Cities Index.
CLAIM - Matich Corp.pdf

Rialto City Council
September 12, 2023

Document
CLAIM - Matich Corp.pdf
Meeting
September 12, 2023
Body
Rialto City Council
Pages
2
Original file
18.7 MB
Text extracted from the city's file for reading and search. Open the original on legistar.granicus.com. That file is the official record.

AFFIDAVIT
State of California, County of San Bernardino
On behalf of Matich Corporation, I hereby submit this affidavit certifying that the following is true and correct based upon my current knowledge and belief:

1. The attached Claim is made in good faith and covers all costs and delays to which Matich Corporation is entitled as a result of the events) giving rise to the Claim;

2. The amount of the Claim accurately reflects the adjustments in the Contract Price, the Contract Time, or both to which Matich Corporation believes it is entitled; and

3. All supporting costs and pricing data are current, accurate, complete, and represent the best of the Contractor's knowledge and belief.

Jake Reade, VP - Operations
SEPTEMBOR 5, 2023
Date
CITY CLERK RECEIVEL 2023 SEP - 6 AMI!: 04 CITY OF RIALTO

CALIFORNIA ALL- PURPOSE

CERTIFICATE OF ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of CALIFORNIA
County of SAN BERNARDINO
On 9/5/2023 before me, G.M.Bernal Kleespies Notary Public (Here insert name and litle of the officer
personally appeared JAKE READE
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

COMM. #2356450
WITNESS my hand and official seal. Notary Public - Califomia

SAN BERNARDINO COUNTY -
haulkles
Notary Public Signature (Notary Public Seal)

INSTRUCTIONS FOR COMPLETING THIS FORM
ADDITIONAL OPTIONAL INFORMATION This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed, should be completed and attached to the document. Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary

AFFIDAVIT
(Title or description of attached document) • State and County information must be the State and County where the document signerS) personally appcared before the notary public for acknowledgment. • Date of notarization must be the date that the signers) personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages _ Document Date commission followed by a comma and then your title (notary public). • Print the names) of document signers) who personally appear at the time of notarization.

CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/they, is /are) or circling the correct forms. Failure to correctly indicate this • Individual (s) information may lead to rejection of document recording.

Corporate Officer • The notary seal impression must be clear and photographically reproducible.

Impression must not cover text or lines. If scal impression smudges, re-seal if a (Title) sufficient area permits, otherwise complete a different acknowledgment form. • Partners) • Signature of the notary public must match the signature on file with the office of the county clerk.
• Attorney-in-Fact * Additional information is not required but could help to ensure this Trustee(S) acknowledgment is not misused or attached to a different document.

Other Indicate title or type of attached document, number of pages and date.

Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). www.NotaryClasses.com 800-873-9865 • Securely attach this document to the signed document with a staple.

MATICH CITY OF RIALTO

CORPORATION
2023 SEP -6 AMII: 04

RECEIVEL
September 5, 2023 CITY CLERK
Fountainhead Consulting Corporation
2400 E. Katella, Suite 800
Anaheim, CA 92806
Attn: Jessica Harvey, RE - Fountain Head
Subject: Riverside Avenue - Central Reconstruction, City Project No. 220804 Dear Jessica.

Matich Corporation is in receipt of your letter dated August 11, 2023, rejecting Change Order Request #11. In accordance with Special Provision Section 2-11 Claims, consider this letter a formal claim for the removal and replacement of HMA and RHMA on Riverside Ave. as directed by the City of Rialto.

If it was the City of Rialto's intent to remove and replace the HMA as a result of the gradations, the direction to do so should have been presented in the letter dated May 11, 2023, and prior to paving the RHMA surface course. Similarly, if it was the city's intent to remove and replace the RHMA surface course as a result of the gradations and air voids, this should have been presented in a timely manner and prior to paving additional RHMA areas on the project. Concerning the core density results, the subsequent tests performed by two independent labs demonstrated that Ninyo & Moore's originally reported failures had been reduced by 64% for the RHMA and 75% for the HMA. Based on this information, the direction given in previous letters, and according to topics discussed in the project weekly meetings and the meeting held on 6/29/23, the City of Rialto directed Matich Corporation to remove and replace the HMA and RHMA based solely on the core density results as reported by Ninyo & Moore.

As addressed in the letter dated July 10, 2023, records of the extra work were kept in accordance with Operation, Malich is dating ace compensation in ay a out a working days val and replacement Please do not hesitate to contact me with any questions.

Respectfully,
Matich Corporation
Be Simon
by Brett Simon, Project Manager
Copy: Robert Matich; Jake Reade; Michael Minchella of Counsel Monteleone & McCrory, LLP Attachments: Claim Affidavit; File; Claim Records
P.O. Box 10 Highland, CA 92346 • Phone (909)382-7400 • Fax (909)382-0113 Email: [email protected]

Page 1 ends

-1,070,626.46 -1,070,626.46 1,070,626.46 Grand Totals
-1,070,626.46 -1,070,626.46 1,070,626.46 300
MATICH 123.0 F 8/18/23 8/31/23
CAT-TRACK FOR THERMO MARKINGS, THERKO STRIPE & LOOPS BETWEEN RIALTO AVE. & SAN BERNARDINO AVE.

CALSTRIPE 122.0 F 7/26/23 8/31/23

PRS - RENTAL EQUIPMENT
MATICH 121.0 F 7/25/23 8/25/23

INSTALL TRAFFIC CONTROL
MATICH -4,045.89 7126/23 8/25/23
MATICH -184,357.01 -184,357.01

INSTALL TRAFFIC CONTROL
MATICH 7/24/23 8/25/23

INSTALL TRAFFIC CONTROL
MATICH 7/21/23 8/25/23

PAVE RHMA, GRIND AC
MATICH -218,585.93 -218,585.93 7/20/23 8/25/23
MATICH -151,307.98 - 151,307.98 7/19/23 8/25/23

PAVE RHMA & PAVE HMA
MATICH -217,761.46 217,761.46 114.0 F 7/18/23 8/25/23

GRIND AC & PACE RHMA
MATICH -221,835.68 221,835.68 113.0 F 7/17/23 8/24/23
METROLINK ADDITIONAL FLAGGING DAY (1)
MATICH 112.0 F 7/12/23 8/24/23
• PAVEMENT REMOVAL & REPLACEMENT RIVERSIDE AVE
Company Writeoff AltBilINO Disputed Pending Number Period Perform Report Submit

DISPOSITION VARIANCE LAST PAYMENT
All Billings - Contract: 220804 Matich Corporation
Change Order Detail - Job 22-055 Billing Status Report
www.swbils.com Page NTS Universal Bil Form
2,012.50 Bill Total + Date: 09/05/2023 Contador an • Resubmital Returned for Correlion Date Recelved:

Date: Customer: Date of Action: Approved for Payment Now BIl Accepted: For Owner/Resident Engineer's Use Only
2,012.50 BIll Sublotal
2,012.50 Work Total
2,012.50 Activity Total
2,012.50 Material Total
262.50 15.00% MU
1,750.00 Subtotal
Materlal Charges
Equipment Charges
1,750.00 1,750.00000 1.000L3 M401 071223
Extended Unit Price Units 13202 Senderm no times edinal Ralroad Authorily / Metrolink Vendor Name and Description Number
Labor Charges Material/Speclalist Work/Lump Sum or Unit Price Payment 7/17/2023 Perform Date Report No. Desertion of Work: METROLINK ADDITIONAL FLAGGING DAY (1) 8/24/2023 Report Date Work Performed By: Matich Corporation 112.0 Billing Number Contractor Job:
300 Change Order Contract: 220804 Cry of Ria 2-05 RIVERSIDE AVE. - CENTRAL RECONSTRUCTION

DAILY EXTRA WORK REPORT

THORATION

CHECK REQUEST
DATE: 7/12/23
PAYABLE TO: Southern California Regional Railroad Authority (SCRRA) 2700 Melbourne Ave
Pomena, (A 91767
Attn: Eric Reece, Row Encroachments Coordinator
IN THE AMOUNT OF: $1,750 .00
CHARGED TO JOB: 22-055 109-1
VOUCHER STUB TO CONTAIN THE FOLLOWING INFORMATION:

HMA & RHMA Removals- Metrolink additional flagging Day!) REFUNDABLE: AMOUNT:_
NON-REFUNDABLE: AMOUNT: $$1,750.00
MEMO TO A/P:

SIGNATURE: michelange eat
www.ewbllis.com Page NTS Universal Bill Form
221,835.68 Bill Total + Date: 09/05/2023 Contractor: Returned for Gorrection Comer Barin Date Recelved: Resubmittal
Date: Customer: Date of Action: Approved for Payment • New ill Accepted: For Owner/Resident Engineer's Use Only
221,835.68 BIll Subtotal
814.100 97.890 77.290 8.00 S Martinez LaZ TMS TG5
960.935 97.890 77.290 8.00 E Forsythe L31 TMS TG5

37.220 74,440 J QUEZADA JR. L30 LBRAP LA3
548.410 60.110 46.010 8.00 J QUEZADA JR. L29 LBRAP LAS
221,835.68 Work Total

59.835 119.670 CT Morgan L28 LBR LG2
840.830 97.100 74.760 8.00 CT Morgan L27 LBR LG2
161,750 64.700 J Escobado L26 LBRAP LA1
539.360 52.760 41.040 8.00 J Escobedo 126 LBRAP LA1
221,835.68 Activity Total
124.280 124,280 JM Diaz 124 LBR LG4
1,019.200 100.580 77.110 8.00 JM Diaz L2 LBR LG4
310.700 124,280 M Carranza 122LBR LG4
1,019.200 100.580 77.110 8.00 M Carranza L21 LBR LG4

32.350 64.700 N ALVERADO-REYES L2O LBRAP LA!
381.080 52.760 41.040 8.00 N ALVERADO-REYES L18 LBRAP LA1

80.855 161.710 E Navarro Lts OE OG8
173,386.08 Material Total
1,179.410 130.070 98.650 8.00 E Navarro L17 OE OG8

22.615.58 15.00% MU 336.560 168.280 RF Del Toro L16 OE OF8 150,770.50 Subtotal 135.020
1,356.000 101.990 8.00 RF Del Toro LIE OE OF8
Material Charges 161.470 161.470 R Fallett L14 OE OGG
23,671.78 Equipment Total 1,242.855 129.890 98.530 8.00 A Follett L1a OE OG6 3,087.62 15.00% MU 449.855 84.190 50.970 8.00 J Cortez-Garcia L12 LBRAP LA4 20,584.16 Subtota 308.440 77.110 4.00 A Cortez L11 LBR LG4 Equipment Charges 679.020 124.280 77.110 8.00 B Ayon L10 LBR LG4 868.975 161.470 98.530 8.00 J Valente L.08 OE OGG
24,777.82 Labor Total 80.855 161.710 G Rodriguez LOB OE OG8

4.129.64 20.00% 854.235 130.070 8.00 G Rodriguez LOT OE OG8

0.00 Other Expenses 870.055| 161.710 8.00
JW Kinzle LOG OE OGB

0.00 Subsistence 80.735 161.470 M Garcla LOs OE OGG
20,648.18 Subtotal Labor 853.185 129.890 8.00 M Garcla L04 OE OG6 868.975 161.470 8.00 i Cleland LOS OE 0G6
6,255.54 OT/DT Labor 84,140 168.280 M Fonville LO2 OE OF8 1,085.960 135.020 8.00 M Fonville LO1 OE OF8
14,392.64 RT Labor Extended Subs Rate OT/OT Rate Suba Units RT Hrs Employee Name Craft/Level Labor Cherges Labor Charges
7/17/2023 Perform Date Report No. Description of Work: GRIND AC & PACE AHMA 8/24/2023 Report Date Work Performed By. Matich Corporation 113.0 Billing Number Corted a 2-055 - RIVERSIDE AVE. - CENTRAL RECONSTRUCTION Contractor Job:
300 Change Order 220804 contract:

DAILY EXTRA WORK REPORT
...... www.ewbills.com Page 2 NTS Universal BIll Form
221,835.68 BlI Total + Date: 09/05/2023 Her finen Contractor: Date Received: Resubmittal Returned for Correction Dals: Customer: Date of Action: Approved for Payment Now Bill Accepted: For Owner/Resident Engineer's Use Only
221,835.68 Bill Subtotal
221,835.68 Work Tola!
19,952.50 19,052.60000 1.000 LS 7/17/2023 Match Corporation / TRUCKING МОБ 071723 221,835.68 Activity Total 2,150.00 2,450.00000 1.000 LS 7/17/2023 G.B.H. Enterprises, Inc: / RENTAL - BOBCAT & GRINDER MOA 41728 2,001.00 3.00000 667.000 EA 7117/2023 Matich Corporation / ASPHALT EMULSION MOЗ 281279 125,239.50 90.00000 1,391.550 EA 7/17/2023 Matich Corporation / RHMA-G MO2 071723 1,127.50 1,127.50000 1.000 LS 7/17/2023 Vance Corporation / OPERATOR MOI 10009 Extendod Untt Price Units Vendor Name and Description Date Number Material/Specialist Work/Lump Sum or Unit Price Payment 1,273.200 127.320 10.00 30-40 TRMD BITDT E16 5027
173,386.08 844,400 84.440 10.00 36-48 T&TT TRUCK E14 3207 Material Total
971.060 B4.440 11.50 36-48 татт TRUCK E13 6070

22.615.58 15.00% MU 437.680 54.710

8.00 12-20 T&TT TRUCK E12 7275
150,770.50 461.680 57.710 8.00 20-28
Material Charges T&TT TRUCK E11 7293
339.120 42.390 8.00 06-12 T&TT TRUCK E107287
23,671.78 Equipment Total 6,404.500 640.450 10.00 W210 WIRT PGT-C E09 15160

3.087.62 15.00% MU 551.070 42.390 13.00 06-12 T&TT TRUCK E0 7283 20,584.16 Subtotal 3,282.840 273.570 12.00 M2 NESC BRMSW E07 5026 Equipment Charges 490.535 57.710 8.50 20-28 T&TT TRUCK E06 7270 675.450 75.050 9.00 CB534B CAT ROVIB E06 16127
24,777.82 Labor Total
4,129.64 998.665 117,490 8.50 7000 CAT ROVIB E0+ 16130

20.00% MU 2,805.850 8.50
330.100 A010555 CAT ASPAV E6S 15159

0.00 Other Expenses 645.390 9.00

71.710 8062 CAT ROVIB E02 16138

0.00 402.705 Subsistence 42,390 9.50 06-12 T&TT TRUCK E01 7296 20,648.18 Subtotal Labor Extended OT Rate Delay Factor RT Rate OT Hrs RT Hrs A1 A2 Model Make Class Equipment ID Equlpment Charges
6,255.54 OT/DT Labor 657.915 119,670 74.760 0.50 8.00 M Marquez L36 LBR LG2

62.140 124.280 0.50 N Gonzales L35 LBR LG4
14,392.64 AT Labor 818.040 100.580 77.110 2.00 8.00 N Gonzales 134LBR LG4 Labor Charges 819.251 97,890 77,290 2.25 7.75 M Thompson L33 TMS TG5
7/17/2023 Perform Date Roport No. Description of Work: GRIND AC & PACE RHMA 8/24/2023 Report Date Work Perfored By: Matich Corporation 113.0 Billing Number Contractor Job:
300 Change Order 220804 Contract: Citor la 2-055 - RIVERSIDE AVE. - CENTRAL RECONSTRUCTION

DAILY EXTRA WORK REPORT
PACIFIC TIMESHEET Brett Simon I Logout | Help I/
Home My Timesheet My Assets and Logs Crew Timesheet Timesheets Approvals Leave Requests Assets and Logs Cost Codes Employees Reports Crew Timesheet Crew Dashboard Wed Aug 1
Crew: Michael Fonville Crew ~ Day: 1 Mon 7117/23 • Job: 22055 | • Time 1 Eoreman Legs Sub-Contractors
CostCode: 22055-204-01-PAVE RHMA Totals
Employee Jol: Class ST Hours
Michael Fenville OF-8 07296 8.00 2.00 0.50 9.50 10.50
Jose Cervantes 0.00
Johnathan Cleland 1106 8.00 0.50 8.50
Robert Diaz 1657 0.00
Marcos Garcia 5876 DE-G 16138 8.00 0.50 0.50 9.00 9.00
Justin W. Kinzle OE-8 8.00 0.50 8.50
Paul Moreno 1650 0.00
Eduardo Navarro 0.00
Gilberto Rodriguez te 5089 OE-8 15159 8.00 0.50 0.50 8.50 9.00 Jim Valente 1432 16130 8.00 0.50 8.50 8.50
16127 9.00 0.00
Rodrigo Arellane 6246 0.00
Barnabe Ayon 6239 L-4 8.00 0.50 8.50
Alexander Cortez 5078 L-4 4.00 4,00
Jorge Cortez-Garcia 5041 APP LAB 8.00 0.50 8.50
Nolberto Gonzales 5073 L-4 07270 8.00 2.00 0.50 8.50 10.50 No Hernandez 5064 0.00
Mauricio Marquez 6845 L-2 8.00 0.50 8.50
Jose Quezada Jr. 5053 0.00
Irving. Reyes 6563 0.00
19 Employees 84.00 5.00 5.00 53.00 94.00
• Time Entry Details
/ Submitted by Michael Fonville on 7/19/2023 6:39PM • Project Manager Approved by Michael Angelo Alvarez on 7/24/2023 12:33PM Powered by Pacific Timesheet © 2000-2023
~ Project Manager Approved by Michael Angelo Awarez on 7124/2023 12:41PM| • Time Entry Details

0.00 0:00 0.00 0.00 0.00 0.00| 1 Employees

6.00 4.00 1.50 0.50 6.00 8.00 3.50 1.00 12.50 1200 0O 2.00 0.50 05026 Russell Estlest 1450 0E-6 0 3 01 040 1 OT 01 H 19 ST OT OF ED ST 01 UT 10 1 01 07 ED S 01 01 10 ST OT OT COST Totels Cost Code: CREW 22056-014-01-PAVE HMA 23018-005-05-AC PAVING CREW 23002-008-05-SWEEP 23018-008-05-SWEEPER 23006-008-03-SWEEPER 23002-008-05-SWEEP 22054-047-03-5LOT PATCH 22055-202-02-SWEEPING: 22055-204-06-SWEEPING LOUDS 23002 23006 22955
SIR-Conductors Material
] Day: 4 Mon707R3 P
Powered by Pacific Timesheet © 2000-2023
Project Manager Approved by Michael Angelo Alvarez on 7/25/2023 8:44AM • Submitted by Michael Angelo Alvarez on 7/24/2023 12:28PM • Time Entry Details

80.00 31.00 10.00 121.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.00 0.00 28.00 7.00 1.50 25.00 12.00 6.50 0.00 5.50 1.00 7.50 16.00 16.00 5.50 6.00 10,00 8.00 4.00 2.00 13.00 10 Employees

10.00 8.00 2.00 0.00 1.00 2.00 8.00 03207 7490 T-5 Sonya Martinez

11.50 0.00 8.00 3.50 4.50 7.00 2.00 2.50 6.00 1.00 06070 7275 T-5 Evan Forsythe

11.50 0.50 3.00 8.00 3.00 0.50 8.00 5053 APP LAB Jose Quezada Jr.

11.00 0.50 2.50 8.00 2.50 0.50 8.00 5691 L-2 Cash Morgan

14.50 2.50 4.00 8.00 6.00 2.00 2.00 2.00 8.00 2.50 178 APPLAB 07275 Jose Escobedo

13.00 1.00 4.00 8.00 1.00 4.00 8.00 5020 L-4 Jerry Diaz

14.50 2.50 4.00 8.00 6.00 2.00 0.50 8.00 2.00 2.00 2.00 07293 5848 L-4 Michel Carranza

9.50 0.50 8.00 1.00 8.00 1.00 0.50 Nathan Alvarado-Reyes 5054 APP LAB

0.00 0.00 0.00 0.00 8.00 07287

11.50 0.50 8.00 3.00 8.00 3.00 0.50 10.00 15160 1498 OE-8 Eduardo Navarro

14.00 8.00 4.00 2.00 8.00 4.00 2.00 13.00 07283 5240 OF-8 Robert Del Toro Hours ST DT DT OT ST EO ST OT OT EQ I ST. DT OT DT OT EQ IDT ST- OT Job Clas ID Employse Totals Cost Code: 22055-200-01-FOREMAN 22055-201-01-INSTALL TRAFFIC CONTROL 22055-201-02-FLAGGING CREW 22055-202-01-GRIND AC 22055-204-01-PAVE RHMA 22055-206-01-TEMPORARY STRIPING 22055-206-01-TEMPORARY STRIPING ..sus-contractors Foreman Logs Materials Time
Job: 22055| Mon 7/17/23 / v. Day: Robert Del Toro Crew Crew:

Thu Aug 24, 2023 Crew Timesheet Crew Dashboard
System Employees Reports Cost Codes Assets and Logs Loave Requests Approvals Timesheets Crew Timesheet Home My Timesheet My Assets and Logs Pamela King | Logout | Help I About PACIFIC TIMESHEET
PLANT LOCATIONS © 8397 Alabama TOLL FREE ORDERS • C.O.D.

C 3221 N. Riverside Ave. Redlands, CA 92376 (800) 404-4975 Rialto, CA 92377 909-792-3650
IATICH 909-356-0537 MAILING ADDRESS • CHARGE
• 13984 Apache Trail Fightand, CA 92346
LPORPORATION Cabazon, CA 92230
951-849-8280 281279

WEIGHMASTER CERTIFICATE
SOLD TO THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster Cily of Rialto 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 Califomia Business and Professions Code, administered by the Division o Measurement Standards of the Calitoria Department of Food and Agriculture.

Riverside Ave
DEPUTY
MATICH CORP. WEIGHMASTER

ACCT/JOB TRUCK TONS PRODUCT PRODUCT INFORMATION
5027 1284 SSIH Phalt Emulsion
GROSS 4600
TARE 40320
NET 5680
tonsuses 2084
TONS 2.84
FWD
7-22 Gallons useD - (e) TOTAL 667
TONS
LOAD
407et3: NO.

DRIVER
• ON • OFF

22.055 0714/23 LEAVE PLANT

ARRIVE JOB

LEAVE JOB DELAY TIME
$ 2,0010

MATERIAL
RECD
BY
NOTICE: It is agreed between buyer and seller that sale is consummated and title passed at plant site. Material only subject to sales tax.

Hulal Tame
7-17-23 NOTICE: COMPANY ASSUMES NO RESPONSIBILITY
Comments FOR DAMAGE INSIDE CURB OR PROPERTY LINE,
UNLESS OTHERWISE AGREED. ALL ACCOUNTS ARE
DUE AND PAYABLE IN 30 DAYS. INTEREST AT THE

LEGAL RATE APPLICABLE, WILL BE ADDED TO ALL
DELINQUENT ACCOUNTS.

Form 7772 1-White - Office 2-Pink - Copy 3-White - Plant • yes. ¡ATE
Yes Yes
10K #5827
C/C
10 IUST BE TURNED IN DAILY. YOUR PAY IS BASED : Report, AND notified your immediate supervisor? NO No No 204-5 17 123 11 L BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 10'2 G/L# EQ OUR USA TRAILER #. TRAILER #
(ONE CALENDAR DAY - 24 HOURS) DRIVER'S DAILY LOG
DAY 50 HR/S TOTAL LINE 2 DRIVING HAS 9 DAY NO. RECAP WITH LOG BOOK USED ONLY 2 Four e: 352
Vance Corporation. Invoice
P.O. Box 575
Beaumont, CA 92223 Invoice Number
RECEIVED 10009
Phone: (909) 355-4333 Invoice Date
Сокротано Fax: (909) 355-4339 AUG 02-2023 7/20/2023

MATCH COME
Bill To: MATICH CORPORATION RE: MATICH CORPORATION RIALTO P. O. BOX 10 RIVERSIDE & RANDELL
HIGHLAND, CA 92346-1010 RIALTO
Job No Customer Job No Customer PO Terms Due Date
R0223-98 RO223-98 (3) 22-055 Net 30 Days 8/19/2023
Work Date Description Quantity / Hrs Rate / Per Unit Amount Labor: 960.00
7/17/2023" OPERATOR (1) REG 8.00 120.00
OT 0.50 г 150.00 75.00
7/17/2023 - OPERATOR (1) OT
7/17/2023 OPERATOR (1) DT NO LUNCH DT 0.50 185.00 92.50 Material:

Subcontractor:
uipment:

Rented Equipment:

Other:
22-055
204-| MA 8/3/23
ahrs $1,127.50
Subtotal: 1,127.50
Sales Tax: 0.00
Total Amount Due: 1,127.50
Approved by:

JOB ORDER
Not responsible for delays beyond our control.
expense, claims, demands, or actions for damage to property while this equipment is under the direction and control of Lessee.

Lessee agrees to indemnify and hold blameless Vance Corporation, Lessor, from any and all liability, Pave RHMA
22-055-204-01
J5#22-055
8:00-5:00 Na Lunch

CARVETT SCHREITER
Description:

Total Time Stand by Time
Overtime
Subsistence
Operating Time.

Machine No.

Travel Time -
Operator
Job Location Firlo

TO MATICH OFF
92 Rental Order No. #0: 23 23
(909) 355-4333 • Fax No. (909) 355-4339
P.O. Box 575 • 459 Egan Ave., Beaumont, CA 92223
,19441 Vance Corporation

MATICH O ERFORM

PRELIM YES / NO ARIL
CHER TICKET #
TRAN. #
NAME
RIP CHP PHP AGG INV. #
(HP
PHONE CUST.#
DATE REQ. 7-17-23
CO. NAME
SOB LOCATION 22-055

CITY OE RIALTO
EQUIP.

SPEC. INSTRUCTIONS RIALTO

TONS MIX IST LOAD ON JOB
T&T T& P 10 WHL... BD
_ TPH
PRICE APRV PREP. BY CKD. BY P.O. NO.

PRODUCT CODE PRODUCT DESCRIPTION

QUANTITY UNIT PRICE
3601 RHMA-G 1391.55 ฿90.00
3607 HAUL. 1391.55
204-2 204025 070102
Total = $ 125, 239.50

INITIALS

SALES ENGR

ACCOUNTING
OTHER
EMPLOYBE INITIAL: CUSTOMER INITIAL.

EMPLOYEE SIGNATURE L

YES NEAR MISS
I certify that the above hours are accurate. J mcreported for (or will report as soon as possible) any injury to myself, others or an accident in the workplace, I understand that any nunterini misrepresentatients Chuse for discipline or fermination YES INJURIES OR ACCIDENTS ON THIS JOB?

AMOUNT OF MATERIALS PROCESSED
PERP #
full for labor, services, equipment or materials furnished, the improved properly (which is described hercon) may he subject to mechanics' liens." OVEREXEKTION CALIFORNIA PRELIMINARY NOTICE: Sections 3097 and 3111, Califomia Civil Code which requires us to notify you "that if bills are not paid in

DISRUFTION AVOIDANCE CAVE-INS LOOSE CLOTHING

SPILSFIRES HEAT/COLD LOUD SE
HAZARDOUS SUNSTANCE(S) of invoice on all charges not paid within 30 days of the date of invoice.

SLOPING/SHORING HEAT/COLD EXPOSURE such as attorney fee, expenses and court will be paid by contractor. Customer agrees to pay a delinquency charge of 1½ percent per month from the date DROPPING MATERIAL/TOOLS SIR'S/TRIPS/FALLS KLECTRIC SHOCK Account due and payable when equipment and operulor are released from job. It is hereby agreed that any costs arising for collection of amount due,

LIVE UTILITIES TRAFFIC CONTROI, ABRASIONS/CUTS
protect and avoid damage to underground, but we assume no responsibility for damage, unless hazard is exposed, and damage noted on this invoice.

PINCH POINTS SOFT TISSUE INJURIES
**NOTICE Our operators work as directed by your company, under your direct supervision and layout, Our operators will make every cffort to

LEAD/ASBESTOS FUMES/GASES BLEVATED LOADS

PARTICLES IN EYES THERMAL BURNS CHEMICAL BURNS

YMARK ALL ITEMS THAT APPLY
POTENTIAL HAZARDS Total-$ 2,450.-

OFERATORS SIGNATURE
2 $250|k$ 250. Overtime

REMARKS H

GHYDRAULIC CONTROLS
· 225hr $ 900.0
I FUEI, LEVEL. CHORN +4
6 WIPERS Babuet + Grides
TRANSMISSION FLUID HAVEL E GUAGES DITCH/COUPLER $ 1,300.~ MIN

TORAULIC OF LEVEL, FIRE EXTINGUISHER OFITTINGS GREASED

CHECK ONLY PIEN QUIPMENT IS COLA AMOUNT DESCRIPTION

COOLANT LEVEL BACK UP ALARM HOURS
DHOSES
OPERATORM.L. NET 30 TERMS FOREMAN Robert
JOIT. LEYRLPRESSURE DIETING NIECHANISM GBRAKES, PARKING P.O.# JOB#

O VISIBLE LEAKS CHIRAKES, SBEYICK O CUTTING/TEETE
FLUIDS IS CALL O BUCKET Highland,
O STEERING GUARDS 92346 Ch.

O FENDERS Ruerside & mean
OSBAT BELTIŞEAT O AIR FILTER DEXHAUST 10 P.O. Box
J ROLL, OVER PROTECTIN O HOSES O TERES/TRACKS Rialto
matich Corp

O MIRROR OYAN BELT ESTEIS/HANDRAILS
JOB LOCATION:

P BATTERY CABLE BILL TO:

ELIGITS
INSIDE CAB E ENGINE COMPARTMENT OUTSIDE 41722 INVOICE # (760) 956-5454 FAX (760) 956-5455 DATE: 7-17-23 CIRCLE ANT DEEECTIVE ITEM AND GIVE DETAILS UNDER "REMARKS" HESPERIA, CA. 92340 MARK ALL ITEMS CHECKED ON EQUIPMENT P.O. BOX 402106

EQUIPMENT SAFETY INSPECTION
MATICH CORP BREAKERS • GRINDERS

YES OTHER
COORDINATION WITH OTHER TRADES @hrs 42,450.00
NO. AUG 02 2023

EQUIPMENT TOOLS ENSPECTION
G.B.H. ENTERPRISES, INC. 2092-1 MA813/23

HIGH RISK TASKS
JOB HAZARD ANALYSIS: TISEOLOWING MENS HAV EIVE
22-055
EMPLOYEE INITIAL:_ CUSTOMER INITIAL EMPLOYEE SIGNATURE
YES/ NO NBAR MISS the workplace, I understand that any material misrepresentation is cause for discipline or termination.

YES : NO' INJURIES OR ACCIDENTS ON THIS JOB? I certify that the above hours are accurate. I have reported for (or will report as soon as possible) any injury to myself, others or an accident in

AMOUNT OF MATERIALS PROCESSED
PERP #
full for labor, services, cquipment or matcrials fumished, the improved properly (which is described hereon) may be' subject to mechanics' liens." SPRAIN/STRAINS OVEREXERTION CALIFORNIA PRELIMINARY NOTICE: Sections 3097 and 3111, California Civil Code which requires us to notify you "that if bills are not paid in DISRUPTION AVOIDANCE CAVE-INS I.OOSE CLOTHING
SPILLS/FIRES HEAT/COLD LOUD NOISES. of invoice on all charges not paid within 30 days of the date of invoice.

HAZARDOUS SUBSTANCRS) SLOPING/SHORING TRAT/COLD EXPOSURE such as allorney leo, expenses and court will be paid by contractor. Customer agrees to pay a delinquency charge of 1½ percent per month from the date DHOPPING MATERIAL/OOLS SIAPS/TRIPSTALLS ELECTRIC SHOCK" Account due and payable when equipment and operator are released from job, It is hereby agreed that any costs arising for collection of amount due, LIVE THANIES TRAFFIC CONTROL ABRASIONS/CUTS protect and avoid damage to underground, but we assume no responsibility for damage, unless hazard is exposed, and damage noted on this invoice.

MOVING MACHINERY PINCH POINTS SOFT TISSUE INJURIES **NOTICE** Our operators work as directed by your company; under your direct supervision and layout, Our operators will make every effort to

LEAINASUESTOS FUMES/GASES ELEVATED LOADS

PARTICLES IN EVES THERMAL BURNS CHEMICAL BURNS

V MARK ALL ITEMS THAT APPLY

POTENTIAL HAZARDS
OPERATORS SIGNATURE.

Pol
202-1

REMARKS

HYDRAULIC CONTROLS

O FUEL LEVEL I HORN O WIPERS

O TRANSMISSION FLAD LEVEL AMOUNT

FIRE EXTINGUISHER G HYDRAULIC OIL LEVEL AMITTINGS GREASED PRICE DESCRIPTION

HECK ONE EN UNISCOLD HOURS
@ COOLANT LEVEL OBACK UP ALARM PROSES
DOIL LEVELPHESSURE OLFING MECHANISM BRAKES, PARKING OPERATOR NET 30 TERMS FOREMAN P.O.# JOB#

O VISIBLE LEAKS DRAKES, SERVICE' ACUTTING/PRTHI

INSIN CAR DUCKET

O STEERING O GUARDS O FENDERS

ASEAT BELTYSEAT O AIR FILTER EXHAUST

ROLLOVER ROTECTION O MOSES OTIRES/TRACKS
O MIRROR STEPS/HANDRAILS FAN BELT JOB LOCATION:

PRATTERY CABLE BILL TO:

D GLASS (ALI.SERS)
INSIDE CAB CONTA ENGINE COMPARTMENT 41722 • INVOICE # (760) 956-5454 FAX (760) 956-5455 DATE: 7IZ

OUTSIDE
HESPERIA, CA. 92340

RCLE ANY DEFECTIVE ITEM AND GIVE DETAILS UNDER REMARH
AKATES CHECKED ON EQUIPME P.O. BOX 402106.

BQUIPMENT SAFETY INSPECTION BREAKERS • GRINDERS
NO YES. OTHER

YES COORDINATION WITH OTHER TRADES

NO YES EQUIPMENT TOOLS INSPECTION
NO YE HIGH RISK TASKS G.B.H. ENTERPRISES, INC.

JOB HAZARD ANALYSIS: THE FOLLOWINO ITS ILAVEDBEN REVIEWHY MATICH

CORPORATION
Engineering Contractors/Asphalt Sales

TOTAL HRS FOR THE DAY TOTAL HRS ON THE JOB
216 6.5

5.75 21B 3.5

9.75 3.5

10.25 5.25

10.25 9.5
215 8.5 6.75

10.25 9.5

5.5 241 10.25 9.5

9.5 1.75
N

10.75 10.75
not on Time Cal

8.5 9.75

9.25 9.5

10.5 9.75

10.25 9.5

9.75 9.25
@$130 = 5T
TOTAL HRS:156.75
- 8.50 150° 07
ST 114.25x130. 06 = $14,852.50
00 $ 5,100.00 148.25

34.00 X 150. 11 $19.952.50
22-055 - RIVERSIDE AVE. CENTRAL RECONSTRUCTION
CORP. TRUCKING HOURS - JULY 2023
DATE
7/17/2023

EMPLOYEE
Mark Engleman
Tristan Graves
Richard Harms
James Kruck
Steven Ritzman
Joshua Alcala
David Ambrose
Logan Clifton
Chris Contreras
Alex Espitia
Chris Gallagher
Travis Gates
Russell Guillen 0.50 1.00
Scott Haugen 1.25
Tyler Jayne 2.25
James Jones 7.75 2.25
Mark Lacroix 0.00
Anthony LaFord 7.75 1.25
Gilberto Luna 7.75 1.50
Juan Menchaca
Robert Montantes
Robert Neilson
Jessie Sandoval
Kevin Stalker
Mike Sultzbaugh
Joshua White
TOTAL HRS 114.25 34.00
-$14852,50
114.25 x 130.

34.00 x $150,00 =$5,100.00
$19,952.50

APPROVED BY
337-07:

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM 117 SIGNATURE 1,5 3022..

THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY, YOUR PAY IS BASED 333384 FINIS: 07229 TAL TIME WORKED -
(if YES, have you filed an Accident Report, AND notified your immediate supervisor? 9.5 .. No Did you have an ACCIDENT today? STATE LINE
80 STRAIGHT TIME
No Yes and notified your superv15or? construction
If yes, have you filed injury report STATE LINE NON FRO:! _ K No. Yes. Were you INJURED on the jeb?
333267 START-
STARTETER 7122 9,5 kos TAL TIME BLAFRED
-3218- 3260
man Ji4S 30T37n6:15 am
DELAYS
OR

REMARKS
NOON
3: ON DUTY I Slay tablet wouldit connect
2: DRIVING Loads - Ill -
DANgERONDING LINE HUMBER)
i: OFF DUTY.
11 10 FULLY EXPLAINED ON DELIVERY TICKETS
NOTE: DELAY TIME CHARGEABLE TO CUSTOMER SHOULD BE
1½ 8
3:30 - 3:45 - -PTI LHP
14 650 •Ful 15%
- | 3:30 L 3:25 CHP
3:20 3:10 2:40 2:35 LHP Matich RicHo, CA
RAM RI 18.96 2:35 2:30 1,53 1:40 merrile Rio. Are % Riakto Ris Ave 384701 I-Load Grinders LHP
1:40 1:35 185 12:55 Rickle, Matich Reatho CA
18:77 ve 0=2¼y 1'122-055 12:55 Rio. Au-+
852 12:45 12:18 1205 % Riatto 384268
RAMA-
180 1:30 12:15
10:45 Fuel16% PTI 32184/3260 MS
800 tinfinity, seta Pun 32:60
Loads CmBY'4 9:50 7:15 Pomona, CA I Terra Pase
2801 S Tocone Aun efinity.
9'2 650 6:30 6:15 +TI
LAP
RECAP O.T. ST. MATERIAL YARDS MAINT.
11 "EO C/C RATE JOB# END BEG. LEFT ARRIVED LEFT ARRIVED TIME JOB: CONTRACTOR / LOCATION OF DROP (OR LOAD) CRIGIN

TYPE TONS DELAYS UNLOADING LOADING
TICKET #
TRAILER #
TRAILER # chalarms EMP # 92785 DATE 7117 123TRUCK #3258 EMPLOYEE NAME A BASED AT: :

SHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LH? Cytle Creek Hot Plant) 3221 N. Riverside Ave.. Balto, EQUIPMENT if any time during the day.

DRIVER'S DAILY LOG CHP. (Cabazon Hot Piant) 13984 Apache Trail, Cabazon, CA 92230 WIS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 and available for field inspection MATICH TRUCK DRIVER'S DAILY REPORT This report must be kept current APPROVED EV savs BASIS SEE
ON THIS REPORTING TIME WILL BE PAID UNLESS ITIE TOTAL MLEAGE TODAY 172.3 carily those entrics ar: tue ar ice reci TIS IS YOUR BME SHEELITMUST BC TURNED IN DAIL braves formatan YES, have you filed an Accident Report, AND notified your immediate supervicor FINIS: 372221 T/- LINE

10.30 mins. Grindings
yes. have you filed injury report
START
S00R E 372046 10.30 mins
4:40 6:10
DELAYS
(NOT DRI/NIC:
3: ON DUTY
Slow paring
2 ORIVING inclings far C.O. Rialto.
057 DuTY

SHOULD BE
2'2 8 4:25 4,40 Past try
14 650 Rialti
4:25 4:20 Quel
Grindings 3:45 3:50 → got cut off Rialto.

Mile Sindings for C.O. Dialto
DRI E.TS
DAY
2120 2:30 305 3:10 7:25 3:40 3285 RHMA Rialto Realto 384304 C.0. 10: 30 32.55 RHANGE 575135
12:10 12:15 1:40 7130170 Rintto, Rialto 38Y276 C.O.
2HMA24 21422-055 3211LHP 11: 25 0:30 10:40|11:00
852 Rialto. Rialto 384245. C.O.
4:5510:05 det cut off

10.0 20.00

20.00 835 34k 10 1"05 Pomera n.
800 -Infini, Jesu Par 20 5: 1 0 17,500
17 20.00 7:50 7:45 20
7:10 Tera Pave 0250002
10%½ 650 6:25 6:10
Pre trip Ruulto
RECAP
WITH LOG BOOK G/L, # EQ RATE J03 * O.T. ST. MATERIAL YARDS END BEG LEF: ARRIVED LEFT ARRIVED
. SCO ONE
TIME TYFE TONS DELAYS -3I/ / CONTRACTOR: LOCATION OF ORCE

UNLOADING LOADING

TRAILER R TICKET A
(Ploase Print)
RAILER* 7:17:23TRUCK$3209 Graves Emr.#42210 DATE. EMPLOYE: NAME Tristan Ca.. Rialta BASED AT:

RHP (Redlands Hot Plant) 8397 Alabama St., Redlands HolLytte Creek Hot Plant) 3221 N. Riverside Ave., Hiato, CA 92376 EQUIPME DRIVER'S D ChIP (Cabszon Hot Plant) 13984 Apache Trail, Cabazon, CA ฿223 (S. (Main Shop) 3931 E. 3rp St., San Bernardino, CA 92408 REPORT 5 DAILY DRIVER This re
APPROVED BY -. DUPLICATE a rite rating in his possession tor eight abys ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORAL TOTAL MILEAGE TODAY THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED MUST BE SIGNE DAILY. i YES, have you filed an Accident Report, AND notified your immediate supervisor? 347652 SIGNATURE OVERTIME ...

