATCHED VAR % VAR MOISTURE ACTUAL WATER S/4 RUCK 1371 1 6855 IS— 6960 -0707.7 3/u 364 lb 1820 1b 1820 0 0.00% 26.32 oz 131 —.60 —.46% CEMENT . 559 lb 27951b 2805 10 0.36% FLYASH 99 lb 495 lb 485 * —10 —2.02% W/C SAND 1304 lb 6802 lb 6900 98 1.44% 4.32% A 34.28 gl WATER 35.0 gl 136.2 gl 135.7 —0.5 —.37* 135.64 gl NON—SIMULATE BATCHES: 1 LOAD TUTAL:2NN11 lb WATER/CENENT: 0.444T DESIGN WATER: 175.0 gl ACTUAL WATER: 169.9 yl TO ADD: 5.1 gl WATER IN TRUCK: 0.0 yl SLUMP: 4.00 " ADJUST WATER: 0.0 gl /load TRIM WATER: -1.0 gl /yd ' ^ , ' '