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UPERIOR 888-98**3400 {ililfiilril|ttil$tffi
SUPERIOR MATERIALS, LLC
THE SKIN Coniains Portland Cement. rubber and CONTACT l\ilAY Avoid contact with eyes and
skin. case of @nlad or flush lhoroughly get attention. KEEP CHILOREN AWAY
WATERADDED AT CUSTOMER REQUEST
EXCESSIVE WATER IS DETRIMENTAL
CONCRETE IS A PERISHABLE COI\4MOO'TY AND BECOIVES THE PROPERTY OF THE PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR CANCELLATION OF TO CONCRETE PERFORMANCE.
ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS,
WE DO NOT GUARANIEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF CONCRETE AS UNIV IIVPONMIII TNCTORS AFFECTING THE ULTII\4ATE OUALITY OF
THE COI,4PLETEo JOB ARE OUT OF OUR CONTROL. We do not warant that lhe concrete can be used in any particular environment or soil conditions or that the condete is fit for any
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PLEASE NoTEr THIS LOAD OF CONCRETE lS PROOUCED INACCORDANCE WITHSTANDARD SPECIFICATIONS FOR READY l\,11X CONCRETE ASTI\,{. ANY DE-ICING REOUESIOR'S NAME
MATERIALS, IMPROPER FINISHING AND LACK OF CURING WLL CAUSE DAMAGE OR A DECREASE IN STRENGTH,
NOTICE: MY SIGNATUNE EELOW iI'JOICITES THAT I HAVE READ THE HEALTH WARNING NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAIMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON REVERSE SIDE, TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT SA
DELAY RATE. ALL C,O,D- DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY SIGNING IHIS DELIVERY TICKET BEFORE POURING,
FULL LOAD %LOAD % LOAD
PEqEEBT{ DAtl,lAGE8E! Dear Customer - The size and weight of this truck could cause damage to the premises and/or adjacent property if this load is
pE@athtreyou-astef wEFto help yoi in every way that we can, but in ordei to do this we are requesting that you sign this RELEASE relieving this supplier and its
TEST
which may be claimed by anyone to have arisen out of delivery of this order.
Customer confirms, agrees, and acknowledges that the Terms and Conditrons contained:in Supplier's quotation, and repeated on the reverse side of this document, solely
governs the parties'transaction. Customer's representative hereby acknowledges that he/she has read these governing Terms and Conditions, and has authority to conrirm on
behalf of and otheMise bind Customer to these Terms and Conditions. CYLINDERS TAKEN ! YES ENO
OF TESTING LAB:
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design
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PLEASE NOTE: THIS LoAo oF CoNCRETE lS
MATERIALS. I[/PROPER FINISHING AND LACK OF
BE ANY DAMAGE CAUSED WHEN
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PAID FULL LOAD % LOAD %LOAD
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Customer The slze and of this
sign this and its
ln the of this (GALLONS) (GALLONS)
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NAME OF LAB:
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THE Ponland Cement. rubber boots and CONTACT CAUSE BURNS, wilh eyes and
skin. ln case with skin or eyes, lf irritation get WATER ADDED AT CUSTOMER REQUEST
EXCESSIVE WATER IS OETRIMENTAL
CONCRETE IS A
PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPO!! LEAVING THE PLANT. ANY CHANGES OR CANCELLATION OF
oRtctNAL tNsrRUCTtoNs Nlusr BE TELEPHoNED ro rHE oFFtcE BEFoRE LoAD|NG srARTs. .t TO CONCRETE PERFORMANCE,
wE Do Nor GUARANTEE,FrNrsHED REsuLTs oarntNEo ihoM rHrs LoAD oF coNCRETE As MANv lMpoRrANT,FAcroRs AFFEoING THE uLTTMATE ouALrry oF
THE COil,4PLETED JoB ATREIOUT OF otlR CONTROL. We do not warant that the concrete can be us6d ln any particuiar envtonment or soil conditions or that the concrete is fit for any
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PLEASE NOTE: THIS LOAD OF CONCRETE iS PRODUCED IN ACCORDANCE WITH STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTI\,,I. ANY DE.ICING REQUESTOR'S NAI\,IE
MATERIALS, IMPROPER FINISHING AND UCK OF CURING WILL CAUSE DAMAGE OR A DECREASE IN STRENGTH,
NOTICEI [4Y SIGNATURE BELOW INDICATES THAI I HAVE READ THE HEALTH WARNING NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON REVERSE SIOE, TII,4E IN EXCESS oF FREE TIME W1LL BE CHARGED AT CURRENT SA
DELAY RATE. ALL C,O,D, OELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY SIGNING THIS DELIVERY TICKET BEFORE POURING.
'iib;..ises FULL LOAD %LOAD YZLOAD
PROPERTY DAMAGE RELEASE : Dear Customer - The size and weight of th;s truck codld cause 4"..g" ,o and/or adjacent property if ihis toad is
piaced whm youdeairefiEoLruEF'to help you rn every way that we €n, but in order to do this we are requestin! that you sign this RELEASE relieving ihis ;upptier and its
(GALLONS) (GALLONS) I (GALLONS)
undereigned ag@s toindemnity and hold harmless the driver of this truck and this supplier and its afliliates for any and all damage to the premises and/or adjacent property TEST
which may be claimed by anyone to have arisen out of delivery of this order.
document, solely
SLUMP CONC, TEMP
authority to confirm on
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REOUESTOR'S NAME
RESULTS
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CYLINDERSTAKEN: E YES nNO
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WARNINGI TO THE boots and BURNS. Avoid contact with eyes and
get WATER ADDED AT
prolonged contact ln case of irritation
EXCESSIVE IS DETRIMENTAL
AND UPON THE PLANT, ANY CHANGES OR CANCELLATION OF TO CONCRETE PERFOR[/ANCE.
(GALLONS)
of his vehicle
and this supplier and its to lhe premises and/or adjacent property
out of delivery
and that the Terms and Conditions contained in Suppliels quotation, and repeated on the reverse side of this document, solely SLUIVP coNc.
acknowledges that he/she has read these governing Terms and Conditions, and has authority to conflrm on
bind to. and CYLINDERS TAKEN: DYES ENO
OF TESTING LAB;
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REOUESTOR'S NAME
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FULL LOAD %LOAO LOAO
pROpERTyDAMAGERELEASE: Dear Customer-The size and weight ofthis truck coutd cause damage.to theoremisesand/oradjacentpropertyifthisloadis
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which rn'ay be claimed by anyone to have arisen out of delivery of this order'
on the reverse side of this document, solely
customer confirms, aqrees, and acknowledges that the Terms and Conditions contained in Supplier's quotation, and repeated TEMP
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