NO Yes . Did you have an ACCIDENT today?
No and notified your supervisor? STATE LINE.
2 STRAIGHT ME
It yes, have you filed injury report STATE LINE
No Yes. Were you INJURED on the job?
то_.

STARTER 3475O START-
81½
355 FLUSHES, IS STANTED
DELAYS 230
11 OR
10 NOON 11 10 8 REMARKS
4 3: ON DUTY
2: DRIVING
Dhat Passell Fix Check engielight.
70 11 OFF DUTY
6 2 LAINED ON DELIVERY TICKETS.

TIME CHARGEABLE TO CUSTOMER SHOULD BE
12 NOTE: DELAY
355 340 Posttrip
114 650 Ms
1340 315

DRIVERS
Fuel _MS
80 HA/S
Guát
RHOs Zad
1479-29 105013? 141 = Jobsite
-RHMs 19.29 1254
Tar por 1214
CHPUDE 1154 1120 1PI 384267
19,31 11/8 1046 1025 * Jussie Ris tra
PHna-

22.055 Cindas 64 y 384241 LuP
852 ItL
TOTAL LINE 2 1035 1018 951 Mesrill & Russel Ae Rints

DRIVING HAS
650.
911 Risito
8'½ 8129-6 845 MS
DAY NO. I
845 7:30
G/L # EQ Ders Schen
RATE JOB # O.T. MATERIAL YARDS Ms
END BEG. LEFT
TYPE | ARRIVED LEFT ARRIVED

TONS DELAYS TRACTOR / LOCATION OF DROP
- TRAILER # Month/Day/Year UNLOADING LOADING (OR LOAD)
ORIGIN
TICKET #
TRAILER # DATE 7117 123 TRUCK # 3216 92450 EMP. #_
EMPLOYEE NAME.
(ONE CALENDAR DAY - 24 HOURS) Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 MS BASED AT:

DRIVER'S DAILY LOG LHP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 EQUIPMENT at any time during the day.

CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 and available for field inspection MATICH TRUCK DRIVER'S DAILY REPORT this report must be kept current TOTAL NILEAGE TODAY 128
S'GN- 2.05
1S BARD TH
120463 FINISH 10.05
Did you have an ACCIDENT today? 8.0
No
LINE
SIAR.
120335 10.05 1:3.
3:50 5:45°
F LAY

18.10 RH M0 B 2 12:10 12:25 1:00 1:05 384270 LHHP..
11:30 W:30 12:00 12:05 grindings
12 Band 18.02 10-45 1050 11:1511:25 C.0. Ridlo :384245
RAMA
bring 73 1'2 22-055 B52 10:35 10:40 10:10 10:00 Grinding's Richto P-T 3:50 3:35 18.11 гін чоб 9:50 9:55 9:30 9:35 C.O. Rianto 384228 UHP.

Fuel 3:30 ZAPe 3,25 Goes 8:55 9:00 9:20 9:15 Grindings 'Talto Grudngi2: 45 2:50 LHP - 40E 18.15 8:50 8:25 8:10 C.O Rialto 3:20 3:15 RHuA. 8:45 CHP. 384209
384893 1:55 205 7:35 2:40 8:00 8:05 7:30 7:40 ИНР.
0701175 badg 1:0/:15 145 1:50 Grads 7:057:10 6:20 6:40 Grindings; • Rialto Ritto
TO 8573 S 6:00 5:45 Pre Trip LHP.

CiC MATORIAL END BES. LENT ARIVEO
RATE J08 R

USED CHE TRIE DELAYS LOADING
2:17/23 TRIC =3245 DATE 1281 e.r.2 BASED AN
arhva Whit LAP
ide Ho. Pla.:t) 6007 Alabama St.. Fediand FIND 1963 12376 iMP (Lyto Crook Hot Plant) S221 N. Fiversids Ava., Fialto, 92230 ina availe
ent

DRIVER'S DAIL MATI

APPROVED BY

FROM PR PRINTING
TOTAL MILEAGE TODAY true and correct. T BE SIGNED DAN
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 131 OVERTHE киг SIGNATI IMR AD MiN
HIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY, YOUR PAY IS BASE! FiNISH 1 YES, have you filed an Accident Report, AND notified your immediate supervisor 169671 Did you have an ACCIDENT today? STATE LINE
No and nottied vaur sucensor?
If yes, have you fred injury report STATE LINE
No Were you INJURED on the jop?
START
169563 ODOMETER THRO 40 MIN
5:00 m RUSHED 1E CTARTED
7:20z
DELAYS • 50то 700
LINE5: ORKINAT
10 10 HAY DONE SAKE ZiLO 30 WIN DELAL
HOT.OFIVIND) LINEA, BARK WAIT 1I501
3: ON DUTY
JESSAM TD IN:00 65mm DELAY
2: DRIVING

LINED TIKWAIT TIGHT AREA
: OFF DUTY EARN FOR DELAWARE COMES ORDING DONE N
11 10 2 11
MID- HOULD BE NOTE: DELAY TIME
8 445 5:00 POST TRIP
22 8s7esl 4:30 4:40 FUEL

ORIVERS
80 HR/B 4:204:25 НАШ BACK.
127-053 но 3y l'y
2:40 ZAS 3:204:00 350 A00 19.10 RIALTO 38130,% RACTO
LINES 2 &
12501100 1130 2:20 1150 2:20 DAS V 384284
2946 N:20 11:30 12:00 12:20 384256
8:55 905913512:00955 113000.60 384226
637 10107 7:40 Z,50 BIZD 8I30 Berto

10.70% 1 LIP 384206 GRANITE.
9 8578-51 7:20 7:35

PRE-TAJP
G/L# EQ O.T. ST. MATERIAL YARDS BEG. ARRIVED ARRIVED
C/C HATE JOB # LOCATION OF DROP

TYPE TONS DELAYS UNLOADING LOADING
TRAILER #
TRAILER# 23 TRUCK $3236 GODEMEN LYDE CREEK EMPLOYEE NAME KEVIN STALKER EMP → 7385 DATE 7 ,17 al any lime during the day.

AHP (Redlands Hot Piant) 8397 Alabama St., Redlands, CA 92373 LHP (Lytle Greek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 ONE CALENDAR DAY - 25 HOUR field inspection
DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408

CH TRUCK DRIVER'S DAILY REPORT
Form #1352 APPROVED BY -.. DUPLICATE = Driver retains in his possession for eight d 'L - File each day at home tommissi
153 - TOTAL MILEAGE TODAY and correct. 397-0717
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. rios are true MUST BE SIGNED DIVEY THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED SIGNATURE 12503) FINISH z, 80
if YES, have you filed an Accident Report, AND notified your immediate supervisor? NO Did you have an ACCIDENT today? Yas STATE LINE
No таланттка ....

Yes and notified your supervisor? 8.00
If yes, have you filed injury report STATE LINE_
TO_ NCH FROM
No Yes Were you INJURED on the job?
124898 START ...

ODOMETER ITAL TIME EL
445 p.m. FINISHED KESTARTED..

DELAYS 6300
OR
1139010970950100130109200 01 REMARKS
NIGHT
725 asphult 5. Loads of
182142844
3: ON DUTY Carnais 5 Loads of
DRIVERS 4.0
.... 21 DRIVING

37.3 Gal. of Desel Feul
124
UMBER)
1: OFF DUTY
11 10 TT VED ON DELIVERY TICKETS.
3 NIGHT
ARGEABLE TO CUSTOMER SHOULD BE NOTE: DELAY TIME
60 HRS. MINUS A 8 ż"
445 425 Post trip.

TOBRAYS 2 85785
4 25 4/5 Truck feul

DRIVERS
DAY
1990 3 50 3:25
3:50 05 35 1 2 30 1384305
1964 25 2 20 2 45 /
40 30 / 1. 09 40 1=12 384283
1245 40 12/5 12
1981 10
§' % 1260 1205 11 30
35 1384257
1: 30 i: 25 10 50 45 10
75 .. 19 1040
45 10 90 65
яР проє 4: 10 9:20 4/0 400 3384234
19 23 30 Z5 Ca. Realto
TOTAL LINE 2 RHMA 32°
DATODAYS 8 25 505 50 morall a RiverSide 22-055
73413422-055 6 55 =384215
17 852 erinein '1
30 River, S,6=
10% 8578-5 Pretap.

DAY NO. 6 40 6 30
LIP
RECAP O.T. ST. MATERIAL
PLUG SUCK C/C RATE JOB# YARDS END BEG. Cert ARRIVED LEFT ARRIVED USED ONLY TIME TYPE TONS JOB#/CONTRACTOR / LOCATION OF DROP LOR LOADI ORIGIN

DELAYS UNLOADING LOADING
TICKET#
TRAILER # (Ploase Print)
EMP # 3.587 DATEO1 117 1023RUCK# 3287
TRAILER # EMPLOYEE NAME Jessie Sundoral LriP BASED AT:
(ONE CALENDAR DAY - 24 HOURS) RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LHP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 EQUIPMENT at any time during the day.

DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 and available for field inspection MATICH TRUCK DRIVER'S DAILY REPORT This report must be kept current Form #1353
APPROVED BY his bossessior s
CHITING 1909.

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM TOTAL MILEAGE TODAY 12 F ZHK 30 PIGNATURE MUST BE SONED DAILY. OVERTIME THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH STAL TIME WORKED- te supervisor? if YES, have you filed an Accident Report, AND nottied your immed 135552 NO Did you have an ACCIDENT today? STATE LINE FAR STRAIG: TIME..

No Yes and notified your supervisor?
If yes, have you fled injury report STATE LINE
Yes - Were you INJURED on the job?
START.
135431 10HR Jamin

ODOMETER
415 SE 3710.ED
DELAYS
OR
19911001331 REMARKS
4 NIGHT
MID-
(NOT URIVING).
3: ON DUTY
2: DRISING
1: OFE DUTY
YOURS 11 10 10 8 ON DELIVERY TICKETS.

CHARGEABLE TO CUSTOMER SHOULD BE NOTE: DELAY
12Y2 8 Rickto 500 415 Past TRiP
9S7S-51 400 340 WASH out BoX Fox/ TRick
8573-4 Rialto
217 355 940/- 3005219
298
1515 i270
12742
11:334 354 5cL.
1250
sRiNy 10457 10.%0 1015 C ( 354
Brink 76/0 1940
73a 705 / / 3 г c
REMA 55:180 Riverside, Risto Fijo 222
"Sas 740 FFY
22-055 715 C35 650 2i10
852 Rialto
10% 8578-5 5:45600 CA PRETRiE LAP
Rixito
G/L # EQ O.T. ST. YARDS BEG. LEFT LEFT ARRIVED
C/C RATE JOB# JOB # / CONTRACTOR / LOCATION OF DROP ORIGIN TYPE TONS DELAYS DING LOADING TICKET #
TRAILER #
23 TRUCK # 3238 EMP. #75 25 DATE 7 11Z EMPLOYEE NAME Robert NEiKEN BASED AT:

TRAILER # LHA
APP (Rediands Hot Plant) 8397 Alabama St., Rediands, CA 92373 EQUIPMENT if any time during the day. (ONE CALENDAR DAY - 24 HOURS; LHP (Lytle Greek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardina, CA 92408 ind available for field inspection

DRIVER'S DAILY LOG
REPOR TRUCK DRIVER: This report must be kept current
Form #1352 APPROVED BY.
1/C TOTAL MILEAGE TODAY MUS*
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. SIGNATURE OVERTI Botto 1½
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH -.. (' YES, have you filed an Accident Report, AND notified your imnediate supervisor? 3/8/61 Did you have an ACCIDENT today? Yes - STATE LINE STRACHT TIME _ 8 Yes and notified your supervisor?
If yes, have you filed injury report STATE LINE INCHIROM ..

No Were you INJURED on the job?
START. STAL TIME ELAPSED
STAMETER 318045 91½
p.m. FISHED ME STARTED 1

2. 7. 3:30 6:00
DELAYS
OR

REMARKS
2 (NOT DRIVINS)
3: ON DUTY
2: DRIVING
1: OFF DUTY
4 NOON 11 8 TICKETS, FULLY EXPLAINED ON DELIVERY
HOURS 11 10 10 3 2 NIGHT 1 NOTE: DELAY TIME CHARGEABLE TO CUSTOMER SHOULD BE TOTAL MiD-
1'2 8 3-10 3:30
O HRS. MINEIS A.
8578-8 19-56 R-H 11:45 1850 2:20 2:30 Co Rter He 389289 1448 R:A 112:0012:05123512:40 Co 384262
11:05 1: 10 11:4011:50 Grin Gruy Gring
1945 RA48 10:3511:8011:05 10:30 Co Rianto 384240
9:40 F:S010:8010:25 Gring
19427 R-Hr4 8:458559289:30 CO Rialo 384222
8:008108:308:35 Grity
M3y472055 6:45 210 7:30 7:40 juno Grimig
852
92 8578-51 • % 6:00 6:15
DAY 10.

RECAP O.T. MATERIAL BEG. ARRIVEG
WITH LUG BUOR •EQ C/C RATE JOB # OB R/CONTRACTOR / LOCATION OF DROP

VOCU DING TYPE DELAYS UNLOADING LOADING
TRAILER # Month/Day/Year
- EMP. #2588 DATE 7117,27 TRUCK#3221 EMPLOYEE NAME GA Men Mort BASED AT: - TRAILER # time during the day.

EQUIPMENT
RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LMP (Lytle Creek Hot Plant) 3221 N. Piverside Ave., Rialto, CA 92376 (ONE CALENDAR DAY - 24 HOURS) available for field inspection DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230| MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 his report must be kept current

REPORT MATICH TRUCK DRIVER'S DAIL
Forms #1352 APPROVED BY
PR
TOTAL MILEAGE TODAY - OVERTIME.

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 114 SIGNATURE- ZHRS THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED 187,270 FINISH _.. son. AND notilled your immediate supervisor? (if YES, have you

STRAIGHT TIME
NO Yes Did you nave, an ACCIDENT today 8HRJ
No Yes and notified your supervisor?
STATE L TC. INCH FROM .

If yes, have you filed injury report
No Yes Were you INJURED on the job? START.
10 HRS STAL HME ELMESED
187,156 ODOMETER
4:00 ME STATED
0:00
DELAYS
OR

REMARKS
11 10 10
(NOT DRIVING)
3: ON DUTY "timer asphalt dumping
2: DRIVING Grindings after #4
OFF OUTY.

ON DELVE
11 10 4 2 11 10 NIGHT SHOULD BE
MID- NOTE: DELA
12 8 3:45 4:00 Rialto PTI
3:353:45 Rialte FueL Truck
12 85785

DRIVERS -
DAY 19.64 n:10/ L4216
50 Mi 145 1/
1943 L 11 Pill г.П.:15/014:28/1.05 384272

19.62 384242
'Grindings Erindings

19.53 9:45 9:25 18:59 Mervil! & Riverside Ane Riato CA. 1:55 384224 Rialto -MA of Rialto
1:45 1:40 8:15 18:10
7:30 7:39 7:00 6:40 Rialts CA. fridings Nicito
852 Merrill Ave & Riverside
85785 6:15 6:00 PTI
DAY NO.

RECAP YARDS END BEG. LEFT ARRIVED ION OF DROP
WITH LOG BCOK G/L # EQ C/C RATE JOB #
USED ONLY TIME TYPE TONS DELAYS LOADING TICKET#
TRAILER# Manth/Day/Year (Please Print)
BASED AT:.

TRAILER # 7589 DATE 07, 17,23 TRUCK #3224 EQLIPMENT HD - Kiato it any time during the
RHP (Reclands Hot Plant) 8397 Alabama St., Redlands, CA 92373 cis Creek hot Plant) 3221 N. Hiverside Ave., Riato, CA 92376 (ONE CALENDAR DAY • 24 HOURS ind available for field inspection DRIVER'S DAILY LOG CHF (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 iS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 his report mus be kep! current

TRUCK DRIVER'S DAILY REPORT
Form =|352 APPROVED BY
vil retains in hit cossession for pithi
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. TOTAL MILEAGE TODAY. UST BE SIGN SIGNATURE 50 min OVERTIMES.

THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED. /ho. 29,231 FINISH....
if YES, have you filed an Accident Report, AND notified your immediate supervisor? NO Yes. Did you have an ACCIDENT today? STATE LINE
Shrs. STRAIGHT TIME
No YOON and notified your supervisor?
If yes, have you filed injury report STATE LINE
No Were you INJURED on the job?
29,119 START
ODOMETER 50 min NAL TIME E APTED
INS= 4i00 6:10 HE STARTED
DELAYS

REMARKS
11 NOON
(NOT DRIVING)
3: ON DUTY

DRIVERS
2: DRIVING
1: OFF DUTY
HOURS 11 10 11 NOON 10 FULLY EXPLAINED ON DELIVERY TICKETS.

DIALHAS TOTA!
NOTE: DELAY TIME CHARGEABLE TO CUSTOMER SHOULD BE
8 13g
4:00 3:55 Covid clean
зі 40 3155 Post Trip
12 85755 3:25|3:35| Truck Fuel
(1

18.66 2: 3:20 250Q3115 2:40
2'05 1i55 384293

18.42 "Bos Bio 12945 li
121545 1100;50 )) 5384267

18.47 1 L 11:30 11 12:00 1113203 10:400
Grindings 384244

18.39 RIbmA 10:2 9235i40 10:35 8'5150 9'20. 8:79:40 RialTo L 7341485255 Grindings 384222
B52 8:35 8:05 71801073
17 8579-5 655
934 6:25 6:10
DAY NO. Pre Trip LHP

RECAP MATERIAL
ST. YARDS BEG. LEFT
WITH LOG C/C RATE JOB # ARRIVED LEFT
USED ONLY TIME TYPE OB 2 CONTRACTOR/LOCATION OF DROP (OR LOADI

DELAYS UNLOADING LOADING
TRAILER#
TRAILER # 7:17 123 TRUCK #3256 EMP. # 7576 DATE Latore EMPLOYEE NAME Anthony d LAP BASED AT:
(ONE CALENDAR DAY - 24 HOURS) RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LHP (Lytle Creek Hot Fiant) 3221 N. Riverside Ave., Rialto, CA 92376 EQUIPMENT it any time during the day.

DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 ind available for field inspection MATICH TRUCK DRIVER'S DAILY REPORT This report must be kepi current Form #1.352 each day at home termina!

APPROVED BY
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. TOTAL MILEAGE TODAY He true and correct. 128 OVENTINE ...

THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED ones James SIGNATURE 23/4 07291 / FINISH..
# YES, nave you lied an Accident Report. AND notified your immediate supervisor? Did you have an ACCIDENT today? Yes STATE LINE STRASHT THE .

Yes and notified your supervison? 8
#yes. nave you filed injury report STATE LINE
Were you INJURED on the job?
107/63 START-
ODOMETER 1034
PACHED 545 ESTANTEC
430
DELAYS
OR

REMARKS
11 10
MID-
3: ON DUTY oncrew 15 min
2: DRIVING 325 - 340 wa.ting
I: OFF DUTY.
8 4 2 FULLY EXPLAINED ON DELIVERY TICKETS.

NOTE: DELAY TIME CHARGEABLE TO CUSTOMER SHOULD BE
8 23kg 4253430 POSTTrIp
128579-5 410 4/05 Fuel
LSS 305 340|325 340 1795 220 384308
DAY 7 9> Srin?
Agoi 12351250 280
MoNT 17220 / 225 1451150 Grinder
1795° 1/45 105 /I 89 235
DAY TOT 0251/030 KES
100
Wowe 1786 1020 9SS 387234
948 - 9y0 020 115*
105% 918° 700 838 825 AversiDe
Runa 1779 Balto 384216
713hg 2'4 22-053 820 ivers/D Grander
17 852 630 Відню
1034 85795 1400 545
DAY NO. PreTrIP LHPAiT.

РЕСАР ST. MATERIAL YARDS
WITH C/C RATE JOB# END BEG. LEFT ARRIVED LEFT ARRIVED
JOB #: CONTRACTOR / LOCATION OF DROP OR LOADY

USED ONLY TIME TYPE DELAYS

UNLOADING LOADING
TRAILER # rontowayrrear
TRAILER # _ EMP # 1285 DATE 7/ 17 123 TRUCK # 3247 Ames stones EMPLOYEE NAME - LHP BASED AT:

AMP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LHP (Lytig Creak Hot Plant) 3221 N. Riverside Ave., Rielp, CA 92376 EQUIPMENT i any lime during the day. (ONE CALENDAR DAY • 24 HOURS)
DRIVER'S DAILY LOG CHP (Cabazon Hot Piant) 13984 Apache Trail, Cabazon, CA 92230 and available for field inspection MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 MATICH TRUCK DRIVER'S DAILY REPORT his report must be kept current Form 1352) APPROVED BY PR PRINTING
Sy those entiles are to ENTE
TOTAL INLEAGE TODAY 13 0 SIGNATURE - 2hrs 45 mins
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. Filer one.

THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FItISH 101649 ¡ YES, have you filed an Accident Report, AND notified your immediate supervisor? 8L5 STRAIGHT TIRE NO Do you have an ACCIDENT today? STATE LIN
No Yes and notified your supervisor? 15.
if yes. have you tiled injury repon STATE LINE
No Yes Were you iNJURED on the job? STAL TIME ELAPSED
104519 10 hrs 45 mins.

FIND 440 STARTED 558
DELAYS
OR

REMARKS
10 Lince Clean up Smindelay

INDT ORIVING)
3: ON DUTY Linez Paver Delay to min Delay
2: DRIVING Linel Grinder Delay Omin Delay
HOURS 11 10 2 USTOMER SHOULD BE
TOTAL
23/4
425 440 Pti
85785 '½ 425 415 Gal 42 Fuel
13Y0 BAs 110 CleanUP

18.72 47518 20240 Evincings viarto to LHIP 384288 cokialto 11 11
i 1nO 124 235 toLHP LAP 3942810°Rialro,

18.75 200 i140 Grindings riato
L1940 110-3110 1015/00 LHP 384239 CoRianto
rinding; kialt
1Н РУДЕ 945,01 So 95 LHP 384220 Cokiarro
915 Grindings Rialto 825
TOTAL LINE 2
731421422-055 9480720 Rialto ToLHe E35,50?03 brincings
852
1034 85985 555810 Pti
RECAP O.T. ST. MATERIAL YARDS BEG. ARRIVED LEFT ARRIVED RATE ЮВ »

SLUG COUSI LOADING

TIME TYPE TONS DELAYS

ISED ONLY
Month/Day/Year (Piease Ping
TRAILER /E LHP BASED AT: _
123_ TRUCK # 243 EMP # 1679 DATE 7 117 ENPLOYEE NAME Tyler Jayne TRAILER # EQUIPMEN
RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 Rialto, CA 92376 LHP (Lytle Creek Hot Plant) 3221 (ONE CALENDAR DAY • 24 HOURS) CHP (Cabazon Hot Plant) 13984 Apache Traii, Cabazon, GA 92230 ling, CA 92408 MS (Main Shop) 3231 E. 3rc report must be

DRIVER'S DAILY LOG

DRIVER'S DAILY REP

APPROVED BY
ON THIS REPORT NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. SIGNATURE 1a 30 mi THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH 26702
lif YES, have you filed an Accident Report, AND notified your immediate supervisor? STRAIGHT T...E...

STATE LINE 8.14.

Yes
Yes

STATE LINE
Were you iNJURED on the job? STAL TIME ELAP: ID
START Bun 30 mil
26571 OOOMETER
4:45 FISSIED. EE STARTED
2/15
DELAYS
OR

REMARKS
N...
3: ON OUTY SLoo Beiit
2: DRIVING Slow Paint
LEAGO FOR SEAT: (MITE IS CONSECOND? LINE NUMBER)
1: OFF DUTY

TICKETS
URS TOTAL 11 10 5 11 8 USTOMER SHOULD BE NOTE: DELA
1'2 8
4:45 4:30 POST TRiP Rialto
1418598-51 4:30 4:25 FuEL RiALTO
100--1483k4 l14 22-055 18:73 3:10 3:55 3:30 3:55 2:25 2:30 384307 Maril aRrine LAC 634 CITy of RieLto,

18.68 1:00 1:30/1:53 12:55 // 384282 LAP

18.73 1:55,2:10 11:25 11:20 384255
11 118.91 10:55 9:30 10:55 9:50 9:00 8:55 GERATE 11 384225 LH8 637 73-13 18:74 7:40 7:45 8:20 8:30 Birmanoine 535 WYTH 3/41m7/Д SAN 2-48 384205
857851 7:30 7:15 PRETRIP RInLTO
9½
MAIT
RECAP O.T. ST. MATERIAL YAROS END BEG. LEFT LEFT RIVED CATION OF DROP OR LOAD # EQ C/C RATE JOB#

TIME TYPE TONS DELAYS UNLOADING LOADING
Veryway roet
TRAILER# BASED AT:
07386 DATE 7 1 17 123 TRUCK# 3254 EMP. # Scott Hated EMPLOYEE NAME TRAILER # EQUIPMENT any time during the day.

LHP (Lytte Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 available for tield inspection (ONE CALENDAR DAY • 24 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 DRIVER'S DAILY LOG e report must be kept curren!

MATICH TRUCK DRIVER'S DAILY REPORT
Forso 21352 APPROVED BY

OVERTRA -
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. TOTAL MILEAGE TODAY 137. 135 THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINSH 178965 Susal nt YES, have you filed an Accident Report, AND notified your immediate supervisor? STRAIGHT TIME Did you have an ACCIDENT today? Yas STATE LINE
No nd notilled your supervisor?
yes, have you filed injury report STATE LINE
Were you INJURED on the job? START. 35 miss 9. HRs ITAL TIE ELAPSED 128828

ODOMETER
420 FINISHED HE STARTED
6046 C
DELAYS
OR

REMARKS
MiTT
8 10 • 9 2

NOT DRIVING)
3: ON DUTY 4- Slow PAVE 5. SOWPAVE
2: DRIVING 2. Slou HAVE 3. SW PAVE
BACON TOR DELY: (WAITE I COM EGPONDING LINE:
1: OFF DUTY

INED ON DELIVERY
11 10 SEABLE TO CUSTOMER SHOULD BE
MID-
8 1½
O HRS. MINUS A
420 405 Past TRip vl
12 8598-5 400 350 FuEl TRucK
22-055 Lith yoE 1951 325 320 325 300 230 220 Co Riatte 384303 639
2032 145 135 145 15 12201245 1/ "1 384278
1918 1150 1145 1150 11125 1055 1050 384247
114664 1015 935 1015 915 845 830 11 384219
637 14.70 800 745 700 GRAniTE 384202
17 715
9'2 85785 3/4 700 16215 LA WAST
DAY HO
RECAP O.T. ST. MATERIAL YARDS END BEG. LEFT LEFT ON OF DROP (OR ORIGIN C/C RATE JOB #

TIME TYPE TONS DELAYS UNLOADING
TRAILER # Monih/Day/Year
EMP. # 75606 DATE 7117 23 TRUCK # 223 EMPLOYEE NAME. BASED AT LAt TRAILER#
, CA 92376 LHP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Riak (ONE CALENDAR DAY - 24 HOURS) CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 DRIVER'S DAILY LOG kept current

MATICH TRUCK DRIVER'S DAILY REP
APPROVED BY ORIGINAL • File aton one at nore

TOTAL MILEAGE TODAY BERTIE
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 138 SINATURE JOE Rat 1.5 HBS THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH_ (if YES, have you filed an Accident Report, AND notified your immediate supervisor? 183002 STRAIGHT TIE...

Did you have an ACCIDENT today? Yes STATE 8 HRS
NO
No Yes and notified your supervisor?
If yes, have you filed injury report STATE LINE
No Yes Were you INJURED on the job? START. E ELAPSED
182954 9 HRS 25 MIN

ODOMETER
FLORE 415 1AED 6050
DELAYS
OR

REMARKS
10 9
#4-SLOW PAVE - 30 MIN
(NOT DRIVING)
3: ON DUTY #3-SLOW PAVE - 20 MU
2: DRIVING #2-SLOW PAVE - 30 MIN
1: OFF DUTY
KETS
10 5 11 10 BEABLE TO CUSTOMER SHOULD BE NOTE: DELAY

TOTAL MID-
12 415 400 4
'2 8578-5 355 1345 FUEL TRIcK

DURE BRAYS
345 340 315 GRINDINGS REALTO, CA 30S
•22-O5S 11956 305 220/245 1210 CORALTO RIALTO, CA 394300 11 852
"/ 2105 145 115 15 112101225/1255 1/ 384271 cl
11 1964 1140 1120 1140 102s 1030 1100 11 384241
1960 930 940 910 825 384418
1 ₴ 1000 1000

19.55 чагою 7 g00 745 715 710 384203 GRANITE
DRIVING HAS 637 SAN BERNARDANO
УиннАт
92 8578-51 705 6550 PTI

DAY ND,
YARDS END BEG. LEFT ARRIVED LEFT ARRIVED J08 & GONTRACTOR / LOCATION OF DROP RECAP
G/L# EQ CIG RATE JOB #

TIME TYPE TONS DELAYS UNLOADING LOADING

USEU DIE
TRAILER # LHP BASED AT:

EMPLOYEE NAME TRAVIS R GATES EMP $7572 DATE 7/17/23 TRUCK+ 3228 EQUIPMENT any time during the day.

TRAILER#-
RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 D-ytle Craek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376| nd available for field inspection (ONE CALENDAR DAY - 24 HOURS, CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA. 92408 is repon must be kept current

DRIVER'S DAILY LOG

MATICH TRUCK DRIVER'S DAILY REPORT
APPROVED BY SUPLICATE = Driiet retair ORIGINAL
129 TOTAL MILEAGE TODAY — OVERTIME -
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 2hrs 15 min SIGNATURE THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FIMSH _ if YES, have you filed an Accident Report, AND notified your immediate supervisor? 108954 STRASHT TINE NO Yes Did you have an ACCIDENT today? STATE LINE 8hrs
Yes - and notified your supervisor?
if yes, have you filed injury report STATE LINE
No Yes Were you INJURED on the job? 10 hig
START 5 mins OTAL THE ELAPSED
108825 ODOMETER
4:15 ALISHED 1.00. WAS SITED
DELAYS
OR

REMARKS
NOON 11 10
(HOT DRIVING)
3: ON DUTY
2: DRIVING
GLINE NUMBEn)
1: OFF DUTY
DELIVERY TICKETS.

JUR. 2 11 NOON 8 6 5 2 NIGHT CUSTOMER SHOULD BE IRGEABLE TO 8 24 4:15 355 Post trip
345 355 Fuel
85785 '½ "/ 3:20 1884 13:15 226 35530
25 21:38320
1894 2:20 1:48 1706 (1151 384272
188211 1145 1108 1136 1055 X42252
K844 RAMA 11027 953 4:48 88,133
1620
1874 RHMA 8:378:58.915 821 138.4217 11
7:25 745 755 721 merrill 4 Riversidefus
73y13422-055 G4S 6:55 7:21 620 L/.
10" 8578-51 6:00 nutri,
ST. MATERIAL YARDS END BEG. ARRIVED LEFT ARRIVED JOB #/ CONTRACTOR / LOCATION OF DROP (DR. LOAD! ORIGIN G/L# EQ C/C RATE JOB # LOADING

TYPE TONS DELAYS UNLOADING
TRAILER * BASED AT: ...
7590 DATEOZiTZ Is pitia EMP.# EMPLOYEE NAME
TRAILER # TRUCK#24/ EQUIPMENT 3 any time dunng the day.

THP (Redlands Hot Plant) 8397 Alabama St., Redlands. CA 92373 CA 92376. ytle Creek Hot Plant) 3221 N. Riverside Ave. and available for field inspection
(ONE CALENDAR DAY - 24 HOURS) CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92220 M1S (Main Shop) 3231 E. 3rd Si., San Bernardino, CA. 92408 DRIVER'S DAILY LOG his report must be kept current
Formn 21352 APPROVED BY - ATE a Drut retams in his possession for eight days ORIGINAL - File each day at TOTAL MILEAGE TODAY.

ON THIS REFORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 126 SIGNATUI

STAL TIME WORKED -
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED 28199
(if YES, have you filed an Accident Report, AND notified your immediate supervisor? NO Yes Did you have an ACCIDENT today? STATE LINE STRAIT TIRE.. 8 hrs.

No Yes and notified your supervisor?
Il yes, have you filed injury report STATE LINE
No Vere you INJURED on the job? START _
28,073 / hrs: 30 mins

ODOMETER
6:30 0 FISSHED.. HE SZANTED
7:00
DELAYS
OR
REMARKS S.) Wasting an Sweeper Clean-up
10 10

5.) Slow pave Delay = 30mins
S: ON DUTY y.) Slow Pave Delay = 8 mins
2: DRIVING 2.) Slow Pare Delay = 55 mins.
1: OFF DUTY.

FULLY EXPLAINED ON DELIVERY
11 10 2 NOON 11 10) 9 NOTE: DELAY TIME CHARGEABLE TO CUSTOMER SHOULD BE HOURS
TOTAL
3½ 8
6:30 625 covid Chan
625 610 tost Trip
2 8578-5 600 605 Fuel Truck
80 HR/3
550559 384308
22-055 3 18.63 LHP 40E 212 123157 384281 il
852 LHMA-
384254
// 103018.63 10:30 9:35 9:15 847 8:33 384221
637 18.52 77470-105 7:20 7:24 7:55 8:05 san Bernardino CA 384204 L#P ken!
17 3/4 HMA
11'½ 851851 7:15 7:00 LHP
DAY NO. ML.INT.

RECAP ST. MATERIAL YARDS END BEG. LEFT ARRIVED LEFT ARRIVED OCATION OF DROP (OR LOAD) ORIGIN G/L# EQ RATE

TYPE TONS DELAYS UNLOADING LOADING
TRAILER # Month/DayiYear
- DATE 7117 123 TRUCK #3258 _ EMP. # 7575 UNTRIES chris EMPLOYEE NAME LHP BASED AT:

TRAILER # EQUIPMENT i any time during the day.

LHP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Fialay GA 92376 and available for field inspection (ONE CALENDAR DAY - 24 HOURS) CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 DRIVER'S DAILY LOG This report must be kept current

MATICH TRUCK DRIVER'S DAILY REPORT
Form #1352 APPROVED BY bossession tor done ORIGINAL -
TOTA: MILEAGE TODAY 127 OVERTIVE..

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. fif SIGNATURE 2HRS /SmINS THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH... / YES, have you filed an Accident Repori, AND holified your immediate supervisor? (39177 STATE LINE STRA.GHT TIME
NO Did you have an ACCIDENT today? Yes SHes
It yes, have you filed injury report STATE LINE _ o-
No Yes Were you iNJURED on the job?
START.
139050 ODOMETER /SMINS 10 HRS
•FINICHED ME STARTEN
4:00 5:50
DELAYS
OR

REMARKS
10 5 3 2

NOT CHIVIBE
3: ON DUTY O LOAOS OF GRINDINGS.
2: DRIVING le LOADS OF ASPHALT
HOTAS 10 10 MER SHOULD BE NOTE:
2"4
3:45 4:00 POSTTRIP RIALTO CA
12 85785 3:45 3:30 FUEL RIALTO CA /1
EL/GRINDINGS 3:30 3:25 3: 00 2:50 GRINDINGS FROM RINERSIDTAUE TO CHP RIALTO 00 MR/S 215 RIALTO 6384297
F/Camaras 12:58 SC 1:2S 1:55 GRINDINGS FROM GUFRIDARE TO CAR RIACTO 12:30 2:19 ZIALTO 5384273
FL/aRINaNaS 13:15 11:46 1:35 GRINDINGS FRON RIVERSIDE ANE TO UHE RIALTO

19.63 2011:35 11:00 10:50 R'ALTO C.o. + 384249
FL CliNDINGS 10'50 10:45 10:15 10%0 GRINDINGS FROM RIVIESIPEANF TO CHE RIALTO

19. 64 10:03 9:40 9:30 C.O. RIALTO 338-229
EL/aCINDINGS 9:30 9:25 9:00 8:55 GRINDINGS FROM RIVERSIDE AVE TO CHP RIALTO

19.81 RHUA 3:55 8 1 1 0 C.O. 'RiALTo CHP = 304211
TOTAP 1:25 1'
DRIVING HRS • '10 : Q/
EaRinanas ply 1314 22-055 GRINDINE FED RIVERSIDE AVE
7:10 e 45 | 7:0s
17 10% 8578-51 5:45 6:00 TRE TRIP RIALTO LHP!
DAY NO (MAINT.

RECAP O.T. ST. MATERIAL YARDS LEFT ARRIVED (OR LOAD)
WITH LOG B00 G/L # EQ C/C RATE JOB#

TIME TYPE TONS DELAYS LOADING
TRAILER #
152O DATE 7117123 TRUCK#3239 - EMP. #_ DUAN EMPLOYEE NAME I ALTO BASED AT:

TRAILER # CUFION JA
t any time
P (Redlands Hot Plant) 8397 Alabara St., Redlands, CA 92373 (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 TUNE VALENDAR DAY - 24 HOURS!
DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 15 (Main Shop) 3231 E. 3rd St., San Bernardino, CA 924C8 repon must be

MATICH TRUCK DRIVER'S DAILY REPORT
9GS)
stu tue and correct
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 960 Dill Cahose SIGNATURE :35

THIS IS YOUR TIME SHEET IT MUSTIBE TURNED IN DAILY,YOUR PAYIS BASED FINISHI I YES, have you filed an Accident Report, AND natified your immedlate supervisor? 333353

STRAIGHT TINE-
STATE LINE 8:00
No
STATE LINE TO.

No Yes on the joo?
START 8:35 STAL IS ELAPSED
333258

ODOMETER
105 min FISHED AE STARTED
45 DELAYS
OR 7:30 aM

REMARKS
3 2 1 NOON 10
17 300s Dumped a Rit A
TesT 30 - 8:45
HOTAS 11 10 4 2 10 ER SHOULD BE
8 Fuel Postnip SAlemonk 3: 454:05 MS
2:45 3150,350 248
19,69 cE 175501000 2:35 11595 CHP
ND 19.49Y0E 11:00 20511:35512:300 11:40 384260 THIP
gRiNdS
8:357 195440E6'2"422835
INE 2
HAS 8579-5 Mennell/ Riverside Ave 9:40 9:5010:05.10:15
17 8½ Pretrip
8124-6 8:459:00 MS
DAY NO.

RECAP O.T. ST. MATERIAL YARDS END BEG. LEFT 7:30 OB # / CONTRACTOR / LOCATION OF DROF (OR LOAD! ORIGI.! WITH LOG BOOK G/L # EQ C/C RATE JOB# LONG ARRIVED
USED ONLY TIME TYPE TONS DELAYS Drug 1est
TRAILER *
EMPLOYEE NAME MS BASED AT:

TRAILER # EMP # 07270DATE 7/17, 23TRUCK #3215 DAVID AMBROSE * any time during the day.

EQUIPMENT
RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 IP (Lytle Crack Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 nd available tortield inspection (ONE CALENDAR DAY - 24 HOURS;
CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rc St., San Bernardino, CA 92408 his report must DRIVER'S DAILY LOG Kobecurent

MATICH TRUCK DRIVER'S DAILY REPORT
APPROVED BY - on for aight days ORIGINAL
TOTAL MILEAGE TODAY 127 I certify these entries are e OVERTIME ...

