EFTA00600469.pdf

LSJ, LLC CONSTRUCTION Subcontractor Payout Project: MSOSI November 18, 2009 Trade: Admixture Supplier Requisition #1 Subcontractor L.M. Scofield Co. Insurance ex ration: Januar 0. 1900 Invoice # Requisition #1 Partial Final Phase # 03.130 X Original Contract Sum: $5,185.45 Change Orders Submitted & Approved: $0.00 New Change Orders: $0.00 Total Work Contracted to Date: $5.185.45 Total Work Completed to Date: 100% $5,185.45 Less Retainage: $0.00 Total Payments Made to Date: $0.00 Total Current Payment Due: $5,185.45 Balance to Finish including Retainage: $0.00 Sales Tax Liability: a. Subcontractor/Supplier is liable. explaiiinstall only / tax included in contract b. Non-resident Subcontractor/Supplier Bond Applicable: c. Use Tax to be paid by our company: d. Shipping None Total Outlays for this contract incl. Sales or Use Tax: $5.185.45 JEE approval attached Invoice Attached YES NO YES NO X Submitted Bill Approved by: Gary % Signed: frilig Signed: Date: Novembec-1 2009 Date: Approved by na Approved by: Sign : Signed: Dale: kit 09 Date: L6 S— lecer5-- EFTA00600469 LSJ. LIC CONSTRUCTION Nog« MSOSI Mconbactor - full logal name: L.M. ScotiaId Co. Dale Rovised: Novomber IS. 2009 Phase re 03-130 Trade Admixture Supplier Invoice X: Requisition #1 Insurance expiration. Payment Partial Final X Invoice/Rorie Dato CAD Amount Rotainaqo Due Paid Dale Paid Clear Balance 1 Contract 11/18x09 5.185.45 00111 COn2 COrt3 CO//A COPS Requisition NI 11/18109 5.185.45 5.185.45 5.185.45 Requisition n 0.00 Requisition r13 0.00 Requisition d4 - Total 9.185.05 0.00 5.185.45 0.00 5.185.45 Contract Amount • Phas0 contract 5.185.45 COrit Description CO42 Description CO#3 Oe9CriPlon CO44 DOsenption CO45 Description Contracted To Date Balance of Contract verRotainaqo L 5.185.45 EFTA00600470  Purchase Order L.5.4 L LC Cointruction 6100 Red Hank Quarter. S St. Thonun. I1 00802 N'endur: V Purchase Order No: 002 Fax Nn.: Order Date: 18 Nosenaber 2009 _ _ Tel No.: Contract Number: ... Vendor No.: Project Number: 1005 Architect or Engineer: Project Name: Little St. James MSOSI Shipping Address: Billing Address: VII in Mite / LSJ Alvin White / IS.1 6100 Red I look Qlrs 133 St. Thomas. VI 00802 Shipping Imtructions: F.O.B. Above address Plans S: Specifications: Order mint be shipped bj: Terms: Wire transfer due before shipping Sulintittals due liy: MSDS with shipment Please enter our order subject lo the terms and conditions herein. Ship no goods without m itemized racking slip, which includes Purchase Order number. Project number and Vendor's name.Pumhase Order number and Project number must appear on all inmices. IMPORTANT: Tim Terms and Conditions on the reverse side arc hereby incorporated into this order and the Vendor expressly acknowledges their acceptance. Qtr Unit Cost Description Unit Price Total Code 120 Sacks 03.130 ( brow( C-25 Sombrero Duff 538.66 S 4.639.20 I Total 03.130 Freight 5.546.25 S 546.25 S 5.1f15.45 Vendor: L.M. Scofield Co. I afay,:t< l IA "tempinevironttAnceraf FOIni EFTA00600471  I -M. Scofield Company Nlanufacturer & Marketer (if Building Specialties Since 1915 Revised Proforma Invoice P() Number: 001705 Order Number. 1005-01 Sold To: Alvin White / 1.51 Data No'. 17. 2009 6100 Red Hook Quarter, 83 SL Thomas, USVI 00802 Contact: Mr. BM Ronles Tel: Ship To: Alvin White / L.S1 Unit Quantity l'nit Description Coll Extension 120 Sacks CIIROMI X Admixtures (dr 5.0 sack mix $38.66/per sack $4.639.20 C-25 Sombrero Bull Materials Sub-Total: $4,639.20 I Each Truck Freight Charges 5546.25 S 546.25 From Douglnsvillc. GA to Riviera Beach. FL 'Total Invoke In USD $5,185.45 4"""Matie in the USA•+** EFTA00600472 L. M. Scofield Co. WIRE TRANSFER INFORMATION Bank: Wells Fargo HSBC Trado Bank Account a '294 Routing r=0248 Wolls Fargo EFTA00600473  L.M. Scofield Company Manufacturer & Marketer Of Building Specialties Since 1915 tee .I• fl A 'a. 'f4 Commercial Invoice A PO Number 002 Order No: S2I0607 Sold To: Alvin White /LSJ Date: Nov. 19. 