GOLDEN VALLEY MATERIALS INC

26701 S Lammers Rd · Tracy, CA 95377
(209) 830-0280 · M–F 7am–4pm

Work Order

#2858

11 Aug 2026 12:06 pm

Served by: Vanessa

Customer

ANTONIO MADRIGAL

Account · Phone

2094012001
(209) 555-0001

Delivery Address 3458 Onslow St, Manteca, CA 95337

Description	Qty
#6 BASEROCK RECYCLE	7.5
MANTECA DUMP	1
Total Items	2 products

DELIVERY POLICY: All deliveries are curbside only. Any request for delivery beyond curbside is performed strictly at the customer's risk. The company assumes no responsibility or liability for damages resulting from non-curbside deliveries.

RETURN POLICY: Special order materials are non-returnable and non-refundable. All approved returns are subject to a 30% restocking fee. Pavers, coopings, and ledger panels are final sale and not eligible for return.

PALLET DEPOSIT: A $39 pallet deposit will be charged at purchase time and $24 refund will be issued upon return.

DELIVERY ORDERS ONLY If your order is for delivery: scan the QR code to sign — or ask the driver to hand you their device and sign right there. Driver cannot leave until we receive your signature.
/ Para entregas: escanee el QR para firmar, o pídale al chofer su tableta y firme ahí mismo.

I ACCEPT AND UNDERSTAND

Print Name

Signature

Weimaster Certificate

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

Truck #

Driver

Golden Valley Materials Inc · 26701 S Lammers Rd, Tracy CA 95377
(209) 830-0280 · goldenvalleymaterials.com
M–F 7am–4pm · Sat 8am–1:30pm · Sunday 8am–12pm

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