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. SIGNATUR 2hR15min THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY, YOUR PAY IS BASED YES, have you filed an Accident Report, AND notified your immediate supervisor? FINSH 12/085

NO STLAIGHT TIME
ShR
No and notified your supervisor?
.. 70. INCH FROM
nave vou lied Intury tenon

START - STAL TINE FI
120957 ohRismin

ODOMETER

ME STARTEN
4:10 5:55 enso-
DELAYS
OR

REMARKS
11 10
3: ON DUTY
2: DRIVING
1: OFF DUTY
HOURS 11 70 5 4 HOULD BE
DIA NOTE: DELAY TIME CHARGEAB
1244 Post - TRip. RialtrA 3:554:10
3:453:55 fuel TRuck
83785 Carinding s
3:40 5:30 1.05 13:00

18.77 Ruma 3.00 2:2€ 12105 84294, (Hip
Grindings 2-05 1:30 111:25 111
1866 RHMA 120 12251:05 1112il5 384275111
12:10 11 11:40 Shindiyrys

15.74 CHas 12:40 30 934234,
10:45 10:70 1110:15

18.73 2HmA 10:15 : 10. 50 119:40
grindings 6:1

18.67 RHMA 7:45 8:38
TOTAL LINE 2 8:15 8:10 117:40
TODAY S 134422-055 = Guineliays •551.157:2 Grinding FEE A RialtoCA RialtoCA 6,50 17 852
85785 PRE-TRiDE Rialto CA 5:55 6.10
10%i - - CHP
RECAP ST. MATERIAL YARDS LEFT ARRIVED
G/L # EQ RATE JOE# JOB # / CONTRACTOR / LOCATION OF DROP ORIGIN TYPE TONS INLOADING LOADIN!
TRAILER #
Josher Alcala=mP.#)580 DATE 7.17,23TRUCK #3242 CHP ASED AT:

TRAILER #

EQUIPMENT
RMP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LHP J-ytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 (ONE CALENDAR DAY: 24 HC
DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408

TICH TRUCK DRIVER'S DAILY REPORT
Farm 1135 APPROVED BY E a Driver retains in his possession for eight days ORIGINAL TOTAL MILEAGE TODAY 72
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUTED FOR ON THIS FORM 2%½
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BAS (YES, have you filed an Accident Report. AND natited your ammed 341044 NO Did you have an ACCIDENT loday? Yes STATE LIN
No Yes
yes, have you filed injury repor STATE LINE
No Yes Were you INJURED on the jab?
START... 10%4 TOIAL TIME BLAT BED
ODOMETER 340872
4/15 € TE A 1500
DELAYS
OR

REMARKS
2: DRIVING Woshed out Box
1: OFF DUTY
HOURS 10 5 2 11 10 2 NIGHT 1 CUSTOMER SHOULD BE TO

TOTAL MID-
2% Ristolostril 400 4151
650
Grindinas Melto 320 38s 340 345
35290 B850143153ile 3:15 199/7391 EP 384309.1
1924 Apxo 1045/0537/251130 Lialto LIP.
22-055 3'42 do Riaito 1159487502200 bas Giriveling
B52
20 1900010 425930 250009
20 # 805810 835810 28000511
800 - Infrity, Era Pac 20 Pomane: 700 720740-745 TerraPavly 250001 10"1) 650 500 605 Rialto Pretn
RECAP ST MATERIAL END BEC. LEFT ARRIVED LEFT ARRIVED DROP JOB#! CONTRACTOR / LOCATIO C/C JOB # TONS MATREA

DELAYS UNLOADING
TRAILER#
TRUCK +3214 DATE 711723 BASED AT:

TRAILER# Rialto EQUIPMEN
- (Redlands Hot Plant) 8397 Alabama St., Redlands (Lytic Creek Hot Plant) 3221 N. Riverside Ave., Rip DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13994 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St be This report must

TRUCK DRIVER'S DAILY REPORT
APPROVED BY...
188 UST BE SIGNED DAILY. ОТЕПТЕ ...

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. SIGNATI 1.75 THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED 401044 FINISH ...... ¡ YES, have you filed an Accident Report, AND notified your Yes Did you have an ACCIDENT today? STATE LINE STRAIGHT TINE... 8 No Yes
yes, have you filed injury report STATE LINE
No Yes s you INJURED on the. 0b?
400878 START
ODOMETER 9.75
_FI 13.1ED WE STARTED
340 400
DELAYS
OR

REMARKS
11 3: ON DUTY
2 DRIVING © 5loads
11 OFF DUTY
HOURS ON DELIVERY TICKETS.
11 10 11 10 NIGHT 1 HARGEABLE TO CUSTOMER SHOULD BE
NOTE: DELA
113% 8 325 340
650
320 325 235 | 245 1ALr
CHMA 8.761 225 156 147 384292
235 1 ALT
147 136 12015 1258 RiALtO Дасто
5/0
1222-055 4HP 40E 2 19.71 1245 1235 1200: 1209 BALTO 384264 HIP 852 2HMA C/o
OntARio
800 - infinit, Terra Pave oNsite 200 PomaNA PAve.
650 2015 600 PReTRIp LIP
MALIT
C/C O.T. ST. MATERIAL YARDS END BEG. LEFT ARRIVED LEFT ARRIVED CONTRACTOR / LOCATION OF DROP RATE JOB # ORIGIN

TIME TYPE TONS DELAYS UNLOADING LOADING
TRAILER * Month/Day/Year (Please Print)
123 TRUCK # 3208 EMP#92500 DATE 7117 LIPP BASED AT:

TRAILER# EMPLOYEE NAME JAmes Kick
EQUIPMENT at any time auring ine day.

RoP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LHP (Lytle Creek Hot Plant) 3221N. Riverside Ave., Rialto CA 92376 (ONE CALENDAR DAY - 24 HOURS) and available for field inspection DRIVER'S DAILY LOG CHP (Cabazon Hot Piant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 This report must be kept current

VATICH TRUCK DRIVER'S DAILY REPORT
www.ewbills.com Page NTS Unversal Bill Form
217,761.46 + BIll Total Date: 09/05/2023 Comeor Bag Date Recelved:
[Rosubmital Rotumed for Correction
Date: Customor: Date of Action: Approved for Payment
Accepted: For Owner/Resident Engineer's Use Only
217,761.46 Bill Subtotal

37.220 0.50 J QUEZADA JR. L32 LBRAP LA3
398.135 46.010 0.50 8.00 • QUEZADA JR. L31 LBRAP LA3

59.835 0.50 CT Morgan L3O LBR LG2
889.380 74.760 3.00 8.00 CT Morgan L29 LBR LG2
217,761.46 Work Total
124.280 1.00 JM Diaz L28 LBR LG4
1,019.200 77.110 4.00 8.00 AM Diaz L27 LBR LG4
248.560 2.00 M Carranza L26 LBR LG4
217,761.46 1,019,200 77.110 4.00 8.00 L26 LBR LG4
Activity Total

32.350 0.50 L24 LBRAP LA1
354.700 41.040 0.50 8.00 L23 LBRAP LA1

80.855 0.50 122. OE OG8
984.305 98.650 1.50 8.00 121 OE OG8
336.560 2.00 L20 OE OF8
1,356.000 101.990 4.00 8.00 L19 OE OF8

80.735 0.50 L16 OE OGG
170,654.27 Material Totat 3.00
1,177.910 98.530 8.00 L17 OE OGG

22.259.25 15.00% 62,140 0.50 L16 LBR LG4
148,395.02 Subtotal 818.040 77.110 2.00 8.00
L1S LBR LG4
Materfal Charges 449.855 50.970 0.50 8.00 114 LBRAP LA4 23,411.11 Equipment Total 679.020 77.110 0.60 8.00 Lis LBR LG4 3,053.62 15.00% MU 679.020 77.110 0,50 8.00 L12 LBR LG4 20,357.49 868.975 Subtotal 98.530 0.50 8.00 L11 OE OGG
Equlpment Charges 80.855 0.50 L10 OE OG8
854.235 98.650 0.50 8.00 LOs OE OG&
23,696.08 Labor Totat 870.055 98.650

0.50 8.00 LOS OE OGB

3.949.35 20.00% 80.735 0.50 LOT DE OGG

0.00 Other Expanees 853.185 98.530 0.50 8.00 LOS DE OGG

0.00 Subalstenco B4.140 0.50 LOE DE OFB
19,746.73 Subtotal Labor 1,085.960 2.00 8.00 LOA OE OF&

80.855 0.50 LOs OE OGG
5,181.89 OT/DT Labor 854.235 0.50 8.00 LOz OE OGB
870.055 0.50 8.00 A Corona LO DE OG&
14,564.84 RT Labor Extended Subs Rate Subs Units OT/DT Hrs RT Hrs amployee Name Craft/Level Labor Charges Labor Charges
7/18/2023 Perform Date Report No. Description of Work: PAVE RHMA & PAVE HMA 8/25/2023 Report Date Work Performed By: Matich Corporation 114.0 Biling Number 22-055 - RIVERSIDE AVE. - CENTRAL RECONSTRUCTION Contractor Job:
300 Chango Order Contract: 220804 City Of Rialto

DAILY EXTRA WORK REPORT
www.ewbills.com 2 Page NTS Universal BlI Form
217,761.46 Bill Total + Date: 09/05/2023 do fine Contrector: Returned for Comection Date Recelved: •Rosubmital
Date: Customer: Date of Action: Approved for Payment Now Bill Accepted: For Owner/Resident Engineer's Use Only
217,761,46 Bill Sublotal
217,761.46 Work Total
217,761.46 Activily Total 20,082.50 20,082.50000 1.000 LS 7/18/2023 Matich Corporation / TRUCKING M04 071823 2,130.00 3.00000 710.000 EA 7/18/2023 Matich Corporation / ASPHALT EMILSION MOS 281280 18,267.92 56.00000 344.070 TON 7/18/2023 Matich Corporation / MATERIAL - 3/4" PG 64-10 MO2 071823 106,914.60 90.00000 1,187.940 TON 7/18/2023 Matich Corporation / Materlal - RHMA-G N01 071823 Extended Unlt Price Unite Vendor Name and Description Number, Materlal/Specialist Work/Lump Sum or Unit Price Payment 1,114.050 127.320 8.75 TRMD BITDT E16 5027
170,654.27 675.520 84.440 8.00 T&TT TRUCK E16 3207
Material Total
928.840 84.440 11.00 T&TT TRUCK E14 6070

15.00% 22.259.25 MU 437.680 54.710 8.00
T&TT TRUCK E13 7275
148,395.02 Subtotal
461.680 57.710 8.00 T&TT TRUCK E12 7293
Material Charges 339.120 42.390 E11 7287

8.00 T&TT TRUCK
23,411.11 Equipment Total 6,084.275 640,450 9.50 WIRT PGT-C E1O 15160 3,053.62 15.00% MU 551.070 42.390 13.00 T&TT TRUCK E09 7283 20,357.49 Subtotal 3,009.270 273.570 11.00 M2 NESC BRMSW E06 5026 Equipment Charges 490,535 57.710 8.50 T&TT TRUCK EO7 7270 998.665 117,490 8.50 CAT ROVIB EOB 16130
23,696.08 Labor Total
2,805.850 330.100 8.50 CAT ASPAV BOS 15159
3,949.35 20.00% MU 645.390 71.710

9.00 CAT ROVIB E04 16138

0.00 Other Expenses 402.705

42.390 9.50 T&TT TRUCK KOS 7296

0.00 Subsistence 1,006.650 9.00
111.850 CAT ROLRT, E02 16131
19,746.73 Subtotal Labor 406.170 45.130 9.00 HYST ROL-2 E01 16137
OT Rate Delay Factor RT Rate OT Hrs RI Hrs A1 A2 Make Ciass Equipment ID 5,181.89 OT/DT Labor Equipment Charges
696.888 97.890 77.290 1.00 7.75 M Thompson L35 TMS TG5
14,564.84 RT Labor 618.320 77,290 8.00 S Martinez L34 TMS TG5 Labor Charges 960.935 97.890 77,290 3.50 8.00 E Forsythe L33 TMS TG5 7/18/2023 Perform Date Report No. Description of Work: PAVE RHMA & PAVE HMA 3/25/2023 Report Date Work Performed By: Matich Corporation 114.0 Billing Number Contractor Job:
300 Change Order Contract: 220804 Contad la° 2-055 - RIVERSIDE AVE. - CENTRAL RECONSTRUCTION

DAILY EXTRA WORK REPORT
PACIFIC TIMESHEET Brett Simon | Logout | Help I€
Home My Timesheet My Assets and Logs Crew Timesheet Timesheets Approvals Leave Requests Assets and Logs Cost Codes Employees Reports Crew Timesheet Crew Dashboard Wed Aug 1
Crew: Michael Fonville Crew v Day: 1 Tue 7/18/23 • Job: 22055 | Time Materials Foreman Legs Sub-Contractors
Cost Code: 22055-204-01-PAVE RHMA 22055-203-01-PAVE HMA Totals •Equipment OT DT DT Hours EQ
Arthur E Corona 5625 OE-8 6.00 2.00 8.00 0.00 0.50 8.50 0.00 Arthur M. Corona 5046 OE-8 16137 6.00 0.50 0.50 7.00 2.00 2.00 8.00 0.50 0.50 9.00 9.00 16131 7.00 2.00 0.00 0.00 0.00 0.00 9.00
Michael Fonville 1217 OF-8 07296 6.00 1.50 0.50 7.00 2.00 0.50 2.50 8.00 2.00 0.50 10.50 9.50 Jo Cervantes 0.00 0.00 0.00 0.00 0.00
Johnathan Cleland 1106 0.00 0.00 0.00 0.00 0.00
Robert Diaz 1657 0.00 0.00 0.00 0.00 0.00
Marcos Garcia 5876 OE-6 16138 6.00 0.50 0.50 7.00 2.00 2.00 8.00 0.50 0.50 9.00 9.00 Jus in W. Kinzle 1659 OE-8 6.00 2.00 8.00 0.00 0.50 8.50 0.00 Paul Moreno 1650 0.00 0.00 0.00 0.00 0.00
Eduardo Navarro 1498 0.00 0.00 0.00 0.00 0.00
Gilberto Rodriguez. Jr. 508905-8 15159 6.00 0.50 6.50 2.00 0.50 2.00 8.00 0.50 0.50 9.00 8.50 Jim Valente 1432 OE-6 16130 6.00 0.50 6.50 2.00 2.00 8.00 0.00 0.50 8.50 8.50 Rodrigo Arellano 6246 0.00 0.00 0.00 0.00 0.00
Barnabe Ayon 6239 L-4 8.00 0.00 0.50 8.50 0.00
Alexander Corte: 8.00 0.00 0.50 8.50 0.00
Jorge Cortez-Garcia 8.00 0.00 0.50 8.50 0.00
-LLE
Nolberto Gonzales 2.00 8.00 2.00 0.50 10.50 8.50
Noe Hemandez 0.00 0.00 0.00 0.00 0.00
Jose Quezada Jr. 0.00 0.00 0.00 0.00
Irving Reyes 0.00 0.00 0.00 0.00
20 Employees 66.00 4.50 5.50 47.50 22.00 1.00 0.00 14.50 88.00 5.50 5.50 99.00 62.00 • Time Entry Details
/ Submitted by Michael Fonville on 7/22/2023 11:44AM 12 Project Manager Approved by Michael Angelo Alvarez on 7/24/2023 12:34PM Powered by Pacific Timesheet 2000-2023
2 Project Manager Approved by Michael Angelo Alvarez on 7/24/2023 12:41PM Submitted by Russell Follett on 7/18/2023 4:49PM • Time Entry Details

3.00 0.00 0.00 4.00 2.00 0.50 6.00 3.00 0.00 0.00 3.00 1.00 7.00 0.00 2.00 8.00 3.00 0.50 - 11.50 11.00 0000000000000000000000000 0.00 0.00 0.00 0.000.00000| 0:00 300 1.00 100| 600 3.00 400 200 0.50 Bussed Foett 1450 GE-6 00 50. 5 03 00 TO ST 01 DEO ST 00 EQ STOOTE030
Totals Cost Code: EHMA 23016-005-05-AC PAVING CREW 23002-008-05-SWEEP 23018-008-05-SWEEPER 23006-008-03-SWEEPER 23002-006-05-SWEEP 22064-047-03-SLOT PATCH 22055-202-02-SWEEPING 22055-203-03-SWEEPING 22055-204-06-SWEEPING 23002 23006 23018 Job:

Materials Time
" Day: 4 Ius.711823 >
Powered by Pacific Timesheet © 2000-2023
/ Project Manager Approved by Michael Angelo Alvarez on 7/25/2023 8:44AM • Submitted by Michael Angelo Alvarez on 7/24/2023 12:27PM • Time Entry Details

0.00 ;

0.00 0.00 0.00 0.00 1.00 4.00 4.00 0.00 24.00 4.00 0.50 26.50 0.00 0.00 0.00 0.00 8.00 2.00 0.00 10.00| 1.50 4.00 24.00 16.00 3.00 7.00 12.00 8.00 4.00 2.00 13.00 10 Employees

8.00 8.00 03207 7490 T-5 Sonya Martinez

2.00 2.00 9.00 8.00 1.50 06070 7275 T-5 Evan Forsythe

0.50 0.50 8.00 5053 APP LAB Jose Quezade Ji

3.00 0.50 8.00 5691 L-2 Cash Morgan

1.00 4.00 4.00 8.00 4.00 178 APPLAB 07275 Jose Escoledo

1.00 4.00 8.00 5020 L-4 Jerry Diaz

8.00 1.00 8.00 2.00 3.00 07293 5848 L-4 Michael Carranza

0.50 0.50 8.00 Nathan Alvarad -Reyes 5054 APP LAB

8.00 07287

8.00 1.50 0.50 9.50 15160 1498 OE-8 Eduardo Navarro

8.00 4.00 2.00 13.00 07283 5210 OF-8 Bebert Del Tore
E0 OT ST EQ DT OT ST SOT PT EQ 01 PT E0 OT ST EQ DT ID Job Class Equipment Employee Cost Code: 22055-200-01-FOREMAN 22055-201-01-INSTALL TRAFFIC CONTROL 22055-201-02-FLAGGING CREW 22055-202-01-GRIND AC 22055-203-01-PAVE HMA 22055-204-01-PAVE RHMA 22055-206-01-TEMPORARY STRIPING 22055-206-01-TEMPORARY STRIPING USTAL TRAFIC CONTROL 208-201-02F-AOOING CREW 2085-2020 Sub-Contractors Foreman Legs Materials Time
Job: 22055 | Tue 7/18/23 v. Day: Crew: Robert Del Toro Crew Fri Aug 25, 2023 Crew Timesheet Crew Dashboard
System Cost Codes Employees Assets and Logs Leave Requests Crew Timesheet Timesheets Approvals Home My Timesheet My Assets and Logs Pamela King I Logout | Help I About PACIFIC TIMESHEET
Form #1362 APPROVED BY
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM 42 CVERTIME....

SIGNATURE 1,25
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED TAL TIME WORKED it YES, have you filed an Accident Report, AND notified your immediate supervisor? Yes - id you have an ACCIDENT today? STRAICHT TINE-
8,0
NO Yes and notified your supervisor?
if yes. have you fled injury repart. INCH FROM
42 No Yes Were you INJURED on the ob?
START
5628 9,25

ODOMETER

FINCHED ME STATED
5670 345 630
DELAYS
OR

REMARKS

10. 9 NOON 10
3: ON DUTY
2: DRIVING
1: OFP DUTY
IVERY TICKETS. FULLY EXPI
OUR: 11 10 10 CUSTOMER SHOULD BE NOTE: DELAY TIME CHARGEAE OTA
8 1'4
0 HRS. MINUS A

DRIVERS
80 HR/8
14 85795 - 330 345 PosTTriP MS
BS 7/25/23 204-5 22-055 734 1 710 Gals Riverside Ave Site 730- - 10 22-055 245 Rialto
914 8579-5 3002 SSI# TOnS - 630645 pretriT
MAINT.

RECAP O.T. ST. MATERIAL YARDS END BEG. ARRIVED STOR/ LOCATION OF DROT G/L # EQ OH LONGI
WITH LOG BOOK C/C RATE JOB# TICKET#

USED ONLY TIME TYPE TONS DELAYS UNLOADING LOADING
TRAILER # Month/Day/Year (Please Prin
EMP. #7390 DATE 7, 18,23 TRUCK ·5027 BASE AN SanBernar Dina EMPLOYEE NAME M1 Tomfsin TRAILER # i any time during the day.

KHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 _HP (Lyde Creek Hot Plant) 3221 N. Averside Ave., Aialto, CA 92376 avallable for field inspection (ONE CALENDAR DAY • 24 HOURS)
DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA. 92408 his reporl must be kepi current

MATICH TRUCK DRIVER'S DAILY REPORT

MATICH O ORM
PRELIM YES / NO TICKET # 51318687

AIR VOUCHER
TRAN. # 374,75

NAME RHP CHP
AGG EQ INV. #
PHONE CUST.#
DATE REQ. 7-18-23
CO. NAME
JOB LOCATION 22-055

CITY OF RIALTO
EQUIP.

SPEC. INSTRUCTIONS RIALTO
TONS MIX _ 1ST LOAD ON JOB
T&T T & P 10 WHL BD TPH
PRICE APRV. PREP. BY | CKD. BY. P.O. NO. -

PRODUCT CODE PRODUCT DESCRIPTION QUANTITY UNIT PRICE
3601 RHMA-G 344.07 $90.00
3607 HAUL 344, 07
1,187.94
22-25 3) 204-2
Total = $ 106,914.60

DEPARTMENT INITIALS

ORDER DESK
SALES/ENGR.

BILLING

ACCOUNTING
OTHER ENTERED AUG - 4 2023

MATICH ORDER FORM
PRELIM YES I NO A/R VOUCHER TICKET # 573/88189
TRAN.# 376,22
NAME RHP CHP PHP AGG EQ INV.#
PHONE CUST.#
DATE REQ. 7-18-23
CO. NAME
JOB LOCATION 22-055

CITY OF RIALTO
EQUIP.

SPEC. INSTRUCTIONS RIALTO
TONS MIX 1ST LOAD ON JOB
T& T T& P 10 WHL BD TPH
PRICE APRV PREP. BY CKD. BY P.O. NO. -

PRODUCT CODE PRODUCT DESCRIPTION QUANTITY UNIT PRICE
3601 3/4 PG 64-10 1/87.94 $56.00
344.07
3602 HAUL 7/87. 94 #7.27
344.07
20-055 гр 203-2
Total =$ 19,267.92

DEPARTMENT INITIALS

ORDER DESK
SALES/ENGR.

BILLING

ACCOUNTING
ENIERED AUG - 4 2023
OTHER
PLANT LOCATIONS • 8397 Alabama TOLL FREE ORDERS • C.O.D.

O 3221 N. Riverside Ave. Redlands, CA 92373 (800) 404-4975 Rialto, CA 92377 909-792-3650
ATICH 909-356-0537 MAILING ADDRESS • CHARGE
1 PORPORATION • (gain, CA 82230
951-849-8280 281280

SOLD TO WEIGHMASTER CERTIFICATE
THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster Cily, of Rialto Measurement Standards of the California Department of Food and Agriculture.

RweRside Ave DEPUTY
MATICH CORP. WEIGHMASTER

ACCT/JOB TRUCK TONS PRODUCT PRODUCT INFORMATION
5027 3002
GROSS 40 3 20
TARE 34280
NET 6040
O55
TOnS USeD 302 TONS 3.0г
FWD
TOTAL
Gals useD 110 TONS 710
* LOAD
NO.

DRIVER
• ON a OFF
22-055 B5/25/23 LEAVE PLANT ARRIVE JOB
204-4

LEAVE JOB DELAY TIME
$3.00 pes gal.

MATERIAL
RECD X
BY
NOTICE: It is agreed between buyer and seller that sale is consummated and title passed at plant site. Material only subject to sales tax.
7-18-23 Wither tur NOTICE: COMPANY ASSUMES NO RESPONSIBILITY Comments FOR DAMAGE INSIDE CURB OR PROPERTY LINE,
UNLESS OTHERWISE AGREED. ALL ACCOUNTS ARE
DUE AND PAYABLE IN 30 DAYS. INTEREST AT THE

LEGAL RATE APPLICABLE, WILL BE ADDED TO ALL
DELINQUENT ACCOUNTS.

Form 7772 1-White - Office 2-Pink - Copy 3-White - Plant MATICH
CORPOrATION
Engineering Contractors/Asphalt Sales
DATE:07/18/2023 CITY OF RIALTO #22-055

DRIVER TRUCK T TOTAL HRS FOR THE DAY TOTAL HRS ON THE JOB GRAVES 209
KRUCK 208 10.25 2.75 v
LAGER 9.5 v
ALCALA 9.25
AMBROSE 254 9.5 -
CLIFTON 239 10.25 9.5 ÷
ESPITIA 9.25 €
GATES 228 10.25 9.25
GUILLEN, 223 9.25
JAYNE = 9.75
JONES = 10.5
LACROIX 248 9.5
LUNA 258 10.25 9.5-
MENCHACA 9.5 -
NEILSEN 238 10.75 10.25 -
SANDOVAL 237 9.75
WHITE 10.75
TOTAL HRS:149.75 = 7150-
ST = 119.00x7130.00 $15470.00

30.75x*150.00 = 4, 612.50
OT =
520,082.50
22-055 - RIVERSIDE AVE. CENTRAL RECONSTRUCTION
CORP. TRUCKING HOURS - JULY 2023
DATE
7/18/2023

EMPLOYEE ST OT
Tristan Graves 2.25 1.75
Richard Harms 0.00 0.00
James Kruck 0.75 2.00
Russell Lager 7.75 1.75
Joshua Alcala 7.75 1.50
David Ambrose 7.75 1.75
Logan Clifton 1.75
Alex Espitia 7.75 1.50
Travis Gates 7.75 1.50
Russell Guillen 7.75 1.50
Tyler Jayne 7.75 2.00
James Jones 7.75 2.75
Mark Lacroix 7.75 1.25
Gilberto Luna 7.75 1.75
Juan Menchaca 1.75
Robert Neilson 7.75 2.50
Jessie Sandoval 7.50 1.50
Joshua White 7.75 2.25
TOTAL HRS 119.00 30.75
Form #1352 APPROVED BY

PRINTING
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 280 TOTAL MILEAGE TODAY - SE SIGNED DAILY.

SIGNATURE C/ERTHLE
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED 2.45 120616 FINISH _
it YES, have you filed an Accident Report, AND motilled your immediate supervisor? Did you have an ACCIDENT today? STATE LINE STRAIGHT TIE...

No Yes and notified your supervisor? 8.0
If yes, have you filed injury report STATE LIT
No Were INJURED on the in?
START
120463 10.45

ODOMETER
4:00 On FANCIE» ME STARVED 5:15
DELAYS

REMARKS
10 NOT DRIVING!
3: ON DUTY
2: DRIVING Loads of grindings.
1: OFF DUTY
HOURS 11 10 LY EXPLAINED ON DELIVERY TICKETS.

TOTAL 2 ARGEABLE TO CUSTOMER SHOULD BE NOTE: DELAY TI
234 g 3:40 3:30 Fuel
12 185735 в г 18,04 2:30 2:55 3:00 2:15 384,389 Cc

18.23 1:05 |:1S 1:40 /:50 384371
DRIVERS 18.12
DAY 12:20 12:35 11:45 11:40 384352
80 HR/8
LAP - 40E 18.03 10:35 /1:05 10:5511:05 10:10
RHMA 9:50 384337
64-10 18.17
3/4Рb 9:05 9:15 8:40 8:30 C.D. Rialto 384322 LAP.
8:208:25 600 7:55
• 734 2'4 22-055 7:25 7:30 7:00 6:55
852
0314 8579-51 Grads 1y 6:00 Grinding.
6:30 6:35 6:05
3:45 - 4:00 Post-Trip LH!. 5:30 5:15 Pre-Trip. CHP.

G/L # EQ ST. MATERIAL BEG. LEFT ARRIVED LEFT ARRIVED
C/C RATE JOB# OCATION OF DROP

TYPE TONS DELAYS UNLOADING LOADING
TRAILER # Month/Day/Year (Please Print)

1.18 23 TRUCK#3245 DATE EMP. #7297 EMPLOYEE NAME BASED AT:

TRAILER * estra White LHP.

EQUIPMENT any time during
RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LHP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 (ONE CALENDAR DAY - 24 HOURS) and avallable for field
DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 This repori must be kept current
Form #1352 APPROVED BY ORIGINAL - Fin gash day a
1 PRIVNG 002870717
133 TOTAL MILEAGE TODAY.. OVENTME -
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. SIGNATURE 81/2 THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED TAL TIME WORKED • i25164 FINISH. MUS:

I! YES, have you filed an Accident Report, AND notified your immediate supervisor? NO Did you have an ACCIDENT today? Yes. STATE LINE STITAKINT TIME

8.00 No Yes - and notified your supervisor? |
If yes, have you filed injury report STATE LINE
No Yes Were you iNJURED on the job?
START
125031

ODOMETER

3.45 VECTARTEO 6: 00_
Arulto DELAYS Aspha
OR

REMARKS
11 1 NOON
(jal. Devel Feul 38
3 3: ON DUTY 8 10
DRIVERS 5½ Engin.
2: DRIVING Regen. 10 mon 8:00 Am
70 HE/S
14½c
L: OFF DUTY.

ON DELIVERY TICKETS.

HOURS 5 4 17 NOON NIGHT D BE EABLE TO CUSTOMER SHOU
TOTAL
1314 Post trip.
340 3 25
14 85755 Truck. feul
3 25 320 e-
YOU STRAYS UTY LAST DA z 5ö 2 / '
45 15 212 +1384385
DRIVERS 05 2 45 • 40 /
19 go
80 HA/B 3S * 60 1. 384368
'..
19 74 00 50 12 20 1 2 12/5
12 /5 12/0 40 11 30 " - 381351 1c r

1. 1. 1830 1125 1/
1983 950 384334
1=35 es
64-10 20- 10
1912 4,00 Sanßer nord me dRiver side Ca.
3/іРБ 05 22055 384321
8579-2
O IS 8,00 30 7.75
DRIVING HAS 7212 zi0s5 San bernarolina
18 - о в 08 7 635 Gorang
9317 85705 610 Pre -HP
DAY NO
RECAP 0.7 ST. MATERIAL YARDS END BEG. LEFT ARRIVED ARRIVED GI.#.EQ C/C RATE JOB# JOB #/ CONTRACTOR I LOCATION OF DROP ORIGIN

TIME TYPE TONS DELAYS UNLOADING LOADING
TRAILER # Please Print,
1023 TRUCK#3237 7577 DATE 07 1 18 Sandorul EMP.#- Jassie EMPLOYEE NAME.. BASED AT: _ TRAILER # LHP
EQUIPMENT it any time during the day:

RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LHP (Lyle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 ind available for field inspection DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 his report must be kept current

MATICH TRUCK DRIVER'S DAILY REPORT
Form 21352 APPROVED BY ICATE = Dtuet retons in his possession for eight cays ORIGINAL • Pis each dsu alsome tol
19091
TOTAL MILEAGE TODAY 1 3 2 cerity ines
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. SIGNATURE MUST DE SINNED DALY. CERTINE 2 HR 45 MiN
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH. ITAL TIME WORKED (if YES, have you filed an Accident Report, AND notified your immediate supervisor? 13568/ NO Yas. Did you have an ACCIDENT toda STATE LINE STRAIGHT TIME...

No Yes and notilied your supervisor?
yes, have you filed injury report STATE LINE то.-. INCH FROI No Were you INJURED on the job?
START
138558 ODOMETER IOHR 45 mis
3772 1= STARE 5:20
DELAYS
OR
0 7 0 0 10 1100 1 2 3 48 8 1 8 9 19 1 REMARKS
MID-
(NOT DRIVING)
3: ON DUTY
2: DRIVING 6 honds of grindings
1: OFF DUTY
4 3 8 5 TICKETS. AINED ON DELIVERY FULLY EXPL
2 2 NIGHT 1 TIME CHARGEABLE TO CUSTOMER SHOULD BE
NOTE: DELAY
23/g 8
Ria/tal 350 4:05 Pest Thie
1485795 CA 345 350 Furl Thack
Rientto
345 2300245540300
00 MR/E 334/11
1747 12353124565150
1200 . '''95o"20

19.57 Rama. /1105 334

17.30 3/4/1 ·2515- 357/
RiVERSiDE AVE

9.094-734 212 23-655 Bette
RiVERINE
103y 85795 - - RE TRIN
GR # EQ O.T. ST. MATERIAL YARDS END BEG. LEFT ARRIVED
C/C RATE JOB # JOB / CONTRACTOR / LOCATION OF DROP
TYPE TONS DELAYS UNLOADING LOADING TICKET #
TRAILER #
TRAILER # EMPLOYEE NAME RabaRt NEI SEN EMP #75-25" DATEZ 115 23 TRUCK #3235 LHP BASED AT:

RHP (Rediands Hot Plant) 8397 Alabama St., Redlands, CA 92373 EQUIPMENT during the day. (ONE CALENDAR DAY - 24 HOURS) LHP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376) DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St.. San Bernardino, CA 92408 lable for field inspection port must be kept current

ATICH TRUCK DRIVER'S DAILY REPORT

APPROVED BY

ORDER FROM
131 TOTAL MILEAGE TODAY MUST BE SIGNED DAILY. OVERTES...

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. SiGNATUBE 2 HAr ITAL TIME WORKED
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED in I ES, have you fied an Acident Report, AND rasited yeur immestate suporvisor? FINISH 180808

STATE LINE STRAIGHT TME
Jd voti have a0 AGeDeNT 8
No Yes and notified your supervisor?
STATE LINE т......
yes. have vou lied imlty. renon
No Yes Were you INJURED on the job? START..

XTAL TIME BLARBED
180622 ODOMETER
cam
FINE 3:40 ME STATED 5:40
DELAYS
OR

REMARKS
10 4
(NOT DRIVING)
3: ON DUTY
2: DRIVING, 6 loads ot Gindings
1: OFF DUTY
JOURS 11 10 6 5 4 2 11 NOON 10 NIGHT ER SHOULD BE OTE: DEL MID-
2 8
41 85795 3:30/3:40 Post trip & fuee
DAYS
DRIVERS 2:00 2:20 2:50 3:00 384382 cO RIGO
19-44405
80 HR
19-6140E 12:551:251:40 12:418 384367 (BRialO
20:38 40E 11:20 11:35 12:0012:10 384349
9:30 9:5510:2010:s 10:40 10:55 195140E 384334
19653/4 8:10 8:208:509:00 Co Rigito. 389318
7130134 27-055 ande 25 6:307:007:05 Grim 6 Srir
852
85785 6: 6à 5:40 Bicitopretop
DAY NO.

RECAP ST. MATERIAL YARDS END SEG. JOB # / CONTRACTOR / LOGATION OF DROP (OR LOAD) WITH LOG BOOK G/L # EQ C/C RATE JOB#

USED ONLY TIME TYPE TONS DELAYS UNLOADING LOADING
TRAILER# Month/Day/Year
DATE 2118123 TRUCK#3230 EMP. #25.88 EMPLOYEE NAME JUAn menChaN BASED AT:

TRAILER# Rialto EQUIPMENT it any time during the day.

RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LMP (Lyta Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 available for field inspection
DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 CA 92408 San Bernardino, MS (Main Shop) 3231 E. 3rd St. his report must be kept current

MATICH TRUCK DRIVER'S

APPROVED BY
TOTAL MILEAGE TODAY OVETINE_
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 136 SIGNATURE 2HRS & 20mir THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH If YES, have you filed an Accident Report, AND notified your immediate supervisor? 28,335 . NO Did you have an ACCIDENT today? Yes... STATE LINE. SHRS ETFAINT TINE.

No Yes and notified your supervisor?
If yes, have you filed injury report STATE LINE TO
Yes -. Were you INJURED on the job?
28,199 START- CTAL TICE ELAFSED
ODOMETER 1OHRER 20 min
4:05 ME STARTED 5:45
DELAYS
OR

REMARKS
10 4 loads of Grindings
11 11 10
пно)
AST 8 DAYS 3: ON DUTY
DRIVING #2 -Erialergs
1: OFF DUTY
HOURS 10 3 10 OMER SHOULD BE
TOTAL MID- NOTE: DEI
8 2"4
'2 85795 3:50. 14:05 PTI-Rialto
340 3:50 Fuel Truck Rialto
1871 1F0 12 14 145 384318
20433
CRES 223 iL 324356
235 l07 12:02/10:46 11:59/10:20 10i1l 19433
11 1859(40, 748752243 2:55 325 Liest An Beratia 1384240

7.41 11
73413422.055 7:10 6:357:00
10% 857851 6:00 5:45 PTI Rialto Rialta
NI.NT.

RECAP O.T. MATERIAL YARDS END
WITH LOG BOOK C/C RATE JOB#

USED ONLY TIME TYPE TONS DELAYS UNLOADING LOADING
TRAILER#
EMPLOYEE NAME Rialto BASED
TRUCK # 3158 lilberto Luna-Quiro EMP # 7589 DATE07,18 - TRAILER# EUMENT LHP
AH? (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 (Lytle Creak Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 , (ONE CALENDAR DAY - 24 HOURS)
DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 1S (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 his repon mus. be

RUCK DRIVER'S DAILY REPORT
APPROVED BY rOay aunome

TOTAL MILEAGE TODAY
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 130.4 mat falun SIGNATURE MUSTBES OVER WE 1'/2
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH .. /' YES, have you filed an Accident Report, AND notified your immediate supervisor? 98683 NO Did you have an ACCIDENT today? Yes STATE LINE. STRAIGHT 7IVE - 8 No Yes and notified your supervisor?
If yes, have you filed injury report STATE LINE. TC_
No Ye3 Were you INJURED on the job?
98S52 9.50 ALTE LL OSEN

ODOMETER
3,20 Fi MENEL ME STARTED
5:50
DELAYS
OR

REMARKS
10 4 3 11 10
MID-
(NOT DRIVING)
3: ON DUTY. s. Lows of Asparlt
2: ORIVING 1cous of Gliedings

TE IN CORRESPONDING LINE
1: OFF OUTY
11 10 2 FULLY EXPLAINED ON DELIVERY TICKETS,
HORAS 11 10 NIGHT
AID- NOTE: DELAY TIME CHARGEABLE TO CUSTOMER SHOULD BE
1½ 8
3:20 3:05 trrp post L HP
B518-5 3:05 37,0
FARAYS 3:00 Fuel LHP

DRIVERS
DAY
80 ЯR/8 Vl 1:S5
Grialins 2:30 2:00 384378
1:55 58 L.2S 1'20 GrirDsN Gsimdueg Rialto
1846 12:30 12:25
LINES 2 & 3 177:25 100 Giiadings 1 И 5384362 и
ON DUTY HAS "rind.! 120 4.S0 10:45 srimtin
Riclto

18.90 1:10 I:o S LW/
11:05 вічо 384345
Grindiey Foll " 0S 00 10:35 10:3€ Griedive omJ.Ms Rinto.

RAMALA 19.06 10115 4:50 9:25
6:33 v 4.3 394332

4.50 Glirdik Full : 2S 20 9: SS • SO 8' Grindings AivTiNg:

Rintto
/ 16 16 18.68 150 8 85 3: 384319° CHP
siladtre Full 8:45 35 3:30 Girindiugs san bersardino Ane + Riversid Ave 8 : 0 5 . 00 7 130
oim2k 7%|1"4 zz0ss Rialto
18 952 Full 1:0 5 9:00 6:35 6:36 matich co Rialto Grindings! Rialto 92 8578-51 6:05 5:50
trip Pre LNP
RECAP O.T. ST. MATERIAL LEFT ARRIVED
G/L # EQ RATE ARRIVED I/ CONTRACTOR / LOCATION OF DROP
WITH LOG BOOK JOB # (OR LOAD) ORIGIN
USED ONL) TIME TYPE TONS DELAYS UNLOADING LOADING TICKET* TRAILER # VUItUevIlCi i ORst PTi
123 TRUCK# 3248 - DATE 1 / 18 7379 EMP. #. Mark haGroix EMPLOYEE NAME - BASED AT:

TRAILER # LHP
EQUIPMENT i any ime during the day.

LHP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 RHP (Redlands Hot Plant) 8397 Alabama St., Rediands, CA 92373 VIC VISERUAA DAT C MURS ind available for field inspection DRIVER'S DAILY LOG CHP, (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 C his report must be kep! current

MATICH TRUCK DRIVER'S DAILY REPORT
APPROVED 3Y -
182 TOTAL MILEAGE TODAY entries are true Tcerts ine MUST BE SIGNED DAILY.

