COVIA - Slurry Plant - Truck Inspection Report and Batch Info

• Date and Time

  Date

• Customer

  Kohler / Spartanburg

  Fireline

  Toto

  Other

• Grade

  1050

  1050 - P

  Other

• Carrier

  Doyle Sims Trucking

  Other

• Trailer Number

• Last Loaded with

  Clean

  Covia Slurry

• % Solids

• Order/PO number

• Prepared by

  John Hargrove

  David Banks

  Other

• Weather

  Clear

  Rain

  Snow

  Fog

BULK DRY OR SLURRY TRAILER CONDITON

• Trailer cleaned

  Yes

  Previously loaded by Covia

• Hatches cleaned / closed

  Yes

  No

• Warning tag already in place

  No tag

  Tag in place

• Warning tag attached

  Yes - Covia tag

  No

Batch Information

• Batch No:

• BOL

• Loaded Solids (%)

• Loaded Initial Viscosity

• Loaded pH

• Loaded by:

  John Hargrove

  David Banks

  Other

• Kohler Preship Gathered Instructions:
  Kohler / Winsconsin is 1-1 gal sample & 2-2 QT Samples.
  Kohler / Spartanburg & Brownwood is 2-1 quart samples.

• Kohler Preship Gathered

  Yes

  No

  N/A

• (Stop Loading - Need to get Samples)

• Have you gotten the samples?

  Yes

  No

  N/A

SIGN OFF

• Additional Comments (if any)

• Truck Approved For Loading (Covia Inspector's Signature)

  Sign

• Load Accepted in Good Order (Truck Driver's Name and Signature)

  Sign