2009 6500 Red Hook Quarter, 3B St. Thomas, USVI 00802 Contact: Mr. Bill Bowles Ship To: Alvin White / LSJ do Tropical S Unit Ouantity Unit Description Cost Extension 120 Sacks CHROMIX Admixtures @ 5.0 sack mix $38.66/per sack $4,639.20 C-25 Sombrero Buff Materials Sub-Total: $4,63920 1 Each Truck Freight Charges $546.25 $ 546.25 From Douglasville, GA to Riviera Beach, FL ********************Total Invoice In USD*************"** $5,185.45 **Note** All Products Made and Manufactured in the U.S.A. EFTA00600474  L.M. Scofield Company Manufacturer & Marketer Of BuiUdine Specialties Sit.ce 1915 Packing List PO Number: 002 Order No: 5210607 Sold To: Alvin White /LSJ Date: Nov. 19, 2009 6500 Red Hook Quarter, 313 St. Thomas, USVI 00802 Contact: hIr. Bill Rowles Tel: Ship To: Alvin White / LSJ do Tropical Shippin Ouantitv Unit Description Harmonized Code: 3206.49.2000 120 Sacks CHROMIX Admixtures @ 5.0 sack mix C-25 Sombrero Buff Net Weight: 2,160 lbs / 980 kg Gross Weight: 2,210 lbs / 1,003 kg EFTA00600475  IMO L. M. SCOFIELD COMPANY 6533 BANDIN BLVD. • LOS ANGELES. CAUFORNA 90040 a 4155 SCOFIELD ROAD • DOUSILASVILLE. GEORGIA 30134 MATERIAL SAFETY DATA SHEET and WARRANTY A304-5G14 Date: July 14, 2005 Section I Product Name: CHROMIX1' Admixtures for Color-Conditioned' Concrete Identification FIRE Chemical Name: Mixture REAcTAIITy Chemical Family: Mixture MATH Chemical Formula: Mixture HEALTH ill FLAMMABILITY RR Emergency Telephone Number: CHEMTREC REACTIVITY (0) PROTECTION Telephone Number for Information: SCOFIELD Section II Composition Weight OSHA TWA ACGIH TLV CAS Number Composition/ Information on Nuisance Particles 100% 15 mghn3 (Total) 10 mghn3 Mixture Ingredients (Dust) 5 mg/m3 (Respirable) Section III Acute Exposure: Hazards May cause irritation to the upper respiratory tract. Abrasion may cause eye Identification and skin irritation. Chronic Exposure: Long term, excessive exposures with repeated or prolonged inhalation of airborne dust of this material may cause scarring of the lungs (pulmo- nary fibrosis), with shortness of breath, chronic cough, and respiratory assisted heart failure. Prolonged exposure can produce a mild symptom- atic pneumoconiosis. Signs and Symptoms of Exposure: Inhalation — Sneezing, coughing, or other nuisance symptoms. Eyes— Irritation. Skin - Mild irritation. Ingestion - May cause mild discomfort. Medical Conditions Generally Aggravated by Exposure: Dermatitis, pulmonary conditions and diseases. Section IV Emergency and First Aid Procedures: First Aid Inhalation - Move to fresh air. Measures Skin — Wash thoroughly with soap and water. Remove soiled clothing and wash before reuse. Ingestion - Get medical attention. CEO4CM X. a and CMCoolsonec ate oadernarks 01 M Scofield Caroany 2005 st L Scot ..•k1 Cctopany All fighIS reserved Page I of 4 EFTA00600476 L. M. SCOFIELD COMPANY Date: July 14, 2005 CHROMIX° Admixtures for Color-Conditioned" Concrete Section IV Emergency and First Aid Procedures (continued): First Aid Eyes - DO NOT RUB EYES. Immediately flush thoroughly with large amounts Measures of water. (continued) If symptoms persist or develop, get medical attention. Section V Flash Point: Not applicable Fire and Flammable Limits: Unknown Explosion Extinguishing Media: Water spray, dry chemical, foam, and CO2. Hazard Data Special Fire Fighting Procedures: Normal fog or nozzle jet application and/or exclu- sion of air. Unusual Fire and Explosion Hazards: Exposure to temperatures greater than 130° F may cause this product to become unstable and slowly auto-oxidize, which generates additional heat. Under certain conditions, this heat may be sufficient to cause combustible materials to ignite. It may not be obvious that the product is burning unless it is stirred and sparks are apparent. Dust explosions can occur under conditions of high dust concentra- tion in the presence of an ignition source. Section VI Steps to be Taken in Case Material is Released or Spdled: Only qualified personnel who have read Accidental the product Tech-Data Bulletins and this MSDS should conduct these procedures. Release Persons not wearing protective equipment should be excluded from the area. Follow procedures in Section VM-Exposure Controls/Personal Protection. Avoid generat- Measures ing dust during recovery or disposal. Collect in labeled waste container. If unable to prevent release to soil or waters of the State, immediate notice to local regulatory authorities is required. Section VII Precautions to be Taken in Handling and Storing: Follow personal protection procedures (Section Precautions for V///)when handling the material. Store In a cool, dry, well-ventilated area, in unopened Safe Handling original packaging or in tightly closed, labeled containers. Protect from physical and Use damage. Avoid contact with acids and other oxidizers. Section VIII Ventilation/Engineering Controls: Adequate ventilation and sufficient local exhaust as Exposure needed to maintain exposure below TWA and TLV limits. Controls/ Respiratory Protection: Wear dust (particulate) respirator (NIOSH TC-84A approved). 