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. Ones SIGNATURE rames 3
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH (if YES, have you tiled an Accident Report, AND notified your immediate supervisor? 107449 NO Yes Did you have an ACCIDENT today? STATE LINE STRAGHT TIME 8 No Yes and notified your supervisor?
STATE LINE... TO. INCH HOM
No Yes Were you INJURED on the job?
START. SAL THE SLAPSED
107291 ODOMETER
PNE YIS" WE CAN TOD
51S
DELAYS
70 HRS MINUS A. OR

REMARKS
loads of Grinding
(NOT DRIVING)
3: ON DUTY
100
o1 Cras waitinos
2: DRIVING

ORRESPONDING LINE
1: OFF DUTY
2 FULLY EXPLAINED ON DELIVERY TICKETS.

HOURS 10 11 NOON 10 4 3 2 NOTE: DELAY TIME CHARGEABLE TO CUSTOMER SHOULD BE TOTA
3 8 425 400 POsTTriP
LAP
831e5 400 355 Fuel L.HP
INCL. TODAY 1350 345 stepper
Dumper Load
DRIVERS 1804 3/5 300 230 225 384 310
DAY
O0 HAVE TiS 1 / 0 Grinder
1819 230 140
NONE 110 354372
105 і 2co 1270
1805' 13201720 LIsT 1140
NONe 954353
1140 1110 103 randa
40 € 1795 N0:5 1100 fias 1040 1010
384335
1000 950 425 S20 Grincher
64-10 1797 9го 910 540 F35 Rialto 384323
P6 3/4 -34 25 20% RiversIDe Grinder
OTAL LINE 2 730
RIVING HA B3y 231422055 38 705
18 852 630 Gis 600605
8578-5 530 515" PreTrip
DAY NO. CHP
RECAP O.T. MATERIAL YARDS ARRIVED ARRIVED
71673 C/C RATE JOB # J08 = : CONTRACTOR / LOCATION OF DROP (OR LOAD) TIME TYPE TONS DELAYS LOADING TICKET#
TRAILER # Month/Day/Year (Please Print)
Venes EMP 285 DATE 7,18 23 TRUCK 1321) EMPLOYEE NAME JAmes BASED AT:

TRAILER # L-
EQUIPMENT it any time during the day.

PiP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LHP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 (ONE CALENDAR DAY - 24 HOURS) and available for field inspection DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St.. San Bemardino, CA 92408 This report must be kept current

MATICH TRUCK DRIVER'S DAILY REPORT
APPROVED BY it days

OVERTISE
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 12> 2hrs SSmiSSIONATURE THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS EASED FINISH 104801 Tyle love

STRAJGHT TIME
(if YES, have you filed an Accident Report, AND notified your immediate supervisor? 8hrs

STATE LINE
NO Yes - Did you have an ACCIDENT today?
and notified your supervisor? .. TO.

Yes

STATE LINE
yes. have you men ITeDD
Were you INJURED on the (ob? OTAL TIME ELAPLEO
No Yes START. 10 hrs 8 smins
ODOMETER 10 465 0 TESTEN 540
H83=435
DELAYS
OR ouds of Grindings

REMARKS
11 NOON 10
3450l524
3: ON DUTY #212345993in
2: DRIVING Lines Hold at Plants min
HIGH! MER SHOULD BE
HOURS 11 10 MID-
TOTAL
420 435 Pti
180 3/4 420 415 Eel Gal22
14 8578-5 Switch Trucks atshop 330

18.84 1140220 Grindings Ratto 13525 LHP 3843761C0Riatto 213° 0011250 rinting rialto poss LHP: 384358 coRiato
11~11
Lufy ok 18:33 1050920 025-02895 Grindings Rialto coRianto / 384328 ELmo GIn 970LHP 75825 VHP: 384313
7-10 18.59 755 825
3/4 PG RiaHotOLHP
22-055 2 Grinding 734 220640 60 5 65
852
8539-5 570 Pti
DAY NO
O.T. MATERIAL END
RECAP JOB #
G/L # EQ C/C RATE TYPE TONS UNLOADING LOADING
TIME
Month/Day/Year (Please Print)
TRAILER # EMPLOYEE NAME- AT:
123 TRUCK#243 712 DATE. EMP. # 75.79 Tyler Jayne LHP
TRAILER # LHP (Lytle Greek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 RHP (Redlands Hot Plant) 8397 Alabama St., Rediands, CA 92373 (ONE CALENDAR DAY - 24 HOURS) CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408

DRIVER'S DAILY LOG CK DRIVER'S DAILY REPORT
Form $135 APPROVED BY
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. •re res and core. TOTAL MILEAGE TODAY 132. SIGNATURE THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED 179.098 FINISH. Brad an if YES, have you filed an Accident Report, AND notified your immediate supervisor? STRAICHT THIE . NO STATE LINE 8

STATE LINE TO
Vere you INJURED on the job? START OT T.. = ELAPSED
1789665 10 HRs

ODOMETER
330 FISHED WE STRATED
530
DELAYS
OR

REMARKS
4 NOON 11

HOT DRING)
3: ON DUTY 6 loads of Grind ngs
2: DRIVING
1: OFF DUTY
HOURS 11 10 3 2 NOON 10 9 SHOULD BE STOMER
OTA!
8 1330 315 Post tRip
85755 310 305 Fuel TRucK
DaYS
19100 230 co Rialto
26 096 180
2025 1 1951971614220 3843l0'
11 1954 co. RiAlto 384344
194? 1015940251050 10,055 Realto co. 1384330
840 818450810 84915 GRindinas - CO. 384310
41 410 20:07 Rital to
h3ly 12 22-005 62256464506365 120 Grindinas
852 colo
18 10 8570-5 545 530
MAINT.

RECAP O.T. ST. MATERIAL YARDS END BEG. LEFT LEFT JOB #/ CONTRACTOR / LODATION OF DADE G/L # EQ RATE J0B7

TYPE TONS DELAYS NLOADING
Month/Day/Year (Please
TRAILER # EMPLOYEE NAME BASED AT:.

EMP #7568 DATE 7118 123TRUCK# 223 EQUIPMEI during
TRAILER #
RHP (Rediands Hot Plant) 8397 Alabama St., Redlands, GA 92373 inspestion for field and available ONE CALENDAR DAY • 24 HOURS CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shep) 3231 E. 3rd St., San Bernardinc, CA 92408 DRIVER'S DAILY LOG This report must be kept current

ICK DRIVER'S DAILY REPORT
APPROVED BY • day at hom
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORN Made TOTAL MILENGE TON. 135 Trans P SIGNATURE - 2.25 HRS

WORKEO -
THIS IS YOUR TIME SHEET, IT MUST BE TURNED IN DAILY YOUR PAY IS BASED 183227 / YES. have you filed an Accident Report, AND notified your immediate supervisor? Od yoll Mavo an ACCIDENT toray? 8 EIRS
and notified your supervisie?
START- CLTES00D.
183092 10 HRS ES MIN
T2:05D. 530
345
DELAYS
OR

REMARKS
DUTY 6 loads of Grindings.
2: DRIVING

OULD BE
33755 345 330 PTI
* 851:41 325
315 -VEL TRUCK
1968 240 235 20฿ LO RIALTO LHP 384381
200 155 50 11 TRINDINGS RIALTOO
1983 105 40 12 1235 1) p. Rato LAP 3843604
1230 1230 1200 GRINDINGS
11962 1155 1145 1120 1115 CORALTO LHP 38434B
L115 1110 1025 GRINDINGS ZIALAD:

RHHANP lan 1U25 1015 950 930 384333 HP
925 920 855 rouS
ЗиРа 1989 94S 840 810 305 RIALTO, CA CO RATO 384307 LAP. 800 800 725 715 RIALTO, CA
4311,1 2 225055 650 645 els le 15
852
85795 545 530 PTI
04i "LANT.

DAY NO
U.T. WATERIAL YARDS END BEG. LEFT ARRIVED LEFT ARRIVED J03#: CONTRACTOF (OR LOAD) G/L # EQ JOB # LOADING

TIME TYPE TONS UNLOADING
TRAILER # or.ch/Dey/Year
EMP. # 7572 DATE ZI EMPLOYEE NAME TRAVIS R GATES LHP BASED AT:. 123 TRUCK # 3228 18
TRAILER #. EQUIPMEL
1 S1.. Rediands, CA. 92373 HPy-yie Creak: Hot Plant) 3221 N. Riverside Ave, ONE CALENDAR DA 1, Cabazon, CA 92230 073 (Men Shop) 3231 E. 3rd 51..

DRIVER'S DAILY LOG must oe kept curren!

K DRIVER'S DAILY REP
•river th
APPROVED BY 067.0317
TOTAL MILEAGE TODAY ... RUST DE SIGHTED DI 2 hrs. CVERTIE ON THIS REPORT, NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 135 SIGNATURE THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH ... red your immediate supervisor? 318297 * 8hrs,

STRA'ENT TINE
NO Yes Did you have an ACCIDENT today? STATE LINE
Yes and notified your supervisor?
yea, have you filed injury report STATE LINE
No Yes Ware yau INUURED on the ob? 10 hig OTAL TORE EL PSED 318/62 ODOMETER
FIN SHED HE STARTED 5:40
3:40
DELAYS
OR

REMARKS
10 3: ON DUTY
2: DRIVING 6 loads of Gind rs
IEASON FOR DELAY: (WRITE IN CORRESPONDING LINE NUI
1: OFF DUTY

ON DELIVERY TICKETS
11 10 CUSTOMER SHOULD BE NOTE: DELAY
8 2
3:20 3:46 Post trip
12 18579-5 3:20 Fuel yoga Diesel 316
39~1 DEE
1945 3/4 239.245 209 2c0 384382
1948 314 (245 1250 1120135 38436e 4
3/4 1960 215 1125 11381204 3507550
3/4 (05810:43 10:551/954 9,32958 1023 384335
3/4 19.47 103 sp hat Emine 82580 384320
7n 1'222-055 7105 7 07 7.37 7:41 prove tobrindin
852 Sambara
110 8570-s G:0o 6:30 635 5:46 Pretrip Rolle
DAY NC
RECAP O.T. ST. MATERIAL (OR LOAD)
G/L # EQ C/C RATE JOB#
TIME
TRAILER #
7590 DAT O7! & 123TRUCK#. EMP. # Mer Expitia EMPLOYEE NAME — BASED AT: Rialto LHP TRAILER# 2/ EQUIPMENT it any time during the day.

RHP (Redlands Hot Piant) 8397 Alabama St., Redlands, CA 92373 Lif ytle Creek Hot Piant) 3221 N. Riverside Ave., Rialto, CA 92376 and available for field inspection (ONE CALENDAR DAY - 24 HOURS) CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230| CA 92408 MS (Main Shop) 3231 E. 3rd St., San Bernardino, DAIVER'S DAILY LOG his report must be kept current
DAILY
Form #1352 APPROVED BY

TOTAL MILEAGE TODAY
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 139 SIGNATURE ZHeS /Suns

TAL TIME WORKED
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH ...

I YES, have you filed an Accident Report, AND hotified your immediate supervisor? 139316

STEN BUT TIE
Yes id you have an ACCIDENT today? STATE LINE BHRS
No Yes JNCH FROM
it yes. have you filed injury report STATE LIN
x. No Yes Were you INJURED on the job? STAL TIME ELAPSED START
139177 10HRS 15 mINS

ODOMETER
raised HE STARTED
3:30 5:150
DELAYS
OR

REMARKS
10 9 8 11 NOON
NOT DRIVING:
3: ON DUTY 8 loads of Grind cag
2: DRIVING
KETS.

HOUPS 13 10 OMER SHOULD BE NOTE: DEL
MID-
3:35 3:20 POST TRIP RIALTO CA
FUEL PERSORETO RIALTOCA 3OS 3:20
12 85785 3:05 2:45
19,73 .,, 3175 2:05 2:15 2:10 - на о стато
DRIVERS 1:25 *с.Ї; h
1:35 38437Y
DAY
30 MR/ 1:20 112'551

19.71 2:40 12:35 12:00 C.O. RIÁLTO 384355
00200/1:55 11:20

19.75 1/:20 #:4S 10:45 10:35 • 0. RIALTO GEEDINGS FRom A 384340 10:35 10:30 GRINDINGS RIATE JARRENDE AVE TO UMP RIALTO
9:55 9:35 # RIALTO AVE TE
9:50 = 384324

19.61 9:35 9:05 3:S1 esc.o. RíALto
8:55 8:50 8:25
8:10 7:45 7:35 C.O"' RIALTO = 384311 LHP

19.62 ЗінЬНО :35 8:15 1:30 7:10 7:00
11 13422-055 852
FL/GRINDINGS 6'40 6: 3S 6:16 400 • GRINDINAS FROM RIVERSIDE AVE TO LAP RIALTO 18 01¼ 8578-51 5:30 S15 PRE TRIA RIALTO CA
1/4
ST. MATERIAL. YARDS END BEG. LEFT ARRIVED LEFT ARRIVED TIGN OF DROP RATE JOB#

TYPE DELAYS UNLOADING
TRAILER # Montr: Day/Year (Please Print)
EMP. # EMPLOYEE NAME BASED
7/18 123 TRUCK# 3239 1520 DATE OGAN CUFTON CA
TRAILER# EQUIPMEI at any time during the day.

RHP (Redlands Hct Plant) 8397 Alabama St., Redlands, CA 92373 (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 available (ONE CALENDAR DAY - 24 HOURS| CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408

DRIVER'S DAILY LOG

DRIVER'S DAILY REPOR RUCY

APPROVED BY
124 TOTAL MILEAGE TODA SIGNED DAIL
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. OVERTINE.

SIGNATURE 1:552
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH ITAL TIME WORKED - li! YES, have you filed an Accident Report, AND notified your immediate supervisor? 26835

NO STATE LINE STRAICHT TINE
8:00%
Yes
STATE LINE... то.

Yes an the job? Were you INJURED
START. STAL THEE ELAPSED
26701 ODOMETER 9i55 10
p.m. WE STARTED
a.m. 3:30 5:35% preo
DELAYS
OR

REMARKS
1 11 NOON I loads of Gindings

INOT DRIVINGI
3: ON DUTY
2÷410 out
2: DRIVING 2:35 booking For Sweeper
1: OFF DUTY
HOURS 11 10 OULD BE
TOTAL ME CHARGI NOTE: DEL
2 8
Fuel Posttrip Palenmall3:10 3:30
14 85795
3125 3:38 12÷351

18.79| 3/4 2:00
1:55 130 40 158 1:50
3/4 18.90 1:30 1:30 InS LAP 384360
3/4 18.62 11:35 11155 11:30 11,35 CHR 38Y343
3/4 18,75 2010:0510:55 iros The
805 9:10 3555
3/4 18.95 5:35 2(L)
9-55 7:45 7:40 7:15 7:10
DRIVING WAS 73y 134-2525 bido _gRiNds
852 6:256,45 6:50, ¡Riverside Ave Rialto
18 8570s1 5:355:50
10 Pretrip
RECAP O.T. ST. MATERIAL YARDS BEG. LEFT LEFT
GiL # EQ C/C RATE JOB# OB *CONTRACTOR / LOCATION OF DROP ORIGIN TIME TYPE TORS UNLOADING LOADING TICKET #
TRAILER # Month/Day/Year
DAVID AMBROSE EMP. #02220 DATE 7118, 23 TRUCK #3254 OYEE NAME BASED AT:

TRAILER # LHP
EQUIPMENT any ume during the day.

RHP (Redlands Hot Plant) 8397 Alabama St., Rediands, CA 92373 HP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 (ONE CALENDAR DAY - 24 HOURS) nd available for field inspection DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shap) 3231 E. 3rd St., San Bernardino, CA 92408 his report must be kept current

DRIVER'S DAILY REPORT TRUCI
Form #1352 APPROVED BY 387-0717
TOTAL MILEAGE TODAY - OVERT'S ...
136 SIGNATURE 2hR
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM.

THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH | 21222 (it YES. have you filed an Accident Repon, AND notified your immediate supervisor? STRAIGHT THE ...

Did you have an ACCIDENT todey? Yes. STATE LINE ShR
NO
No and natified your supervisor?
Itiyes. have you. hea injury.report STATE LINE
No Were you iNJURED on the job? START- OhR STAL THE LAPSEO 12/085

ODOMETER
5:25 KE STARTED
3:25
DELAYS
OR

REMARKS
3: ON DUTY
2: DRIVING O loads of Gindings

VERY TICKETS
13 10 11 10 TO CUSTOMER SHOULD BE DE NOTE:

HOURS
post - TRip-Ria/toca 3:10/3:25
85785 2:553:10 fuel TRICK
Grindings. arindings
CUTTA STAY 18.81 RHMAl 38437511 LHP
112i4512:55 li20. Grindings

18.78 grandmys 6384354 CHP
Grindings 11:25 11:45 11:55 111:201 grindings!!
-
18:81 RHMA: 384341 LHP
110:35 inchines,
Grindings 1:4593 "| 9:40 Stock YARD "Grindings!!

18.70 314 LAP:
minding
'minding's 8:38 8:20
181"314" LHP 38431211
Grindings 1635 6.40 6:15 6:10
22-055 73/4 | ½
052
18 8578-51 5:25 5:40 - L'a to CA PRE-TRiP LtP
- -
DAY NO.

ST. MATERIAL YARDS BEG LEFT ARRIVED LEFT ARRIVED JOB # / CONTRACTOR / LOCATION OF DROP RECAP O.T.

WITH LOG BOOK G/ # EQ C/Cr RATE JOB =

TIME UNLOADING

USED ONLY
TRAILER # CHP BASED AT:

A/CaLa EMP.# 7580 DATE 7118 123 TRUCK $3242 EMPLOYEE NAME /OShua EQUIPMENT me during the day-
TRAILER#
RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 HP Cytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 9237€ (ONE CALENDAR DAY - 24 HOURS) CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 *S (Main Shep) 3231 E. 3rd St., San Bernardino, CA 92408

DRIVER'S DAILY LOG MATI

REPORT TRUCK DRIVER'
Form #1352 APPROVED BY

PRINTIG
i certify these enties are to MUST BE SIGNED D. OVERTIME.

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 152 SIGNATURE THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH... | YES, have you hiled an Accident Report. AND notified your immediate supervisor? 57676

STRAIGHT THE
NO Did you have an ACCIDENT today? STATE LINE
No Yes ina nowned vour supervisor
If yes. have you filed injury report STATE LINE
No Yes Were you INJURED on the job? proM
START
87524 ODOMETER
_Fi. WE STARTED
315 515
OR

HEMARKS
10 NOON 10 3
3: ON DUTY asphalt 4
2: DRIVING
ELAX: (WAITE W: CORMESPONDING LIE CASE FON

Y EXPLAINED ON DELIVERY TICKETS
ICURS 11 10 11 NOCN 10 E CHARGEABLE TO CUSTOMER SHOULD BE NOTE: DEL 4351-
2 8
3a 3/5
1¼ 650 1300 255 Fuel 40 say
230 PON Bar/Riversid 1354380
8O HA/B 18:78 M/Ma 230L
155 12351233 Liversibe 2
120 amr RiversIDE Sor Bern 384363
11061 gRIN 1351 _1240
IZHMA 18:83 11% 1384 346
110 г 935
875(404 Riverside / Right plant Aro 556824, 389329
3L98i9iMSU35 72> 835 $ 74 SAN DaiN RuersiTe
835 830 807 400
35 730 4 4
635
6,50 5415 530
RECAP O.T. END BEG. LEFT LEFT ARRIVED OR LOAD,
WITH LOG BOCK G/L # EQ C/C RATE JOB#

USED ONLY TIME UNLOADING LOADING
TRAILER # Month/Day/Year (Please Print)
Lusseu EMPLOYEE NAME .. pept BASED AT: _
TRAILER # Lage EMP # 92395 DATE 7: 18, 23 TRUCK# 3247

EQUIPMENT
RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 (Lytla Creak Hot Piant) 3221 N. Riverside Ave., Rialto, CA 92376 (ONE CALENDAR DAY • 24 HOURS)
DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 ept current

MATICH TRUCK DRIVER'S DAILY REPORT

APPROVED BY
172 TOTAL MILEAGE TODAY - certly thase entries ana BE SIGNED DAILY ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM Promo SIGNAT 2.25 THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH .... 40 | 238
(YES. have youlled an Accident Report, AND notified vour in Did you have an ACCIDENT today? STATE LINE
and motilled vour supervisor?
If yes, have you fled injury report STATE LINE
No Yes - Were yau INJURED on the job?
401044 START. 10.28 ITAL TINE CLAPKED

ODOMETER
540 WE STATED ..
350
DELAYS
OR

REMARKS
11 1 11 NOON
(HOT CALVING)
3: ON DUTY
2: DRIVING • 7 LOADS

WRITE IN COABESFONDING LINE NUMBER)
": OFF DUTY.

FULLY EXPLAINED ON DELIVERY TICKETS.

HOURS 11 3 1 17 NOON NIGHT
TOTAL MID- NOTE: DELAY TIME CHARGEABLE TO CUSTOMER SHOULD BE GAY

SD HR/S
14 650 350 335 PostRip LHP

19.49 380 250 219 210 LHP 384384
22-055 2 3/4 R.51 24mA. 140 135 110 100 LHP 384370
639 2/0
стВ? 150 ON site. 640 chivo AAA ONTARIO 7
10% 650 555 540 LItT
MA'NT.

RECAP O.T ST. MATERIAL YARDS END BEG. LEFT ARMIVED
C/C RATE JOB# JON OF DROP ON LOAD)
TYPE TONS DELAYS UNLOADING LOADING TICKET =
TRAILER* 517000 F16
7118 123 TRUCK #3208 EMP. #92580 DATE JAmeS KRUCK EMPLOYEE NAME- LIP BASED AT:

TRAILER # i any time during the day.

EQUIPMENT
RHP (Redlands Hot Plant) 8397 Alabama St., Flediands, CA 92373 LHP (Lylle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 (ONE CALENDAR DAY - 24 HOURS) ind available for field inspection DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, GA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 his report must be kept current

MATICH TRUCK DRIVER'S DAILY REPORT
S FORM. ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED EO) 168.4 TOTAL MILEAGE TODAY _ FINS 372390 Tristan Traves 1.55 mins
immediate supervisor

8.0 00 ER372221 START.
10 9.55 mins :.AL
3:45 5:50 3T.

ON 041
«OTE
82 3:30 3:45 Pest trys Riulto.
3:253:30 Luel Gialto
E 2:55 2:15 2:45 2:1D

9.55- 32, 87A 40 Rialto. Rialto 384384 C.O.
32,85 м 12:551:05 1:35 145 Rialto. Realto 384369 C.O.
2¼13422-055. 32.82 н 11:30 11:50 12:2012:30
1639 Qualto. Rialto 384354 C.O.

20.00 B 110:35 10:40 10:20 15

20.00 9:59 0248564 Chino. try

9.25 455 040 : 35 245561

20.00 15 :55 8. en
TOTAL LI 20:00 883950 248558

6. 30. 6:10 00 249555
5'½ 20.00 C 7:35 7:40 7:15 6:50 a. a. a pawny 248551
18 650 5:50 6:05 Pre trip
Piulio
RECAr O.T. ST.

G/- 7 SQ FATE 05- MATERIAL YARDS END BEG. LEFT ARRIVED
L3:0 OLY LEFT (APIVED ON C7 L.70r
TILE 1.73 IONS DELAYS UHILCADING
LOADIN
TRAILER *
TRAILER# 39 92210 DATE 7 / 1$123:700: :3209 SPLEEN F Tristan Graves.

FHP (Redlands Hot Plant) 8337 Alabama St Podlar ack Hot Fiant) 3221 iv. Rivercido Ava.. frialto, GA 92376 field inspection
www.ewbllls.com
NTS Universal Bill Form™
151,307.98 + Bill Total Date: 09/05/2023 Ba, finen Contractor:

Date Received; Returned for Correction •Rosubmital
Date: Customer: Date of Action: Approved for Payment
Accepted: For Owner/Resident Engineer's Use Only
151,307.98 Bill Subtotal

97.890 2.50 8.00 E Forsythe L.32 TMS TG5
17200 8.00 J QUEZADA JR.

L31 LBRAP LA3
119,670 0.50 CT Morgan
L30 LBR LG2

97.100 74.760 3.00 8.00 CT Morgan L2 LBR LG2
151,307.98 Work Total
64,700 1.00 J Escobedo L28 LBRAP LA1

52.760 41.040 4.00 8.00 J Escobedo
L27 LBRAP LA1
124.280 0.50 JM Diaz L26 LBR LG4
100.580 77.110 4.00 8.00 JM Diaz
151,307.98 Activity Total Las LBR LG4
124.280 1.50 M Carranza
124 LBR LG4
100.580 4.00 8.00 M Carranza
L23 LBR LG4

8.00 N ALVERADO-REYES 222LBRAP LAT

0.50 8.00 L21 OE OG6

1.50 L20 OE OF8
101.990 4.00 8.00 LIS OE OF8

0.50 L16 LBR LG4
108,840.78 Material Total

2.00 8.00 417 LBR LG4
14,196.62 15.00% MU

0.50 8.00 L18 LBRAP LA4
94,644.16 Subtotal

0.50 8.00 L.15 LBR LG4
Material Charges

0.50 B Ayon L14 LBR LG4 |
19,545.81 Equipment Total 1.00 8.00 L13 LBR LG4
761100
2,549.45 15.00% MU 0.50 8.00 L12 OE OGG
16,996.36 Subtotal 0.50 L11 OE OG8
Equipment Charges 98,650 0.50 8.00 LID OE OGB

0.50 LOB OE OG&
22,921.39 Labor Total
3,820.23 0.50 8.00 LO8 OE OG8

20.00% MU

0.50 LO7 OE OG8

0.00 Other Expenses

0.50 8.00 LOE OE OG8

0.00 Subalstence

0.50 8.00 LOE OE OGB
19,101.16 Subtotal Labor 0.50 8.00
L04 OE OG6

0.50 8.00 LOS OE OG6
4,638.04 OT/DT Labor 0.50
LOZ DE OF8

2.00 8.00 L01 OE OF8
14,463.12 AT Labor Subs Rate Subs Units OT/DT Hrs RI Hrs Craft/Lovel Labor Charges Labor Charges
7/19/2023 Perform Date Report No.

Description of Work: PAVE HMA
8/25/2023 Keport Date
Work Perfortned By: Matich Corporation
115.0 Billing Number Contractor Job:
300 Change Order 220804 Contract: City Of Rialto 22-055 - RIVERO /HO /E. - CENTRAL RECONSTRUCTION

DAILY EXTRA WORK REPORT
www.ewhills.com Page NTS Universal Bil Form
151,307.98 Bil Total Dato: 09/05/2023 Contractar: [Rosubmittal Retumed for Correction Dato Received:

Date: Customer: Date of Action: Approved for Payment Now Bill Accepted: For Owner/Resident Engineer's Use Only
151,307.98 Bill Subtotal
151,307.98 Work Total
151,307.98 Activity Total
16,690.00 16,690.00000 1.000 LS 7/19/2023 Matich Corporatlon / TRUCKING МОЗ 071923 4,644.00 4.04.00000 1.000 LS 7/19/2023 PRS LOGISTICS, ONG. / TRUCKING - GRINDINGS MO2 202307-227 73,310.16 58.00000 1,309.110 TON 7/19/2023 Matich Corporation / MATERIAL - 3/4" PG 64-10 M01 071923 108,840.78 Extended Untt Price Units Vendor Name and Description Number Material Total

15.00% 14,196.62 Materal/Speclalist Work/Lump Sum or Unlt Price Payment 2,462.130 9.00 BRMSW E16 5026
94,644.16 Subtatal
886.620 10.50 36-48 T&TT TRUCK E14 6070
Materlal Charges 437.680

8.00 12-20 T&TT TRUCK E13 7275
19,545.81 461.680 Equlpment Total 8.00 20-28 T&TT TRUCK E12 7293 2,549.45 15.00% MU 339.120 8.00 06-12 T&TT TRUCK E1I 7287 16,996.36 Subtotal 5,123.600 8.00 W210 E10 15160

WIRT PGT-C
Equipment Charges 529.875 12.50 06-12 T&TT TRUCK E0D 7283 22,921.39 54,180 6.00 0-300 TLMD BITDT 508 15125
Labor Total 490.535

3.820.23 8.50 20-28 T&TT TRUCK E07 7270

20.00% 998.665
117.490 8.50 7000 CAT ROVIB EO6 16130

0.00 Other Expenses 2,805.850 330.100

8.50 AP1055F CAT ASPAV E06 15159

0.00 Subsistence 609.535

71.710 8.50 8062 CAT ROVIB E04 16138
19,101.16 443.430 Subtotal Labor

49.270 9.00 >50 TRACS E03 14145
950.725 111.850 8,50 PS360C CAT ROLRT EоZ 16131
4,638.04 OT/DT Labor 402.705 42.390 9.50 06-12 T&TT TRUCK E01 7296
Extended OT Rate Delay Factor RT Hate OT Hrs AT HrS A1 A2 Moder Make Class Equipment ID 14,463.12 RT Labor Equipment Charges
Labor Charges 983.075 129.890 98.530 1.50 8.00
R Follett Las DE OGG
7/19/2023 Perform Date Report No. Description of Work: PAVE HMA 8/25/2023 Rsport Date Work Performed By: Matich Corporation 115.0 Billing Number Contractor Job:
300 Change Order Contract: 220804 City Or all 2-05 - RIVERSIDE AVE. - CENTRAL RECONSTRUCTION

DAILY EXTRA WORK REPORT
PACIFIC TIMESHEET Brett Simon Logout | Help lE
Home My Timesheet My Assets and Logs Crew Timesheet Timesheets Approvals Leave Requests Assets and Logs Cost Codes Employees Reports Sy Grew Timesheet Crew Dashboard Wed Aug 1
Crew: Michael Fonville Crew v Day: & Wed 7/19/23 $ Job: 22055 | Time Materials Eoreman Legs Sub-Contractors
Cost Code: 22055-203-01-PAVE HMA
Job Class OT
Michael Fonville 1217 OF-8 07296 8.00 2.00 0.50 9.50 10.50 Jose Cervantes 1179 0.00
Johnathan Cleland 1106 OE-6 8.00 0.50 8.50
Robert Diaz 0.00
Marcos Garcia 5876 0E-6 16131 8.00 0.50 8.50 8.50
Justin W. Kinzle 1659 0E-8 8.00 0.50 8.50
Juan Lamas 1210 OE-8 8.00 0.50 0.50 9.00 9.00
Paul Moreno 1650 0E-8 16138 8.00 0.50 0.50 8.50 9.00
Eden avera 1498 0.00
Gilberto Rodriguez. Jr. 5089 OE-8 15159 8.00 0.50 0.50 8.50 9.00 Jim Valente 1432 16130 8.00 0.50 8.50 8.50
Rodrigo, Arellano 6246 0.00
Bamabe Ayen 8.00 1.00 0.50 9.50
Alexander Cortez 5078 8.00 0.50 8.50
Jorge Cortez-Gircia 5041 APP LAB 8.00 0.50 8.50
Nolberto Gonzalis 5073 L-4 07270 8.00 2.00 0.50 8.50 10.50 15125 6.00 0.00
Noe Hernandez 5064 0.00
Jose Quezada is. 5053 0.00
Irving Reves 6563 0.00
19 Employees 96.00 6.50 6.00 67.00 108.50
• Time Entry Details
/Submitted by Michael Angelo Alvarez on 7/24/2023 12:34PM Project Manager Approved by Michael Angelo Alvarez on 7/24/2023 12:35PM Powered by Pacific Timesheet ® 2000-2023
Pumered by Decile Tierestses 0 2300-2023
/ Project Manager Approved by Michaal Angelo Alvarez on 712$/2023 8:44AM / Sutrited by Michaei Angeio Alvarez on 7124/2023 12.26PM. > Time Entry Dotslle

20.00 23.00 V4J6.000201 25.00 1.00 200 21.00 3.00 2.50 0.00 5.50 0.00 0.00 0.00 0.00 Divv 20.00 3.00 4.00 1.50 12.50 10 Employees 0,00 03207

5.00 3.00 250 5.00 -van Forsyche

0.00 000 800 000 9.00 1020 Quezada di

4.00 Cast Mersa

3.00 3A0 3.00 APPLAS 07275 Jane Erotica

0.50 8.00 U20 Lo KATY Diet

8.00 100 1.50 800 3,00 07293

3.00 UNG DAU 13103 90940

1.50 13.50 12.50 1.30 12,50 1.00 4.00
Cost Code: 22055-20001-FOREMAN 22055-201-01-INSTALL TRAFFIC CONTROL 22055-201.32-FLAGGING CREW 22055-23201-GRIND AC 22055-209-01-PAVE HARA 22085-204-01.PAVE RHMA 22035-208-G1-TEMPORARY STRIPING Eacemen Loss. "Time
-Day: 1X7323 D
Thu Aug 24. 2023
System Reports Crom Tale Can Do Myres and Logs CenTerested traints Aparnals Leifegues Asiand log Calicode Englises

PACIFIC TIMESHEET
oweize ny Pactic mesheer • 2000•2023
2 Project Manager Approved by Michael Angelo Alvarez on 7/24/2023 12:40PM | • Submited by Russes Foret on 7:19/2023 8:35PM| • 0 10 600000001000 9.20 9.00 U.001 U.VU 0.00 0.00 0.00 0.00 0.00 1 employees

0.00 8.00 7.90 0.00 9.50 9:00 4.00 1.00 4.00 4.00 0.00 05026 Russel FOLeR 1450 OE-6 OT Employet
sulars COUSCOUR OTORN 24000-010 RAVE MA 223018-005-05-A/AMINST00200058 201600503W33/300008 0323W33/825002-008-05-31233/20201741823501/2340224035202=02-SWEEPIN/22055203-07SWEEPING 42005 C2U04 23002 AUTO JUN.

Foreman Logs Sub-Contraciors MINES
v] Day: Wed7/19/23 > we broom sweeper Cice
MATIC. ORDER FORM

PRELIM YES / NO
AIR DOUCHER TICKET #
NAME TRAN. #

RHP CHP LHP PHP
EQ INV. #
PHONE
CUST. #
DATE REQ. 7-19-23
CO. NAME

JOB LOCATION
22-055

CITY OF RIALTO
EQUIP.

SPEC. INSTRUCTIONS
RIALTO.

TONS MIX

IST LOAD ON JOB
T & T T& P 10 WHL...

BD TPH
PRICE APRV PREP BY CKD. BY
P.O. NO. -

PRODUCT CODE PRODUCT DESCRIPTION

QUANTITY UNIT PRICE
3601 3¾ PG 64-10 1309. 11
1*56.00
3602. HAUL 1307.1/
203-2 22055 3313
Total = #73, 310.16

DEPARTMENT INITIALS

ORDER DESK
SALES/ENGR.

BILLING

ACCOUNTING
OTHER
Invoice: 202307-227
PRE Date: 07/21/23
'5618 BORWICK AVE. DTS Job: 07/01/23-225
\ SOUTGATE CA 90280 Cust. #: LR00099
Office: 5628033600 Fax: 5623817011
Customer Job: 22-055

DECEIVED
JUL 23:2023 Origin: MERRILL/RIVERSIDE

MATICH CORPORATION RIALTO, CA
PO BOX 10 MATCH CORP. LAP Trucking
Engines Grindings
HIGHLAND CA 92346
7127-055
Date Ticket Code Description Qty Rate Amount
07/19 6835730• V005895 LEONARD S LOPEZ • 8.30 129.00 1,070.70 07/19 9334463- V005895 LEONARD S LOPEZ 8.00 129.00 1,032.00 07/19 9334825 V005895 LEONARD S LOPEZ 9.00 129.00 1,161.00 07/19 9684540• 80678 PRS LOGISTICS, INC. 8.60 129.00 1,109.40 07/19 9690971• 80893 PRS LOGISTICS, INC. • 8.50 129.00 1,096.50 07/19 9711707- 80677 PRS LOGISTICS, INC. * 8.40 129.00 1,083.60 Total Qty: 50.80
Amount: 6,553.20
22-055 22-064
202-3 S0-l
3ghr5 144. 8hrs
44,644.00 81,409.20
6/15/23
Thank you for your business
Net 30 Days. Unpaid balance is subject to 1 1/2% service charge per month and any and all cost of collections.

TRAnayas Page 1 of 1
MATICH
CORporaTIoN
Engineering Contraciors/Asphalt Seles

TRUCK TOTAL HRS FOR THE DAY TOTAL HRS ON THE JOB
230

2.25 242 9.25 8.5
254 8.75 7.25
239 9.75
241 8.25

8.25 260 9.5

8.75 9.25 8.75

8.25 256 9.25 8.5
221 7.5
247 9.75

7.5 8.25
245 10.5
TOTAL HRS:126.50
ST 114.25x*130.00 $14,852.50

12.25x $150.00 $ 1,837.50
$16,690.00
22-055 - RIVERSIDE AVE. CENTRAL RECONSTRUCTION
CORP. TRUCKING HOURS - JULY 2023

EMPLOYEE OT
Richard Harms 1.75 0.00
James Kruck 2.25 0.00
Joshua Alcala 7.75 0.75
David Ambrose 7.00 0.25
Logan Clifton 7.75 1.25
Chris Contreras 0.00 0.00
Alex Espitia 0.00
Chris Gallagher 0.50
Travis Gates 0.50
Russell Guillen 0.00
Scott Haugen 1.75
Tyler Jayne
James Jones
Mark Lacroix
Anthony LaFord
Gilberto Luna
Juan Menchaca
Robert Montantes
Robert Neilson
Jessie Sandoval
Kevin Stalker
Mike Sultzbaugh
Joshua White

TOTAL HRS
For 21352 APPROVED BY • fois is possession toz
TOTAL MILEAGE TODAY SE SIGNED DAILY.

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORME 120 SIGNATURE, 3.0 OVERTIME THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH. 11.0 (i YES, have you filed an Accident Report, AND notified your immediate supervisor? 120736 NO Did you have an ACCIDENT today? Yes STATE LINE STRAIGHT TINE -

8.0 No Yes and notified your supervisor?
if yes, have you filed injury report STATE LINE
Were you INJURED on the job?
120616 START STAL TIRE ELAPSED
1L.0

ODOMETER

WE SIRFEC
4:15 5:15 P
DELAYS
ORI

REMARKS
6 2 1 NOON 10 2
3: ON DUTY
2, DRIVING 5 loads of grimdings

MERPOSING LINE NUMBER
1: OFF DUTY
HOURS 11 10 5 4 3 2 10 ON DELIVERY TICKETS.

TOTAL MID- TO CUSTOMER SHOULD BE NOTE: DI
3 8
4:15 4:00 Post-Trip.
1 8578-s 18.09 H 2:20 2:35 1:40 1:50 384483

18.03 12:20 12:30 1:007:15 384461

18.02 11:3511:50 11:00 384440

14.p0 18.10 10:00 |0:20 9:40 9:30 C.O. Rialto 384415 LIP. 1 C 19:20 9:25 8:45 8:20
7:55 1:30 11:20 7:10
bonds 7344234428-055 6:40 6:45 6:15 6:05 Corindings
857851 5:30 5:15 Pre-Trip.

DAY NO. LAP.

RECAP O.T. ST. MATERIAL YARDS END BEG. LEFT ARRIVED LEPT VIRUS BOUT G/L # EQ C/C RATE JOB # IN OF DROP LOAD

LOU CALT TIME TYPE TONS DELAYS UNLOADING LOADING
TRAILER #
_DATE 7/19, 23 TRUCK# 3245 EMP. / 787 Tasha White EMPLOYEE NAME. BASED AT:

TRAILER # LHP.

EQUIPMENT it any time during the day.
(ONE CALENDAR DAY • 24 HOURS) LHP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 and avaliable for field inspection
DRIVER'S DAILY LOG MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 his report must be kept current
Form "1352 APPROVED BY -
TOTAL MILEAGE TODAY OVERTIME.

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 1022 SIGNATURE /HR THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH __ yau iled an Accident Report, AND natilled your immediate supervisor? 11 YES. have 109478 Did you have an ACCIDENT today? STATE LINE - C RAIGHT TIME SHns
No Yes
STATE LINE TO. ACH FROM
No INJURED on the job?

START- ITAL TIME ELAPSED
109550 9HRS

ODOMETER
_HIMSHED HE SIAR "50
325 625 b
DELAYS
OR

REMARKS
10 (NOT DRIVING)
3: ON DUTY
2: D8IANG 4 LOANS Of GRINDINGS
1 OFF DUTY
HOURS 11 10 NOO 10 ER SHOULD BE NOTE: DEL
TOTAL
325 310 POST TRIP
128578-5 305 RUEL TICK

18.8864-10 240 225 155 C.O. MATO
3/41₴ 5384486

18.95 125 105 235 384463

18.84 159% 775S 1150 1130 RIALTO C.O. RIAUTO 384445 CHIP 1120 1115 1050
1035 1025 11000 RALTO 384925 C.O. RALTO
935 915

18.90314950 905 345 RANTO CORINTOO 4HP 384402
1½ 22-02 EMINOWES 335 830 310 IMP RIALTO TO
19 B35 730 708
9 857851 440 PNE TMP UMP
NANT.

