BATCH
START
10:13
ARRIVED10:35
STARTED
POUR
10:46
FINISHED
POUR
10:58
LEFT SITE11:02
ELAPSED49 MIN
BY: _________
GAL: ___ ADDED: ___
The seller assumes no responsibility for strength if water is added at the job site.
LEHIGH HANSON
READY MIX CONCRETE DIVISION
1247 Industrial Parkway
Riverside, CA 92501
Tel: (951) 555-0184
Date05/12/25
Truck No207
DriverMARON, J.
Slump4.0
Plant CodeRVS-03
Job4471
INTEGRA TICKET READER DR. NO. 84158
ORDER NOAE180
CUSTOMER NO00252
BATCH TIME10:13 AM
CERTIFIEDYES
CUSTOMERRIVERSIDE PUMP STATION — JOB 4471
DELIVERY: 840 N. MAIN ST, LOT ON BOX ST, RIVERSIDE CA 92501
PURCHASE ORDERPO-20104
COST CODE03-310
Product NoDescriptionQuantityUnit PriceAmount
1B3000RA 3000 PSI, 3/4 STONE YD 18.0 $142.00 $2,556.00
6001 CALCIUM CHLORIDE (50LB BAG) 1.00 $8.00 $8.00
5035 SATURDAY DELIVERY CHARGE $0.00
WARRANTIES: DRIVERS ARE PROHIBITED FROM DELIVERING CONCRETE EXCEPT UNDER THE TRUCK'S OWN POWER, AND WHERE SITE CONDITIONS PERMIT THE SAFE AND PROPER OPERATION OF HIS EQUIPMENT. SELLER'S TRUCKS NOT PERMITTED TO GO BEYOND ROAD OR STREET CURBS WITHOUT PURCHASER'S AUTHORIZATION AND RISK AND SELLER WILL NOT BE RESPONSIBLE FOR DAMAGE WITHIN CURBS OR PROPERTY LINE. WATER ADDED TO THE MIX AFTER LEAVING PLANT ONLY UPON PURCHASER'S AUTHORIZATION AND RISK.
TOTAL ORDER14.00
YARDS TODAY18.0
YARDS PREV0.00
SUBTOTAL$2,564.00
TAX
COLLECT / GRAND TOTAL$2,564.00
DRIVER J. Maron
CUSTOMER ACCEPTANCE — RECEIVED BY X R. Gutierrez
Plant — Riverside
Material TypeMaterialTarget WgtActual WgtMoisture %
WATERWATER215216
WATERHOT WATER00
CEMENTCement — Dragon40004065
AGGREGATE3/4" Stone10520104602.50
AGGREGATE3/8" Stone259026101.20
AGGREGATESand12380119703.20
ADMIXMasterAir AE2004.004
ADMIXMaster Glenium60.00600.00
SLIP NO.
350587
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po #
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