3M Personal Company's Tech Line (1-800-243-4630) may be helpful for respirator advice and Protection availability. For respiratory protection guidelines refer to OSHA 29 CFR 1910.134. Page 2 at 4 EFTA00600477  MATERIAL SAFETY DATA SHEET and WARRANTY CHROMIX. Admixtures for Color-Conditioned* Concrete Section VIII Eye Protection: Goggles recommended. Exposure skin Protection: Wear impervious gloves. Controls/ Personal Other Protective Clothingor Equipment Wear suitable protective clothing to minimize skin contact. Protection Work/Hygienic Practices: Minimize exposure in accordance with good hygienic practice. (continued) Wash with soap and water immediately after handling. Section IX Boiling Point: Not applicable Physical and Freezing Point: Not applicable Chemical Vapor Pressure (mm Hg.): Not applicable Characteristics Vapor Density (Alr • 1): Not applicable Solubility in Water: Slight Specific Gravity (H2O = 1): Approximately 2.0-2.5 Melting Point: Not applicable Evaporation Rate (Butyl Acetate = 1): Not applicable Volatile Organic Compounds: Nil Appearance and Odor: Fine powder. Various colors. Section X Stability: Stable Stability ConcktMns to Avoid: Excessive heat (>130° F). and Reactivity Incompatibility (Materials to Avoid): Strong oxidizing agents. Hazardous Decomposition or By-products: CO and CO2 Hazardous Polymerization: Will not occur. Section XI Health Hazards (Acute and Chronic): Toxicological No data. Information Section XII Aquatic Toxicity Rating: Ecological No data. Information Section XIII Waste Disposal Method: Disposal This product is not a hazardous waste and should be disposed of In accordance Considerations with local, state, and federal regulations. Page 3°14 EFTA00600478  MATERIAL SAFETY DATA SHEET and WARRANTY CHROMIX. Admixtures for Color-Conditioned1) Concrete Section XIV Transport DOT Hazard Class: Information Not regulated Section XV U. S. Federal Regulations. Regulatory OSHA Standard 29 CFR 1910.1200 requires that information be provided to Information employees regarding the hazards of chemicals by means of a hazard communi- cation program including labeling, material safety data sheets, training, and access to written records. It is your legal duty to make all information in this Material Safety Data Sheet available to your employees. State Regulations: State of California Safe Drinking Water and Toxic Enforcement Act of 1986 (Proposition 65); WARNING: This product contains one or more chemicals known to the State of California to cause cancer, or birth defects or other reproductive harm. International Regulations: Consult the regulations of the importing country. Section XVI Before using this product: Other Completely read the Scofield Tech-Data Bulletin A-304 CHROMIX Admixtures Information for Cofor-Conditioned Concrete and the product label. WARRANTY Since no control is exercised over product use, L. M. Scofield Company (Scofield) represents and warrants only that its products are of consistent quality within manufacturing tolerances. NO OTHER ORAL OR WRITTEN REPRESEN- TATION OR STATEMENT OF ANY KIND, EXPRESS OR IMPLIED, NOW OR HEREAFTER MADE IS AUTHORIZED OR WARRANTED BY SCOFIELD, INCLUDING THOSE OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Liability for breach of contract, negligence, or on any other legal basis is limited to the lesser of refund or replacement of defective materials. SCOFIELD WILL NOT BE LIABLE FOR SPECIAL, INCIDENTAL OR CONSE- QUENTIAL DAMAGES, INCLUDING FOR DELAYS OR LOST PROFITS. Communication of this warranty and its lim- itations to end users is not the responsibility of Scofield, but should be communicated by those in direct contract with the end user. Any claim regarding product defect must be received in writing within one year from the date of manufac- ture. No claim will be considered without such written notice or after the specified time interval. The end user shall determine the suitability of the products for the intended use and assumes all risks and liability in connection therewith. Page 4 of 4 EFTA00600479