O.T. ST. MATERIAL END BEG. LEFT LEFT
G/L # EQ C/C RATE JOB#

TIME TYPE TONS DELAYS UNLOADING LOADING
TRAILER #
TRUCK #3244 . DATE _ EMPLOYEE NAME BASED AT:

TRAILER # 1,19,0023 CHP
EQUIPMENT it any ume
PIP (Mediands Hot Plant) 8397 Alabama Sir, Redlands, CA 9231 LMP (Lylle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 ONE CALENDAR DAY - 24 HOURS) ind avallab
DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Betnardina. CA 92408

TRUCK DRIVER'S DAILY REPORT
APPROVED BY _ Right days
/
185 TOTAL MILEAGE TODAY - I certify those entries are TEE SIGNA ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. SIGNATURE THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY, YOUR PAY IS BASED FINISH Dear if YES, have you filed an Accident Report, AND notified your immediate supervisor? 125269. list - NO Did you have an ACCIDENT today? Yes -.. STATE LINE STRAIGT T..13_ .00 8
- No Yes - and notified your supervisor?
If yes, have you filed injury report STATE LINE
- No Yes - Were you INJURED on the job? START -.
125/64

ODOMETER

2.75 _FINISHED. p.m 445 ME STARTED
a.m
DELAYS
OR

REMARKS
10 4 NIGHT
MID-
Asphalt loads.

NOT DRIVING)
3: ON DUTY Graving leads.
2: DRIVING 27-8 Gal. Discl Feul
1: OFF DUTY
HOURS 11 10 5 4 2 NOON 10 NED ON DELIVERY TICKETS.

TOTA! GEABLE TO CUSTOMER SHOULD BE NOTE: DELAY
8 215 230 Post trp.
8578-5 1/4 2 30 3, 25
OUTYI Truck feol. Hold
DRIVERS 1989 1 - 15
30 HR/8 1/ / / Trukr 384473

1. 50 40 15
1985 12 1200 55
i2 50 30 ,. 5384484
I1 S0 45 17 25 1720
1970
1·15 i710 35 10 35 10 4284434
64/10 1030 25 і0 10 10.00 Geeing
3/4 РБ 1969 955 50 20 9 15
20-5- 384413
9/5 10 7 850 8 20
OTAL LINE 2
22-055 72
125 ic
852 55 g.00 7 30
19 85795 tripper, Side
14 1 00 645 Pre LMP
DAY NO.

RECAP O.T. ST. MATERIAL YARDS END BEG. LEFT ARRIVED ARRIVED G/L # EQ C/C RATE JOB# 1OB."/ CONTRAGTOR / LOCATION OF DROP

USED ONLY TIME TYPE TONS DELAYS UNLOADING LOADING
TRAILER# Month/Day/Year
1023 TRUCK#3237 Sandoral EMP. # 7577 DATE 07119 EMPLOYEE NAME Jessie BASED AT:

TRAILER#
EQUIPMENT at any time during the day.

RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LHP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Riaito, CA 92376 (ONE CALENDAR DAY - 24 HOURS) and available for field inspection DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 This report must be kept current

TICH TRUCK DRIVER'S DAILY REPORT
Form #1352 APPROVED BY DUPLICATE = Driver retans in his possession for eight Laye PAINTINO 1009387-0717
TOTAL MILEAGE TODAY /21 true and correct.

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. / 4R 35 min OVERTIME THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED SIGNATURE FINISH 10>565 ITAL TIME WORKED -
it YES, have you filed an Accident Report, AND notified your immediate supervisor? arok TES..... Did you have an ACCIDENT STATE LINE
SHR
No and notified your supervisor?
If yes, have you filed injury report STATE LINE 10_ INCH FROM ..

No Yes Were you iNJURED on the job?
START
107443 55 min PUR STAL TIRE ELATED

ODOMETER
HE STARTEO 5:15 PARMi 3:05 8
DELAYS
ORI
REMARKS.
10 4 2
(NOT DRIVING)
3: ON DUTY
2: DRIVING Lads of Giindings
5 1: OFF DUTY
URS 11 10 *Training PAyA 3 2 EXPLAINED ON DELIVERY TICKETS.

TOTAL ME CHARGEABLE TO CUSTOMER SHOULD BE
NOTE: DEL
8 134
2 8575-5 250 305 Post Trip
240 |250 FUEl TROCK
I.o5 2K0 "/ontold 11 470
1772 - 13г / 145- 11o5 -
3 84
451
11100 3541 41 1
/
/ /
''11. This, X00057205910.
i pay 11422055 54240.
852
8578-51
- - - PRE TRIP LHP
Rialto

GA-LEO G/C RATE MATERIAL END ARRIVED ARRIVED

JOB / CONTRACTOR / LOCATION OF DROP (OR LOSD)
iIME TYPE DELAYS UNLOADING
LOADING TICKET #
TRAILER #
23 TRUCK #3247 •DATEZ EMP. 7525 EMPLOYEE NAME! BASED AT:

TRAILER #
RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 9237 EQUIPMENT during the day:
(ONE CALENDAR DAY - 24 HOURS) available for tield inspection DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MAS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 nis report must be kept current

MATICH TRUCK DRIVER'S DAILY REPORT
Form F1352 DUPLICATE: Driver retains in his posses

TOTAL MILEAGE TODAY
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 128 SIGNATURE ITAL TIME WORKEC - THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED (if YES, have you filed an Accident Report, AND notilied your imme FINISH 318425 NO Yes Did you have an ACCIDENT today? | STATE LINE 2/½2 Yes and notified your supervisor? TO.

If yes, have you filed injury report STATE LINE
No Yes Were you INJURED on the job? START ITAL TINE ELAPSED 318297 7%½

ODOMETER
p.m. HE STARTED
FINISHE 3:20 7:50
DELAYS
OR

REMARKS
10 11 10
3: ON DUTY
2: DRIVING I load of Grindings

CORRESPONDING LINE NUMBER)
1: OFF DUTY
XPLAINED ON DELIVERY TICKETS.

OUR 11 10 5 4 1 11 NOON 10 7 10 NOTE: DELAY TIME CHARGEABLE TO CUSTOMER SHOULD BE OTA
DAY
80 HR/8
85985 '½ 2:50 3:20 Post trip Fuck
19 49 3/4 1:35 145 2:10 2:30 CO Ria140 384481
/1:2011:2012:10 12:801230 12:50/9531/2 Hilcrest Contr 1384446 637 19461/2 334 9:50 10:0010:30 10:40 Hill crest Confir 359140384416 TOTAL LINE 2 Gringly Riao
DRIVING HAS 22-055l 3 8:40 8155 9:20930
852
85785 750 8:10 Aresi Mia 140
DAY NO.

RECAP O.T. ST. MATERIAL YARDS END BEG. LEFT LEFT ARRiVED DE// CONTRACTOR/ LOCATION OF DROP WITH LOG BOOK G/L # EQ C/C RATE JOB#

ISED ONLY TIME TYPE TONS DELAYS UNLOADING LOADING
base Fill
TRAILER # BASED AT:

EMPLOYEE NAME JUAn MenDACON EMP# 2558 DATE 7119,23 TRUCK# 322! Rialso time during the day.

TRAILER# EQUIPMENT
AHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LHP (Lytte Creek Hot Piant) 3221 N. Riverside Ave., Rialto, CA 92376 ind available for field inspection (ONE CALENDAR DAY - 24 HOURS) CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 por must be kept current

DRIVER'S DAILY LOG

MATICH TRUCK DRIVER'S DAILY REPORT
Form #1352 APPROVED BY
119 TOTAL MILEAGE TODAY - MUST BE SIGHED
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM.

SIGNATURE Ihr 15 min
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINS... , 350 29
(f YES, have you filed an Accident Report, AND notified your immediate supervisor? NO Did you have an ACCIDENT today? Yes- STATE LINE OTPAGH/ TIME..

Shrs
No Yes and notified your supervisor?
x If yes, have you filed injury report STATE LINE
No Were you INJURED on the job?
START
29,231 ODOMETER 15 min 9hrs SIAL TLE CLAFSED
_ARE 3:55 61409 ""HE SWASTED
DELAYS
OR

REMARKS
11 NOON 10 2
IVING:
3: ON DUTY 4 loacks grindings
2: DRIVING line 5 Haul Back
70 MR/3

1. OFF DUTY
HOURS 11 10 4 2 1 11 NOON 10 TICKETS.

NIGHT CUSTOMER SHOULD BE
TOTAL MID- CHARGEABLE NOTE: DEL
1'4 8
3:5° 3:55 covid clean
283785 3:35 3:50 Post Trip
31 20 3:30 Truck. Fuel 11

18.60 3/4" 2:00 2110 2135 2:50 384489
1) 11
18,59 3/ц" 18.7, 1: 11500512:205 1000 Rialto /co 384471 384452

18.5734" 010310108301015,85 princings

18.5934" 384730
Rialto / Grindings 35y 405
73y 314 +205s 720022:2014550455 Grins ine Grindings (1
19 Grinding.
8578-5 6:40 6:55 Ітір Pre
LAP
RECAP MAAINT.

O.T. ST. MATERIAL YARDS END LEFT ARRIVED LEFT
MIR LOO BOUR G/L # EQ C/C RATE JOB# ARRIVED (OA.LOAD)
VOLU DINES TIME ГУРЕ TONS DELAYS UNLOADING LOADING

TICKET -
TRAILER # Month/Day/Year
/ 23 TRUCK#3256 7, 19 DATE EMP. #7576 EMPLOYEE NAMECinthony LaFord BASED AT: _ TRAILER # L/LP
EQUIPMENT # any lime during the day.

RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LHP (Lytle Creek Hot Piant) 3221 N. Riverside Ave., Rialto, CA 92376| (ONE CALENDAR DAY - 24 HOURS) and available for field inspection DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230| MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 MATICH TRUCK DRIVER'S DAILY REPORT This report must be kept current APPROVED BV.
120.0 TOTAL MILEAGE TODAY MUST DE S:GI ED D. OVERTIE
ON THIS REPCRT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORI. soho! Maul
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH immediate supervisor? 98803
NO Did you have an ACCIDENT today? Yes STATE LINE 8 STRAIGHT TIME No Yes →
If yes, have you filed injury report STATE LINE
-
No Yes Were you INJURED on the job?
98683 START
9 ODOMETER

3.1S 5.101.50
6 uls
DELAYS
OHI

REMARKS
10 2 NOON 11 10 s Loads of Asphalt
4 Loads of Gindings
3: ON DUTY
2: DRIVING Fie nou Flap "1:20- 1:30

1. OFF DUTY: CORRESPONIING
FULLY EXPLAINED ON DELIVERY TICKETS.

HITAS 11 1C 11 NOON 10
NOTE: DELAY TIME CHARGEABLE TO CUSTOMER SHOULD BE
BO TONS ANUS A 8
T8 DAYS 3115 3:00 Post trip LHP
DAIVERS 14 8578-5
3:00 2iSS Frel 32.0 Gal L He
80 HR/S

18.82 2.3> 2:20 1:50 1:45 n. 45384484
LINES 2 & 3

18.7L :IS 5 1:0 12:30 12:25 384 462

9.03 12:0 S 12:00 11:35 11:30 h
G1indlag -ull 1384 447 LHP
11:20 11:10 S° 16: 10:35 Grirdungs Geindur Rialdo

18.72 9:55 4:40 и LL
185782 Full 10:35 9:35 4;º S oriodings Rinito bindiego
9:10

18.74 9:05 8:50 8:30 8:20 LL =384400
OTAL LINE 2
RIVING HR: Ging 1 2: 3/4 z2-055 K5oll 8.20 8'15 V.SS 1.4S merrill Ave t-Riverside Ave t inedisj. valto 19 852 Full 7:20 T:15 6:SS 6:go c.o. Rielto orimding s LHP 8578-5 6.30 6:15 Pre trip LHP
DAY NO.

RECAP O.T. ST. MATERIAL END BEG. LEFT ARRIVED LEFT ARRIVED WITH LOG BCOK G/L # EQ RATE ORIGIN

USED ONLY TIME TYPE TONS DELAYS UNLOADING LOADING
TRAILER # Month/Day/Yes: (Please Print)
3248 7379 DATE 7 /19 /23 TRUCK#. EMP. # EMPLOYEE NAME Mark Lalcoik BASED AT TRAILER# LHP
EQUIPMENT day.

LHP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 RHP (Redlands Hot Plant) 8397 Alabama St., Rediands, CA 92373 DRIVER'S DAILY LO0 CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino. CA 92408

MATICH TRUCK DRIVER'S DAILY REPORT
APPROVED BY = Driver retains n
119 TOTAL MILEAGE TODAY
ON THIS REPORT, NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. SIGNATURE.

James Gones. 1/4
THIS IS YOUR TIME SHEET IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED 138810 FINISH 1, AND notified your immediate supervisor? i YES. have you illed an Accid Yes STRA.CHT TIME
NO Did you have an ACCiDEN Bioday? STATE LINE
8 No Yes and notitied your supervisor?
STATE LINE TO.

START
138691 ODOMETER 9¼4
ME 833760
300 545
DELAYS
OR

REMARKS
10 6
(NOT DRIVING)
3: ON DUTY
2: DRIVING 5' Loads Grindinss
1: OFF DUTY
FULLY EXPLAINED ON DELIVERY TICKETS.

YOURS 10 - MACERELE TO CUSTOMER SHOULD BE NOTE: DELAY
300 1245 -
245 240 Fuel
78 DAYS DUTTA STEE 8578+

DRIVERS
1978 125 138-200 208 389478
1927 I28E 109 V275 7215 557458
1977 114% 1140 7078 48L
64-10 1110. 1100 1925 1040
1778 3рь 1025 Ters 945 945
384418.
1%4 930 78-5 Sue. 840
LE 2 P10 800 740 125
2r-os- 70° 650 635 730 Rialto Grander
19 852
85795 Yy 54$600 Pre Trippersionaut CHP
RECAP O.T. ST. MATERIAL YARDS BEG. LEFT ARRIVED ARRIVED 08 # / CONTRACTOF / LOCATION OF DROP (OR LONG) ORIGIN WITH LOG BOOK G/L # EQ C/C RATE JOB#
USED ONLY TIME TYPE TONS DELAYS UNLOADING LOADING TICKET * TRAILER#
7/19,23 RUCK 3238 EMP. * 7285 DATE EMPLOYEE NAME L.HP BASED AT: _ TRAILER# one
EQUIPMENT if any time during the day.

RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 L.HP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 and available for held inspection (ONE CALENDAR DAY - 24 HOURS,
DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 HAD GA 92408 DiS (Main Shop) 3231 E, 3rd St., San Bernard his report must be kep

MATICH TRUCK DRIVER'S DAILY REPORT
Form #1352 APPROVED BY
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORMA. 120 TOTAL MILEAGE TODAY MUST THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED Tyler fore SIGNATURE So ming (if YES, have you filed an Accident Report, AND notified your immediate supervisor? 28155 FINISH..

NO Yes Did you have an ACCIDENT today?
STATE LINE STRAIGHT TIME :

No - Yes and notified your supervisor? 8415
If yes, have you fled injury report STATE LINE то_
No Yes - Were you INJURED on the job?
START.

ODOMETER 2 8 335 TAL 7IM2 CLA. SED
8 hrs 55 mins
605 IT STARTID
255
DELAYS
ORI

REMARKS
DUTY LAST 8 (NOT DRIVING)
3: ON DUTY 4 loads of Grindings

DRIVERS
2; DRIVING
1: OFF DUTY EASON FOR DELAY: (WA
1 NOON FULLY EXPLAINED ON DELIVERY TICKETS.

MID- CUSTOMER SHOULD BE NOTE: DELAY TIME
8 TOTAL HAS

OUT FORES
DRIVERS 8572-5
30 HR/B 240255 Pti
Rel Gal
18520i9.50 12555 172.00 384477
121. 10 CoRialto L4p 384456 Rialto

18.57 TIS 1100 LAP 3844411
64-10
3/чPG Kalo 232,025 LHP 384417
corialto Grindings

DRIVING HAS
14 22-0551 852 820729 1745 860 Srintings Rose Riatetsep 83/4 85785 605 620
DAY NO. PtI
RECAP O.T.

G/L # EQ C/C RATE MATERIAL YARDS END BEG. ARRIVED

ARRIVED 'RACTOR / LOCATION OF DROP

USED ONLY TIME TYPE TONS
DELAYS UNLOADING LOADING TICKET#
TRAILER # Vultueriter
13 TRUCK #258 7879_ DATE 7119 EMP. #_ EMPLOYEE NAME Tyler Jayne TRAILER# BASED AT:

LHp EQUIPMENT If any lime during the day.
(ONE CALENDAR DAY - 24 HOURS, RHP (Redlands Hot Plant) 8397 Alabama St., Rediands, CA 92373 LHP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376| DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 and avalable for field inspection MATICH TRUCK DRIVER'S DAILY REPORT This report must be kept current

APPROVED EY
OVER. ME.

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. SIGNATURE OTAL TIME WOR THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH - if YES, have you filed an Accident Report, AND notified your immediate supervisor? 7350 STATE LINE — STRAICHT THE -
NO Did you have an ACCIDENT today? Yes.- 8AK
No and notified your supervisor?
If yes, have you filed injury report STATE LINE
No Were you INJURED on the job? START.

OTAL WINE ELAPSED
10 AR

ODOMETER
_FIN.SHED "HE STANTED
4:20 61200
DELAYS
OR

REMARKS
11 10
Y loads of Grindings

NOT DRIVINGTI
3: ON DUTY
2: DRIVING OU HOLD DE PLAUS D

TICKETS
11 10 5 11 10 NIGHT STOMER SHOULD BE
allots
2 8 4:20 4:05 Post This
4;05 4:00 EstL
Y1 8578-5 4:00 3:55

18.76 + HeveBacK 3:25 3:10 2:00 11 384490

DRIVERS LAP
80 MR/S . 80 13: 1:35 1:30 2:50 02:55
11:40 383478
7 6 12112 1205 11:35 Lo Rintro

13.71 1358 1900(9:30 17:35
34-10 BinLto 210 RIME DEnSLOGE 384427 LAP
16 10:05 0'00 9:35 9:20 GRINDINGS TO LUP
64-10 18.71 9:20 8:45 384404
-IverripE Au LAP
ЗреРь
GH.207 8:35 8:30 8:10 7:05 / /
Grimes 7*11*422-6551 18 7:30 7iug 7:15 7:05
10 85385 6:35T 6:20 PRE TriP
DAY NO
RECAP O.T. ST. MATERIAL END BEG. LEFT ARRIVED LEFT ARRIVED CATION OF DROP G/L 7 50 C/C RATE
TIME ТУРЕ JONS DELAYS UNLOADING LOADING
TRAILER#
cant Aruba EMPLOYEE NAME BASED AT: _
EMP # DATE DATE 7119 RS TRUCK# 3260
TRAILER# EQUIPMENT it any time during the day.

LHP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 ind avallable for fleld inspection (ONE CALENDAR DAY - 24 HOURS) CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 DRIVER'S DAILY LOG "his report must be kept curren!

MATICH TRUCK DRIVER'S DAILY REPORT
APPROVED BY IGATE a Divertotaos in his possession for eight days ORIGINAL - File such day at home termina! TOTAL MILEAGE TODAY 124 OVERTI:E....

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. | HR THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH 183351
(if YES, have you filed an Accident Report, AND notilied your immediate supervisor? FINE...

NO Did you have an ACCIDENT today? Yes STATE LINE 8 HRS No Yes - and notitied your supervisor?

STATE LINE UNCH FROM
If yes, have you filed injury report
No Were you INJURED on the job? START.
9 HRS OTAL TIM" ELATED
183227

ODOMETER
HIS 3D
335 12=3701730 635
DELAYS
OR

REMARKS
3 10 9 6
MID-
GRINDINGS - 3 LOADS
3: ON DUTY
2: DRIVING #Ya-SLow PAVE - 5 MIN
FOR DELAY: (WRITE
1: OFF DUTY
TICKETS. NED ON DELIVERY
OUR: 10 8 5 11 10 8 NIGHT : CHARGEABLE TO CUSTOMER SHOULD BE NOTE: DELAY TIME MID-
335 320 MI
AYS
DRIVERS 8578-5 315 310 FUEL TRUCK "'
1/ 1978 1245 235 205 200 "1 384-98. /1
1969 740 130 1255 и) 5344109
1966 1230 1230 1225 1205 1140 1134 384450
uts 1030 1025 384432 CO RIADO 1HP_
at 1o25 955 935 GRINDINGS
1964 9301935 900 384409 CORALTO
quo 355 830 310 1/ 11
22-055 73y '½ 745 745 720 715 GRINDINGS RIALTO, CA RIALTO 852
8578-5 650 635 PTI
DAY NO.

RECAP O.T. ST. MATERIAL YARDS END BEG. LEFT ARRIVED ARRIVED FACTOR/ LOCATION OF DROP J08 # / COM (OR LOAD) WITH LOG BOOK L # EQ G/C RATE JOB # TICKET 2

TIME YPE TONS DELAYS UNLOADING LOADING
TRAILER# BASED AT:

TRUCK # 3228 ERD #7572 DATE 7 / 19/23 EMPLOYEE NAME TRAVIS R GATES LHP TRAILER # EQUIPMENT t any time during the
RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 Lytie Greek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 nd available for field inspection (ONE CALENDAR DAY - 24 HOURS; CHP (Cabazon Hot Plant) 13984 Apache Trail: Cabazon, CA 92230 (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 DRIVER'S DAILY LOG his report must be kept current

MATICH TRUCK DRIVER'S DAILY REPORT
Form #1352 APPROVED BY
OR:GINAL
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 122 TOTAL MILEAGE TODAY

SIGNATURE OVERTIME
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED 1

FINISH STAL TIME WORKED -
if YES, have you filed an Accident Report, AND notified your immediate supervisor? 109074 chine Allighes - NO Yes- Did you have an ACCIDENT today? STATE LINE.

No STRAIGHT TIME
Yes - and notified your supervisor?
If yes, have you fisd injury report STATE LINE.

No Yes INCH FROM
Were you INJURED on the job?
START
108954 DDOMETER 9 MAL TIME ELAPSED
330₴ F1:

NECTARTED 6 30
DELAYS
OR
10 REMARKS
NOON 10
3: ON DUTY
2: DRIVING Y loads of Grindings
1: OFF DUTY
HOURS 11 10 TICKETS.
5 NIGHT
MID- CUSTOMER SHOULD BE OTE: DELAY
8 330 315 TRIP
31o 505 RIALTO FURL
285785 MATICA
1885 24jD
2081305135 100 3844870
1889 1250
1881 1225 1131205123 384468
384449
S OS
18,81 v0S0 IDIO 1020 INS
8844280
1005 925 940
18,82 it76 845 850 920 q25 MARRIET RIVERSION
ЗіН, РG HIP 3844058 CO RIALTO
ETALTO
840 Q45 805 815
22-035 1½2 7734
852 710715735740 " RIATO GRINDINGS
9 85785
645 630 RiALTO TRIA UP
RECAP O.T. MANTARK
G/L * EQ c/C RATE ST. MATERIAL YARDS END BEG. LEFT
JOB # ARRIVED LEFT ARRIVED 108#/ CONTRACTOR / LOCATION OF DROP

TYPE TONS DELAYS OR LOAD

UNLOADING LOADING
TRAILER#
EMPLOYEE NAME CHRIS GRUNCHZR_ EMP + 7478 DATE 7109, 23 TRUCK +3241 TRAILER# LHP BASED AT:
(ONE CALENDAR DAY - 24 HOURS) AHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LMP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 EQUIPMENT any time during the day.

DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 ing avalable ion held inspection TRUCK DRIVER'S DAILY REPORT his report must be kepi current APPROVED BY 3UPLICATE = Diverter
certify these unt OVERTHE
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. TOTAL MILEAGE TODAY 12/ SIGNATURE 1. 75 MRS.

WORKED •
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY, YOUR PAY IS BASED FINISH. if YES, have you filed an Accident Report, AND notified your immediate supervisor? 139\37

STRAIGHT TIME
Yes Did yau nave an ACCIDENT today STATE LINE BARS
Yes TO. JICH FROM
if yes, have you filed injury report STATE LINE
No Yes Were you INJURED on the ob? START-
139316 ODOMETER

WE STATED
3: 1S
DELAYS
ASCHALt

REMARKS
11 NOON 10 GRINDINGS LOAD COUNT.

NOT OH.V.
3: ON DUTY To 10:00Am
2: ORIVING @ RACK FOR MATTRIAL INSP. 9:50 Am
1: OFF DUTY
lOURS 11 10 9 NIGHT SHOULD BE
ICTAL
13rg 8
3:15 3: 00 POST TRIP RIALTO CA LHP
12 857845 2:45 3:00 FUEL RIALTO CA
DAY
Lth

19.71 2:20 2:15 1:40 1:3S RIACTO
1:00 12:25 12:15 LIALTO Lt 3844919
,9.68

19.70 //:/5 11:20 RIALTO 0. [HP: 364443
11:50 1/:O5 10:45 O•S

19.76 10:30 10:20 19: 5. 9:35 C.O. RIALTO UP : 384421
1, 9:35 9:30 8:55
31464-10 19.06 8:40 8.20 8:10 C. O. RIALTO LHP = 384399 1'4 22-055 8:10 8:05 6004537:25147:45
852 7:05 6:55 16:20 ATS
19 9 3/y 85705 5:305.45 Lif
RECAP O.T. MATERIAL YARDS BEG. (CA LOAD ORIGIN
WITH LOG RATE JOB#

T'ME TYPE TONS DELAYS UNLOADING
TRAILER# (Piease Print)
123 TRUCK # 3239 DATE _EMP. # 7520 EMPLOYEE NAME. ¡ALTO CA ASED 7,19 LOUIAN CUFTON HP
TRAILER #
RHP (Redland's Hot Plant) 8397 Alabama St.. Redlands, CA 92373 (Lytle Greek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 (ONE CALENDAR DAY - 24 HOURS) CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 323 i E. 3rd St., San Bernardino, CA 92408

DRIVER'S DAILY LOG

ATICH TRUCK DRIVER'S DAILY REPORT

APPROVED BY - ORIGINAL
102 TOTAL MILEAGE TO!
ON THIS REPORT, NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. SIGNATURE 540 THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH _ YES. have you fled an Accident Report. AND notilled your immediate supervisor? 26937 NO Oid you nave an ACCIDENT today?. Yes STATE LINE STRAIGHT TIME. 8:00
No Yes and notilled vour supervisor?
It yes, have you tiled injury report STATE LINE_ TO.

No Yes - Were you INJURED on the 103?
START
26835 8:40

ODOMETER
2:50 6i100.E0-
DELAYS

OR LOADS

REMARKS
2 (NOT DRIVING)
3: ON DUTY
2: DRIVING TRUCK DowN 7525-8:15
1: OFF DUTY
HOTAS 11 10 2 10 TIME CHARGEABLE TO CUSTOMER SHOULD BE
NOTE: DELAY
13/y 8
'2 85745 Fuel PosttRip PAleMoNs: 20|2:501
DAY LHP:

18.743% N5 11301:552:00 UP 384476.
15,713/1 12:0012:05 122351/2:50 4HP 384455

18.65 3/4 16:0011:0511:3011:35 941384439
3598 2 3/4 . 3/4 18:29 0:304: 1575510:000 CAP 384414 Rialto / Rialto/Riverside 35 55 9:209:30
TOTAL LINE 2
DRIVING HAS 22-055 7 7:25 6155 7:007:20 Riverside Ave Rialto 852
19 6710 6125
834) 85795 PRetRip
RECAP O.T. ST. MATERIAL YARDS BEG. ARRIVED LEFT ARRIVED G/L # EQ CrC RATE JOB # / CONTRACTOR / LOCATION OF DROP (OR LOAD!

TIME TYPE TONS DELAYS UNLOADING LOADING LICKETP
TRAILER #
EMP. #0222@DATE 7119:23TRUCK+3254 DAVID AMBROSE EMPLOYEE NAME BASED AT:

TRAILER# EQUIPMENT any time during the day.

LIP MELON
RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LHP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376| nu avallable for meld inspection ONE CALENDAR DAY - 24 HOURS) CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 DRIVER'S DAILY LOG MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 his repon must be kept current

MATICH TRUCK DRIVER'S DAILY REPORT
APPROVED BY his possession for eight days ORIGINAL - Fite each dily at norma 120 TOTAL MILEAGE TODAY
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 1hR15 min THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH. 121343
(if YES, have you filed an Accident Report, AND nottied your immediate supervisor? ЗРАНТ ТІМЯ Did you have an ACCIDENT today? Yes STATE LINE - ShR
STATE LINE TO. INCH FROR...
yes, have you filed injury report
No Were you INSURED on the |0b 7 START. 2A-7013 CLA: 327 |21222 /Smin 9hR

ODOMETER
3:10 _FINICHED __
5:553
DELAYS
OR

REMARKS
11 10

THOT GRIVUIGI
3: ON DUTY
2: DRIVING U loads of Grindings

OFF DUTY

FULLY EXPLAINED ON DELIVERY TICKETS
11 10 TE: DELAY TIME CHARGEABLE TO CUSTOMER SHOULD BE
8 Post-TRip-RialLoCA2:55 3:10
12 85735 2:45 2:55 fuel TRUCK
DẠY
6 18.78111 140 2:152:20 U1:35 "'384450"

18.84 " 1:10 1'00 2:30 1112:20
314v 18.80 11:55 18:29 11:95 111:15
Grindings - 1110:35
314 18.00 0:30 9:95,0:20 1119:35 НР 13384422"
Sarindings 1:35 05 118:55 vindinys !!

18.73 314 8:55 8:35 8:15 18:00 LHP 2384398
TOTAL UNE 2
DRIVING HAS 8:00 7:55 7:35 11A 7:25 Grindings!
314 295253 852 6:50
19 7:00 6i25 6:30 versick Aur-Rialto Grindings meril ibe af 8578-5 5:556:10 Sia to u LHR
-
CAY NO. MAINT
RECAP O.T. ST. MATERIAL YARDS END BEG. LEFT ARRIVED LEFT ARRIVED. LOORTON OF DROP OR LOAD:

WITH LOG BOOK G/L. # EQ C/C RATE JOB #
TIME TYPE TONS DELAYS UNLOADING LOADING TICKET 0
TRAILER # (Please Print)
7580 DATE 7 / 19/23 TRUCK #3242 EMPLOYEE NAME VOShua AlCala EMP.#= LHP BASED AT: _ TRAILER# EQUIPMENT
RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 Riaito, CA 92376 LHA (Lytle Creek Hot Plant) 3221 N. Aiverside Ave. nspection (ONE CALENDAR DAY - 24 HOURS) CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, DRIVER'S DAILY LOG opi current

MATICH TRUCK DRIVER'S DAILY REPORT
Form 11252 APPROVED BY liver tailindin this cobrassian for giant dayli ON THIS REPORT NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM TOTAL MILEAGE TODAY 122 MUST BE S GI

SIGNATUR
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH — (YES, have you wiled an Accident Report, AND notified your im 1/01360 Did you have an ACCIDENT today?: Yes STATE LINE.

STATE LINE
Were you INJURED
401238 START
ODOMETER 7
FISHED ME STANTED..
220 720
DELAYS
OR

REMARKS
3: ON DUTY
2: DRIVING
1, OFF DUTY
HOUAS 11 10 4 10
8 SHOULD BE NOTE: DEL
7 650 205 220 Postiap LHP

19.51 ч0i-10. 34 FE 155 150 124 120 RiALTO 384475 RiALtO г 4
44-10 19.59 1135 12:30 1I:SS 1/02 1055 uplant 384438
12:30
12-055 3/4 7 2%41 19.45 1030 1015 952 930 PLIALTO. RIALTO 384420 639 и 2
637 641-10 19.45 855 840 750 740 Lip/and blerest 384394 650 735 PReTRIp LAP
720
RECAP O.T. MATERIAL END BEG. LEFT
G/L # EQ JOB# ARRIVED JOB A I CONTRACTOR/ LOGATION OF DROP (OR LOAD)

TIME TYPE LOADING
TRAILER# Month/Day/Year
123 TRUCK # 3208 EMP. #92580 DATE 711G Kruck JAmes EMPLOYEE NAME Z LHP BASED AT:

TRAILER#
RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 EQUIPMENT it any time during the day.

LHP (Lytie Creek Hot Plant) 3221 N. Riverside: Ave., Rialto, CA 92376 CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230) and available for field inspection DRIVER'S DAILY LOG Bernardino, CA 92408 MS (Main. Shop) 3231 E. 3rd St Inis report must be kept current

CH TRUCK DRIVER'S DAILY REPORT
APPROVED BY SIGINAL • File each dav at come
OTAL MILEAGE TOO. SIGNED DAIl
ON THIS REPORT. NO TIME WILL BE PAIO UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 167 OVERTILE THIS IS VOUR TIME SHEET. IT MUST BE TURNED IN DAILY, YOUR FAY IS BASED SIGNATUR

FINISH,
DIYES, have you filed an Accident Repon, AND nottien your imme 180975 DENT oday? STATE LINE
Yes 8.0
STATE LINE. TG...

Were you
180808 STAT-...
80 hous STAL TEE CLAPLED

ODOMETER
FINEE 3:40 NECTRICO..
7:40
DELAYS
OR

REMARKS
11 3: ON DUTY To aul from JoB. • Trans
2: DRIVING 2 Trans service light at ward ISS- 15s Winerich. 1: OFF BUTY
URS
TO CUSTOMER SHOULD BE NOTE: DELAY
1650 3:40 3:25
PTI 11
3:20 375 Fuel30% 11
22-053 195224185 344 2:35 1:43 1:35
639 2:50 384482
Merrill a Ra,Ave.
1) 19.84 12:55 12:35 11:56 11:35 384453
85782 19:52 12:00 10:45 9:57 9:40
=384424
637 12 No 5% 19,47 9:05 8:45 7:55 7:55 upland, CA Hillerest 384395 650 1it5 + Central
7:55 7:40 PT.I. LAD
HECAP O.T. ST. MATERIAL YARDS
G/L # EQ C/C HATE JOB # END BEG. LEFT ARRIVED LEFT ARRIVED 102#/CONTRACTOR / LOCATION OF DROP ORIGIN
TYPE TONS DELAYS UNLOADING TICKET*
TRAILER# (Please Print)
123 TRUCK # 3230 EMP. 92785 DATE 7/19 EMPLOYEE NAME Kichanttarms BASED AT: Lial TRAILER #
F/HP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 EQUIPMENT at any time during the day. (ONE CALENDAR DAY k Hot Plant) 3221 N. Riverside Ave., Rars,A 923/8 CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 and available for field inspection DRIVER'S DAILY LOG IS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 MATCH TRUCK DRIVER'S DAILY REPORT nis repon must be kept current www.ewbills.com Page NTS Untversal Bill Form
218,585.93 Bill Total + Date: 09/05/2023 Be, finer Contractor: Date Rocelved: Returned for Correction [Resubmital None Dale: Customer: Date of Action: Approved for Payment •New BIll Accepted: For Owner/Resident Engineer's Use Only
218,585.93 Bill Subtotal
310.700 L32 LBR LG4
1,019.200 77.110 8.00 L31 LBR LG4

32.350 LSO LBRAP LA1
407.460 41.040 8.00 L29 LBRAP LA1
218,585.93 Work Total

80.735 E Navarro L28 OE OG6
1,307.800 98.530 8.00 E Navarro L27 OE OG6

80.855 JA Lamas L26 OE OG8

98.650 8.00 JA Lamas L26 OE OG8
218,585.93 Activity Total
L2A OE OF8
101.990 8.00 L23 OE OF8
L22 LBR LG4
77,110 8.00 L21 LBR LG4
L2D LBRAP LA4

50.970 8.00 L19 LBRAP LA4
A Cortez L18 LBR LG4
164,192.40 Material Total 77.110 8.00 A Cortez L17 LBA LG4 21,416.40 15.00% MU ... BAyon Li6 LBR LG4
142,776.00 Subtotal 77.110 8.00
B Ayon L15 LBR LG4
Materlal Charges J Valente L14 OE OG6
25,554.10 Equipment Total 98.530 8.00 J Valente L13 OE 0G6 3,333.14 15.00% MU L12 OE OG8
22,220.96 Subtotal 98.650 8.00 L11 OE OG8
Equipment Charges P Moreno LIO OE OG8

98.650 8.00 P Moreno LDE OE OG8
28,839.43 Labor Total JW Kinzle LOB OE OG8

4.806.57 20.00% 98.650 8.00 JW Kinzle L07 OE OG&

0.00 Other Expenses M Garcia Los 0E OG6

0.00 Subsistenae 8.00 M Garcia LOS OE OGG
24,032.86 Subtotal Labor J Cleland LOt OE OGG

8.00 J Cleland Los OE OG6
8,352.42 OT/ĐT Labor M Fonville LO2 OE OFB

8.00 M Fonville LO1 OE OF8
15,680.44 AT Labor Subs Rate Subs Units RT Hrs Craft/Level.

Labor Charges Labor Charges
7/20/2023 Perform Date Report No. Description of Work: PAVE RHMA, GRIND AC 8/25/2023 Report Dale Work Performed By: Matich Corporation 116.0 Billing Number Contrado a ° 2-055 - RIVERSIDE AVE. - CENTRAL RECONSTRUCTION Contractor Job:
300 Change Order Contract: 220804

DAILY EXTRA WORK REPORT
www.ewbills.com 2 Page NTS Universal BAl Form
218,585.93 BIR Total + Date: 09/05/2023 Contractor:

Date Received: Returned for Correction •Rosubmital
None Date: Customer: Date of Action: Approved for Payment Accepted: For Owner/Resident Engineer's Use Only
218,585.93 Bili Sublotal
2,271.00 757,00000 3.000 EA Matich Corporation / ASPHALT EMULSION 7/20/2023 MO2 281281 121,991.40 1,355.46000 90.000 TON Matich Corporation / MATERIAL - RHMA-G 7/20/2023 Mot 072023 Extended Unit Price Units Vendor Name and Description Number 218,585.93 Work Total Material/Speciallst Work/Lump Sum or Unlt Price Payment 1,336.860 10.50 30-40 TRMD E14 5027
3,419.625 12.50 M2 NESC Exa 5026
886.620 10:50 36-48 Т&TT E12 3207
218,585.93 Activity Total 1,118.830 13.25 36-48 T&TT E11 6070 437,680 8.00 12-20 T&TT E10 7275
339.120 8.00 06-12 T&TT E09 7287
7,685,400 12.00 W210 WIRT E0B 15160
572.265 13.50 06-12 T&TT E07 7283
519,390 9.00 20-28 T&TT E06 7270
1,057.410 9.00 7000 CAT E06 16130
164,192.40 Materlal Total 2,970,900 9,00 AP1055F CAT E04 15159 681.245 9.50 8062 CAT E0З 16138

21.416.40 15.00% MU 750.500 10.00 CAT
GB534B E02 16127
142,776.00 Subtotal 445.095

10.50 06-12 T&TT E01 7296
Material Charges Extended OT Rate Delay Factor OT Hrs AT Hrs AT A2 Model Make Equipment ID 25,554.10 Equipment Total Equlpment C
3,333.14 15.00% MU 868.196 97.890 77.290 2.75 7.75 M Thompson 116 TMS TG5 22,220.96 Subtotal 242.205 161.470 1.50 R Follett L45 OE 0G6 Equlpment Charges 1,307,800 129,890 98.530 4.00 8.00 R Follett L44 OE OG6 863.045 97.890 77.290 2.50 8.00 S Martinez L43 TMS TG5
28,839.43 Labor Total 148.400 118.720

