LSJ, LLC CONSTRUCTION
LSJ, LLC CONSTRUCTION
Subcontractor Payout
Project: MSOSI
Trade: Admixture Supplier
Subcontractor L.M. Scofield Co.
Invoice #
Phase # Requisition #1
03.130
Original Contract Sum:
Change Orders Submitted & Approved:
New Change Orders:
Total Work Contracted to Date: November 18, 2009
Requisition #1
Insurance ex ration: Januar 0. 1900
Partial Final
X
$5,185.45
$0.00
$0.00
$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. explaii install 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
YES NO
X
Submitted Bill
Signed: frilig
Date: Novembec-1 2009
Approved by na
Sign :
Dale: kit 09 Invoice Attached
YES NO
Approved by: Gary %
Signed:
Date:
Approved by:
Signed:
Date:
L6 S— lecer5--
EFTA00600469
LSJ. LIC CONSTRUCTION
Nog« MSOSI
Mconbactor - full logal name: L.M. ScotiaId Co.
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
Requisition n Requisition r13
Requisition d4 11/18109 5.185.45 5.185.45 5.185.45
0.00
0.00
-
Total 9.185.05 0.00 5.185.45 0.00 5.185.45Dale Rovised: Novomber IS. 2009
Contract Amount • Phas0
contract
COrit
CO42
CO#3
CO44
CO45 5.185.45
Description
Description
Oe9CriPlon
DOsenption
Description
Contracted To Date L 5.185.45
Balance of Contract verRotainaqo
EFTA00600470
I afay,:t< l IA "tempinevironttAnceraf FOIni Purchase Order
L.5.4 L LC Cointruction
6100 Red Hank Quarter. S
St. Thonun. I1 00802
N'endur:
Fax
Tel Nn.:
No.: V
No.:Purchase Order No: 002
Order Date: 18 Nosenaber 2009
_ _
Contract Number:
...
1005 Vendor
Architect Project Number:
or Engineer: Project Name: Little St. James
MSOSI
Shipping Address:
VII in Mite / LSJ Billing Address:
Alvin White / IS.1
6100 Red I look Qlrs 133
St. Thomas. VI 00802
Shipping Imtructions: F.O.B. Above address
Order mint be shipped bj: Plans S: Specifications:
Sulintittals due liy: Terms: Wire transfer due before shipping 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
Code Description Unit Price Total
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.
EFTA00600471
I-M. Scofield Company
Nlanufacturer & Marketer (if Building Specialties Since 1915
Revised Proforma Invoice
Sold To: Alvin White / 1.51
6100 Red Hook Quarter, 83
SL Thomas, USVI
00802
Contact: Mr. BM Ronles
Tel:
Ship To: Alvin White / L.S1 P() Number: 001705
Order Number. 1005-01
Data No'. 17. 2009
Quantity l'nit Description Coll Unit
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
Sold To: Alvin White /LSJ
6500 Red Hook Quarter, 3B
St. Thomas, USVI
00802
Contact: Mr. Bill Bowles
Ship To: Alvin White / LSJ
do Tropical S PO Number 002
Order No: S2I0607
Date: Nov. 19. 2009
Ouantity Unit Description Cost Unit
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
Sold To: Alvin White /LSJ
6500 Red Hook Quarter, 313
St. Thomas, USVI
00802
Contact: hIr. Bill Rowles
Tel:
Ship To: Alvin White / LSJ
do Tropical Shippin PO Number: 002
Order No: 5210607
Date: Nov. 19, 2009
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
a IMO L. M. SCOFIELD COMPANY 6533 BANDIN BLVD. • LOS ANGELES. CAUFORNA 90040
4155 SCOFIELD ROAD • DOUSILASVILLE. GEORGIA 30134
MATERIAL SAFETY DATA SHEET and WARRANTY
A304-5G14 Date: July 14, 2005
Section I
Identification
FIRE
REAcTAIITy
MATH
HEALTH ill
FLAMMABILITY RR
REACTIVITY (0)
PROTECTION
Section II
Composition/
Information on
Ingredients Product Name: CHROMIX 1' Admixtures for Color-Conditioned' Concrete
Mixture Chemical Name:
Chemical Family: Mixture
Chemical Formula: Mixture
Emergency Telephone Number: CHEMTREC
Telephone Number for Information: SCOFIELD
Composition Weight OSHA TWA ACGIH TLV CAS Number
Nuisance Particles 100%
(Dust) 15 mghn3 (Total)
5 mg/m3 (Respirable) 10 mghn3 Mixture
Section III
Hazards
Identification Acute Exposure:
May cause irritation to the upper respiratory tract. Abrasion may cause eye
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 CM Coolsonec 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
First Aid
Measures
(continued) Emergency and First Aid Procedures (continued):
Eyes - DO NOT RUB EYES. Immediately flush thoroughly with large amounts
of water.
If symptoms persist or develop, get medical attention.
Section V
Fire and
Explosion
Hazard Data Flash Point: Not applicable
Flammable Limits: Unknown
Extinguishing Media: Water spray, dry chemical, foam, and CO2.
