Concrete Delivery Tickets 2019.docx

CONCRETE DELIVERY TICKETS SERT-Halfaya concrete batch plant Serial No of Ticket:

Date:

Truck-mixer plate no.: Truck-mixer driver name: PRID number and title: Concrete pouring site location: To be filled at the Batch Plant 1. Grade of Concrete (C………) 2. Type of Cement: 3. 4. 5. 6.

Quantity of Concrete (……………..………m3) Cumulative volume of Concrete supplied for same mix (--------m3) Batch/Loaded Time (……………………….) Mix Design details (sand, gravel, cement, water, and any admixtures) Sand (kg)

Gravel (kg)

Cement (kg)

Water (letter)

Admixtures (kg)

To be filled at the Site 7. Delivery Time (………………………..) 8. Discharge Time (………………………) 9. Slump Value (…………………….mm) 10. Concrete Temperature (………….c⁰) 11. Ambient Temperature (……………c⁰)

Concrete batch plant operator signature

Inspector signature