1.25 E Forsythe L42 TMS TG5
4,806.57 20.00% 1,009.880 97.890 77.290 4.00

8.00 E Forsythe L41 TMS TG5

0.00 Other Expenses 37.220 74,440 0.50 J QUEZADA JR.

LAO LBRAP LA3

0.00 Subsistence 428.190 60.110 46.010 1.00 8.00
J QUEZADA JR. Las LBRAP LA3
24,032.86 Subtotal Labor 59.835 119.670 0.50 CT Morgan L3a LBR LG2 986.480 97.100 74.760 4.00 8.00 CT Morgan L37 LBR LG2
8,352.42 OT/DT Labor 161.750 64.700 2.50 J Escobedo L36 LBRAP LA1 539.360 52.760 41.040 4.00 8.00 Escobedo L35 LBRAP LA1
.15,680.44 RT Labor 186.420 124,280 1.50 JM Diaz 13ALBR LG4 Labor Charges 1,019.200 100.580 77.110 4.00 8.00 JM Diaz 1.39 LBR LG4 7/20/2023 Perform Date Report No. Description of Work: PAVE RHIMA, GRIND AC 8/25/2023 Report Date Work Performed By: Matich Corporation 116.0 Billing Number Contractor Job:
300 Change Order Contract: 220804 Cite dr Pal 22-055 - RIVERSIDE AVE. - CENTRAL RECONSTRUCTION

DAILY EXTRA WORK REPORT
www.ewbllls.com Page NTS Universal Bill Form
218,585.93 BIl Total+ Date: 09/05/2023 Borgim Contractor: Date Received: LRosubmltal Retumed for Correclion None Date: Customer: Date of Action: Approvad for Payment Now BIll Accepted: For Owner/Resident Engineer's Use Only
218,585.93 Bil Subtotal
218,585.93 Work Total
218,585.93 Acttvity Total
164,182.40 Material Total

15.00% 21.416.40 MU
142,776.00 Subtotal
Material Charges
25,554,10 Equipment Total
3,383,14 15.00% MU
22,220.96 Subtotal
Equipment Charges
28,839.43 Labor Total

4.806.57 20.00% MU

0.00 Other Exponsos

0.00 Subsistence
24,032.86 Subtotal Labor
8,352.42 OT/DT Labor
15,680.44 10,657.50 RT Labor 10,657.50000 1.000 LS 7/20/2023 Mattch Corporation / TRUCKING M04 072023 Labor Charges 7,866.10 7,858.10000 1.000 LS 7/20/2023 PRS LOGISTICS, ONC. / TRUCKING - GRINDINGS MºS 202307-237 7/20/2023 Perform Date Report No. Description of Work: PAVE RHMA, GRIND AC 8/25/2023 Report Date Wark Performed By: Matich Corporation 116.0 Billing Number 22-055 - RIVERSIDE AVE. - CENTRAL RECONSTRUCTION Contractor Job:
300 Change Order Contract: 220804 City Of Rialto

DAILY EXTRA WORK REPORT
PACIFIC TIMESHEET Brett Simon | Logout | Help 1!
Home My Timesheet My Assets and Logs Crew Timesheet Timesheets Approvals Leave Requests Assets and Logs Cast Codes Employees Reports Grew Timesheet Crew Dashboard Wed Aug 1
Crew: Michael Fonville Crew v Day: 1 Thu 7/20/23→ Job: 22055 | Time Materials Foreman Legs Sub-Contracters
Cost Code: 22055-204-01-PAVE RHMA Totals
Job Class DT EQ Hours
Michael Fonville 1217 07296 8.00 3.00 0.50 10.50 11.50
Jose Cervantes 1179 0.00
Johnathan Cleland 1106 OE- 16127 8.00 1.50 0.50 10.00 10.00 Robert Diaz 0.00
Marcos Garcia OE-6 8.00 1,00 0.50 9.50 9.50
Justin W. Kinzle OE-8 0.50 0.50 9.00
Paul Morene 1650 0.50 0.50 9.00
Edua do Navaro 0.00
Gilberto Rodriguez Ji 5089 OE-8 15159 8.00 1.00 0.50 9.00 9.50 Jim Valente 1432 16130 8.00 0.50 0.50 9.00 9.00
Rodrigo Arellane 0.00
Barnabe Ayen 6239 L-4 8.00 0.50 0.50 9.00
Alexander Corte: 5078 8.00 0.50 0.50 9.00
Jorge Cortez Garcia 5041 APP OE 8.00 0.50 0.50 9.00
Nolberto Gonzales 5073 L-4 07270 8.00 2.50 0.50 9.00 11.00 Noe Hernandez 5061 0.00
Jose Quezada Jr. 5053 0.00
Irving Reyes 6563 0.00
18 Employees 88.00 12.00 5.50 57.00 105.50
• Time Entry Details
Submitted by Michael Fonville on 7/22/2023 12:16PM Project Manager Approved by Michael Angelo Alvarez on 7/24/2023 12:35PM Powered by Pacific Timesheet © 2000-2023
Pomand by Pasilk Tenantees 0 2000-2023
• Project Manager Approved by Michael Angelo Avarez an #evels deal 00080003550127573825764751 8.00 38.00 12.50 1.50 28.00 0.00 0.00 C.00 0.00 10.00 4.50 1.25 15.75| 4.50 24.00 3.00 8.00 4,00 2.50 12,50 11 Employees 8V.00 300 250 5207 480 1•5

13.60 8.00 2.00 2.001.525 a.co 8.00 2.00 Evan Eeanze
400 G.UU
04240000 400 N400030 2008 6% Cash Mossas
200 2.00 2.00 MY VICTO

1.50 13.50 0.00 4.00 5020 L+
200 2.00 3.00 2,00 VECS 090 69

0.50 10.00 0.00 400

0.00 3100
400 050 200
1230 400 D800 i Edents Migraza

0.00 0.50100 240 Lanes

8.00 4.00 250 14.50 13.50 07283 Barat DeLice
Tossi
Job: 22035 / 0
100 69 060
Crew Timeshen
Sysam Reports Emplayoos Assets and Logh Cost Codes Timeshatts Approvals My Timesteal My Aere's and Loge

PACIFIC TIMESHEET
roscreati Pact timesher: 5210413133
/ Prolect Manager Approved by Michael Angelo Alvarez on 7/24/2023 12:40PM | ~ summateo Dy Russer Forel on 15202023 8:09PM • Time Entry Delais
100 1.00 0.20 0 4:00 1.50 13.50 14.90 00000 000 000 0.00 0.00 0.00 0.00 0000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 2.50 0.50 6.00 4.00 0.00 1 CHU COs

1.50 1.00 0.90 8.00 4.00 7.50 13,50 12.53 0.50 0.00 4.00 00075 COS COdE: GREW 22032-012-01-PAVEMA 223018-005-05-APAVING CREW 23002-008-03-SWEEP 23018-003-05-SWEPER 23000-008-05-SWEEPER 23002-UUS-05-SWEEZ2064 047=03-SLO1PATCH 22035 202=024SWEPING22056-203-03 SWEEPING ZUS9 25004 OUTO 2030 JOD:

COMER LOOS 200B382
V Day: Is 7120122 Crew. X-Broom Sweeper Crew
APPROVED BY RIGINAL File each
54 OVERTIME
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. SIGNATURE 3,0 THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED Muha 1 YES; have you led an Accident Report, AND nothied your immediate supervisor? STRAIGHT TIE.
-NO Yes Did you have an ACCIDENT today? 8.0
No ed vour supervisor? -. TO. UNCH FROM _...

Il yes. have you fled lojury raport TATE LINE X
54 Were you INJURED on the job?
START
5670 110

ODOMETER
5724 - FILMED T'S STAP"E0
5 615 ฿
DELAYS
OR

REMARKS
11 NOON
3: ON DUTY
2: DRIVING
HOURS 10 3 NOON 10 TO CUSTOMER SHOULD BE NOTE: DELAY
FOTAI
83 14 8579-5 500515 - - os Tirit ms
TOTAL. LINE 2
DRIVING B5 2/25/23 204-5 7341231422-055 Gals 757 Zialto fontana 22-055 700 715 745 430
11) 857851 Tons 3.22 551414 6'5 630 Pretril MS
DAY NO.

RECAP O.T. MATERIAL YARDS END BEG. LEFT / LOCATION OF DROR JCB=1.00 WITH LOG BOOK G/L # EQ C/C RATE JOB # ORIGIN :

USED ONLY TIME TYPE TONS DELAYS UNLOADING
TRAILER # Month/Day/Year
DATE BASED AT: San Bernar DeO SPLOYEE NAiL In Thomf5m
TRAILER # 7.20 23 TRUCK #5027 EMP. #7390 al any time dunng the day.

EQUIPMENT
RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LHP (Lytle Greek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 and available for tield inspection ONE CALENDAR DAY • 24 HOURS.

DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 This report must be kept current

MATICH TRUCK DRIVER'S DAILY REPORT

MATIC R FORM
• PRELIM YES / NO
A/R V UCHER TICKET #
TRAN. #

NAME RHP
CHP AGG EQ INV. #
PHONE CUST. #
DATE REQ. - 7-20-23
CO. NAME
JOB LOCATION 22-055

CITY OF RIALTO
EQUIP.

SPEC. INSTRUCTIONS RIALTO.

TONS MIX IST LOAD ON JOB
T & T T& P 10 WHL - BD TPH
PRICE APRV PREP. BY CKD. BY P.O. NO.

PRODUCT CODE PRODUCT DESCRIPTION

QUANTITY UNIT PRICE
3601 RHMA-G_ 1355.46 $90.00
3607 HAUL 1355.46
22-055 32n7
204-2 *7/31
Tatal = $ 121, 991.40

DEPARTMENT INITIALS

ORDER DESK
SALES/ENGR.

BILLING

ACCOUNTING
OTHER
PLANT LOCATIONS • 8397 Alabama TOLL FREE ORDERS
• 3221 N. Riverside Ave. Redlands, CA 92373 • C.O.D.

Rialto, CA 92377 (800) 404-4975
909-792-3650
MATICH 909-356-0537 MAILING ADDRESS • CHARGE
• 13984 Apache Trail Proland, CA 92346
A CORPORATION Cabazon, CA 92230
951-849-8280 281281

SOLD TO WEIGHMASTER CERTIFICATE
THIS IS TO CERTIFY that the following described commodity was weighed, measured. or counted by a weighmas whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commenc Bobbana CiTY of Rialto with Section 12700) of Division 5 of the Calitornia Business and Professions Code, administered by the Divisior Measurement Standards of the California Department of Food and Agriculture.

Riverside Ave DEPUTY
MATICH CORP. WEIGHMASTER
ACCT./JOB TRUCK TONS PRODUCT PRODUCT INFORMATION
50Z7 3.22 asphalt Emulsion
GROSS 46067
TARE 39621
055
NET 6441
TonsuSeD 3022
TONS
FWD
Gals USeD 757 TOTAL
TONS 257
LOAD
NO.

DRIVER
22-055 35 • ON • OFF

LEAVE PLANT ARRIVE JOB
204-4 7/28/23

LEAVE JOB DELAY TIME
$3.00 per gal

MATERIAL
BY
NOTICE: It is agreed between buyer and seller that sE
is consummated and title passed at plant site. Mater
only subject to sales tax.
7-20-23 mike fung NOTICE: COMPANY ASSUMES NO RESPONSIBILN Comments FOR DAMAGE INSIDE CURB OR PROPERTY LIN
UNLESS OTHERWISE AGREED. ALL ACCOUNTS AF
DUE AND PAYABLE IN 30 DAYS. INTEREST AT TH

LEGAL RATE APPLICABLE, WILL BE ADDED TO AI
DELINQUENT ACCOUNTS.

Form 7772 1-White - Office 2-Pink - Copy 3-White - Plant Invoice: 202307-237
Date: 07/24/23
5618 BORWICK AVE. DTS Job: 07/01/23-237
/ SOUTGATE CA 90280 Cust. #: LR00099
Office: 5628033600 Fax: 5623817011
Customer Job: 22-055
RECEIVED Origin: MERRILL AVE/RIVERSIDE AV

MATICH CORPORATION RIALTO, CA
PO BOX 10 JUL 25 2023
HIGHLAND CA 92346

MATCH CORP,
Date Ticket Code Description Qty Rate Amount
07/20 03310415 V006105 MERAS GROUP LLC ·10.70 129.00 1,380.30 07/20 6835731/ V005895 LEONARD S LOPEZ T 9.90 129.00 1,277.10 07/20 7122893V005500 TERRIQUEZ TRUCKINGINC. - 10.00 129.00 1,290.00 07/20 8855250V005470 OREJEL TRUCKING / 10.00 129.00 1,290.00 07/20 9334465/ V005895 LEONARD S LOPEZ / 10.00 129.00 1,290.00 07/20 9684541Y80678 PRS LOGISTICS, INC. 710.30 129.00 1,328.70 Total Qty: 60.90
Amount: 7,856.10
22-055
204-02MA81111

60.9hrs $7,8.56.16
Thank you for your business
Net 30 Days. Unpaid balance is subject to 11/2% service charge per month and any and all cost of collections.

TRAnayas Page 1 of 1
MATICH

CORPORATION
Engineering Contracfors/Asphalt Sales
DATE:07/20/2023 CITY OF RIALTO #22-055
DRIVER TRUCK TOTAL HRS FOR THE DAY | TOTAL HRS ON THE JOB GRAVES 209
ALCALA 11.25 10.5
CLIFTON 11.75
GATES 8.5
HAUGEN 10.5 3.25
JAYNE 8.75
JONES 11.75 11 -
LAFORD 256 10.5 3.5
MENCHACA 221
NEILSEN 238 11.25 10.5
STALKER 224 8.75 1.25
SULTZBAUGH 11.75 =
WHITE 245 11.25 10.5
e130 -
TOTAL HRS:78.25

54.00X*130.00 $7,020.00 150-
ST

24.25x$150.00 = 73,637.50
$10,657.50
22-055 - RIVERSIDE AVE. CENTRAL RECONSTRUCTION
CORP. TRUCKING HOURS - JULY 2023
DATE
7/20/2023

EMPLOYEE ST OT
Tristan Graves 1.00 0.50
Joshua Alcala 7.75 2.75
Logan Clifton 7.75 3.25
Travis Gates 1.25 0.00
Scott Haugen 1.00 2.25
Tyler Jayne 1.00 0.50
James Jones 7.75 3.25
Anthony LaFord 1.50 2.00
Juan Menchaca 0.75 0.75
Robert Neilson 7.75 2.75
Kevin Stalker 1.00 0.25
Mike Sultzbaugh 7.75 3.25
Joshua White 7.75 2.75
TOTAL HRS 54.00 24.25

APPROVED BY

PRINTEG
143 TOTAL MILEAGE TODAY C VERTIME
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FOAM. SIGNATURE THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY, YOUR PAY IS BASED 3.15 11.15 (ir. YES, have you filed an Accident Report, AND notified your immediate supervisor? FINiSH 120880 NO Yes Did you have an ACCIDENT today? STATE LINE STRAIGHT T.NE

8.0 Yes and notified your supervisor?
If yes, have you filed injury report STATE LINE TO
- No .. Yes Were you INJURED on the (0b?
START
STAREER 120736 11.1.
4:30 FRESHED BE STANTED
5:15
DELAYS
OR

REMARKS
2 GOT DRIVING,
3: ON DUTY
DRIVERS & loads of grindings
2: DAIVING
70 48/7 1
HOURS 10 6 5 4 11 NOON 10 NIGHT SHOULD BE

TOTA MID-
3'y 4:10 4:05 Firel
12 85795 17.97 2:50 3:00 13:35 3:40 384629
DAYS SURTA. 1:15 130 1:55 2:20 2:15 |2:20 18.41 384609
18:10 12:00 12:30 12:45 11:50 384583 11

18.15 1110 11:20 10:25 10:45 384557

18.03 9:45 10:00 9:0ó 9:20 384527
40-E
RHMA 18.70 8:25 7:45 7:45 8:10 C.О. Rialto. 384504 LItP. 734 23429-035. 6:55 1:05 1:30 1:35
11'4 85795 Grids vy 6:05 6:25 6:35 6:00 condings
Post -Trip. 4:15 - 4:30 LHP. 5:30 5:15 Pre-Trip.

LHP.

MAINT.

RECAP MATERIAL
G/L # EQ RATE I OF DROP OR LOAD!
DELAYS UNLOADING LOADING TICKET #
TRAILER #
EMPLOYEE NAME BASED AT:

TRAILER# LesteR ChEM 7087. 0. 7,20123 MUCK 3245 LHP. at any time during the

EQUIPMENT
LHP (Lytie Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA9-376 FHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 ONE CALENDAR DAY - 24 HOURS! CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 and availabie for field inspection DRIVER'S DAILY LOG MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408| This report must be kept current

ILY REPORT TRUCK DRIVER'S
Form =1532 APPROVED BY
146 TOTAL MILEAGE TODAY AUST SC SIGNEO DA CERTIE -
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM THIS IS YOUR TIME SHEET IT MUST BE TURNED IN DAILY, YOUR PAY IS BASED 3 HRS 45MINS SIGNATURE WORKED - PINISH.
(EVES, nava you filed an Acodent Repon, AND notilled yoürimine diate super 109824 YaT— Did you have an ACCIDENT tody ? STATE LINE 8 HRS
No and notified your supervisor?
Lyes. have you filed injury report STATE LINE TO
YeS... Wore you INJURED on the 1003
START.... MAL TE'C ELAPSED
109678 ODOMETER AHAS 45 MINS
Ms: = 525 *=W7D 540
DELAYS
OR

REMARKS
10 MID-
3: ON OUTY
= DRIVING To lads if Grindings
1: OFF DUTY
URS 10 2 NIGHT ER SHOULD BE
TOTA
8 334 525 510 PosT MMP
500 505 HIP:
8375-5 armonas CANCELLED 425 430 CHP RAUTO 70

18.89 Ш1P406 400 330 315 RIALTO 384637

18.93 RHMA 420 235 205 207 LIP.
138462)
GRIMDiNaS 155 150 13,03 125 ШНР мАто то
120 115 1252 124º RAUTO C.О. R,АСТО toP 384596
GMADINOS 1235 1230 1205 1200 IMP CARTO TO

18.80 PHERE 1155 150 1125 1120 RIALTO С.О.Л,АЧТО 1384574 1115 1110 1000 1035 11 г пАсто то

18.84 RAmE- 1030 10<0 205 .940 CAP 384502 CO. MAUTO
тимона. 935 930 9,00 850

18.91 PHANE RIALTO
845 B10 805 MALTO LP 2384513 C.o. BIALTO
73ry 34422055 B5Z GRINDINES 800 155 730 125 LMP RIALTO TO 20 656 1050 625
1/34 85795 555 540
PRE TMP L18
HAINT.

RECAP ST. LEFT
WITH LOG BOOK G/L # EQ JOB * STION OF DROP

SHOVET TYPE TONS UNLOADING LOADING
TRAILER #
TRUCK # 3244 DUVIBAUGH EMPLOYEE NAME... BASED AT:

TRAILER # DATE 112020,23. EmP 1415 MIKe C
RHP (Redlands Hot Piant) 8397 Alabama St., Redian (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376, EQUIPMENT it any time durin ds, CA 92373
¡ONE CALENDAR DAY • 24 HOURS)
DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E: 3rd St., San Bernardino, CA 92408 ep: current
Form =1352 APPROVED BY 101 89 0ay5

PRPRITING

TOTAL MILEAGE TODAY
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 176 SIGNATURE THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED 187525 FINISH..... 50 MiN diate supervisor? I YES, have you filed an Accident Report, AND notified your im Did you have an ACCIDENT today? Yes STATE LINE STRAIGHT TRE and notified your supervisor? BHAS
It yes, nave you filed injury report STATE LINE
Yes Were you INJURED on the job?

START ITAL TIRE FLAPSED

ODOMETER HRS SOMIN
181409 3:30 х NE SHRTED
DELAYS 6:40
OR

REMARKS
10 NOON NIGHT
MID-
(HOT DRIVING:
3: ON DUTY
AT 7.00AM.
2: DRIVING
Зм'ТС ГройТих 3233 те3224
1: OFE DUTY
11 10 2 CKETS, DELIVERY
JOURS 11 NOON 10 NIGHT TO CUSTOMER SHOULD BE
MID- NOTE: DEL
8 3y
'2 85795 3:15 3:30 DOET TRIP
3:053:10 - FUEL
1 4 22-055 • 6340€ 1:451552:252135 LIALTO 384119%6 RIALTO PORE 23° 639 RUMA
1964 12:20 123020511D 304532
15,58 1045 |DS 11:30/1:40 384564

19.57 910925 100010115 384533
637 1D 6
95371 86 LINITEDPAVINE RUBID 711S 8 00 8358:45 32450)
834 857951 6:70 6i55 PRE TRIT
RECAP O.T. ST. MATERIAL YARDS ENE BEG. LEFT LEFT
G/L # EQ RATE JOB # CATION OF DROR

TIME TYPE TONS DELAYS UNLOADING LOADING
TRAILER # Month/Day/Year
_ DATE 7 2O STRUCK 3Z0 BASED AT: -
TRAILER#

EQUIPMENT
(ONE CALENDAR DAY • 24 HOURS) 3224 avallable ior field inspection DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 nis report must be kepi current

MATICH TRUCK DRIVER'S DAILY REPORT

APPROVED BY
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. - TOTAL MILEAGE TODAY 145

SIGNATURE
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY, YOUR PAY IS BASED FISH 138955 (YES, have you filed an Accident Report, AND notified your in . NO Yes... Did you have an ACCIDENT today? STATE LINE SHR STRAISHT THE - No Yes i and notified your supervisor?
If yes, have you filed injury report STATE LINE
No Yes .. Were you INJURED on the job
START. ITA- TENT ELAPSED —
1355 |0 ODOMETER 114m 15 Min
_FASHED E 35 VESTARTE: 5:20
DELAYS
OR
11012040019901 REMARKS
5 NOT ORVING:
3: ON DUTY l houds of grindings
2: CRISING
EASON FOR DELAY: (WAITE iN CONRESPONDING LINE NUMBER)
1: OFF DUTY
OUR 11 10 4 8 2 FULLY EXPLAINED ON DELIVERY
0157 SHOULD BE TIME CHARGEABLE NOTE: DELAY
3'4 8 735 420 CA Fast TRip
Kiekto
14 8579-5 Fuel TaNk 405 420
-
1y 85784 13257
· 720 2550302
1245 1240
-205 155 130 125 1. 1, 1 r

12.5 250 11240 1/ 55
LINES 2 & 3 Vil
11115 /1 / 555

17.84 /syu 1040 38%
19,72 16g5355 530.
/ 1
Bialta 13/ 50r/
•O Ricit 387/11
gril n314/234255 сід ос AVÉ
1640 11605705191037 Findings
11'4 857951 с4. 5:205:35
- PRE TRiP
Rialto
CAN# EO OT. ST. BEG. LEFT ARRIVED LEFT ARRIVED
C/C RATE JOB# DEAD TONS NIPP JOB / CONTRACTOR / LOCATION OF DROP

TIME UNLOADING LOADING
TRAILER # (Please :
20 23 TRUCK #3238 NEISEN EMP. #7525 - DATE? RobeRt EMPLOYEE NAME 1 WHIP BASED AT: _ TRAILER#
EQUIPMENT it any time during the day.
(ONE CALENDAR DAY - 24 HOURS) LHP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 DRIVER'S DAILY LOG CHiP (Cabazon Hot Plant) 13984 Apache Trsil, Cabazon, CA 92230 no available for field inspection MS (Main Shop) 3231 E. 3rd St., San Bemardino, CA 92408 MATICH TRUCK DRIVER'S DAILY REPORT his report must be kept current Form 21352 APPROVED EY
TOTAL MILEAGE TODAY ST BE SIGNED DAIL' OVERTURE.

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 11) SIGNATURE I ma THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH..... (if YES, have you filed an Acciden! Report, AND notitied your immediate supervisor? 318543

STRAIGHT TIME
NO Yes Did you have an ACCIDENT today? STATE LINE
No Yes and notified your supervisor?
If yes, have you filed injury report STATE LINE
No Were you INJURED on the job? START. STAL TIME ELAFGED 318925 ODOMETER
192 STASTED
4:20 7:20
DELAYS
OR

REMARKS
10 (NOT DRIVING)
3: ON DUTY
2: ORIVING
1: OFF DUTY.

OUR 11 5 4 3 2 NOON 11 10 CHARGEABLE TO CUSTOMER SHOULD BE OTE: DEL MID-
4:20 4:05 Pos trip t Fuc
/ 8578-5 4:05 Stand by 107 Phest3:45
22-055 1945 Y0E 3y 314 639 2:40 250315 3:20 Co Rialto 384625 411/2 19. 1:001:101:502:00 united Tener 284600
/1.0811:18 11:5012:2012:10 12:2011946514 united 384570
15-463/6 9:30 9:45 10:1510:35 united 384541
637 19563/4 7 17:40 8:20 8i5 9:05 unitel Paran 384514
85785 17:40 7:20 Breat
DAY NO.

RECAP O.T. ST. MATERIAL YARDS END LEFT,
# EQ C/C RATE JOB#

TIME TYPE TONS DELAYS UNLOADING LOADING
TRAILER # (Please Print)
173 TRUCK# 3221 DATE > 110 BASED AT:

EMPLOYEE NAME JUn MenChCeR EMP. # 2588
TRAILER# EQUIPMENT / ume during the day.

RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LHP (Lytle Greek Hot Plant) 3221 N. Riverside Ave., Bialto, CA 92376| available for field inspection DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230| MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 his repon must be kept current

MATICH TRUCK DRIVER'S DAILY REPORT

APPROVED BY
131 TOTAL MILEAGE TODAY MUST GE SIGI
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. SIGNATURE‹ 2hos 30 min THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH... Fel 29,482
" YES, have you filed an Accident Report, AND notified your immediate supervisor? NO Yes 1 you have an ACCIDENT today STATE LINE Shrs STRAIGHT TE No Yes and notitied your supervisor?
It yes, have you filed injury report STATE LINE INCH FROM X Yes Were you INJURED on the job?
29,350 START -... TAL IT E ELAPSED
ODOMETER 10.5 hrs
p.7.
a.m -ASO 5145 2: 15 O
DELAYS
OR.

REMARKS
11 NOON 10
3: ON DUTY 35 min. delay
2: DRIVING line 6 cloing cleanup on Job
1: OFF SUTY.

HOURS 11 10 5 NOON 11 10 8 MER SHOULD BE ABLE TO CUS
NOTE: DI
8 2'½ Siyo 5i45 covid Clean
5:25 5:40 Cost Trip
12 8575-51 5: 15|5120 Fuel Truck
DRIVERS " 3:05|3:25 3150 4:154:10 4:45 18.62 RAMA. 384635 200620
22-055 18.58 RAMA \'2 2 2:30 2145 2:00 1:50 merrill C.O. Rialbo 384620 639 Riverside B

18.46 /2" 12:35 i1|01:15 2:30 384594
"

18.533/4" 10:45 11100 /1: 35/1:45 384567 (1
18 31|34" 19:209:30 10:0510:1° 384536
637 18.45 3/4"6'4 United Paveing Riverside 7:35 8i05 8:45 8:50 384511 20 8578-5
10½ 7:30 7115 Pre Trip LIP
O.T. ST. MATERIAL YARDS END BEG. LEFT ON OF DROP

G/E EQ C/C RATE (OR LOAD) ORICIN
TIME TYPE TONS DELAYS UNLOADING TICKE: *
TRAILER #
EMPLOVEE NAME Anthony LaForel EMP. #7576 DATE 7 1 20/ 23TRUCK#3256 LHP BASED AT:

TRAILER# EQUIPMENT the. ng/
(Fiedlands Hot Plant) 8397 Alabama St., Rediands, CA 92373 LHP (Lytle Creak Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 (ONE CALENDAR DAY - 24 HOURS) field inspection
DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 must be kept current

RUCK DRIVER'S DAILY REPORT
APPROVED BY.
: WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM ON THIS REPORT. NO 145 James Jones. SIGNATURE 3%4 STAL TIME WORKED- THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH..

Report, AND notified your immediate supervisor? 107710

STRAIGHT TIME -
NO Yes Did you have an ACCIDENT today? STATE LINE 8
No Yes and notified your supervisor? -. то.

STATE LINE
No Yes - re you INJURED on the job? START-
102565 ODOMETE: 11¼
MENE5:104 15
(35) 220-230-255-359aKS 160-105"
Scoffee
10 NIGHT 1 0135-1145-1215-1220
1015,1020-1098-1045
3: ON DUTY. 545-858-915-925
2: ORIVING 710-720-740-150 GiNDEE
1: OFF DUTY
AINED ON DELIVERY TICKETS.

YOURS 10 4 NOON 17 10 5 3 2 CUSTOMER SHOULD BE CHARGEABLE TO NOTE:

MID-
з 334 455 ДI0 PoST ThY CHP
½ 85785 450 y4s™ Fiel SHP
435 458 415 i 3/10 Grinder
DURASTO 1865 410 350 320 384684

DRIVERS
DAY 384614
80 HA/8 1803 215 210 7/45 135
HONE 384841
¡gol 105 1225- 12251235
INES 2 G 3
None 1799 1055 1120 1045 354564
1812 1010 1000 935 925 3384538
535 825 500 150 Realto
114. 178% Go
DRAINES 73431422055 645 635 620 Gis
20 852 7
1134 8578-5 595 548 PreTrIf LH8
DAY NO. 5:30 M.INT.

RECAP O.T. ST. MATERIAL YARDS END BEG. LEFT ARRIVED LEFT ARRIVED OCATION OF DROP JOB # CONTACTOR OR LOAD) ORIGIN WITH LOG BOOK GAL# EQ C/C HATE JOB# TICKETE

USED ONLY TIME TYPE TONS DELAYS UNLOADING LOADING
Month/Day/Year (Please Print)
TRAILER # EMPLOYEE NAME BASED AT:
7,20123TRUCK #3247 EMP. $ 7285 DATE - Jones JAmes 4HP EQUIPMENT ai any ime during the day.

TRAILER #
RAP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LH° (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 and available for field inspection (ONE CALENDAR DAY - 24 HOURS) CHP (Cabazon Mot Plant) 13984 Apache Trail, Cabazon, CA 92230 lino. CA 92408 MS (Main Shop) 3231 E. 3rd Si, san bernal DRIVER'S DAILY LOG report must be kept current This

MATICH TRUCK DRIVER'S DAILY REPORT
Form #1352 APPROVED BY....
387-0717
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. TOTAL MILEAGE TODAY 113 Ther are SIGNATURE 40 mins TIME THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED YES, have you filed an Accident Report, AND notified your immediate supervisor? FINISH 18568 NO Did you have an ACCIDENT today? Yes STATE LINE TRAGET THE - 6hi5
No Yes ind notified your supervisor?
yes, have you filed injury report STATE LINE. TO.

No Yes Were you INJURED on the job?
START -.
28455 ODOMETER 84r5 4smins
•SOMED 35S 715 RESTARTED
DELAYS
OR

REMARKS
NOON
(NOT DRIVING)
C: ON DUTY 10 min Delay
2 DRIVING Holdatplant Line! Job Delay.
1: OFF DUTY
10 /ERY TICKETS.

TOTAL HAS. 11 11 10 NIGHT CUSTOMER SHOULD BE
NOTE: DELAY
Yy estes 340 355 Pti
DAY 335 G9123 Fuel
340
22-053 LHP YOR 18.75
10399 Khina 255 300 215,225 384507 LHP
Co Lial to
C4-ID 18.45
1250 I255 135 140 LP 3845981

18.53 105511001140L50 LH9 384568"

18.59 1010 1|015 925 935 1H8384539
637 64-10 18,48 730 800 L Hp 384502 United Paving
634 3/uPG 840 850 750 880
8301 859851 Pti
DAY NO. 71≤730
RECAP O.T. ST. MATERIAL YARDS END BEG. LEFT ARRIVED LEFT ARRIVED WITH LOG BOOK G/L# EQ C/C HATE JOB# LOCATION OF DROP

USED ONLY TIME TYPE TONS DELAYS UNLOADING LOADING
TRAILER# Monih/Day/Year (Ploase Print)
EMP #7579 DATE 712@123 TRUCK#258 EMPLOYEE NAME Tyler Jayne TRAILER #
any time during the day.

RAP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LHP (Cytie Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 (ONE CALENDAR DAY - 24 HO and available for field inspection DRIVER'S DAILY LO CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Malin Shop) 3231 E: 3rd St., San Bernardina, CA 92408 ort must be kep: current

MATICH TRUCK DRIVER'S DAILY REPORT
APPROVED BY. ORIGINAL . C
MILEAGE TODAY 2Hк 30 min OVERTIME.

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORE. 143 SIGNATURE THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY, YOUR PAY IS BASED 7483 FINISH_ iF YES, have you filed an Accident Report, AND notified your immediate supervisor? STRAIGHT TIME - NO Did you have an AÇCIDENT today? Yes STATE LINE
- No Yes TO.

It yes, have you filed injury report STATE LINE.

No Yes Were you INJURED on the job? STA....... TAL TIME ELAFSED 2350 106r 30 mn

ODOMETER
FINISHED.
5:25 6285
DELAYS
OR

REMARKS
11 10

NOT DAMNON
3: ON DUTY
2: DRIVING ScoW Peoni
ICKETS.
11 10 5 4 11 10 CUSTOMER SHOULD BE
8 12'½ 5:25 5:10 PosT Trif RiALTO
1y 857851 5:10 5:05 RUEL Rinito
5:05 5:00 DumP HAUL BACK RIAL-TO
DUT
4: 35 4:25 4:35 10.46 11 3:35 3:40 4:05 CHR 384638
2%422-055 18.71 246406| 2:55 2;05 2:35 2:00 MENZiL A RIVEnSiVE PIRLTO L48 384622 639 AmA LITt of RIALTO

18.72 64-10 1:20 12:35 ARiTo 1:10 384595 LAP
1/2 Hara

18.69 11:42 10:50 10:55 19:30 11 384565 LAP
/1 18,78 915, 8:20 4:55 easor 11 387520 LAP
637 3yN6 6311) 18.62 0 7:505 7 25| 8:351 1500 RUBIDOL PLUD RIVERSIDE 384498 LAP

JNITED PANINE
85785 7:10 6:55 RI TRÍP
10'½ MAINT.

RECAP O.T. MATERIAL YARDS LEFT ARRIVED LEFT ARRIVED I CONTRACTOR / LOCATION OF DROP (OR LOAD) CRIGIN G/, #EQ C/C J08 #

TIME TYPE TONS UNLOADING LOADING

SED CHLY
(Please Print)
TRAILER# _ EMPLOYEE NAME BASED AT:
- EMP. #07386 DATE 7,20,25 TRUCK# 3260 cort Hautin Lin lTo TRAILER # EQUIPMENT time dunng the day.

RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 LHP (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 nd available tor tield inspection DAY - 24 HOURS) 1 aband. 232073
CHP (Cabazon Hot Flant): 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA. 92408 his report must be kept current

DRIVER'S DAILY LOG

MATICH TRUCK DRIVER'S
Forin #1352 APPROVED BY -
TOTAL NILEAGE TODAY 117 0.5 HRS OVERTING ...

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. Travas R Gates SIGNATURE « THIS IS YOUR TIME SHEET, IT MUST BE TURNED IN DAILY, YOUR PAY IS BASED 183468 FINISH... of YES, have you filed an Accident Report, AND notified your immediate supervisor? STRAICHT TINE NO Did you have an ACCIDENT today? STATE LINE 8 HRS.

No Yes andinolified your suparvisor? TO

STATE LINE
Yes Were you INJURED on the job? START.
13335) HRS 30 MIN 8

ODOMETER
100 INE STASTED
330
DELAYS
OR

REMARKS
11 10 4
(NOT DRIVING)
3: ON DUTY
2: DRIVING
70 NF/B

NUMBER)
1: ORF DUTY
DELIVERY TICKETS.

HOURS 11 10 2 11 NOON 19 GEABLE TO CUSTOMER SHOULD BE
MID-
TOTAL
330 315 PIT
12 85785 310 305 FUEL TRUCK
305 255 230 230

BD HR/E
22-055 1966 220 1150 145 CORIALTO RIALTDICA 3841617
230
634
1972 s6u 110 1228 100 384690
1220
1965 1135 1125 1050 11045 4 384563 11
11 1957 1005 955 910 920 384531 1/
637 64-10 11949 845 835 UNITE RAVING 384500
6'2 RIVERSIDE, 120 800
314 PG
85725 115 100 PTI HP
RECAP O.T. ST. MATERIAL YARDS END BEG. LEFT ARRIVED LEFT OR /LOCATION OF DROP (OR LOAP) WITH LOG BOOK C/C BATE J03 - TICKET#

TYPE TONS DELAYS LOADING
TRAILER # - Month/Day/Year (Please Print)
EMP # 7572 DATE 7120 123TRUCK#3228 EMPLOYEE NAME TRAVIS R GASTES BASED AT: LHP TRAILER# EQUIPMENT tany ame curing the day.

AHP (Rediands Hot Plant) 8397 Alabama St., Redlands, CA 92373 -ytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 int available for field inspection (ONE CALENDAR DAY - 24 HOURS) CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 DRIVER'S DAILY LOG his repon must be kepi current

MATICH TRUCK DRIVER'S DAILY REPORT
DUPLICATE Davierstairi in his possession for eight

PRINTING
TOTAL MILEAGE TODAY. true and correct. BE SIG
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 14S SIGNATURE OVERTIME THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED 3.75HRS FINISH _ TAL The Vo
(if YES, have you liled an Accident Report, AND notified your immediate supervisor? 139582 Did you have an ACCIDENT today? Yes STATE LINE STRAICHT TU'S...

No Yes → and notified your supervisor? SHRU
L yes, have you filed injury eport STATE LINE -. TO.

Yes: Were you INJURED on the job?
START ....
139437 ODOMETER IIHRS 4S MINS
MASHED •*: STAR:3D
5:00 5:15
DELAYS
OR
ARKS
10 10
3: ON DUTY 6 LOADS OF ASPHACT

DRIVING LOAD COURT - O LORRS OF GRINDINGS

OFF DUTY
HOURS 11 10 NOON ON DELIVERY TICKETS.

NIGHT GEABLE TO CUSTOMER SHOULD BE
IOTAI
334 8 5:00 POST TRIP RIALTO CA LHP
7:41 FUEL RiALTO CÁ
285785 1:Pm 4:25

20.91 ЕнтА : 2:S0 3:00 3:05 с. о. Класть LAP : 384630
2:z5
2:15
:30 LC • ОC "1 LHP 384613
DAY
so hifts

19.68 RAMA 12:50 i OS 12 LHO
12:00 C'o. RIdiTO i 384586
11:30 11
2HMA 19.69 10:45 119:78 10:50
10:15 C.Ö. RIAlTo" LHP = 364560
КНАА 20.31 9:25 C."D. RiALTo itlp + 384532
8:50

19.79 : 3 0 7:55 LP 3384507
«: 40' 7:20 C.O. RIALTO
7:YS
73y3'422055 E/GRINDINGS 6:40 6:45 6:15 GRINDINAS PROM RIVERSIDE AVE TO CHR 20 85785 5:30 Goa 5:15 PRE TRIP RIACTO CA
DAY NO
O.T. ST. MATERIAL YARDS BEG. LEFT
Glut, Ele C/C RATE JOB#

TIME TYPE TONS DELAYS UNLOADING LOADING
TRAILER# Month/Day/Year •case Fill
7120 DATE 1520 EMP. #_ EMPLOYEE NAME_
TRUCK#3239 CUFTON BASE
TRAILER# LHP RIALTO CA
during the day. at any time
RHP (Redlands Hot Plant) 8397 Alabama St., Rediands, CA 92373 (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 (ONE CALENDAR DAY • 24 HOURS)
DRIVER'S DAILY LOG CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 ICH TRUCK DRIVER'S DAILY REPORT his repor must be kept curre Formn 41352 APPROVED BY
MUST OVERTILE.

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 146 SIGNATURI 3hR 15min THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH. (if YES, have you filed an Accident Report, AND notified your immediate supervisor? 12/489 STRAIGHT ME.

Did you have an ACCIDENT today? STATE LIN 8hR
No Yes .. TO.