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
Accidental
Release
Measures Steps to be Taken in Case Material is Released or Spdled: Only qualified personnel who have read
the product Tech-Data Bulletins and this MSDS should conduct these procedures.
Persons not wearing protective equipment should be excluded from the area. Follow
procedures in Section VM-Exposure Controls/Personal Protection. Avoid generat-
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 for
Safe Handling
and Use Precautions to be Taken in Handling and Storing: Follow personal protection procedures (Section
V///)when handling the material. Store In a cool, dry, well-ventilated area, in unopened
original packaging or in tightly closed, labeled containers. Protect from physical
damage. Avoid contact with acids and other oxidizers.
Section VIII
Exposure
Controls/
Personal
Protection Ventilation/Engineering Controls: Adequate ventilation and sufficient local exhaust as
needed to maintain exposure below TWA and TLV limits.
Respiratory Protection: Wear dust (particulate) respirator (NIOSH TC-84A approved). 3M
Company's Tech Line (1-800-243-4630) may be helpful for respirator advice and
availability. For respiratory protection guidelines refer to OSHA 29 CFR 1910.134.
Page 2 at 4
EFTA00600477
MATERIAL SAFETY DATA SHEET and WARRANTY
CHROM IX. Admixtures for Color-Conditioned* Concrete
Section VIII
Exposure
Controls/
Personal
Protection
(continued) Eye Protection: Goggles recommended.
skin Protection: Wear impervious gloves.
Other Protective Clothingor Equipment Wear suitable protective clothing to minimize skin contact.
Work/Hygienic Practices: Minimize exposure in accordance with good hygienic practice.
Wash with soap and water immediately after handling.
Section IX
Physical and
Chemical
Characteristics Boiling Point: Not applicable
Freezing Point: Not applicable
Vapor Pressure (mm Hg.): Not applicable
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
Nil Volatile Organic Compounds:
Appearance and Odor: Fine powder. Various colors.
Section X
Stability
and
Reactivity Stability: Stable
ConcktMns to Avoid: Excessive heat (>130° F).
Incompatibility (Materials to Avoid): Strong oxidizing agents.
Hazardous Decomposition or By-products: CO and CO2
Hazardous Polymerization: Will not occur.
Section XI
Toxicological
Information Health Hazards (Acute and Chronic):
No data.
Section XII
Ecological
Information Aquatic Toxicity Rating:
No data.
Section XIII
Disposal
Considerations Waste Disposal Method:
This product is not a hazardous waste and should be disposed of In accordance
with local, state, and federal regulations.
Page 3°14
EFTA00600478
MATERIAL SAFETY DATA SHEET and WARRANTY
CHROMIX. Admixtures for Color-Conditioned 1) Concrete
Section XIV
Transport
Information DOT Hazard Class:
Not regulated
Section XV
Regulatory
Information U. S. Federal Regulations.
OSHA Standard 29 CFR 1910.1200 requires that information be provided to
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
Other
Information Before using this product:
Completely read the Scofield Tech-Data Bulletin A-304 CHROMIX Admixtures
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
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AI-generated factual descriptions of embedded images (llava:13b). These are searchable across the corpus.
[Image 1] The image shows a document with text, which appears to be a form or a section of a larger document. The text is organized into sections with headings such as "Section V: Safety and Health," "Section VI: Environmental Protection," and "Section VII: Quality Assurance." There are also sections titled "Section VIII: Inspection and Testing," "Section IX: Packaging and Shipping," and "Section X: Record
[Image 2] The image shows a document titled "Material Safety Data Sheet and Warranty." It appears to be a form or a template for providing information about a product's safety and warranty. The document includes sections for "Material Safety Data Sheet" and "Warranty," with fields for various details such as product name, section number, and specific information about the product's safety and warranty. Ther
[Image 3] The image shows a document titled "Material Safety Data Sheet and Warranty" from a company named "M.S. Schedule Company." The document appears to be a form or sheet related to the safety and warranty information for a specific material or product. It includes sections for identification, composition, hazardous ingredients, and precautionary statements, among others. The document is structured with
[Image 4] The image shows a document titled "Material Safety Data Sheet and Warranty." It appears to be a form or sheet used for providing information about a product's safety and warranty. The document is structured with various sections and fields, including sections for "Section 1. Product and Company Identification," "Section 2. Hazardous Ingredients," "Section 3. Physical and Chemical Properties," and
[Image 5] The image shows a document that appears to be a construction invoice or statement. It includes sections for the project name, date, and various details such as the supplier's name, the invoice number, and the total amount due. There are also sections for the description of the work or materials provided, the unit price, and the total amount. The document is signed at the bottom, indicating that it
[Image 6] The image shows a document that appears to be a purchase order or invoice. It contains various fields such as "Vendor Name," "Purchase Order Number," "Date," "Shipping Address," "Bill To Address," and "Shipping Method." There are also sections for "Description," "Quantity," "Unit Price," "Total," and "Total Amount." The document is signed at the bottom, indicating it is a formal business transacti