If yes. have you fled injury raport STATE LINE
No Yes Were you INJURED on the job? START. TAL TI. LE ELAPSED 121343 Jhe 15 min

ODOMETI
4:50 ME STARTED
5:355
DELAYS
OR

REMARKS
10 3: ON DUTY
2: DRIVING Tloads of Grindings
1: OFF DUTY
HOURS 11 70 5 2 2 SHOULD BE
TOTAL
13"4 8 4:354:50 Post- TRip. Rialto cA
"2 65765l 425,4:35. fuel TRUt
3:50 3:35 3:00 3:10 384631V
Grindings 3:00 2:25 2:50 1 2/0 rascings /
Srindins 18.93 2:30 100 11:30
25 12.5

18.84 RHma 12:35 : 0 11/2:05 38458741
Grindings *.0: 12:00 11:30 svindmas
874 Ruma 10:5010:45 11:30 110:45 Grandma l
10:10
10:1o o:0i : SC
Rumdings. 8.92 4:20 ==
1:15 6:50
TOTAL LINE 2 T8.42 RHma 8:30 : 05 113:55 2384510"1"
DREAMS Grinding 3y 23148-3355 7:45 :25
20 852. 6:45 o40 6:20 Grindings Merrill
11 85785 5:50 5:35 - HO CA CHP
RECAP O.T. ST. | MATERIAL YARDS END BEG LEFT LEFT
G/L # EQ C/C RATE JOB-

TIME TYPE TONS DELAYS UNLOADING
TRAILER # Month/Day/Year (Please Print)
CHP BASED AT:

Oste Alcala EMP # 7580 DATE 7, 20123 TRUCK # 3242
TRAILER # EQUIPMENT ine day. if any time duang
RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 Rialto. CA 92376 LiP Dyie CrEek HOt Plar lala inspection na avallabie (ONE CALENDAR DAY - 24 HOURS 39B4 Apache Trail, Cabazon, CA 92230 (Main Shop) 3231 B DRIVER'S DAILY LOG cept current his rapo
PORVEN SY sight cals
FOR ON THI FORM TOTAL AILERGE TODAY 155.0 catily tsee
Tristar Traves ATURE. Si. 1:30 mins
FINS: 372701
No 8.0
START.

WOTE 372546. 9,30 mins
4:05 6:350
+ 3243 to Ruchto
vok $3209 to shop.

1.20 out
Shot load chen went an hollit: 56.

CiF
MOURE 12 *S.

TOT. SHOULD BE
8 1'½
CUMARS P:
3/y 180 4:05 4:00 Rialto

9.30 14 650
13:25 3:05 Pust tris Lorton
'2 22-053 32.75 KA42 140 1:5D 2:20 2:25 Rialto Rialto 384616 C.U. 639
||:55 /2:0012:35100 12:55 1:00 32,92NÂ7 Rialt 384564 United Reving Riverside

9.0 32,80 3/4. 10:15 10:25 77.86 1:45
32,96 3/ rialto 384E33 United Paving, Riverside
139 34 6314 32.80 10 0: 20 152 6.01
20 Rise 391496 Wintel boring ienie.
9'2 650 6 : 35 6:50
Rialto

FIZCAP MATERIAL
PATE ..B. vAras E:D LEPT ARRIVED ARVED

TYPE PUNCT DROP

DELAYS CHLORCHIG LOADING
CKET
EMP OVERNAME Tristan Graves e 92210 TE 7/20:23TEU0: :3209 Ca. Rialto RIMP (Redlondo Hot Plant) 83S7 Alabama St. Redla 1: Lylls Creek Het Plant) 5221 N. Pivereid: Avo.. Ricio. CA S2370 www.ewbils.com Page NTS Universal Bill Form
3,883.63 Bill Total + Date: 09/05/2023 Contractor:

Data Recalved:) Troomital alumed for coroctor
Dato: Gustomer: Date of Action: Approved for Paymer Now BIll Accepted: For Owner/Resident Engineer's Use Only
3,883.63 BIH Subtotal
3,883.63 Work Total
3,883.63 Activity Total
Material Charges
1,424.25 Equlpment Totat
185.77 15.00% MU
1,238.48 Subtotal
Equlpment Charges
2,459.38 437.680 Labor Total 54.710 8.00 T&TT
409.90 12-20 TRUCK E09 7275

20.00% MU 461.680 57.710 8.00 20-28 T&TT TRUCK E02 7293

0.00 Other Expenses 339.120 42.390 8.00 06-12 TRUCK E01 7283

0.00 T&TT
Extended Subsistence OT Rate Delay Factor AT Rate OT Hre RT Hrs A1 A2 Model Make Class Equipment ID. 2,049.48 Subtotal Labor Equipment Charges
381.080 41.000 52.780 1.00 8.00 J Escobedo LOS LBRAP LAT 288,36 717.460 OT/OT Labor 1.00 8.00 JM Diaz Lo2 LBR LG4 950.940 135.020 101.990 1.00 8.00 iF Del Toro LOI OE OF8 Extended Subs Rate RT Rate OT/DT Rate RT Hre OT/DT Hrs Subs Units Employee Name Craft/Lavel Labor Char 9, 761.12 Labor Charges
7/21/2023 Perform Date Roport No. scription of Work: INSTALL TRAFFIC CONTRO 8/25/2023 Report Date i Perfonned By: Matich Corporatio 117.0 Billing Number 22-055 - RIVERSIDE AVE. - CENTRAL RECONSTRUCTION Contractor Job:
300 Change Order Contract: 220804 City Of Rialto

DAILY EXTRA WORK REPORT
Pows be acme mere waste
Project Manager Approved by Michael Angelo /varez on 7/24/2023 12:21PM Submilod by Robert Do Toro on 7/21/2023 4:45PM * Time Entry Details

24.00 3.00 0.00 2700 24.00 2.00 0.00 0.CO 0.00 0.00 0.00 0.00 0.00 0.00 000 0.00 0.40 0.00 0.09 6.00 0.00 6.CO 8.00 1.00 0.00 3.00 10 Employees

0.00 0.00 9.00 0.00 0.00 03207 7490 T-5 Sons Meding

0.00 0.00 0.00 0.00 0.00 CEOTO 210 1-5 Even Escorts
DUU| 5053 APP LAB base Quezarade
UU0090 901 k*6

8.00 130 0.00 8.00 NT 610

8.00 4635 3060 La
JI635 5848 L-4 35 has Carracea
2009 AP D

0.00 0.00 0.00 07287

0.00 0.00 0.00 1408 0E-$
5001,00 07283 5240 OF8 Bobaa lal Bare
22088-201-02-FLAGGING CREW 22059-20201-GRINO AG 22065-20301-PAVE 101A 22055-201.01-PAVE RICA 22035 20601.TEMOORARY STRIPING Job: 22056 4 Ed 22323 P
0A: 44,4767 stew Raphoeard Crow Timontost
Crew Timeshoot, Timesheets Approveds LasvoRoquests Assetsand Logs Cost Codes Employees Reports System My Ancote and Logs My Tineshool Bretts men 1 Legma i Hele 18bar PACIFIC TIMESHEET
www.ewbllis.com NTS Universal Bil Form
1,927.03 Bill Total + Date: 09/05/2023 Bangin Contractor: Dato Recelved:

Resubmital TRaumod for Corectom
Date of Action: Approved for Payment Now i
For Owner/Resident Engineer's Use Only
1,927.03 BIll Subtotal
1,927.03 Work Total
1,927.03 Activity Total
Material Charges
614.63 Equipment Total

80.17 15.00% MU
534.46 Subtotal
Equipment Charges
1,312.40 Labor Totai 218.840 54.710 4.00 12-20 TaTT E03 7275 218.73 TRUCK

20.00% 230.840 57.710 4.00 20-28 T&TT TRUCK E02 7293

0.00 Other Expenses 84.780 42.390 2.00 06-12 T&TT TRUCK E01 7283

0.00 subsistence Extended OT Rate Delay Factor RT Rate OT Hrs RT Hrs A1 A2 Model Make Class Equipment ID 1,093.67 Subtotal Labor Equipment Charges
213.980 52.760 41.040 2.50 2.00 J Escobedo LOS LBRAP LA1 653.39 405.670 OT/DT Labor 100.580 77.110 2.50 2.00 JM Diaz Lo2 LBR LG4 474.020 135.020 101.990 2.00 2.00 RF Del Toro TOT DE OF8 440.28 RT Labor Extended Subs Rate AT Rate OT/DT Rate RT Hrs OT/DT Hrs Subs Units Employee Name Craft/Level Labor Charges Labor Charges
7/24/2023 Perform Date Roport No.
8/25/2023 Report Date
118.0 Billing Number Contractor Job:
300 Change Order Contract: 220804

DAILY EXTRA WORK REPORT
Powered by PasileIrosates: 6 2309-2023
Project Manager Appesved by Michad Angola Alvarar on 8/1/2023 7-20AM1 & Submited by Robert Del Toro on 7/24/2023 5:37PM • Time Entry Detalls
00000o 7.00 000001003 0.00 0.00 0.0O 0.00 1.00 0.00 4.00 103 2.00000 2.001 12 Employces 0000000000
005000000. SUrU 20 100
400600087
500866
1000 2,00
0 600 W

0.00 9.00 0.00 07237
Eduarda Navece

0.00 0.00 0.00

2.00 1.00 200 2.00000 200 7.00 06265
22089-201-02-RAGGING CREW 22055-20201-GRINDAC 22088-203-01-PAVEHM 22085-20401-CAVE RHMA 22056-20501-TEMPORARY STRING testariala
Job: 27055 ~ Day: 4 M002/24123D Cree: RotherDel Toro Creme Crow Timeshoer
nopo aysta My Aumets and Logs Grev Tinesheet My Timestest

PACIFC TIMESHEEI
www.ewbillls.com Page NTS Universal BHI Form
184,357.01 BHI Total + Date: 09/05/2023 Contractor: Date Received: Retumed for Correction •Rosubmital Banion
Date: Date of Action: Approved for Payment New BIll
Accepted: For Owner/Resident Engineer's Use Only
184,357.01 Bill Subtotal

80.735 161,470 R Follett L32 OE OG6
1,177.910 129.890 98.530 8.00 R Follett La1 OE OG6
716.210 97.890 77.290 8.00 S Martinez L30 TMS TG5
911.990 97.890 77.290 8.00 E Forsythe L29 TMS TG5
184,357.01 Work Tolal CT Morgan

59.835 119.670 L28 LBR LG2
792,280 97.100 74.760 8.00 cl Morgan L27 LBR LG2

32.350 64.700 J Escobedo L28 LBRAP LA1
539.360 52.760 41.040 8.00 J Escobedo L2S LBRAP LA1
184,357.01 Activity Total
62,140 124.280 JM Diaz L2A LBR LG4
918.620 100.580 77,110 8.00 JM Diaz L23 LBR LG4

62.140 124.280 M Carranza L22 LBR LG4
1,019.200 100.580 77.110 8.00 M Carranza 121 LBR LG4

32.350 64.700 N ALVERADO-REYES L20 LBRAP LA1
354.700 52.760 41.040 8.00 N ALVERADO-REYES L18 LBRAP LA1

80.855 161.710 E Navarro L18 OE OG8
140,529.31 Material Total 130.070 8.00 E Navarro LIT OE OG8 919.270 98.650

18.329.91 15.00% MU 84.140 168.280 RF Del Toro L16 OE OF8 122,199.40 Subtotal 1,356.000 135.020 101.990 8.00 RF Del Toro 1.16 OE OF8 Materlal Charges 62,140 124.280 N Gonzales L14 LBR LG4
21,094.76 Equlpment Total 818.040 100.580 77.110 8.00 N Gonzales L1S LBR LG4 449.855 84.190 50.970 8.00 J Cortez-Qarcia L12 LBRAP LA4 2,751.49 15.00%
18,343.27 Subtotal 679.020 124,280 77.110 8.00 A Cortez L11 LBR LG4 Equipment Charges 679.020 124.280 77.110 8.00 B Ayon L10 LBR LG4 868.975 161.470 98.530 8.00 J Valente LO9 OE 0G6
22,732.94 Labor Total 80.735 161.470 G Rodriguez L.Os OE OGG

3.788.82 20.00% MU 853.185 129.890 8.00 G Rodriguez LO7 OE OG6

0.00 Other Expenses 870.055 161.710 8.00 P Moreno LOB OE OG8

0.00 Subsistenco 870.055 161.710 8.00 JW Kinzle LOS OE OG8 18,944.12 Subtotal Labor 868.975 161.470 8.00 M Garcia LO OE OG6 868.975 161,470 8.00 RA Dlaz LOS OE OG6
4,420.96 84.140 OT/OT Labor 168.280 L Nieves Lo2 OE OF8 1,018.450 135.020 8.00 L eves LOt OE OF8
Extended Subs Rate TT Rato Subs Units RT Hrs Empoyee Name Crait/Level 14,523.16 RT Labor
Labor Charges Labor Charges
7/25/2023 Perform Date Report No. Description of Work: AC GRIND, PAVE RHMA 8/25/2023 Report Date Work Performed By: Matich Corporation 119.0 Billing Numcer Contractor Job:
220804 Contract: Contado Dlalt° 22-055 - RIVERSIDE AVE.- CENTRAL RECONSTRUCTION 300 Change Order

DAILY EXTRA WORK REPORT
www.eybills.com Page NTS Universal BIll Form
184,357.01 Bill Total + Date: 09/05/2023 Contractor: Date Received: •Resubmital Roturned for Correction Date: Customer: Date of Action: •Approved for Payment
Accepted: For Owner/Resident Engineer's Use Only
184,357.01 Bill Subtotal
184,357.01 Work Total
184,357.01 Activity Total
15,827.50 15,827,50000 1.000 LS 7/25/2023 Match Corporation / TRUCKING MoS 072523 2,062.00 3.00000 684.000 EA 7/25/2023 Matich Corporation / ASPHALT EMULSION M02 281282 104,319.90 90.00000 1,159.110 TON 7/25/2023 Matich Corporatlon / MATERIAL. - RHMA-G MOS 072523 Extended Unit Price Unite Vendor Name and Description Number 140,529.31 Matertal Total Materlal/Speclalist Work/Lump Sum or Unit Price Payment 18,329.91 15.00% MU 8.50
122,199.40 subtotal 1,082.220 27.520 30-40 TRMD BITDT E15 5027 3,009.270 11.00 M2 NESC BRMSW E14 5026
Materlal Charges 759.960 84.440 9.00 36-48 T&TT TRUCK E19 3207 21,094.76 Equipment Total 928.840 84.440 11.00 36-48 T&TT TRUCK E12 6070 2,751.49 15.00% MU 437,680 54.710 8.00 12-20 T&TT TRUCK EI1. 7275 18,343.27 Subtotal 461.680 57.710 8.00 20-28 T&TT TRUCK EIO 7293 Equipment Charges 339.120 42.390 8.00 06-12 T&TT TRUCK ED9 7287 22,732.94 5,123.600 640.450 8.00 W210 WIRT PGT-C E08 15160 Labor Total 487,485 42.390 11.50 06-12 E07 7283

3.788.82 T&TT TRUCK

20.00% MU 577.100 57.710 10.00 20-28 T&TT TRUCK EO8 7270

0.00 Other Expenses 117,490
939.920 8.00 7000 CAT ROVIB E05 16130

0.00 Subsistence 2,640.800 330.100 8.00 AP1055F CAT ASPAV E04 15159 18,944.12 Subtotal Labor 573.680 71.710 8.00 8002 CAT ROVIB E03 16138 600.400 75.050 8.00 CB534B CAT ROVIB E02 16127
4,420.96 381.510 O7/DT Labor 42.390 9.00 06-12 T&TT TRUCK E01 7286 Extended OT Rate Delay Factor AT Rate OT Hrs RT Hra A1 A2 Model Make Class Equipment ID 14,523.16 AT Labor Equipment Charges
Labor Charges 672.416 97.890 77.290 0.75 7.75 M Thompson L3s TMS TG5 7/25/2023 Perform Date Heport No. Descrlption of Work: AG GRIND, PAVE RHMA 8/25/2023 Report Date Work Performed By: Matich Corporation 119.0 Bling Number Cored o: 22-055 - RIVERSIDE AVE. - CENTRAL RECONSTRUCTION Contractor Job:
300 Change Order Contract: 220804

DAILY EXTRA WORK REPORT
PACIFIC TIMESHEET Brett Simon | Logout | HeR It
Home My Timesheet My Assets and Logs Crew Timesheet Timesheets Approvais Leave Requests Assets and Logs Cost Codes Employees Reports Crew Timesheet Crew Dashboard Thu Aug 1
Crew: Lawrence Nieves Crew v Day: • Tue 7/25/23 $ Job: 22055| Time Materials Foreman Logs Sub-Contractors
Cost Code: 22055-204-01-PAVE RHMA Totals
Employee Job Cluss Equipman!
Lawrence Nieves 1155 OF-8 8.00 1.50 0.50 9.00 10.00
Robert Diaz 1657 OE-6 16127 8.00 0.50 8.00 8.50
Marcos Garcia 5876 16138 8.00 0.50 8.00 8.50
Justin W. Kinzle 1659 8.00 0.50 8.50
Paul Moreno 1650 8.00 0.50 8.50
Gilberto Rodriguez. Jr. 5089 OF-E 8.00 0.50 0.50 8.00 9.00 Jim Valente 1432 8.00 0.50 8.00 8.50
Nathan Alvarado-Reyes 5054 0.00
Barnabe Ayon 6239 L4 8.00 0.50 8.50
Alexander Cortez 5078 L-4 8.00 0.50 8.50
Jorge Cortez-Garcia 5041 APP LAB 8.00 0.50 8.50
Nolberto Gonzales 5073 L-4 07270 8.00 2.00 0.50 10.00 10.50 Iving Reyes 6563 0.00
13 Employees 88.00 4.00 5.50 51.00 97.50
• Time Entry Details
/ Suomitted by Michael Angelo Alvarez on 7/31/2023 1:45PM 2 Project Manager Approved by Michael Angelo Alvarez on 7731/2023 1:46PM Powered by Pacific Timesheet © 2000-2023
Powered by Pese timesheer © 2300-2023
Projact Managar Approved by Michael Angelo Arner on 8/1120237.28AM / Suomitted by Michae) Angelo Ararez on 8/12023 7:28AM • Time Entry Detalls
00 7200 22.30 3.90 98.95 60.50 0.09 0.00 8.00 8.00 4.50 5.00 5.00 3.00 0 400 20 17:00 500 7.000.00900 8.00 1.00 03207 7490 T.S Socoa Mertbez

15.00 31.00 T00OHO → 900 2.00 900 1.001 7275 T-5

0.00 Jose Quezada li
Teary Diale
400000 0.00 5601 L2
160 060 2.00 4.00 8.00 0.50 178 APPLAB 07275

3.00 0.00 020 La
4000001 8,00 8.00 1.00 0.50 0T283 1848 La Mishand Ceracka 00 Visy 200 aso 0s0 Nathan Aberade-Re 6054 APP LAB
1,00| 07207
10 20 00 8.00 15160
V7601
STUT 00 Class
194835 Cost Code: 22055-202-01-FOREMAN 22055-201-01-INSTALL TRAFFIC CONTROL 22055-201-02-FLAGGING CREW 22055-202-01-GRIND AC 2205S-206-01-PAVE RHMA 22055-206-01-TEMPORARY STRIPING 22055-207-02-MATICH FLAGGER Sua Coches Feen Land Batarisia " "Tomo
E D: 20050 • Day: 4 Ive 70523 > Crew: Rosen Daitor com
To Au0 24. 2023
System
Fowered my Basins. Timesheef : 2000-2023
Project Manager Approved by Michael Angelo Alvarez on 8/1/2023 7:42AM • Time Entry Details
U.0U U.UU U.UU

4.00 200 0.50 6.00 4.00 1.00 05026| Bussell Foles 1450 DE-6 ST OF IT tO ST OF ME ST_01 01 60ST
Cost Code: CREW 22055-014-01-PAVE HMA 23018-005-05-AC PAVING CREW 23002-008-05-SWEEP 23018-008-05-SWEEPER 23006-008-03-SWEEPER 23002-008-05-SWEEP 22064-047-03-SLOT PATCH 22055-202-02-SWEEPING 22055-203-03-SWEEPING 22055 22055 22064 23002 23006 25U18 23002 65U10 Job:

E00em8nL.09aS40-Contoacdess MARLACRE
V. Day: 4 Ive 7125/23 >

APPROVED BY

COPDER FROM
TOTAL MILEAGE TODAY OVERTIE.

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 44. SIGNATURE — 10

SALUME WORKED -
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH (if YES, have you filed an Accident Report, AND notilled your immediate supervisor? Did you have an ACCIDENT today? Yes. STATE LINE STPA SIT THE _ NO 2,0
No Yes and notified your supervisor?
STATE LINE TO_
yes, lave you filed injury report 44
No Were you INJURED on the 100' START-
5724 ODOMETER
5768 45 546б:

DELAYS
OR

REMARKS
10 73 NOON 10
NOT DRIVING.
3: ON DUTY
2 DRIVING
1: OFF DUTY
EXPLAINED ON DELIVERY TICKETS.

OUR 11 10 8* 11 NOON 10 CUSTOMER SHOULD BE NOTE: DELAY TIME CHARGEABLE TO OTA
81 DAY
80 HR/B
14 8578s _ 230245 - PosTTrIP ms
BS 7/28/23 131u314 22055 -TAC204-5 Eals 684 630 145 14 145 on site Rialto 85895 tons 2091551Ht. 545 600 - Pretril MS
O.T. ST. MATERIAL YARDS END BEG. LEFT ARRIVED ARRIVED */ CONTRACTOR /LOCATION OF DAOF G/L # EQ C/C RATE JOB#

TIME TYPE TONS DELAYS UNLOADING LOADING
TRAILER # Month/Day/Year
23 TRUCK#5027 - EMP #7390 DATE 71ZS BASED AT: San BemarDneO EMPLOYEE NAMEM Thompar TRAILER #. EQUIPMENT at any time during the day.

RHP (Redlands Hot Plant) 8397 Alabama St., Rediands, CA 92373 LHP. (Lytle Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 and avallable for field inspection (ONE CALENDAR DAY - 24 HOURS! CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 3231 E. 3rd St., San Bernardino, CA 92408 DRIVER'S DAILY LOG This report must bo kepi current

MATICH TRUCK DRIVER'S DAILY REPORT

MATIC ORDER FORM

PRELIM YES I NO
(OUCHER TICKET #
NAME TRAN. #

CHP AGG EQ
(LIP) CH INV.#)
CUST. #
GATE REO 7-25-23
GO. NAME
JOB LOCATION 22-055

CITY OF RIALTO
EQUIP.

SPEC. INSTRUCTIONS
RIALTO

TONS MIX
1ST LOAD ON JOB
F& P 10 WHL BD TPH
PRICE AFRY PREP BY CKD. BY
P.O. NO.

PRODUCT CODE PRODUCT DESCRIPTION

QUANTITY UNIT PRICE
3601 RHMA-G. 1/59.11.
$90.00
3607 HAUL 159. 1/
22-055
204-2 531232
Total = 104, 319.90

I-ARTMENT

SALESIENGR
LING
PLANT LOCATIONS • 8397 Alabama TOLL FREE ORDERS • C.O.D.

Road 00 2373 (800) 404-4975
MATICH MAILING ADDRESS • CHARGE
LCORPORATION → cabazon, CA 2230
951-849-8280
281282

SOLD TO WEIGHMASTER CERTIFICATE
THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster Lity of Rialte
Measurement Standards of the California Department of Food and Agriculture.

Riverside . DEPUTY
MATICH CORP. WEIGHMASTER
ACCT./JOB TRUCK TONS PRODUCT PRODUCT INFORMATION
SOUT 291 asthel Emulsio
GROSS 39540
TARE 33720
NET 5826
# 22-055
Tons uSeD 2091 TONS
FWD 2091
684 TOTAL
Gals uSeD TONS 684
LOAD
NO.

DRIVER
• ON O OFF
22-055 LEAVE PLANT ARRIVE JOB
728/23
204-4

LEAVE JOB DELAY TIME
# 3.00 per gal.

MATERIAL
NOTICE: It is agreed between buyer and seller that sale is consummated and title passed at plant site. Material only subject to sales tax.
7-25-23 NOTICE: COMPANY ASSUMES NO RESPONSIBILITY
Comments FOR DAMAGE INSIDE CURB OR PROPERTY LINE,
UNLESS OTHERWISE AGREED. ALL ACCOUNTS ARE
DUE AND PAYABLE IN 30 DAYS. INTEREST AT THE

LEGAL RATE APPLICABLE, WILL BE ADDED TO ALL
DELINQUENT ACCOUNTS.

Form 7772 1-White - Office 2-Pink - Copy 3-White - Plant MATICH
CORPOrATION
Engineering Contraciors Asphalt Sales
DATE:07/25/2023 CITY OF RIALTO #22-055

DRIVER TRUCK TOTAL HRS FOR THE DAY TUTAL HRS ON THE JOB ALCALA 242 8.75
CONTRERAS 258 8.5 7.75-
ESPITIA 224 8.25 7.5
GATES 8.75
HAUGEN 260 8.5
JAYNE 243 8.5
LACROIX 248 8.5
LAFORD 8.25
LUNA 7.25
MONTANTES 8.25 7.75
SANDOVAL 237 8.25 7.5
STALKER 236 9.25 8.5
WHITE 245 8.25
LAGER 249 8.5
RITZMAN 10.5
TOTAL HRS:120.75 e$130-ST
ST 114.25 x$130.00= $14,852.50 08150 - OT
OT 6,50x $150.00= 975.00
$ 15,827.50
22-055 - RIVERSIDE AVE. CENTRAL RECONSTRUCTION
CORP. TRUCKING HOURS - JULY 2023
DATE
7/25/2023

EMPLOVEE OT
Russell Lager 7.75 0.75
Steven Ritzman 7.75 2.25
Joshua Alcala 7.75 0.25
Chris Contreras 7.75 0.00
Alex Espitia 7.50 0.00
.....

Travis Gates 7.75 0.25
Scott Haugen 7.75 0.25
Tyler Jayne 6.75 0.25
Mark Lacroix 7.75 0.75
Anthony LaFord 7.75 0.50
Gilberto Luna 7.25 0.00
Robert Montantes 7.75 0.00
Jessie Sandoval 7.50 0.00
Kevin Stalker 7.75 0.75
Joshua White 7.75 0.50
TOTAL HRS 114.25 6.50
124 enrise ars eus and coredi TOTAL MILEAGE TODAY CHERTEE R ON THIS FORM ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED

S BASED THIS IE YOUR TIME SHEET IT MUST BE TURNED IN DAILY, YO OTAL TME FINISH...... 2/1 mama Steve the
Or AND nuttisa your 74075

NO STATE LINE STRAIGHT TIF
No
STATE LINE TO.
job?
START.
7395| 10%½
ODOMETER 10
520 207."L0 c
I loads of Grindings
2: DRIVING HauL Back for Pialto
• LING L20

1. CFF BUT
8 2½ 330345 Rialklostinf
170111 514O 205 215 Grinalim/s. (HP 384816 clo Rialto
1883ін 280 15 1:10 10215 LAP 38Y
RAMET 350 Crimina 290
050403080/1000 1020 1S075 38478a CO Kiat
1720 750 755 700 Grindinys
73y 2'4 8-055 605615635640 Rialto Citinelings
10'2 650 520535 Rialto pretre
HA. T.

ARFIVED /LOCATION DROP (ORIOAD)

UNLOADING LOADING
TRAILER #
25 23 TRUCK 325/ elenkiteman EUP. *S AT:

TRAILER # Rialto
(Lytio Green Hot Plant) 3221 it. His Ave.,
VIC VALCHUAN PASCUM inspection and available for fiell
DRIVER'S DAILY LOG Shop) 2231 E. 3nd St lusi be kept current This report

DAILY A
Form 11352 CRIGIIAL
TOTAL MILEAGE TODAY - I cortly ince cairies erica and com • SIGNATURE MISTER SIGNO ON THIS REPORT, NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM 122 1nh.

BASED THIS IS YOUR TIME SHEET, IT MUST BE TURNED IN DAILY, YOUR PAY IS FINIS.....

Report, AND notified your! 85175
STRA, X17 7.

NO STATE LINE
g(Ta)
No

STATE LINE
NO
88053 9 110s

ODOMETER
I DELAYS 2/5

0.3 REMARKS
S loads georg EmpTy By Plant I
Beall to Grinder Aen toly te
Empty ante 8au asphalt lond
DRIVING Balt Plant fold fe g2
VERY TICKETS.

OURS 11 10 3 • CUSTOMER SHOULD SE
OTA:
8 11 650 ZiV 21s Rialt PIF
CURT
Quel 31 501) |155 203

19.08 REMy 384846 Merrill / Diversite 1235 1239 105 BI
1275- 12201 Riversile/purita plut
1421 1140 River nept 1035 120014 47354281
V net 7040/
8:78 рAm% 915 S27 Ale ir iv 44 384771
i-1 gainy 874 124525 Riverside и 4
754 111 Riverside Meivill 13384757 1-0
LUV 65°
634 635
650
ARRIVED JOB 7! CONTRACTO (CA LOAD! ORIGIN
G/L# EQ C/C RATE
TYPE LOADING TICKET#
TRAILER# (Piease Print)

2.25,2 RUCK# 3349 EMPLOYEE NAME 121z BASED AT:

TRAILER# EQUIPMENT Liring the day
ONE CALENDAR DAY - 24 HOURS| ° (Lyle Crock Hot Piant) 3221 N. Riverside Avo., Riallo, CAM) a RHP (Rodlands Hot Plant) 8397 Alabama St, Redlands CA 52373 for field inspaction.

DRIVER'S DAILY LOG vabazon Hot Plant) 13984 Apsche Trail. Cabazon, CA 92230 MS (Main Snop) 3231 c. 3rd St.. San Bemardino. DA. 92408 must be kep: curent

MATICH TRUCK DRIVER'S DAILY REPORT
ForT #1352

OVERTIME
BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. ON THIS REPORT NO TIME WILL 105 SIGNATURE! 1.0

STAL TIRE
THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY, YOUR PAY IS BASED FINISH 121074 9.0 fled an Accident Repun. AND notilled your immediate superviser?

8.0 Yes. FRON
STATE
START 9.0
120968
2:20 5:20 P
DELAYS
OR

REMARKS
11 4 louds of grindings
HOURS 10 HOULD BE
81 2:20 2:05 Post-Trip.
8578-51 2:00 1:55 Fuel
DRIVERS 18.07 121251240 1:00 1:25 1:20 384805
80 HR/a

18.48 10:50 10: 05 11:30 11:50 384786
17,65 10:30 8:55 905 9:25 10:309:45 "' 384181
VOI 17.67 7-507:55 Go: Riatto 384766
8:28 8:50 LHP
1 c 7:45 7:40 7:15 7:00
22-055 bonds 314 16:15 6:05 Gridings Kiato Riato
852 6:35 6:40
8578-5 5:35 5:20 Pre-Trip: CHP.

NANT.

O.T. ST. MATERIAL TARDS END LOAD!
GIL = EQ C/C RATE

TIME TYPE
TRAILER # (Ploase Print)
DATE _ ДТ:

TRAILER # TRUCK 3245 2,25,23 losta White 31+7281 LAP.

CA 92373 is Hot Plant) 8337 Alabama Si., Rediands. LHD (Lytie ONE CALENDAR DAY - 24 HOURS) A 92408 3231 B
DRIVER'S DAILY LOG Trail, Cabazon, CA 92230
1909: 327-61

TOTAL MILEAGE TODAY
BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORMA 10Z Shing SIGNATURE:

THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS EASED FINISH _ 50У06.11 Racon. AND rail 169845
STRNCH: TIME
IDENT Loutay? Yes J au nave a/1 80 Buns
TO_..

No
169738 SHES OMIN
CHED =CT:9:00
2:15 5358
4 loads of Grindings.
3: ON DUTY
TETS.
2 2.43 2:30
2:15 2:25 FUEL
'2 85785 11.5670E 1:05/151:401:50 324812

19.60RHO 12:05 |2105/2A5/2153 384797
GRiNDING 11:350/1351155 1200 GLINI
9:209.209:50 11:2510:10111251216H4EE 304763
GRINDING 8:45 8:50 9110 9:15 RIALTO ERINDING ORiALTO
198790 755800830840 CIALTO 397768% LAUR
GRINDING 7:107:30745 7150 RIALTO G0 RIALTO ELINDING
22-055 61156:25 6:45 6:50
852 ERINDING T 314 RiALTO HIP GRINDING O RIALTO
9 8538-5 5:35 550

PRE-TRIP
MANIT
RECAP ST. LOCATION OF B (OR LO D) OR CHI
G/L # EQ G/C RATE
TICKET#
TRAILER #
TRAILER# LYRECREEK EMPLOYEE MAME KEVIN SALVER 7325 DATE 7 25 23 TRUCK# 323C RHP (Rediands Hot Plant) 8397 Alabama St., Redlands: GA 92373 MP (Lyde Creek Hot Plant) 3221 N. Riverside Ave., Rialto, CA 92376 ONE CALENCAR DAT - 20 HOURS:

DRIVER'S DAILY LOG 3984 Apache Trail, Cabazon, CA 92230 Shop) 3231 E. 3rd St APPROVED BY FRy:
certily these entries are true and co rect.

ON THIS REPORT. NO TIME WILL BE PAIO UNLESS IT IS ACCOUNTED FOR ON THIS FORM. SIGNATURE THIS IS YOUR TIME SHEET, IT MUST BE TURNED IN DAILY, YOUR PAY IS BASED 125457187,5 ident Report. AND notified your immediste sup 8.

STRAIT TIME
NO STATE LINE 8.00

STATE LINE
Were you INJURED on the loo START-...
12534676.4

ODOMETER
FISHED 615
235
DELAYS
OR

REMARKS

33.4 Gal. Dise/ Feell
Grinnding
2: DRIVING Loads Asphalt
1 OFF DUTY
HOURS 10 8 GEABLE TO CUSTOMER SHOULD BE
TOTA
8 Post tr.p.
z 35 2 20
1y 14 85785 = 20 2 10 Truck foll
1968 4 d 20 / 1:00 12 50 3848|| |
12 40 12/5 1210
1974 12 г0 : 200
Grinding to 20ho1d
384793 {=
1(30 11 45 10 38 § 40 on
1962 9201 9 15 50 8 848 384725
384744 Merril F Riresid
1980 LHP
KHMA Co Rielto 22055M1tr3
22-055 n'2 > 457 715% 645 Riulto River Sipe
25 1852. In finding
8'4 8578-51 € 30 615
O.T. ST. YARDS END ATION OF DROF
C/C RATE JOB #

TYPE TONS DELAYS
TRAILER # BASED AT:
1023RUCK# 323/ Sandoral EMP. # 2577 DATE 07 125 Jessie. EMPLOYEE NAME- LHP TRAILER # EQUIPMEN
HMP (Redlands Hot Plant) 8397 Alabama St.. Redlands, CA 92373 HP (Lyle Crusk Het Plant) 3221 N. Riverside Ave., Fialto, CA 92376 inspection ONE CALENDAR DAY • 24 HOURS| CHP (Cabazon Hot Plant) 13984 Apache Trail, Cabazon, CA 92230 MS (Main Shop) 323: E. 3rd St., San Bernardino, CA 92408 DRIVER'S DAILY LOG must be kept current

MATICH TRUCK DRIVER'S DAILY REPORT
APROVED BY -.. ORIGiNAL

PRINTING
TOTAL MILEAGE TODAY it Craper OVERTLE.

ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 109 SIGNATURE lo minutes THIS IS YOUR TIME SHEET, IT MUST BE TURNEO IN DAILY, YOUR PAY IS FINISH... have youlled an Accident Report, AND notitiod your himadiate 318745 STATE LINE STRA CARINE.
ve an ACCIDENT today! 8 Hours
TC.

START.
318635
0225 INDICO N
615
DELAYS
OR 3 loads of gring

REMARKS
2 NOON
27 gallons fuel
ON DUTY for grinder
grind #3 Alot of TrockS Waiting
OURS 8 OULD BE
Vy 8
14 85785 210 225 Ple HiP.
gai/ 219 205) furling
MAI 47 145 3,10
/RH 19.11/19. 11245/135125/115015/105 15/1U5145/1278 135 1O Rialto заа. 7- 1110 11040 1950 110/100135-
/11 11945 19 45 82085 40 1a15 845/910 cohiallo Riverside 7 30.

Merril Ave grin
RAma 19.3,9 805 740 750 Co hialts 384760.
22-055 725 730 705 700 River Side grinding
BS2 73/y Merril Ave
8'4 85785 615 630 Dietrip
C/C ST. ¡ MATERIAL
G/L # EQ RATE
TYPE
TRAILER #
7:25/23TRUCK# 221 nobat Morantes EmP +7591 LP Rialto EMPLOVEE NAME TRAILER #
CA 92373 RHP (Redlands Hot lyle Crook not Plant) 3221 IN. Riverside Ave., Riaito (ONE CALENDAR DAY - 24 HOURS)
DRIVER'S DAILY LOG il. Cabazon: CA 92230
repon mus
Forn #1352 APPROVED BY - 347-07:

88.4 TOTAL MILEAGE TODAY y these cotries
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. SIGNATURE TIME WORKED - THIS IS YOUR TIME SHEET, IT MUST BE TURNED IN DAILY, YOUR PAY IS BASED 173,615 (it YES, have you filed an Accident Report, AND notilled your immediate suc STA10:77.3 X Did you have an ACODENT today? STATE LINE
ard notified your supervisor? SARS TO. FROM ...

STATE LINE
•yar have volt tiled inunstubor
- No Were you INJURED on Ine jub?
START. SHR5
173,526 ODOMETER
FISH: _
1:15 6:15
DELAYS
OR
ARKS
10 DRiVING #4 Grindings Count = 3 70(41)
3 2
on Hold for last asphat Lands
2:00 2:15_ P.T.I. - Rialto
8579-5 gal: Fuel Truck- Rialto 1:50
DRIVERS 9l /11 771103-2115112510 384800

19.70 10:49 : 384785
40 E Mennill Ava 384779
RMMA -LHP 9.58 C/a Rialte, Rialte CA.:
111
8:55 8:50 8:20 8:30 Rialto cA. E)rimalings Erindings
Errindisgs mernli liverside Ave.
40E 19.45 18:20 8:05 RiaHoCA 17:39 7:43 Merill Riverside Are, 384761 11

RHMA-LHP
22-023 7:257:33 arindings diveride Ave cA. Rialto
852 Erindings "y 17:00 Am 7.05
8578-5 60:156:30 PTI-Rialto Rialto
DAY NO PALT.

RECAP LEFT 3 / LOCATION OF DROP (CH LCAD)
G/L. # EQ RATE JOB = TICKET *
TRAILER # Month/Day/Year
. TRUCK #- hi:
123 DATE 07 ,25 -EMFLOVES NAN Oilblino Luna-WuirotEmn I HP - biato.

TRAILER # 126
ands riot Piant) 8391 Aladama St., medianas, GA 923r3
ONE CALENDAR C Cabazon, CA 92230 CHP (Cabazon Hot Plant) 13984 Apache Trail CA 92408 Shop 3231 = 3rd Sl

DRIVER'S DAILY LOG

CH TRUCK DRI
Form: #1352 APPROVED BY! JUPLIGATE = Dr erMa
these entres are true AUST BE SIC TE
ON THIS REPORT.HO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. TOTAL MILEAGE TODAY 104 1. SIGNATURE L. hrs Latel
THIS IS YOUR TIME SHEET IT MUST BE TURNED IN DAILY YOUR PAY IS BASED 29,659 FINISH _ YES, have you lied an Acolden Repon, AND nottied yaur immedia Yes vour have an ACCIDENT today? 8hrs
No
Yes man INJURED on the job? START.
9hrs DAL THE SLOPE
29,555 ODOMETER
2:55
DELAYS
OR

REMARKS
11 10
ON DUTY 3 louds of Grindings.

DRIVING line 2 slow Pave 5min. delay
HOURS
2:50 2:55 Covid Clean
2135 2:50 Post Trip
85755 IV2 2:25 230 Evel Truck

18.64 12:00 1:50 1:15 1:30 384815
" .

18.57 12:10 1212012145|/2:50 384798
11:30 11135 12:00 12:05 Rialto C.O. Grinclings

18.40'l 10: 25 10 501l: 15 11125 384784
18:41 10:00 384780
8 8 55 69100819135 8:50.09:55. %ainas
22-053 18.52 RAMAY 12 617:3566594579:10 ,, Rialto. 384202.4 852 Grindings.
25 9) 8578-5 5:55 6:10 Pre
LHP
O.T. ST. MATERIAL ARRIVED ARRIVED (LOAD) ORICIN
G/L # EQ RATE JOB #

TYPE TONIS LOA MOKET S
TRAILER #
Latorel EMP = 7S76 DATE 7125 123 TRUCI: #3256 EMPLOYEE NAME Anthony M BASEDA: LMP TRAILER # EQUIPMENT
Alabama Si., Redlands, CA 92373 AMP (Rediands Hot P Plalto, CA 92376 LHP (Lyle Greek Hot Plant). field inspection (ONE CALENDAR DAM 84 Apache Trail, Cabazon, CA 92230 13 (Main Shop) 3201 E.

DRIVER'S DAILY LOG nust ba kept curren?
APPROVED BY ris po
119.3 TOTAL MILEAGE TODAY CERTRE
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM: me Jelin SIGNATURE THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY YOUR PAYIS BASED FINISH 99042 if YEs. nave you fed an Accident Repot, AND notilled your immediate supervisor? STRAIN: TO E
Didiyou riave MACCIDENT today?
and nolitied your supervisor?
JNCH
lives. have vau leg Injury tebolt
No Yes- Were you INJURED on the (ch"
98922 START. 9.
2:45 5:40
DELAYS
OR

REMARKS
8 4 Loads of As phatt
3: ON OUTY S Loads of Grind ms.
2: DRIVING 30 minutes (3) on Hol at CHP
1: OFF DUTY
HOURS 11 10 10 MER SHOULD BE
TOTA!
1y 8573-5 2:45 2:30 Post tup CAPi
2:30 2:25 33.0 Fuel CHP"

18.99u u4, 200 1:55 1'20 Lis 1 2 384813 I ...
1826 12:55 12:25 2215 1 2 C8 53847990
Grund Full 15 12:50 1:4S 11:40 Grindings
Coriodsmi Rialto!

18.95 1:40 12,10
11:35 Grindings 10 380782 Riato
0 5 10:35
10:00 0-
Grindingst FuLL 9:30 4:25 9:00 RatO
TOTAL LINE 2 150 • 30 8:10 CHP.
364 22-055 Fol iSS 7:50 7:30 merrill Ave. + Riverside Aue Rialto 25 852 Full 6: 50 6:45 6:25 Grindings Richto
9 8578-5 5.SS 5.40 trip
Pre
MA.NT.

O.T. / LOCATION OF DRO ON LOAD) CHIDIN
GIL = EQ C/C RATE JOB
TYPE TICKET#
TRAILER*._.

DATE 7/2S 123 TRUCK# 3248 eMP. # 7324 LaCroix Mark EMPLOYEE NAME TRAILER # LAP
Misband on Megianas. RMP (Redlands IMP (Lytle Creek Hot Plant) 3221 N. Piverside Ave., Rialto, CA 92376 ORE CALENDAR DAY - 24 HOURS)
DRIVER'S DAILY LOG MS (Main Shop) 3231 E. 3rd SL.,

DRIVER'S
Povin. 21352 APPROVED BY. • his !

MILEAGE TODAY
ON THIS REPORT NO.TIME WILL BE PAIO.UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 8 104079 THIS IS YOUR TIME SHEET, IT MUST BE TURNED IN DAILY, YOUR PAY IS BASED Tils are (EYES, nave you liled an Acadent Repart, AND notilled your immadiate supervist LINE 84Vs
104908 8 his 25 mins
v37
LAY S
OR loads of Grindings 3
ARKS

OFE DUTY
HOURS 11 10 ULD BE
TOTA
8 14 5578-51 236 2K Pti
Gal11 Fuel
n3100 corvante LUP 384802
Tar 95S Hold at Many CoLings Riano 93-020100
# 419384772
Bossi RE6314 7515. "Guindingo bore us? 10° corialto LHP 385 8579-2 FL Grindings 1 710 700 640|645 Grindings Rialt oto LAP LAP 8 8578-5 605 620 Pti
ST. YARDS LEFT LEF!
G/G RATE JOB #

USED ONLY TONS UNLOADING
TRAILER # Ø 1 Month/Day/Year (Fiease Prirt)
DATE 7125 123 TRUCK#Z42 ENP #7679 L HP AT:

EMPLOYEE NAME Teler Jayne i any time during the day.

TRAILER #
CA 92373 Redlands. mala inspecion
DRIVER'S DAILY LOG 4 Apache Trail, Capszon, CA 92230 p) 3231 E.

TOTAL MILEAGE TODAY 1O2 certify those 012318
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM SIGNATURE 30 Min THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH 2595 eye:you lited an Accident Repon AND natilled your immediate supervisor?

NO STATE
STATE
job? START E PLATO EC
7493 Pak 30 min
m50 2:15 = 5:45 On
DELAYS
OR

REMARKS
3 loads or Gindings
3: ON DUTY BOR GRINDIGS
2: DRIVING SEnT Dock to JOB Emiti

SHOULD BE
'½ 8 ! S
2:15 2100 POST TRiP RILLtO
14 8578-51 2:00 + 1:55 fuel
28,73 1120 12:35 12:33 478 в 387804

18.78 11: 10 1: 03 Lakir 394788
RAMALAR 1:00 10:70 10:33 10:20
18 10:00 9:30 ON HOLD SENT EMPTI PORE GRINNE
Rim LAP40E . 7 % 18. 9:00 28:50 7: 3:20 8:20. LAP: 384775 GRiNDi 18 8:10 GRINDINGS

18.50 4 6 7:257:351 7:20 7105 RILLTO MERRIL & RIVERSIDE 384754

RAMA LAP LITI OF RIALTO
1 22-055 18 6.55 6:451 6:25 6:20 GRINDiNGS TO RINGO HE
852
85785 6:00 + 5:451 PRE TRiP RIALTO
8½
ST. BEG. LEFT LEFT R/ LOCATION OF (CA LONE) OR G
GA.#-EQ C/C HATE DELAYS ПІСКЕї *

TYPE AMINIS
(Ploase Print)
TRAILER# EMPLOYEE NAME BASED AT:..

TRUCK # 3260 _ DATE 7,2523 EUP. # 07386 Scott Hautor
TRAILER #. EQUIPMENT
RHP (Redlarids Hot Plant) 8397 Alabama Si, Redlands, CA 92376 LHP (Lylie Greek Hot Plant) 3221 N. Riverside Ave., Riailo.

ONE GALCRUAH BAY MS (Main Shop) 3231 E. 3ra Sla
nt) 13984 Apache Trail, Cabazon, CA 92230 CHP (Gabazon Hot: CA 92408

DRIVER'S DAILY LOG

REPORT ICK BRIVER'S BALLY
Form v.1352 APPROVED BY

CORDER FROM PR
109 - TOTAL MILEAGE TODAY NUST 8E SIGNED DAILY.

ON THIS REPORT, NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR CN THIS FORM. SENATURE Traves R Gate not 0.75 HRS THIS IS YOUR TIME SHEET. IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED. FINISH.

If YES, have you fied an Accident Repori, AND notified your immediate supervisor? 183640 id you have an ACCIDENT today? T TIME ..

STATE LI HRS. 8
no natues your supervisork
STATE LI FRO!
lere you INJURED on the job? START,
183531 HR 45 MIN
Na CAMED
500 235 550
AYS
OR

REMARKS
GRINDINGS- 5 LOADS
3: ON DUTY

NUMBER)

OFF DUTY
OURS 2 NOON LO BE
B/y 8
'2 8:755 235 220 PTI
255 205 TRUCK FUEL
1950 135 130 1240 124510 LP 384807: 40 RIALTO
2ui 1230 1205 1/SS GRINDNES RADAVE
196 1145 1120 Lo RUALTo LiP 384791
1040|100 RiALTOE
TTZ
94° 935 910 avo TRIEDINES RIALTO 1
1968 соб 845 020 815 CEO RIALTO LHP 384771
e1s 8L0 750 740
40°E 196) 240 735 RIALTO, CA ZOS LAP 384755 cORIACTO
RHMA-!
22-035 205 1035 200 GRINDINGS RIALTO, CA 630
852
83% 8578-5 605 550 PTI AtP
G/L # EQ RATE JOB F (OR LOAD! ORIGIN

TIME TOKET -
TRAILER # (Please Prini)
DATE 7 / 25 TRUCK TRUCK# 3228 EMPLOYEE NAME TRAVIS R GATES EMP$ 7572 EDAN LAP TRAILER #
H9 Dyile Creek Hot Plant) 3221 N. Riverside Avo., Rimito, CA 9237 DRIVER'S DAILY LOG 300 S1 i Shop) 3231 E report
APPROVED BY no arminal
TOTAL WILEAGE TODA 10 Ce SIGNATURE -MUST

ON THIS REPORT, NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORMI 15 min

THIS IS YOUR TIME SHEET, IT MUST BE TURNED IN DAILY, YOUR PAY IS BASED Nave you lied an Accidlat Reper, AND notifed your immediate supervisor? 187631 STRATI. TRE Yes notified your superisor? Shes
LINE TO.. INCH FROF
187525 START- MAL THE ELAPSCO
ODOME
CH9D ME: 5:(NT2)
235 Cilo
DELAYS

REMARKS
→ Grindings. total
223v7
HOURS
85785 2:20|2:35 Post trip
220 2:10 Fuel

20.51 (MA 1242 R52 117/40 1:37 1:40 20.81 AHMA) 384804
1965 RHMA 1140. 1147 140 1220 384795

9.50 1010 1032 |1P5
1964 RAMAL 930 835 846.910 384774 1/
1964 84/MA) 7257327:55810 384758
_22-0551 72 6156 7:05 G36 merril pRinside 6i35
i852
8'y 8570-5 420 6.35 Pretrip Rapto
ST. ION OF DROP IC3#/ CCRTRACTC (OP LOAD)
GIL# EO RATE TICKET#
TIME
TRAILER #
EMPLOYEE NAME Pi-alto BASED AT:

TRAILER# EQUIPMEI uring the day.

PHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 Flialto, CA 92376 or field Inspection.

ONE CALENDAR DAT 13984 Apache Trail, Cabazon, GA 92230 hop) 3291 E. 3rd St DRIVER'S DAILY LOG CHP (Cabazon Hot Pla be kepi current AILY REPORT • DRIVER'S

APPROVED BY
106 TOTAL MILEAGE TODAY OVERTIME ...

ON THIS REPORT, NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM, SIGNATURE 35 mins THIS IS YOUR TIME SHEET IT MUST BE TURNED IN DAILY. YOUR PAY IS BASED FINISH 28675 (il YES, have you filed an Accident Report, AND notified your Immediete supervisor? STONIGHT THE Did you have an ACCIDENT today? 8 hrs.

No and notified your supervisor? TO
It yes, have you tiled injury, report STATE LINE
Yes Were You INJURED or the |087 START STAL THE CLAPSED M 28569 8 hrs. 35 mins
1SATeS 6:10 8 2:45
DELAYS:

OR

REMARKS
TIT .... the fuel line
10 2 Truck Anoad of Me at
3: ON DUTY Total Sweper boods: 1
2: ORIVING Total Grinding Lads = 3 loads.

OFF DUTY

AINED ON DELIVERY TICKE

HOURS CHARGEABLE TO CUSTOMER SHOULD BE
245 240 Covid Clean
2:25 2:40 Post Trip
12 8578-5 2:20! 210 Fuel Truck
18,54 135 11° 1247 11240 Riverside Are PrIte CA. 384808 1:35 1:30 2. 0. Rialto

18.55 LAPYDE Riversick Ave 384794
RHMA- не ноб піз 137,
Iverside Are Rialto c
Grinding to Rialto

18.45 Biversayz per Grant to 384€778 11
CHP HOL 18.38 818:48 318:46. 738:201 384763 LHP
RHUA - Merril AVe, Rialto CA.
22-055 134) 7:3017:35 6:557:05
1852 ariadings
25 82 857851 6:106:25 LMP
ST. MATERIAL BEG. LEFT
G/ # EQ C/C RATE JOB #

TYPE TONS
TRAILER # (Please Print)
brise EMPLOYEE NAME BASED AT:

Contra3 EMP. $7575 DATE 7 125 23 TRUCK 3258 LHP
TRAILER # EQUIPMENT
HP (Fediand's Hot Plant) 8397 Alabama St., Redlands, CA 92373 :CA 82376 LHP (Lytle Creek Hot Plani) 3221 N. Riverside Ave., ONE CALENDAR DAY - 24 lazon Hot Piant) 13984 Apache Trail, Cabazon, CA 92230 MIS (Main Shap] 3231 E. 3rd. Si. San: Bernardino: GA 92408 DRIVER'S DAILY LOG CHP (Cal must be kept curren

MATICH TRUCK DRIVER'S
Form #1452 APPROVED BY
1397-071

OTAL MILEAGE TODAY
ON THIS REPORT. NO TIME WILL BE PAID UNLESS IT IS ACCOUNTED FOR ON THIS FORM. 45min OVERT:U..

SIGNAT
THIS IS YOUR TIME SHEST. IT MUST SE TURNED IN DAILY. YOUR PAY IS BASED If YES, have you fled an Accident Report, AND notified your immediate supervisor? FISH 12/695 NO Yes. Did you have an ACCIDENT today? STATE LINE ShR
No Yes and notified your supervisor?
If yes, nava you fled injury report STATE LINE 10_
Ware you iNJURED on the job?
121576 START_ OTT 2ELPED
ShR 45 min

ODOMETER
=000 2:15 5:30 KE STANTE
DELAYS
OR

REMARKS
10 3: ON DUTY
3 loads of Grindings.
: OFF DUTY
10 10 OULD BE
TOTAL
3/4 8
8578-51 Post-TRip. Rialto ca 2:00 2:15
2:00 1:45 fueled TRUcK

8.22% 12:30.12:551:15 112:202 38480311
18-90 PAndas CKP
10:115 1:15 11:20
i on hold at plant 11! 9:45 384721í
1890 " 4:204:25

18.48 RHmAl 3:55 " 7:057: : 38476511
14 22-055 Grindingsi - 20 7:40
25 B52 6:45 6:40
83/4 85785 Ver LHP
G/L. # EQ O.T.

C/C RATE JOB # CRIGIN
TRAILER#
EMS: 7580 DATE 7 / 25,23 TRUCK # 3242 NAME JoShua Alala EMPLOYEE LHP BASED AT:

TRAILER# EQUIPMENT
RHP (Redlands Hot Plant) 8397 Alabama St., Redlands, CA 92373 MP Cytle Cresk Hot Piant) 3221 N. Riverside Ave. Riaito. GA 92378 DRIVER'S DAILY LOG 13984 Apache Trail, Cabazon, CA 92230 must be kept current
www.ewbills.com Page NTS Universal Bill Form
4,045.89 Bill Total + Date: 09/05/2023 Contractor: Date Received: •Resubmital Returned for Correction Date: Customer: Date of Action: Approved for Payment Now Bill Accapted: For Owner/Resident Engineer's Use Only
4,045.89 Bill Subtotal
4,045.89 Work Total
4,045.89 Activity Total
•
Matertal Charges
1,424.25 Equipment Total
185.77 15.00% MU
1,238.48 Subtotal
Equipment Charges
2,621.64 Labor Total 437.680 54.710 8.00 12:20 TATT TRUCK E0S 7275 436.94 20.00% MU 461.680 57.710 8.00 20-28 TATT TRUCK E02 7293

0.00 Other Expenses 339.120| 42.390 8.00 06-12 T&TT TRUCK E01 7283

0.00 Extended Subelstence OT Rate Delay Factor RT Rate RT Hrs A1 A2. Model Make Class Equipment ID 2,184.70 Subtotal Labor Equipment Charges
616.880 77.110. 8.00 JM Diaz LOS LBR LG4
135.02 OT/DT Labor 616,880 77.110 8.00 M Carranza Lo2 LBR LG4 950.940 135.020 101.990 1.00 8.00 RF Del Toro LOt OE OF8 2,049.68 Extended RT Labor Subs Rate AT Rate OT/DT Rete RT Hrs OT/DT Hrs Subs Unita Employee Name Craft/Level Labor Charges Labor Charges
7/26/2023 Perform Date Report No, Description of Work: INSTALL TRAFFIC CONTROL 8/25/2023 Report Date Notato 20 opEnSIDE AVE. - CENTRAL RECONSTRUCTION 120.0 Billing Number Contractor Job:
300 Change Order Contract: 220804 City Of Rialto

DAILY EXTRA WORK REPORT
) Project Managar Approved L Submited by Robert Del Toro on 7126/2023 1:23PM • Tone Entry Dotalle

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16.00 0.00 0.00 B.CO 1.00 0.0D 8.00 11 Employees 2090 7% Serve Mados
Even Feats
00 0C0 0.000.00 0.00
000 060 000 000000
00DBCC ONe 081 L°2 28h Mare
000000 000 0000.00 170 APP LAD

8.00 U.0u V. 1,00 8.00
800000N 800 9.00
SatanA Ross 5051 APPLAB
001000 00000

8.00 1.00 0.00 9.00 8.00 8.00
06081
1059
CAN CAN 2S FOREN DOES DION NETAL TRAFRC CONTROL 205 0 62F AGAN CRAN IS NO SEND A 2E HO ANE RAMA 253501 TENPORARY STURI DIES ON MATCH RACER. lob: 22055 v v Day: 43400728227 Crever PoseiDol Too Grem My Teneates My Arants and Logo Crew Timesticel Tirsesheets Approvals Leare Requate AssetaandLoge CoalCodes Employees Reporte System www.ewblls.com Page NTS Universal Bill Form
37,556.13 Bill Tolal * Date: 09/05/2023 •Resubmital Relurned for Corection Date: Customer: •Approved for Payment •Now Bill
Accepted: For Owner/Resident Engineer's Use Only
37,556.13 Bill Subtotal
37,556.13 Work Total
37,556.13 Activity Total
37,556.13 Material Total

4.898.63 15.00% MU
32,657.50 Subtotal
Material Charges
Equipment Charges
32,657.50 32,657.50000 1.000 LS -M01 PHI000035518 7/25/2023 Pavement Recycling Systems / RENTA; - SKID MINI & ROADSTER Extended Unit Price Unite Vendor Name and Desoription
Labor Charges Materlal/Specialist Work/Lump Sum or Unit Price Payment 7/25/2023 Perform Date Report No. Description of Work: PRS - RENTAL EQUIPMENT 8/25/2023 Report Date Work Performed By: Matich Corporation 121.0 Bling Number 22-055 - RIVERSIDE AVE. - CENTRAL RECONSTRUCTION Contractor Job:
300 Change Order Contract: 220804 City Of Rlalto

DAILY EXTRA WORK REPORT
Pavement Recycling Systems, Inc.

An Employee Owned Company
10240 San Sevaine Way RECEIVED
Jurupa Valley, CA 91752
Phone: (951) 682-1091 Fax: (951) 682-1094 JUL 2, 7 2023 www.pavementrecycling.com
CA Lic# 569352 - AZ Lic# 183900 - NV Lic# 0036228
SYSTEMS Tax ID: 33-0353433 MATCH CORP.

To: Matich Corporation invoice Number: PRI000035518
ATTN: Accounts Payable 22-055 Invoice Date: 07/25/2023
Po Box 10 Payment Terms: Net 35 days
Highland, CA 92436
202-1 M.14/23
45hrs 48.32,657.50
PRS Job No: PJR024483
Riverside Avenue Central Reconstruction Project, Rialto Job Location: Riverside Avenue EQUIPMENT RENTAL
Riatlo, Ca
Your job No: 22-055
Previous Quantity This Amount This Total Amount
Description Unit Price Quantity Estimate Estimate to Date ROADSTER Rental - WO# 2201791 7/17/2023 $6,880.000 202-1 0.000 ahrse 1.000 $6,880.00 $6,880.00 ROADSTER Rental - WO# 2202338 7/18/2023 $6,200.000 202-1 0.000 1.000 $6,200.00 $6,200.00 ROADSTER Rental - WO# 2202604 7/19/2023 54,950.000 202-1 0.000 Shrad 1.000 $4.950.00 $4.950.00 ROADSTER Rental - WO# 2202859 7/20/2023 $6,540.000 0.000 § Sirs/ 1.000 $6,540.00 $6,540.00 ROADSTER Rental - WO# 2203661 7125/2023 $5,575.000 202-1 0.000 Those 1.000 $5.575.00 $5,575.00 SKID-MINI Rental - WO# 2203967 7/25/2023 $2,512.500 202-1 0.000 G-Shes 1,000 $2,512.50 $2,512.50 Total $32,657.50 $32,657.50
Less Previous Billings $0.00
Amount Due $32,657.50 $32,657.50
For your corvenience, we accept the American Express® Card and other major credit cards.

Please fill in the information below.

Account Number CVC Expiration Date
Cardmember Signature Amount
VISA 3. Late charges on past due invoices will be assessed penalties at 1.5% per month of outstanding balance

4. There will be a 1% fee on all credit card payments
Pavement Recycling Systems, Inc.

Date: 7/25/2023 WO #2203967
10240 San Sevaine Way
Jurupa Valley, CA 91752 Customer: Matich Corporation
Phone: (951) 682-1091
Fax: (951) 682-1094
www.pavementrecycling.com PRS#: PJRO24483 Your#: 22-055 Customer #: CR00750 Contract#: CONR030316
Project: Riverside Avenue Central Reconstruction Project, Rialto Location: Riverside Avenue Work Order
Description: Mill AC Pavement - As directed by customer in the field. Rent Mini Rotomill with 1 operator and support truck. All support equipment by others including water supplied to our machine at the rate of 250 gal/hour. Based on one move-in.

Terms: 1. Mini Rotomill Operated & Maintained. Lump Sum Includes 4 Hours.

2. 1 Operator overtime premium at $55.00 per hour.

3. Costs to repair our machine caused by hitting unmarked buried objects billed on a "T & M" basis.

4. Invoice to be paid within 35 days from invoice date. No Retention may be withheld.

5. Late charges on past due invoices will be assessed penalties at 1.5% per month of outstanding balance.

6. All work to be performed under the supervision and direction of customer. Customer assumes all liability for any claims arising from work performed as directed.

Field Measured Quantities
Move # Item # Location Length Width Depth SF SY CY
Billing
SKID-MINI - First 4 Hours 1.0000 R4 $1925.000 1925.00
__.

SKID-MINI - After 4 Hours 25000 RI $235.000 587.50
... . . ..

SKID-MINI - Overtime 0.0000 OT $55.000 0.00
Amount Due: 2512.50
Auth. Signature: Date: 07/25/2023
Quantity calculations may not be accurate. Billing quantities will be based on accurate computations.

By Agreement, PRSI has not notified any underground alert service. All work performed by PRSI for Contractor (Customer) is done with ex-press understanding that Contractor (Customer) has complied with and accepts all responsibilities and liabilities in and for the requirements of the regional notification center law pursuant to Article 2 (commencing with Section 4216) of Chapter 3.1 of Division 5 of Title 1 of the Government code.

Pavement Recycling Systems, Inc. WO #2202604
Date: 7/19/2023
10240 San Sevaine Way
Jurupa Valley, CA 91752 Customer: Matich Corporation
Phone: (951) 682-1091
Fax: (951) 682-1094
PRS#: PJRO24483 Your#: 22-055
www.pavementrecycling.com
Customer #: CR00750 Contract#: CONR030316
Project: Riverside Avenue Central Reconstruction Project, Rialto Location: Riverside Avenue Work Order
Description: Mill AC Pavement - As directed by customer in the field. Rent Roadster Rotomill with 1 operator and support truck. All support equipment by others including water supplied to our machine at the rate of 1000 gal/hour. Based on one move-in.

Terms: 1. 1000 Rotomill Operated & Maintained. Lump Sum Includes 4 Hours.

2. 1 Operator overtime premium at $55.00 per hour.

3. Costs to repair our machine caused by hitting unmarked buried objects billed on a "T & M" basis.

4. Invoice to be paid within 35 days from invoice date. No Retention may be withheld.

5. Late charges on past due invoices will be assessed penalties at 1.5% per month of outstanding balance.

6. All work to be performed under the supervision and direction of customer. Customer assumes all liability for any claims arising from work performed as directed.

Field Measured Quantities
Move # Item # Location Length Width Depth SF SY CY
Billing
ROADSTER - First 4 Hours 1.0000 R4 $3700.000 3700.00
ROADSTER - After 4 Hours 2.0000 R1 $625.000 1250.00
ROADSTER - Overtime 0,0000 OT $55.000 0.00
Amount Due: 4950.00
Auth. Signature: Date: 07/19/2023
By Agreement, PR nas not atied any underground ter seric. Al or perill by as for actuator suet in done with ex press understanding that Contractor (Customer) has complied with and accepts all responsibilities and liabilities in and for the requirements of the regional notification center law pursuant to Article 2 (commencing with Section 4216) of Chapter 3.1 of Division 5 of Title 1 of the Government code.

Pavement Recycling Systems, Inc. WO #2202859
10240 San Sevaine Way Date: 7/20/2023
Jurupa Valley, CA 91752
Customer: Matich Corporation
Phone: (951) 682-1091
Fax: (951) 682-1094
PRS#: PJR024483 Your#: 22-055
www.pavementrecycling.com
Customer#: CRO0750 Contract#: CONR030316
Project: Riverside Avenue Central Reconstruction Project, Rialto Location: Riverside Avenue Work Order
Description: Mill AC Pavement - As directed by customer in the field. Rent Roadster Rotomill with 1 operator and support truck. All support equipment by others including water supplied to our machine at the rate of 1000 gal/hour. Based on one move-in.

Terms: 1. 1000 Rotomill Operated & Maintained. Lump Sum Includes 4 Hours.

2. 1 Operator overtime premium at $55.00 per hour.

3. Costs to repair our machine caused by hitting unmarked buried objects billed on a "T & M" basis.

4. Invoice to be paid within 35 days from invoice date. No Retention may be withheld.

5. Late charges on past due invoices will be assessed penalties at 1.5% per month of outstanding Tally or ange perming de the perimen adirection of customer ustome assumes all Field Measured Quantities
Move # Item # Location Length Width Depth SF SY CY
Billing
ROADSTER - First 4 Hours 1.0000 R4 $3700.000 3700.00
.. . . .

ROADSTER - After 4 Hours 4.5000 R1 $625.000 2812.50
ROADSTER - Overtime 0.5000 OT $55.000 27.50
Amount Due: 6540.00
Auth. Signature: Date: 07/21/2023
Quantity calculations may not be accurate. Billing quantities will be based on accurate computations.

By Agreement, PRSI has not notified any underground alert service. All work performed by PRSI for Contractor (Customer) is done with ex-press understanding that Contractor (Customer) has complied with and accepts all responsibilities and liabilities in and for the requirements of the regiona! notification center law pursuant to Article 2 (commencing with Section 4216) of Chapter 3.1 of Division 5 of Title 1 of the Government code.

Pavement Recycling Systems, Inc. WO #2201791
Date: 7/17/2023
Jora Sale, Cine 1a
Phone: (951) 682-1091 Customer: Matich Corporation
Fax: (951) 682-1094
PRS#: PJRO24483 Your#: 22-055
www.pavementrecycling.com
Customer#: CRO0750 Contract#: CONR030316
Project: Riverside Avenue Central Reconstruction Project, Rialto Location: Riverside Avenue Work Order
Description: Mill AC Pavement - As directed by customer in the field. Rent Roadster Rotomill with 1 operator and support truck. All support equipment by others including water supplied to our machine at the rate of 1000 gal/hour. Based on one move-in.

Terms: 1. 1000 Rotomill Operated & Maintained. Lump Sum Includes 4 Hours.

2. 1 Operator overtime premium at $55.00 per hour.

3. Costs to repair our machine caused by hitting unmarked buried objects billed on a "T & M" basis.

4. Invoice to be paid within 35 days from invoice date. No Retention may be withheld.

5. Late charges on past due invoices will be assessed penalties at 1.5% per month of outstanding fal for an eft med fader the superine and direction of customer: Customer sumes all Field Measured Quantities
Move # Item # Location Length Width Depth SF SY CY
Billing
ROADSTER - First 4 Hours 1.0000 R4 $3700.000 3700.00
....

ROADSTER - After 4 Hours 5.0000 R1 $625.000 3125.00
ROADSTER - Overtime 1.0000 OT $55.000 55.00
Amount Due: 6880.00
Auth. Signature: Date: 07/17/2023
By Agreement, PAS last calculations ne robe cerate cal a permed by stor octator comer done with ex press understanding that Contractor (Customer) has complied with and accepts all responsibilities and liabilities in and for the requirements of the regional notification center law pursuant to Article 2 (commencing with Section 4216) of Chapter 3.1 of Division 5 of Title 1 of the Government code.

Pavement Recycling Systems, Inc. WO #2203661
10240 San Sevaine Way Date: 7/25/2023
Jurupa Valley, CA 91752 Customer: Matich Corporation
Phone: (951) 682-1091
Fax: (951) 682-1094
www.pavementrecycling.com PRS#: PJRO24483 Your#: 22-055 Customer #: CR00750 Contract#: CONR030316
Project: Riverside Avenue Central Reconstruction Project, Rialto Location: Riverside Avenue Work Order
Description: Mill AC Pavement - As directed by customer in the field. Rent Roadster Rotomill with 1 operator and support truck. All support equipment by others including water supplied to our machine at the rate of 1000 gal/hour. Based on one move-in.

Terms: 1. 1000 Rotomill Operated & Maintained. Lump Sum Includes 4 Hours.

2. 1 Operator overtime premium at $55.00 per hour.

3. Costs to repair our machine caused by hitting unmarked buried objects billed on a "T & M" basis.

4. Invoice to be paid within 35 days from invoice date. No Retention may be withheld.

5. Late charges on past due invoices will be assessed penalties at 1.5% per month of outstanding balance.

6. All work to be performed under the supervision and direction of customer. Customer assumes all liability for any claims arising from work performed as directed.

Field Measured Quantities
Move # Item # Location Length Width Depth SF SY CY
Billing
ROADSTER - First 4 Hours 1.0000 R4 $3700,000 3700.00
ROADSTER - After 4 Hours 3.0000 R1 $625.000 1875.00
ROADSTER - Overtime 0.0000 OT $55.000 0.00
Amount Due: 5575.00
Auth. Signature: Date: 07/25/2023
By Agreement PR as try atilet any may grue terse it i ur peris mild by Pastor octator (Cromer done with ex press understanding that Contractor (Customer) has complied with and accepts all responsibilities and liabilities in and for the requirements of the regional notification center law pursuant to Article 2 (commencing with Section 4216) of Chapter 3.1 of Division 5 of Title 1 of the Government code. www.ewbills.com Page NTS Universal Bill Form
4,678.38 Bill Total + Data: 09/05/2023 Contador: Barin
Date Received: •Resubmital Retumed for Comection
Date: Customer: Date of Action: Approved for Payment •New BIll Accepted: For Owner/Resident Engineer's Use Only
4,678.38 Bill Subtotal
425.31 10.00% MU
Subcontract Markup
4,253.07 Work Total
4,253.07 Activity Total
4,253.07 Malorial Total
554.75 15.00%
3,698.32 Subtotal
Material Charges
Equipment Charges
3,698.32 3,698.32000 1.000 LS 7/26/2023 CALSTRIPE/ CAT-TRACK FOR THERMO'MARKINGS, STRIPE&LO M01-072629 Extended Unlt Price Units Vendor Name and Description Date Number Labor Charges Material/Specialist Work/Lump Sum or Unit Price Payment 7/26/2023 Perform Date Description of Work: CAT-TRACK FOR THERMO MARKINGS, THERKO STRIPE & LOOPS BETWEEN RIALTO AVE. & SAN BERNARDINO AREport No. 8/31/2023 Report Date Work Porformed By: Cal Stripe, Inc. (For Matich Corporation) 122.0 Billing Number
300 Change Order Contract: 220804 City Of Rialto 22-055 - RIVERSIDE AVE. - CENTRAL RECONSTRUCTION 84,263.07 Sub: CALSTRIPE BIl: DAILY EXTRA WORK REPORT
www.awoills.com Page NTS Speclal Bili Form
3,698.32 Bll Total 4 Date: Contractor:

Date: 09/05/2023
on Bange Cal Stripe, Inc.

Accepted;
3,698.32 BI Subtotal
3,698.32 Work Total
3,698.32 Activity Total

96.08 Material Total

12.53 15.00% MU

83.55 Subtotal
Material Charges
1,873.56 Equipment Total
244.38 15.00% MU 12.00 0.48000 25.000 EA 3123/2023 Potters Industries Inc. / Type Il Beads M02 91392985 1,629.18 71.56 Subtotal 14.31000 5.000 EA 4/20/2023 Vista Paint / White Paint M01 2023-962783-00 Equipment Charges Extended Untt Price Units Vendor Name and Description 1,728.68 Material/Speciallst Work/Lump Sum or Unit Price Payment Labor Total 6.360
345.74 1.060 6.00 TRAFA E09 042A

25.00% MU 825.600 137.600 6.00

0.00 Other Expenses STRIP E02 042
797.220 132,870 6.00 2300LT STRIP E0T 069

0.00 Subsistence Extended OT Rate Delay Factor RT Rate OT His RT Hrs A1 A2 Equipment ID 1,382.94 Subtotal Labor
373.320 62.220 6.00 S Villalvoza LOS LBRAP 4

0.00 OTOT Labor 497.400 B2.900 6.00 M Haro Loz LBR G04
512.220 85.370 6.00 C Boling LOr LBRF
1,382.94 RT Labor Extended RT Rate OT/DT Rate Subs Rate OT/DT Hrs Subs Units RT. Hrs Employee Name Craft/Level Labor Charges Labor Charges
7/26/2023 Perform Date Report No. Description of Work: CAT-Track for Thermo Markinge, Thermo Stripe and Loops, Belween Rlalto Avo. and San Bernardino Ave. 8/17/2023 Report Date Work Perlored By: Cal Stripe, Inc, (For Matich Corporalion)

2.0 Biling Number Contractor Job:
001 Change Order Contract: 220804 Contad Ria 22145 - Riverside Ave. Central Reconst. $3,698.32, Sub: CALSTRIPE BIll 20 Jab: 22145 DAILY EXTRA WORK REPORT CAL STRIPE, INC.

GENERAL ENGINEERING CONTRACTOR
License #685387
2040 E. Steel Road ~ Colton, CA 92324
(909) 884-7170 ~ Fax (909) 884-7106

DAILY FORCE ACCOUNT WORK TENTATIVE AGREEMENT
CONTRACT NO.: DATE: 07 26/2023
CCO NO.: JOB NO: 22145
LOCATION, DESCRIPTION OF WORK: Riverside Ave, Rialto CA CAt -Track for therme markins, thermo stripe
and loops. Between Rialto Ave and
San Bernardino Ave
EQUIP# EQUIPMENT HRS CLASS NAME OT
69 STrIper D -4 Chris Boling
42 TC J-4 Manuel Hare
J-4 STeve Villa vazo

MATERIAL DESCRIPTION QNTY MATERIAL DESCRIPTION QNTY
White paint Saal
Type It Beade

CONTRACTOR'S REPRESENTATIVE (SIGN STATE'S REPRESENTATIVE (SIGN

CONTRACTOR'S REPRESENTATIVE (PRINT) STATE'S REPRESENTATIVE (PRINT)

ACCEPTABLE FOR PROGRESS ESTIMATE PURPOSES
Invoice Number
91392985
THAIL T-202, INC
2040 EAST STEEL ROAD
COLTON CA 92324
Item Material Quantity Description Price/Unit Amount
Vehiclé ID #:
000030 615086 M247 TP2 AC-110 BG 75% 2400 PRETEST

STANDARD HIGHWAY SAFETY MARKING SPHERES
Origin: Kingman Carrier: DON MAR GROUP
Freight Terms: Allowed & Prepaid
9,600.000 LB 0,45000 per LB 4,320.00
FRT Fuel Surcharge % 1.03 ¢ TAX 15.67
State Tax 1.000 259,20
County Tax - 48 ₴ 75.60
Total invoice amount 21,226.87
Questions? Call 1-800-552-3237. Please call before making any adjustments. Thank you for your business.

Page 2 of 2 ends

www.ewbilfs.com Page NTS Universal Bill Form
22,674.84 Bill Total + Date: 09/05/2023 Contractor:

Date Recelved:

Resubmilal Retumad for Coratio
Date: Customer: Date of Action: Approved for Payme • Now Bill Accepted: For Owner/Resident Engineer's Use Only
22,674.84 Bill Subtotal
22,674.84 Work Total
22,674.84 Activity Total
22,674.84 Material Total
2,957.59 15.00% MU
19,717.25 Subtotal
Matertal Charges
Equipment Charges
19,717.25 19,717.25000• 1.000 LS 8/18/2023-Aragon Geotechnical/QC-TESTING Extended Unt Price Units Vendor Name and Description
Labor Charges Material/Specialist Work/Lump Sum or Unit Price Payment 8/18/2023 Perform Date Report No. Description of Work: QC TESTING 8/31/2023 Report Date Work Performed By: Matich Corporation 123.0 Billing Number 22-055 - RIVERSIDE AVE. - CENTRAL RECONSTRUCTION 300 Change Order Contract: 220804 City Of Rialto

DAILY EXTRA WORK REPORT
AGb ARAGÓN GEOTECHNICAL, INC.

Consultants in the Earth & Material Sciences
BILL TO: INVOICE
Matich Corporation
Att: Accounts Payable
PO BOx 10
Highland, CA 92346 DATE 8/17/2023
INVOICE # 8597

PO NUMBER
PROJECT # 4934-TR TERMS: Net 30
SERVICED DESCRIPTION QTY RATE AMOUNT]
SITE: RIVERSIDE DRIVE, CITY OF RIALTO,CA
BILLING PERIOD: JUNE 16 TO AUGUST 18, 2023
FIELD SERVICES - Quantity Column shows No. of hours,
miles or items.

Asphalt Concrete (Observation/Testing/Monitoring) - With Travel
133.00 4,256.00
Material Techician - 7 - 718, 7183 720, 720, 725 199.50 1,396.50 Asphalt Concrete Coring - 7/20 4.5 133.00 598.50
Vehicle & Testing Equipment 505 0.65 328.25
SUBTOTAL FOR FIELD SERVICES 6,579.25
LABORATORY SERVICES - Quantity column shows
number of tests (not hours)
Laboratory Technician at Plant - 7/17, 7/18, 7/19, 7/20 16 133.00 2,128.00 % Oil by Ignition Method - ASTM D6307 / AASHTO 145.00 870.00 Unit Weight (Paraffin Coated) ASTM D 2726 (does not 46 35.00 1,610.00 include specimen fabrication)
Prep by Superpave Method - ASTM D6925 / T 312 145.00 435.00 Rice Specific Gravity - ASTM D 2041 = 120.00 1,320.00
Tensile Strength Ratio - ASTM D 4867 - 600.00 600.00
% Oil & Gradation RAP - CA Test 384 - 240.00 240.00
Sieve Analysis (Fine & Coarse) - ASTM C 136 120.00 720.00 Sand Equivalent Test(s) - CA Test 217 90.00 540.00
Gradation of Extracted Aggregate - ASTM D5444 130.00 130.00 Total

Page 1 ends

16801 Van Buren Blvd. Bldg B • Riverside, California 92504 • Telephone: (951) 776-0345 • Fax: (951) 776-0395 • www.aragongeo.com GL ARAGÓN GEOTECHNICAL, INC.

Consultants in the Earth & Material Sciences
BILL TO: INVOICE
Matich Corporation
Att: Accounts Payable
P O Box 10
Highland, CA 92346 DATE 8/17/2023
INVOICE# 8597

P O NUMBER
PROJECT# 4934-TR TERMS: Net 30

SERVICED DESCRIPTION QTY RATE AMOUNT
Air Void Determination - ASTM D 3203 90.00 270.00
Moisture Content - AASHTO T329 20.00 120.00
Compaction Test (s) (6"diameter mold) ASTM D 210.00 210.00 1557-Method C
Compaction Test(s) (4"diam. mold) ASTM D 175.00 175.00
1557-Methods A & B
Core Measurements 15.00 300.00
SUBTOTAL FOR LABORATORY 9,668.00
OFFICE SERVICES - Quantity Column shows No. of hours,
miles or items.

Pre-job Management and / or Equipment Preparation
Laboratory Technician 1.75 85.00 148.75
Conferences/Consultations (Office)
Senior Engineer 6/30, 7/14 145.00 435.00
Data/File (Analysis/Review/Calculations)
Project Engineer 11 135.00 1,485.00
Technical Word Processing of Test Results and Dailies 3.25 50.00 162.50 Third Party Laboratory
Project Engineer - 6/19 135.00 405.00
Report Preparation
Senior Engineer 5.75 145.00 833.75
SUBTOTAL FOR LABORATORY AND OFFICE 3,470.00

SERVICES
Thank you for your business. Please make checks payable to ARAGÓN GEOTECHNICAL, INC. Total NOTE: A finance charge of 1.5% monthly (18% annually) will be applied to past due accounts. $19,717.25

Page 2 ends

16801 Van Buren Bivd. Bldg B • Riverside, California 92504 • Telephone: (951) 776-0345 • Fax: (951) 776-0395 • www.aragongeo.com

← All documents from this meeting